A Phase 1 interventional study of subcutaneous immunotherapy with DPT extract and Subcutaneous depot placebo in Allergic Rhinoconjunctivitis, sponsored by Roxall Medicina España S.A. Completed at 2 sites in Spain. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2019-05-06.
Sponsored by Roxall Medicina España S.A · Phase 1, Interventional, and Treatment
Based on EMA (European Medicines Agency) new guidelines on the clinical development of products for immunotherapy for the treatment of allergic diseases the aim of this study was to assess safety and tolerability of 3 different subcutaneous immunotherapy dose escalations in patients allergic to Dermatophagoides pteronyssinus.
361 studies on the registry are indexed under Conjunctivitis; 17 are open to participants now.
This study's enrollment of 48 is below the median of 100 across 299 interventional studies indexed under Conjunctivitis.
Browse Conjunctivitis studies →Roxall Medicina España S.A is the lead sponsor of 15 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
6 administrations and 5 weeks duration 1. Vial 2: 0.1 ml, 0.2 ml and 0.5 ml at 1 week intervals 2. Vial 3: 0.1 ml, 0.2 ml and 0.5 ml at 1 week intervals.
Biological: subcutaneous immunotherapy with DPT extract
6 administrations and 5 weeks duration 1. Vial 2: 0.1 ml, 0.2 ml and 0.5 ml at 1 week intervals 2. Vial 3: 0.1 ml, 0.2 ml and 0.5 ml at 1 week intervals.
Biological: Subcutaneous depot placebo
8 administrations and 7 weeks duration 1. Vial 1: 0.2 ml at 1 week intervals 2. Vial 2: 0.1 ml, 0.2 ml, 0.4 ml at 1 week intervals 3. Vial 3: 0.1 ml, 0.2 ml, 0.4 ml and 0.5 ml at 1 week intervals
Biological: subcutaneous immunotherapy with DPT extract
8 administrations and 7 weeks duration 1. Vial 1: 0.2 ml at 1 week intervals 2. Vial 2: 0.1 ml, 0.2 ml, 0.4 ml at 1 week intervals 3. Vial 3: 0.1 ml, 0.2 ml, 0.4 ml and 0.5 ml at 1 week intervals
Biological: Subcutaneous depot placebo
8 administrations, 2 administrations in the same day. 1 week interval between 2 doses, during 3 weeks. 1. Week 1: vial 2 - 2 administrations of 0.1 ml with 30 minute interval 2. Week 2: vial 2 - 0.2 ml and 0.3 ml with 30 minute interval 3. Week 3: vial 3 - 2 doses of 0.1 ml with 30 minute interval 4. Week 4: vial 3 - 0.2 ml and 0.3 ml with 30 minute interval
Biological: subcutaneous immunotherapy with DPT extract
8 administrations, 2 administrations in the same day. 1 week interval between 2 doses, during 3 weeks. 1. Week 1: vial 2 - 2 administrations of 0.1 ml with 30 minute interval 2. Week 2: vial 2 - 0.2 ml and 0.3 ml with 30 minute interval 3. Week 3: vial 3 - 2 dose of 0.1 ml with 30 minute interval 4. Week 4: vial 3 - 0.2 ml and 0.3 ml with 30 minute interval
Biological: Subcutaneous depot placebo
Increasing doses of subcutaneous immunotherapy in three different scales up to the maximum dose of 500 TSU (Treatment Standardized Units)
Also known as: DPT depot vaccine
Increasing doses of subcutaneous depot placebo in three different scales
Number and Seriousness of Both Local and Systemic Adverse Reactions
The primary end points were the number of ARs and the severity of local and systemic ARs (SARs) to SCIT administration. Proportions were compared between study arms. The tolerability of SCIT was evaluated by early and late local reactions (i.e., local swelling and redness) and systemic reactions after each injection (any symptoms from organs distant from the location of the injection). Reactions were classified depending on the severity and onset of the reaction, according to the EAACI classification (Alvarez-Cuesta 2006).
Time frame: From informed consent signature (V0) until the end of patient participation in the study (depending on the treatment assigned between 4 and 8 weeks )
Immunoglobulin Levels (IgE Specific) Active Versus Placebo
Changes on immunoglobulin level determinations (specific IgE, IgG and IgG4) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.
Time frame: Before (V0) and after treatment (depending on the treatment assigned between 4 and 8 weeks)
Immunoglobulin Levels (IgG Total) Active Versus Placebo
Changes on immunoglobulin level determinations (IgG) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.
Time frame: Before (V0) and after treatment (depending on the treatment assigned between 4 and 8 weeks)
Immunoglobulin Levels (IgG 4) Active Versus Placebo
Changes on immunoglobulin level determinations (IgG4) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.
Time frame: Before (V0) and after treatment (depending on the treatment assigned between 4 and 8 weeks)
| Milestone | Group A Active | Group A Placebo | Group B Active | Group B Placebo | Group C Active | Group C Placebo |
|---|---|---|---|---|---|---|
| Started | 12 | 4 | 12 | 4 | 12 | 4 |
| Completed | 11 | 4 | 9 | 4 | 6 | 4 |
| Not completed | 1 | 0 | 3 | 0 | 6 | 0 |
| Withdrew: Withdrawal by subject | 1 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Adverse event | 0 | 0 | 3 | 0 | 3 | 0 |
| Withdrew: Concomitant disease | 0 | 0 | 0 | 0 | 3 | 0 |
The primary end points were the number of ARs and the severity of local and systemic ARs (SARs) to SCIT administration. Proportions were compared between study arms. The tolerability of SCIT was evaluated by early and late local reactions (i.e., local swelling and redness) and systemic reactions after each injection (any symptoms from organs distant from the location of the injection). Reactions were classified depending on the severity and onset of the reaction, according to the EAACI classification (Alvarez-Cuesta 2006).
| adverse reactions number | Group A Active | Group B Active | Group C Active | Group A Placebo | Group B Placebo | Group C Placebo |
|---|---|---|---|---|---|---|
| Local adverse reactions number | 2 | 1 | 0 | 1 | 1 | 0 |
| Systemic adverse reactions number | 4 | 6 | 4 | 0 | 1 | 1 |
Changes on immunoglobulin level determinations (specific IgE, IgG and IgG4) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.
| ng/mL | Group A Active | Group A Placebo | Group B Active | Group B Placebo | Group C Active | Group C Placebo |
|---|---|---|---|---|---|---|
| Immunoglobulin Levels (IgE Specific) Active Versus Placebo | 0.0750 ± 0.393 | -0.0055 ± 0.013 | 0.1709 ± 0.274 | -0.1445 ± 0.639 | -0.0398 ± 0.507 | 0.0395 ± 0.039 |
Changes on immunoglobulin level determinations (IgG) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.
| ng/mL | Group A Active | Group A Placebo | Group B Active | Group B Placebo | Group C Active | Group C Placebo |
|---|---|---|---|---|---|---|
| Immunoglobulin Levels (IgG Total) Active Versus Placebo | -0.8813 ± 0.484 | -0.0405 ± 0.097 | -0.9589 ± 0.536 | -0.0953 ± 0.137 | -0.4918 ± 0.389 | -0.0425 ± 0.090 |
Changes on immunoglobulin level determinations (IgG4) from basal visit to final visit and changes in mean wheal area in prick test dose response from basal visit to final visit, active versus placebo.
| ng/mL | Group A Active | Group A Placebo | Group B Active | Group B Placebo | Group C Active | Group C Placebo |
|---|---|---|---|---|---|---|
| Immunoglobulin Levels (IgG 4) Active Versus Placebo | -1.0878 ± 0.770 | 0.0838 ± 0.518 | -1.2885 ± 0.844 | 0.0770 ± 0.162 | -0.8243 ± 0.663 | 0.0580 ± 0.039 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Group A Active | 0/12 (0%) | 1/12 (8.3%) | 12/12 (100%) |
| Group B Active | 0/12 (0%) | 3/12 (25%) | 11/12 (91.7%) |
| Group C Active | 0/12 (0%) | 3/12 (25%) | 8/12 (66.7%) |
| Group A Placebo | 0/4 (0%) | 0/4 (0%) | 1/4 (25%) |
| Group B Placebo | 0/4 (0%) | 0/4 (0%) | 2/4 (50%) |
| Group C Placebo | 0/4 (0%) | 0/4 (0%) | 1/4 (25%) |
| Event | Group A Active | Group B Active | Group C Active | Group A Placebo | Group B Placebo | Group C Placebo |
|---|---|---|---|---|---|---|
| broncoconstrictionRespiratory, thoracic and mediastinal disorders | 0/12 | 1/12 | 2/12 | — | — | — |
| OtitisEar and labyrinth disorders | 1/12 | 0/12 | 0/12 | — | — | — |
| pyrosisGastrointestinal disorders | 0/12 | 1/12 | 0/12 | — | — | — |
| Facial edemaSkin and subcutaneous tissue disorders | 0/12 | 1/12 | 0/12 | — | — | — |
| urticariaSkin and subcutaneous tissue disorders | 0/12 | 1/12 | 0/12 | — | — | — |
| Edema in upper extremitiesSkin and subcutaneous tissue disorders | 0/12 | 0/12 | 1/12 | — | — | — |
| diarrheaGastrointestinal disorders | 0/12 | 0/12 | 1/12 | — | — | — |
| allergic rhinoconjunctivitisImmune system disorders | 0/12 | 1/12 | 0/12 | — | — | — |
| Event | Group A Active | Group B Active | Group C Active | Group A Placebo | Group B Placebo | Group C Placebo |
|---|---|---|---|---|---|---|
| alterations injection siteGeneral disorders | 5/12 | 7/12 | 5/12 | 1/4 | 1/4 | 1/4 |
| cephaleaNervous system disorders | 3/12 | 5/12 | 4/12 | 0/4 | 1/4 | 0/4 |
| ColdInfections and infestations | 5/12 | 1/12 | 0/12 | 0/4 | 0/4 | 0/4 |
| Age, Continuous(years) | Group A Active | Group B Active | Group C Active | Group A Placebo | Group B Placebo | Group C Placebo | Total |
|---|---|---|---|---|---|---|---|
| Mean | 31.66 ± 8.93 | 30.88 ± 9.77 | 31.80 ± 8.85 | 33.93 ± 9.49 | 33.93 ± 9.49 | 33.93 ± 9.49 | 32.68 ± 9.34 |
| Sex: Female, Male(Participants) | Group A Active | Group B Active | Group C Active | Group A Placebo | Group B Placebo | Group C Placebo | Total |
|---|---|---|---|---|---|---|---|
| Female | 7 | 4 | 7 | 3 | 2 | 1 | 24 |
| Male | 5 | 8 | 5 | 1 | 2 | 3 | 24 |
This study is completed, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.
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Roxall Medicina España S.A