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CompletedNCT04622917Updated Mar 15, 2024

Methylprednisolone Injections Treating Birch Pollen Induced Allergic Rhinitis.

A Phase 4 interventional study of MethylPREDNISolone 40 Mg/mL Injectable Suspension and NaCl 9 MG/ML Injectable Solution in Rhinitis, Allergic, Seasonal, Hay Fever and Pollen Allergy, sponsored by Karolinska Institutet. Completed at 1 site in Sweden. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-03-15.

Sponsored by Karolinska Institutet · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 6 months after the study started (first participant enrolled Apr 2019, registered Oct 2020).
Phase
Phase 4
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

This study evaluates the effect of intramuscular injected methylprednisolone treating birch pollen induced rhinitis compared to placebo.

Read the detailed description

The study was an interventional single center double-blinded human randomized trial with two groups treated parallel.The first group received an intramuscular injection of Methylprednisolone 40 mg/ml 2ml x 1 as a single dose. The second group received an intramuscular injection of NaCl 0,9 mg/ml 2ml x 1 as a single dose. Symptom score and the use of medication was registered daily during the pollen peak of the season, using an electronic diary. The study was conducted during the spring of 2019.

02

Conditions studied

  • Rhinitis, Allergic, Seasonal
  • Hay Fever
  • Pollen Allergy
  • Allergic Rhinitis
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 44 is below the median of 89 across 906 interventional studies indexed under Rhinitis.

Browse Rhinitis studies →

Lead sponsor

Karolinska Institutet is the lead sponsor of 1,113 studies on the registry; 267 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Severe birch pollen induced allergic rhinitis.
  • Signed informed consent according to International Council of Harmonisation/Good Clinical Practice, and national/local regulations.
  • Women of considered childbearing potential (WOCBP) will only be included after a negative highly sensitive pregnancy test according to CTFG recommendations.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy or nursing.
  • Autoimmune or collagen disease.
  • Cardiovascular disease.
  • Hepatic disease.
  • Renal disease.
  • Cancer.
  • Upper airway disease (non-allergic sinusitis, nasal polyposis, chronic obstructive- and restrictive lung disease).
  • Medication with a possible side-effect of interfering with the immune response.
  • Previous immuno- or chemotherapy.
  • Chronic disease.
  • Major metabolic disease.
  • Alcohol or drug abuse.
  • Mental incapability of coping with the study.
  • Known or suspected allergy to the study product.
  • Suspicion of or confirmed bacterial infection.
  • Known allergy to the study drugs, "rescue medication".
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
44 participants (actual)

Study arms

  • Active comparator
    Methylprednisolone

    Depo-Medrol (Methylprednisolone) 40 milligrams/milliliter, 2 milliliters as a single dosage

    Drug: MethylPREDNISolone 40 Mg/mL Injectable Suspension

  • Placebo comparator
    Sodium Chloride (NaCl)

    NaCl 0,9 milligrams/milliliter, 2 milliliters as a single dosage

    Drug: NaCl 9 MG/ML Injectable Solution

Interventions

  • DrugMethylPREDNISolone 40 Mg/mL Injectable Suspension

    intramuscular injection

    Also known as: Depo-Medrol

  • DrugNaCl 9 MG/ML Injectable Solution

    Intramuscular injection

    Also known as: Sodium Chloride

06

What researchers measure

Primary outcomes

  1. Mean Combined Medical- and Symptom score (CSMS)

    Daily scoring of rhinoconjunctivitis symptoms (4 questions, 4-point scale. 0= no symptoms and 3=severe symptoms) and use of rescue medication (3-point scale. 0=no medication, 1= oral and/or topical (eyes) non sedative H1 antihistamines (H1A), 2= intranasal corticosteroids with/without H1A) during the birch pollen season. CSMS 6-point scale (0=no symptoms and no use of medication, 5= severe symptoms and use of intranasal corticosteroids with/without H1A)

    Time frame: 3 weeks

  2. Mean symptom score

    Daily scoring of rhinoconjunctivitis symptoms (4 questions, 4-point scale. 0= no symptoms and 3=severe symptoms)

    Time frame: 3 weeks

Secondary outcomes

  1. Effects on Quality of Life (QoL), SNOT

    Changes in Sino Nasal Outcome Test 22 (SNOT-22) at trial start, after 1 and 3 weeks respectively. 22 questions, 6-point scale (0=no change in quality of life and 5=severe reduction in quality of life)

    Time frame: 3 weeks

  2. Effects on Quality of Life (QoL), RQLQ

    Changes in Juniper Rhinitis Quality of Life Questionnaire (RQLQ) at trial start, after 1 and 3 weeks respectively. 28 questions, 7-point scale ((0=no change in quality of life and 6=severe reduction in quality of life)

    Time frame: 3 weeks

  3. Effects on Quality of Life (QoL), ACQ

    Changes in Asthma Control Questionnaire (ACQ) at trial start, after 1 and 3 weeks respectively. 5 questions, 7-point scale ((0=no change in quality of life and 6=severe reduction in quality of life)

    Time frame: 3 weeks

07

Study locations

1 site
  • Department of Lung-and Allergy Research
    Lund, Skane 22242, Sweden
08

References and documents

Individual participant data

Plan to share: Yes — IPD of symptoms and use of medication during the trial will be part of the publication

Supporting information: Study protocol, Sap, Icf, Csr, Analytic code

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04622917
Lead sponsor
Karolinska Institutet
Responsible party
Lars Olaf Cardell (Professor, MD, Karolinska Institutet) — Principal investigator
First posted
Nov 10, 2020
Start date
Apr 10, 2019
Primary completion
Jun 20, 2022
Completion
May 31, 2023
Last update
Mar 15, 2024

Study contacts

Lars Olaf Cardell, Professor
principal investigator · Karolinska Institutet

Oversight

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

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This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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