ClinicalTrials.gg
RecruitingNCT04435990MM09-SIT-023Updated May 13, 2025

Efficacy and Safety Evaluation for the Treatment of Allergy Against Mites

A Phase 3 interventional study of 10,000 MM09 and 30,000 MM09 in Rhinitis, Allergic, Rhinoconjunctivitis and Asthma, Allergic, sponsored by Inmunotek S.L.. Recruiting at 32 sites in Spain. Open to participants aged 12 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-05-13.

Sponsored by Inmunotek S.L. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2020; still recruiting 6 years 1 month later.
Phase
Phase 3
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
12 Years to 65 Years
Sex
All
01

Study summary

A double-blinded, placebo-controlled, prospective, multicenter randomized of 2 active treatment groups, compared to 1 placebo group, for the determination of the efficacy and safety of subcutaneous immunotherapy in patients with rhinitis/rhinoconjunctivitis with or without asthma, sensitised to Dermatophagoides pteronyssinus and /or Dermatophagoides farinae.

Read the detailed description

Double blind, multicenter, parallel placebo controlled study. It includes 150 subjects sensitised to mites, from 12 to 65 years of age. Medication treatment of 1 year. The main outcome: CSMS

02

Conditions studied

  • Rhinitis, Allergic
  • Rhinoconjunctivitis
  • Asthma, Allergic

Keywords

  • Rhinitis/ Rhinoconjunctivitis
  • Mild to moderate asthma
  • Allergy
  • Immunotherapy
  • Mites
03

In context

Rhinitis, Allergic

717 studies on the registry are indexed under Rhinitis, Allergic; 94 are open to participants now.

This study's planned enrollment of 150 is above the median of 68 across 552 interventional studies indexed under Rhinitis, Allergic.

Browse Rhinitis, Allergic studies →

Lead sponsor

Inmunotek S.L. is the lead sponsor of 26 studies on the registry; 13 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Written .
  • Age between 12 and 65, both genders.
  • Subjects with a confirmed clinical history of inhalant allergy (intermittent or persistent moderate-severe rhinitis and/or rhinoconjunctivitis according to the ARIA classification with or without intermittent or persistent mild-moderate controlled asthma according to the GEMA 5.0 definition) caused by allergy to Dermatophagoides pteronyssinus and/or Dermatophagoides farinae. The diagnosis of asthma will be valid from 12 months prior to signing the informed consent.
  • Subjects with a positive skin prick-test wheal size >5 mm higher diameter due to Dermatophagoides pteronyssinus and/or Dermatophagoides farinae. The positive and negative control of the test should give consistent results. The results will be valid 12 months prior to the signing of the informed consent.
  • Specific immunoglobulin E against house dust mites >3,5 KU/mL (InmunoCAP® o Immulite), for the complete extract of Dermatophagoides pteronyssinus and / or for Dermatophagoides farinae or for some of the molecular components of these allergenic sources
  • Subjects should preferably be monosensitized to the study allergens. In case of subjects sensitized to other aeroallergens, only those with the following characteristics may be included in the study:

    • Subjects with positive skin test to Blomia tropicalis and Lepidoglyphus destructor, whose specific IgE values do not exceed or equal the values for the study allergens. The maximum specific IgE value for these allergens is 3.5 KU/L.
    • Subjects with positive skin tests to epithelia, as long as they present occasional exposure and symptomatology.
    • Subjects with positive skin tests to pollens, whose specific IgE values do not exceed or equal the values of the allergens in the study and who do not present exacerbations during the pollen season. The maximum value of specific IgE for these allergens is 17.5 KU/L.
  • Subjects with negative skin test for fungi
  • Women of childbearing age (from menarche) must present a urine pregnancy test with a negative result at the time of joining the trial, before the first administration of the IMP.
  • Women of childbearing age participating in the trial must agree to use an appropriate method of , meaning any act, device, or medication to prevent conception or viable pregnancy, during the trial if they are sexually active.
  • Subjects with a diagnosis of asthma according to the GEMA 5.0 guideline.
  • Subjects capable of complying with the dosing regimen.
  • Subjects who own an smartphone for symptom registration and medication

Exclusion criteria

Exclusion Criteria:

  • Subjects who have received previous immunotherapy in the previous 5 years to dander, fungi, and mites.
  • Subjects in whom immunotherapy may be subject to an absolute general according to the criteria of the Immunotherapy Committee of the Spanish Society of Allergy and Clinical Immunology and the European Allergy and Clinical Immunology Immunotherapy Subcommittee.
  • Subjects with persistent severe or uncontrolled asthma, with an \<70% of baseline despite adequate pharmacological treatment at the time of inclusion in the trial. Also subjects with intermittent or persistent rhinitis/rhinoconjunctivitis with severe symptoms in whom oral or systemic antihistamine therapy is contraindicated.
  • Subjects who have previously presented a serious secondary reaction during the performance of diagnostic skin tests using the prick test.
  • Subjects under treatment with β-blockers.
  • Clinically unstable subjects at the time of inclusion in the trial (acute asthma exacerbation, respiratory infection, feverish process, acute urticaria, etc.).
  • Subjects with chronic active urticaria, severe dermographism, severe atopic dermatitis, sunburn, active psoriasis with lesions in areas where skin prick test will be performed, or a history of hereditary angioedema.
  • Subjects with any other disease not related to moderate rhinoconjunctivitis or asthma, but of potential severity and that may interfere with treatment and follow-up (epilepsy, psychomotor impairment, uncontrolled diabetes, malformations, multiple surgeries, nephropathy).
  • Subjects with disease (thyroiditis, lupus, etc.), tumor diseases or with a diagnosis of immunodeficiencies.
  • Subject whose condition prevents him/her from offering cooperation and/or who has serious mental illness.
  • Subjects with a known allergy to other components of the medicinal product other than the allergen.
  • Subjects with diseases of the lower respiratory tract other than asthma such as emphysema or bronchiectasis.
  • Direct investigator's relatives.
  • Pregnant women or breastfeeding women.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
150 participants (estimated)

Study arms

  • Experimental
    Experimental:10,000 MM09

    10,000 TU/mL of subcutaneous immunotherapy

    Biological: 10,000 MM09

  • Experimental
    Experimental: 30,000 MM09

    30,000 TU/mL of subcutaneous immunotherapy

    Biological: 30,000 MM09

  • Placebo comparator
    Placebo subcutaneous

    The same solution and presentation as the active treatment, but without any active ingredients.

    Biological: Placebo subcutaneous

Interventions

  • Biological10,000 MM09

    Purified allergenic extract, and adsorbed in aluminum hydroxide and polymerized with glutaraldehyde, mite mixture (Dermatophagoides pteronyssinus and Dermatophagoides farinae) with a concentration of 10,000 UT / mL

  • Biological30,000 MM09

    Purified allergenic extract, and adsorbed in aluminum hydroxide and polymerized with glutaraldehyde, mite mixture (Dermatophagoides pteronyssinus and Dermatophagoides farinae). The concentration is 30,000 UT / mL

  • BiologicalPlacebo subcutaneous

    The same solution and presentation as the active treatment, but without active ingredients.

06

What researchers measure

Primary outcomes

  1. CSMS: Combined Symptoms and Medication Score

    Evaluation of the number of symptoms and the consumption of medication for symptoms rhinitis / rhinoconjunctivitis of each subject during the trial, of the groups with each other and with respect to placebo.

    Time frame: 12 months

Secondary outcomes

  1. Medication-free days

    Number of days that the subjects need no medication

    Time frame: 12 months

  2. Symptom-free days

    Number of days that the subjects have no symptom

    Time frame: 12 months

  3. Number of participants with treatment-related adverse events as assessed by MM09-SIT-023

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

    Time frame: 12 months

  4. Quality of life associated with asthma

    The quality of life associated with asthma will be measured following the GINA questionnaire. The GINA questionnaire consists of 4 questions. In questions 1-4, patients recall their experience during the last 4 weeks and answer using YES or NO. The interpretation of the answers is as follows: Well-controlled: None of the answers are YES Partly controlled: 1 - 2 answers are YES Uncontrolled: 3-4 answers are YES

    Time frame: 12 months

  5. Quality of life associated with rhinitis

    The quality of life associated with rhinitis will be measured following the test ESPRINT-15. The scoring of the questionnaire will be carried out as follows: The global sum of the scores (ranging from "0 = nothing has bothered me" to "6 = it has bothered me a lot") of the 14 items plus the score given in the general questionnaire (ranging from "0 = Excellent" to "4 = Bad"). This sum is divided by the total number of items (15 items). The interpretation of the scores is between 0 (low impact) and 6 (high impact).

    Time frame: 12 months

  6. Visual Analogue Scale (VAS)

    Visual Analogue Scale in which the subject has to indicate how he/she feels regarding to his allergy symptoms at the moment from 1 to 10. Being 1 very bad and 10 very well.

    Time frame: 12 months

  7. Immunological parameters

    Analyses of total IgE and specific IgA,IgG and IgG4

    Time frame: 12 months

07

Study locations

22 of 32 sites recruiting
  • Hospital Provincial de Conxo
    Santiago De Compostela, A Coruña 15706, Spain
    Recruiting
  • IMED Elche
    Elche, Alicante 03203, Spain
    Recruiting
    • Eugenia Margarita Campos, MD · Contacteumarcampos@hotmail.com · 966915151
    • Eugenia Margarita Campos, MD · Principal investigator
  • Hospital Universitario de Torrevieja
    Torrevieja, Alicante 03186, Spain
    Recruiting
  • Clinica Tecma
    Valencia, Alzira 46600, Spain
    Completed

    Not enrolling at this site — choose another above.

  • Clinica Virgen del Rosario
    Algeciras, Cadiz, Spain
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Hospital HLA Jerez Puerta Sur
    Jerez De La Frontera, Cádiz 11408, Spain
    Withdrawn

    Not enrolling at this site — choose another above.

  • Hospital Dr. Peset
    Valencia, España 46017, Spain
    Recruiting
  • Hospital General Universitario Santa Maria de Rosell
    Cartagena, Murcia 30203, Spain
    Withdrawn

    Not enrolling at this site — choose another above.

  • Hospital Rivera Povisa
    Vigo, Pontevedra 36211, Spain
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Hospital General Universitario Dr. Balmis
    Alicante, 03010, Spain
    Recruiting
  • Hospital Universitario San Juan de Alicante
    Alicante, 03550, Spain
    Recruiting
  • Clínica Dermatológica y Alergia
    Badajoz, 06001, Spain
    Recruiting
    • Irán Sánchez Ramos, MD · Contactiran120@hotmail.com · 924220562
    • Irán Sánchez, MD · Principal investigator
  • Hospital Quironsalud Clideba
    Badajoz, 06011, Spain
    Recruiting
  • Hospital Sant Pere Claver
    Barcelona, 08004, Spain
    Recruiting
  • Clínica Corachan
    Barcelona, 08017, Spain
    Recruiting
  • Hospital Universitari Dexeus
    Barcelona, 08028, Spain
    Recruiting
  • Cenvi Medic
    Barcelona, 08036, Spain
    Recruiting
    • Mario Tubella Martín, MD · Contactlmtubella@hotmail.com · 934108895
    • Mario Tubella Martín, DM · Principal investigator
  • Allergocenter
    Barcelona, Spain
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Clinica privada
    Bilbao, Spain
    Withdrawn

    Not enrolling at this site — choose another above.

  • Centro Médico ASISA Dr. Lobatón
    Cadiz, 11008, Spain
    Recruiting
    • Francisco Moreno, MD · Contactdr.moreno@drlobaton.com · +34956 29 21 00
    • Francisco Moreno, DM · Principal investigator
  • Centro Médico Puerto
    Cadiz, Spain
    Recruiting
    • Mª José Pereira González, MD · Contactmjpereirag@yahoo.es · 916748081
    • Mª José Pereira González, MD · Principal investigator
  • Hospital Quiron Salud Córdoba
    Córdoba, Spain
    Recruiting
    • Ignacio García Núñez, MD · Contacth62ganui@hotmail.com · 957410000
    • Ignacio Garcia Núñez, MD · Principal investigator
  • Hospital Polusa
    Lugo, 27004, Spain
    Recruiting
    • Joaquín Martín, MD · Contactjoaquin.martin@yahoo.es · 982222854
    • Joaquín Martín, MD · Principal investigator
  • Hospital Comarcal de Melilla
    Melilla, 52005, Spain
    Recruiting
  • Clinica Privada
    Murcia, 36006, Spain
    Not yet recruiting
  • Clinica privada
    Málaga, 29001, Spain
    Recruiting
  • Alergocantabria
    Santander, Spain
    Recruiting
  • Hospital Quiron Infanta Luisa
    Sevilla, 41010, Spain
    Recruiting
  • Clinica Lanuza
    Valencia, 46003, Spain
    Recruiting
  • Hospital Universitario Y Politecnico La Fe
    Valencia, 46026, Spain
    Recruiting
  • Clinica IMED
    Valencia, 46100, Spain
    Withdrawn

    Not enrolling at this site — choose another above.

  • Hospital de Sagunto
    Valencia, 46520, Spain
    Withdrawn

    Not enrolling at this site — choose another above.

08

References and documents

Publications

  • Piacentini GL, Vicentini L, Mazzi P, Chilosi M, Martinati L, Boner AL. Mite-antigen avoidance can reduce bronchial epithelial shedding in allergic asthmatic children. Clin Exp Allergy. 1998 May;28(5):561-7. doi: 10.1046/j.1365-2222.1998.00260.x. PubMed 9645592 ↗
  • Yepes-Nunez JJ, Gomez C, Espinoza Y, Cardona R. [The impact of subcutaneous immunotherapy with Dermatophagoides farinae and Dermatophagoides pteronyssinus on the quality of life of patients with allergic rhinitis and asthma]. Biomedica. 2014 Apr-Jun;34(2):282-90. doi: 10.1590/S0120-41572014000200014. Spanish. PubMed 24967933 ↗
  • Cardona R, Lopez E, Beltran J, Sanchez J. Safety of immunotherapy in patients with rhinitis, asthma or atopic dermatitis using an ultra-rush buildup. A retrospective study. Allergol Immunopathol (Madr). 2014 Mar-Apr;42(2):90-5. doi: 10.1016/j.aller.2012.07.005. Epub 2012 Dec 20. PubMed 23265265 ↗
  • Bousquet J, Hejjaoui A, Clauzel AM, Guerin B, Dhivert H, Skassa-Brociek W, Michel FB. Specific immunotherapy with a standardized Dermatophagoides pteronyssinus extract. II. Prediction of efficacy of immunotherapy. J Allergy Clin Immunol. 1988 Dec;82(6):971-7. doi: 10.1016/0091-6749(88)90133-9. PubMed 3204255 ↗
  • Branco Ferreira M, Spinola Santos A, Pereira Santos MC, Palma Carlos ML, Pereira Barbosa MA, Palma Carlos AG. Efficacy and safety of specific immunotherapy with a modified mite extract. Allergol Immunopathol (Madr). 2005 Mar-Apr;33(2):80-5. doi: 10.1157/13072918. PubMed 15808114 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2020 (actual). Primary completion is estimated for Dec 2026, 74 months after the start.

Of 31 industry-sponsored phase 3 interventional studies under Rhinitis, Allergic, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 41. This study's planned 74 months is above that.

Counting every sponsor, half of 41 studies reached it within 13 months; a quarter within 6 and three quarters within 35.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 10, 2020
First posted
Jun 17, 2020
StartActual
Oct 6, 2020
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
May 13, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04435990
Lead sponsor
Inmunotek S.L.
Collaborators
BioClever 2005 S.L.
Responsible party
Sponsor
First posted
Jun 17, 2020
Start date
Oct 6, 2020
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
May 13, 2025

Study contacts

Miguel Casanovas, MD PhD
Contact
mcasanovas@inmunotek.com
+34916510010
Raquel Caballero, MD
Contact
rcaballero@inmunotek.com
+34607600638
Francisco Moreno, MD
study director · Centro Médico ASISA

Oversight

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

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