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Status unknownNCT02661854MM09Updated Mar 11, 2020

Dose Finding for the Treatment of Rhinitis/Rhinoconjunctivitis Against Mite Allergy

A Phase 2 interventional study of MM09 Mannosylated 5.000 subcutaneous and MM09 Mannosylated 10.000 subcutaneous in Rhinitis and Rhinoconjunctivitis, sponsored by Inmunotek S.L.. Status unknown at 14 sites in Spain. Open to participants aged 12 Years to 65 Years. Per ClinicalTrials.gov, last updated 2020-03-11.

Sponsored by Inmunotek S.L. · Phase 2, Interventional, and Screening

The sponsor has not verified this record recently (last verified Mar 2020), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
186
Allocation
Randomized
Ages
12 Years to 65 Years
Sex
All
01

Study summary

The purpose of the study is to evaluate the more efficient dose for the treatment of rhinitis/rhinoconjunctivitis against mite allergy

Read the detailed description

Double blind placebo-controlled study. The subjects will receive medication during 4 months.

02

Conditions studied

  • Rhinitis
  • Rhinoconjunctivitis

Keywords

  • Rhinitis / Rhinoconjunctivitis
  • Vaccine
  • Immunotherapy
  • Mite
  • Allergy
03

In context

Rhinitis

1,105 studies on the registry are indexed under Rhinitis; 65 are open to participants now.

This study's enrollment of 186 is above the median of 89 across 906 interventional studies indexed under Rhinitis.

Browse Rhinitis studies →

Lead sponsor

Inmunotek S.L. is the lead sponsor of 23 studies on the registry; 11 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Written informed consent
  • Positive suggestive clinical history of intermittent or persistent moderate to severe rhinitis /rhinoconjunctivitis, with or without moderate asthma, due to Dermatophagoides pteronyssinus and/or Dermatophagoides farinae allergy
  • Subjects with a positive skin prick-test (wheal sixe >6 mm diameter)
  • Specific immunoglobulin E against house dust mites >10 kU/L and whose determination does not exceed 6 months prior to the inclusion visit
  • Age between 12 and 65 years
  • Both genders
  • Subjects capable of giving informed consent
  • Subjects capable of complying with the dosing regimen
  • Subjects that have not received immunotherapy in the last 5 years
  • Subjects presenting sensitization to another aeroallergens, but that is considered clinically not relevant or no clinical interference with the nasal provocation test.

Exclusion criteria

Exclusion Criteria:

  • Subjects outside of the age range.
  • Subjects who have previously received immunotherapy for the treatment of the allergic rhinitis/rhinoconjunctivitis due to mites and other allergens in the last 5 years.
  • Subjects that immunotherapy may be an absolute contraindication according to the criteria of the immunotherapy Committee of the Spanish society of Allergy and Clinical Immunology, and of the European Allergy and Clinical Immunology Immunotherapy Subcommittee may also include.
  • Subjects with important symptoms of rhinoconjunctivitis /bronchial asthma in which the suspension of the systemic antihistamine treatment is contraindicated.
  • Subjects with persistent severe or not controlled asthma , with a forced expiratory volume (FEV) \< 70 respect to the reference value in spite of the appropriate pharmacological treatment at the time of the inclusion in the trial.
  • Subjects that have required oral corticosteroids in the 12 weeks previous to the inclusion in the trial.
  • Subjects that have previously submitted a serious secondary reaction during the skin prick test
  • Subjects in treatment with beta blockers.
  • Unstable subjects from the clinical point of view (respiratory infection, febrile, acute urticaria, etc.) at the time of the inclusion in the clinical trial
  • Subject with chronic urticaria in the last 2 years or hereditary angioedema.
  • Subjects that have some pathology (hyperthyroidism, hypertension, heart disease, etc.) is contraindicated.
  • Subjects with any other disease not associated with the rhinitis/rhinoconjunctivitis, but of potential severity and that could interfere with treatment and follow-up (epilepsy, psychomotor deterioration, diabetes, malformations, multi-operated, kidney diseases,...).
  • Subjects with autoimmune disease (lupus, thyroiditis, etc.), tumor or with diagnosis of immunodeficiency diseases.
  • Subject whose status prevents him from providing cooperation and or which present severe psychiatric disorders.
  • Subject with known allergy to other components of the vaccine different from mites allergen extract.
  • Subjects with lower airway diseases other than asthma such as emphysema or bronchiectasis.
  • Direct investigator's relatives.
  • Pregnant or women at risk of pregnancy and breastfeeding women.
05

Study design

Phase
Phase 2
Primary purpose
Screening
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
186 participants (actual)

Study arms

  • Experimental
    MM09 Mannosylated 5.000 subcutaneous

    5.000 MTU/ml of subcutaneous immunotherapy and sublingual placebo.

    Biological: MM09 Mannosylated 5.000 subcutaneous · Biological: Sublingual placebo

  • Experimental
    MM09 Mannosylated 10.000 subcutaneous

    10.000 MTU/ml of subcutaneous immunotherapy and sublingual placebo.

    Biological: MM09 Mannosylated 10.000 subcutaneous · Biological: Sublingual placebo

  • Experimental
    MM09 Mannosylated 30.000 subcutaneous

    30.000 MTU/ml of subcutaneous immunotherapy and sublingual placebo.

    Biological: MM09 Mannosylated 30.000 subcutaneous · Biological: Sublingual placebo

  • Experimental
    MM09 Mannosylated 50.000 subcutaneous

    50.000 MTU/ml of subcutaneous immunotherapy and sublingual placebo.

    Biological: MM09 Mannosylated 50.000 subcutaneous · Biological: Sublingual placebo

  • Experimental
    MM09 Mannosylated 5.000 sublingual

    5.000 MTU/ml of sublingual immunotherapy and subcutaneous placebo.

    Biological: MM09 Mannosylated 5.000 sublingual · Biological: Subcutaneous placebo

  • Experimental
    MM09 Mannosylated 10.000 sublingual

    10.000 MTU/ml of sublingual immunotherapy and subcutaneous placebo.

    Biological: MM09 Mannosylated 10.000 sublingual · Biological: Subcutaneous placebo

  • Experimental
    MM09 Mannosylated 30.000 sublingual

    30.000 MTU/ml of sublingual immunotherapy and subcutaneous placebo.

    Biological: MM09 Mannosylated 30.000 sublingual · Biological: Subcutaneous placebo

  • Experimental
    MM09 Mannosylated 50.000 sublingual

    50.000 MTU/ml of sublingual immunotherapy and subcutaneous placebo.

    Biological: MM09 Mannosylated 50.000 sublingual · Biological: Subcutaneous placebo

  • Placebo comparator
    Placebo Sublingual Placebo subcutaneous

    Sublingual and subcutaneous placebo.

    Biological: Subcutaneous placebo · Biological: Sublingual placebo

Interventions

  • BiologicalMM09 Mannosylated 5.000 subcutaneous

    Mixture of the following mites: Dermatophagoides pteronyssinus and Dermatophagoides farinae, allergen extract with a concentration of 5.000 MTU (Mannosylated Therapeutic Units)/ml subcutaneous

    Also known as: Manano

  • BiologicalMM09 Mannosylated 10.000 subcutaneous

    Mixture of the following mites: Dermatophagoides pteronyssinus and Dermatophagoides farinae, allergen extract with a concentration of 10.000 MTU (Mannosylated Therapeutic Units)/ml subcutaneous

  • BiologicalMM09 Mannosylated 30.000 subcutaneous

    Mixture of the following mites: Dermatophagoides pteronyssinus and Dermatophagoides farinae, allergen extract with a concentration of 30.000 MTU (Mannosylated Therapeutic Units)/ml subcutaneous

  • BiologicalMM09 Mannosylated 50.000 subcutaneous

    Mixture of the following mites: Dermatophagoides pteronyssinus and Dermatophagoides farinae, allergen extract with a concentration of 50.000 MTU (Mannosylated Therapeutic Units)/ml subcutaneous

  • BiologicalMM09 Mannosylated 5.000 sublingual

    Mixture of the following mites: Dermatophagoides pteronyssinus and Dermatophagoides farinae, allergen extract with a concentration of 5.000 MTU (Mannosylated Therapeutic Units)/ml sublingual

  • BiologicalMM09 Mannosylated 10.000 sublingual

    Mixture of the following mites: Dermatophagoides pteronyssinus and Dermatophagoides farinae, allergen extract with a concentration of 10.000 MTU (Mannosylated Therapeutic Units)/ml sublingual

  • BiologicalMM09 Mannosylated 30.000 sublingual

    Mixture of the following mites: Dermatophagoides pteronyssinus and Dermatophagoides farinae, allergen extract with a concentration of 30.000 MTU (Mannosylated Therapeutic Units)/ml sublingual

  • BiologicalMM09 Mannosylated 50.000 sublingual

    Mixture of the following mites: Dermatophagoides pteronyssinus and Dermatophagoides farinae, allergen extract with a concentration of 50.000 MTU (Mannosylated Therapeutic Units)/ml sublingual

  • BiologicalSubcutaneous placebo

    Comparison between placebo and active group

  • BiologicalSublingual placebo

    Comparison between placebo and active group

06

What researchers measure

Primary outcomes

  1. Concentration required to elicit a positive response after nasal provocation test (NPT)

    Change in the threshold concentration of mite allergen extract, measured in Histamine Equivalent Prick per ml (HEP/ml), needed to trigger a positive response after nasal provocation test (NPT) assessed by acoustic rhinometry. This will be compared between the beginning and end of the trial and among active groups and placebo.

    Time frame: 4 months

Secondary outcomes

  1. Dose finding skin prick test

    Comparison between the beginning and end of the trial and among active groups and placebo

    Time frame: 4 months

  2. Number of participants with treatment-related adverse events as assessed by MM09-SIT-013

    Comparison between the beginning and end of the trial and among active groups and placebo

    Time frame: 4 months

07

Study locations

14 sites
  • Hospital General Universitario de Elche
    Elche, Alicante 03203, Spain
  • Hospital Del Vinalopo
    Elche, Alicante 03293, Spain
  • Hospital General Universitario de Elda-Virgen de La Salud
    Elda, Alicante 03600, Spain
  • Hospital Vega Baja Orihuela
    Orihuela, Alicante 03314, Spain
  • Hospital Universitari de Castelló
    Castellón de la Plana, Castellón 12004, Spain
  • Hospital de La Plana
    Vila-real, Castellón 12540, Spain
  • Hospital de Manises
    Manises, Valencia 46940, Spain
  • Hospital Lluis Alcanyis de Xátiva
    Xátiva, Valencia 46800, Spain
  • Hospital General Universitario de Alicante
    Alicante, 03010, Spain
  • Hospital Vithas Internacional Medimar
    Alicante, 03016, Spain
  • Hospital Arnau de Vilanova
    Valencia, 46015, Spain
  • Hospital Universitario Doctor Peset
    Valencia, 46017, Spain
  • HOSPITAL UNIVERSITARI I POLITÈCNIC LA FE Adults
    Valencia, 46026, Spain
  • HOSPITAL UNIVERSITARI I POLITÈCNIC LA FE child
    Valencia, 46026, Spain
08

References and documents

Publications

  • Soria I, Lopez-Relano J, Vinuela M, Tudela JI, Angelina A, Benito-Villalvilla C, Diez-Rivero CM, Cases B, Manzano AI, Fernandez-Caldas E, Casanovas M, Palomares O, Subiza JL. Oral myeloid cells uptake allergoids coupled to mannan driving Th1/Treg responses upon sublingual delivery in mice. Allergy. 2018 Apr;73(4):875-884. doi: 10.1111/all.13396. Epub 2018 Jan 31. PubMed 29319882 ↗
  • Manzano AI, Javier Canada F, Cases B, Sirvent S, Soria I, Palomares O, Fernandez-Caldas E, Casanovas M, Jimenez-Barbero J, Subiza JL. Structural studies of novel glycoconjugates from polymerized allergens (allergoids) and mannans as allergy vaccines. Glycoconj J. 2016 Feb;33(1):93-101. doi: 10.1007/s10719-015-9640-4. Epub 2015 Nov 25. PubMed 26603537 ↗
  • Sirvent S, Soria I, Cirauqui C, Cases B, Manzano AI, Diez-Rivero CM, Reche PA, Lopez-Relano J, Martinez-Naves E, Canada FJ, Jimenez-Barbero J, Subiza J, Casanovas M, Fernandez-Caldas E, Subiza JL, Palomares O. Novel vaccines targeting dendritic cells by coupling allergoids to nonoxidized mannan enhance allergen uptake and induce functional regulatory T cells through programmed death ligand 1. J Allergy Clin Immunol. 2016 Aug;138(2):558-567.e11. doi: 10.1016/j.jaci.2016.02.029. Epub 2016 Apr 13. PubMed 27177779 ↗
  • Soria I, Alvarez J, Manzano AI, Lopez-Relano J, Cases B, Mas-Fontao A, Canada FJ, Fernandez-Caldas E, Casanovas M, Jimenez-Barbero J, Palomares O, Vinals-Florez LM, Subiza JL. Mite allergoids coupled to nonoxidized mannan from Saccharomyces cerevisae efficiently target canine dendritic cells for novel allergy immunotherapy in veterinary medicine. Vet Immunol Immunopathol. 2017 Aug;190:65-72. doi: 10.1016/j.vetimm.2017.07.004. Epub 2017 Jul 23. PubMed 28778325 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 11, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02661854
Lead sponsor
Inmunotek S.L.
Responsible party
Sponsor
First posted
Jan 25, 2016
Start date
Jun 21, 2016
Primary completion
Jul 2020 (estimated)
Completion
Jul 2020 (estimated)
Last update
Mar 11, 2020

Study contacts

Mª Dolores Hernández, PhD; MD
principal investigator
Pilar Alba, PhD; MD
principal investigator
Carmen Pérez, PhD; MD
principal investigator
Javier Montoro, PhD; MD
principal investigator
Antonio de Mateo, PhD; MD
principal investigator
David El-Qutob, PhD; MD
principal investigator
Javier Fernández, PhD; MD
principal investigator
Vicente Jover, PhD; MD
principal investigator
Isabel Flores, PhD; MD
principal investigator
Mónica Antón, PhD; MD
principal investigator
Carmen Andreu, PhD; MD
principal investigator
Luis Angel Navarro, PhD; MD
principal investigator
Ángel Ferrer
principal investigator
Antonio Nieto, PhD; MD
study director

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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