ClinicalTrials.gg
Not yet recruitingNCT05400811Updated Nov 18, 2022

Efficacy and Safety Evaluation for the Treatment of HDM Induced Allergic Asthma and Rhinitis/Rhinoconjunctivitis

A Phase 3 interventional study of MM09 allergoid-mannan conjugates subcutaneous (3.000 UTm/mL) and MM09 allergoid-mannan conjugates Sublingual (3.000 UTm/mL) in House Dust Mite Allergy, Perennial Allergic Rhinitis and Allergic Rhinoconjunctivitis, sponsored by Inmunotek S.L.. Not yet recruiting at 16 sites in Spain. Open to participants aged 12 Years to 60 Years. Per ClinicalTrials.gov, last updated 2022-11-18.

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

From the registry’s dates

  • Primary completion was expected by Jul 2024, 2 years 4 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 3
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
12 Years to 60 Years
Sex
All
01

Study summary

Prospective, randomized, placebo-controlled, multicenter of 3 active treatment groups, compared to 1 placebo group, for the determination of the efficacy and safety of subcutaneous immunotherapy in patients with mild to moderate asthma and rhinitis/rhinoconjunctivitis (intermittent or persistent) allergic to Dermatophagoides pteronyssinus and/or Dermatophagoides farinae.

Read the detailed description

Prospective multicenter randomized double-dummy clinical trial of three active treatment groups compared to one placebo group. The principal objective of the clinical trial is the determination of the efficacy and safety of subcutaneous immunotherapy in patients with mild to moderate asthma and rhinitis/rhinoconjunctivitis (intermittent or persistent) allergic to Dermatophagoides pteronyssinus and/or Dermatophagoides farinae.

The primary efficacy endpoint will be the symptom score and medication consumption required for the control of asthma and rhinitis/rhinoconjunctivitis symptoms.

The study design consists of 3 active treatment groups and one placebo group. The trial population will include 400 subjects between the age of 12 and 60 years that will receive the treatment during 12 months.

02

Conditions studied

  • House Dust Mite Allergy
  • Perennial Allergic Rhinitis
  • Allergic Rhinoconjunctivitis
  • Allergic Asthma

Keywords

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

In context

Dust Mite Allergy

45 studies on the registry are indexed under Dust Mite Allergy; 6 are open to participants now.

This study's planned enrollment of 400 is above the median of 68 across 35 interventional studies indexed under Dust Mite Allergy.

Browse Dust Mite Allergy 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 60 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

  1. Signed and dated Form (ICF).
  2. Female or male aged 12 to 60 years, both included.
  3. Confirmed clinical history of inhalation allergy (mild-moderate controlled intermittent or persistent asthma according to the definition of GEMA 5.0 and GINA 2020 and intermittent or persistent rhinitis / rhinoconjunctivitis according to the ARIA classification, caused by Dermatophagoides pteronyssinus and / or Dermatophagoides farinae). The asthma diagnosis will be valid up to 24 months prior to signing the informed consent.
  4. Positive skin prick test (wheal major diameter ≥ 5 mm) to a standardized allergen extract of Dermatophagoides pteronyssinus and/or Dermatophagoides farinae.
  5. Specific IgE against a complete extract of D. pteronyssinus and/or D. farinae or any of the molecular components of allergenic sources with a value ≥ 3.5 kU/L.
  6. Women of childbearing age must have a urine pregnancy test negative result before enrolling the study.
  7. Women of childbearing age must commit to using an adequate method.
  8. Capable of complying with dosage regimen.
  9. Owning a smartphone to register symptoms and medication consumption.
  10. A negative skin prick test to other aeroallergens with specific IgE \< 3.5 kU/L with no clinical relevance.

Exclusion criteria

Exclusion Criteria:

  1. Previous immunotherapy to any of the tested allergen during the last 5 years or any desensitization process in the last 2 years (ITO, milk, egg, ...) or currently receiving immunotherapy with any other allergen.
  2. Positive skin prick test to other aeroallergens, except for intermittent symptoms due to temporary exposition to dander.
  3. Those cases in which AIT would be a according to the criteria of European Allergy and Clinical Immunology Immunotherapy Subcommittee.
  4. Uncontrolled or severe asthma and/or \<70% despite pharmacological treatment by the time of enrolment.
  5. Intake of β-blockers.
  6. Use of or biological drug.
  7. Unstable patients by the time of enrolment (acute exacerbation asthma, respiratory infection, fever, acute pruritus, etc).
  8. Patients who have suffered chronic urticaria during the last 2 years, severe anaphylaxis, or family history of angioedema.
  9. Having any contraindication for the use of adrenaline (hyperthyroidism, heart disease, high blood pressure).
  10. Other severe diseases not related to allergic asthma or rhinitis that could interfere in the study treatment or the follow-up (epilepsy, psychomotor agitation, diabetes, malformations, nephropathy) according to medical criteria.
  11. diseases (thyroiditis, lupus, etc.), tumoral diseases or immunodeficiencies.
  12. Participants that the investigator believes could not comply with the study protocol or have serious psychiatric disorders.
  13. Known allergy to any of the ingredients of the study medication except for mites.
  14. Lower respiratory tract diseases different from asthma as bronchiectasis or .
  15. Breast-feeding or pregnant women.
  16. Being immediate family of the investigator.
  17. Concurrent participation in other clinical trials or prior participation within 30 days prior to inclusion.
  18. History of serious systemic reactions, including food, Hymenoptera venom, medications, etc.
Terms in these criteria, in plain language(7)

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
400 participants (estimated)

Study arms

  • Experimental
    Group I: MM09 allergoid-mannan conjugates SC (3.000 UTm/mL) + sublingual placebo

    Mixture of allergen extracts of Dermatophagoides pteronyssinus and Dermatophagoides farinae conjugated to mannan at 3,000 UTm/mL subcutaneous immunotherapy + sublingual placebo. Subcutaneous active treatment will be administered once a month for 12 months. Sublingual placebo will be administered daily (2 subsequent administrations) for 12 months.

    Biological: MM09 allergoid-mannan conjugates subcutaneous (3.000 UTm/mL) · Biological: Placebo sublingual

  • Experimental
    Group II: MM09 allergoid-mannan conjugates SL (3.000 UTm/mL) + subcutaneous placebo

    Mixture of allergen extracts of Dermatophagoides pteronyssinus and Dermatophagoides farinae conjugated to mannan sublingual immunotherapy at 3.000 UTm/mL + subcutaneous placebo. Sublingual active treatment will be administered daily (2 subsequent administrations) for 12 months. Subcutaneous placebo will be administered once a month for 12 months.

    Biological: MM09 allergoid-mannan conjugates Sublingual (3.000 UTm/mL) · Biological: Placebo subcutaneous

  • Experimental
    Group III: MM09 allergoid-mannan conjugates SL (9.000 UTm/mL) + subcutaneous placebo

    Mixture of allergen extracts of Dermatophagoides pteronyssinus and Dermatophagoides farinae conjugated to mannan sublingual immunotherapy at 9.000 UTm/mL + subcutaneous placebo. Sublingual active treatment will be administered daily (2 subsequent administrations) for 12 months. Subcutaneous placebo will be administered once a month for 12 months.

    Biological: MM09 allergoid-mannan conjugates Sublingual (9.000 UTm/mL) · Biological: Placebo subcutaneous

  • Placebo comparator
    Group IV: Placebo

    Mixture of sublingual placebo + subcutaneous placebo. Sublingual placebo will be administered daily (2 subsequent administrations) for 12 months. Subcutaneous placebo will be administered once a month for 12 months

    Biological: Placebo subcutaneous · Biological: Placebo sublingual

Interventions

  • BiologicalMM09 allergoid-mannan conjugates subcutaneous (3.000 UTm/mL)

    Drug page: MM09

    Mixture of allergen extracts of Dermatophagoides pteronyssinus and Dermatophagoides farinae conjugated to mannan at 3.000 UTm/mL for subcutaneous administration.

  • BiologicalMM09 allergoid-mannan conjugates Sublingual (3.000 UTm/mL)

    Drug page: MM09

    Mixture of allergen extracts of Dermatophagoides pteronyssinus and Dermatophagoides farinae conjugated to mannan at 3.000 UTm/mL for sublingual administration.

  • BiologicalMM09 allergoid-mannan conjugates Sublingual (9.000 UTm/mL)

    Drug page: MM09

    Mixture of allergen extracts of Dermatophagoides pteronyssinus and Dermatophagoides farinae conjugated to mannan at 9.000 UTm/mL for sublingual administration.

  • BiologicalPlacebo subcutaneous

    The same solution, presentation, method of administration, frequency, and duration as the active treatment, but without active ingredients.

  • BiologicalPlacebo sublingual

    The same solution, presentation, method of administration, frequency, and duration 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 necessary for the control of such symptoms in asthma and rhinitis / rhinoconjunctivitis of each subject during the trial, of the groups with each other and with respect to placebo. - The endpoint for each asthma and rhinitis / rhinoconjunctivitis symptom will be as follows: 0 = No symptoms; 1 = Mild; 2 = Moderate; 3 = Severe Total daily symptom score = 0-3 The asthma medication will be scored based on the therapeutic step in which drugs are included in the GEMA 5 guide. The rhinitis / rhinoconjunctivitis medication score: 0 = No medication; 1 = oral or topical (eyes or nose) non-sedative H1 antihistamines (H1A); 2 = intranasal corticosteroids (INS) with / without H1A; 3 = oral corticosteroids with/without (INS), with/without H1A Total daily medication score = 0-3

    Time frame: 12 months

Secondary outcomes

  1. Asthma symptom-free days

    Number of days that subjects have no symptoms related to asthma

    Time frame: 12 months

  2. Rhinitis / rhinoconjunctivitis symptom-free days

    Number of days that subjects have no symptom related to rhinitis / rhinoconjunctivitis.

    Time frame: 12 months

  3. Asthma medication-free days

    Number of days that subjects need no medication for treatment of asthma.

    Time frame: 12 months

  4. Rhinitis / rhinoconjunctivitis medication-free days

    Number of days that subjects need no medication for treatment of Rhinitis / rhinoconjunctivitis.

    Time frame: 12 months

  5. Respiratory function_FEV1

    Measurement of Forced Expiratory Volume in 1 Second (FEV1) %

    Time frame: Baseline, month 6, month 12

  6. Respiratory function_PEF

    Peak Expiratory Flow (PEF) \[velocity\]

    Time frame: Baseline, month 6, month 12

  7. Asthmatic exacerbations

    Time elapsed until the first appearance of asthmatic exacerbations, number, duration and severity.

    Time frame: 12 months

  8. Clinical benefit

    Time to onset of clinical benefit

    Time frame: 12 months

  9. Immunological parameters

    Analyses of total and specific IgE, specific IgE index / total IgE, specific IgG4 and Anti-Saccharomyces cerevisiae (ASCA) IgA\&IgG.

    Time frame: 12 months

  10. Quality of life associated with asthma (AQLQ)

    The quality of life associated with asthma will be measured using the Asthma Quality of Life Questionnaire (AQLQ). AQLQ consists of 32 items and 4 domains (limitations in activities, symptoms, emotional and environmental). Each item is scored from 1=no impairment to 7=severe impairment.

    Time frame: 12 months

  11. Quality of life associated with rhinoconjunctivitis (RQLQ)

    The quality of life associated with rhinoconjunctivitis will be measured using the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ). RQLQ it consists of 28 items (questions) and 7 domains (Activities, sleep, general symptoms, practical problems, nose symptoms, eye and emotional symptoms). The score of each item for all domains, except for the emotional one, ranges from "0=Nothing bothered me" to "6=It has bothered me a lot". The emotional domain score ranges from "0=Never" to "6=Always".

    Time frame: Baseline, month 6, month 12

  12. Questionnaire for asthma control (ACQ)

    Asthma control will be measured following the ACQ questionnaire. The ACQ questionnaire consists of 7 questions (ACQ-7) or 6 questions (ACQ-6). In questions 1-6, patients recall their experience during the last 7 days and answer using a scale of 7 points (from "0 = fully controlled" to "6 = extremely poorly controlled"). The seventh question, which refers to the% FEV1 of the reference value, must be completed by an employee of the site. The questionnaire score is the mean of the 7 responses (ACQ-7) or 6 responses (ACQ-6). The interpretation of the scores is as follows: Less than or equal to 0.75: Adequate control of asthma From 0.75 to 1.50: Partially controlled asthma More than 1.50: Inadequate asthma control

    Time frame: 12 months

  13. Visual Analogue Scale (VAS)

    Visual Analogue Scale in which the subject has to indicate in a straight line of 10 cm how he/she feels regarding to his allergy symptoms. Being left side "0 = very bad" and right side "10 = very well". VAS scale will also be completed by the investigator answering how he/she thinks that the patient feels.

    Time frame: 12 months

  14. Consumption of health resources

    For each patient, the number of times that due to allergy symptoms has done the following will be counted: * have visited the family doctor * have made an unscheduled visit to the specialist * has gone to the emergency room * has been hospitalized * have needed to contact the doctor by phone

    Time frame: 12 months

  15. Safety parameters

    Global rate and severity of AE per administration and per subject

    Time frame: 12 months

  16. Number of Local Adverse Reactions

    Local adverse reactions are those that appear at the site of the administration. They are classified into: Immediate (it appears during the first 30 minutes from the administration of investigational product) and Late (it appears after the first 30 minutes from the administration of investigational product)

    Time frame: 12 months

  17. Number of Systemic Adverse Reactions

    Systemic adverse reactions are those that appear in other parts of the body other than the site of administration.Their severity will be classified following the indications proposed by the World Allergy Organization (WAO) in 2010.

    Time frame: 12 months

07

Study locations

16 sites
  • Hospital Universitario de Elche
    Elche, Alicante 03203, Spain
  • Policlínica Nuestra Sra del Rosario
    Ibiza, Baleares 07800, Spain
    • Silvia Martínez Blanco, MD, PhD · Contact
  • Hospital Sant Joan de Déu
    Esplugues De Llobregat, Barcelona 08950, Spain
    • Adriana Machinena, MD. PhD · Contact
  • Hospital de Terrassa
    Terrassa, Barcelona 08227, Spain
    • Marta Viñas, MD. PhD · Contact
  • Hospital Universitario de Navarra
    Pamplona, Navarra 31008, Spain
    • Ana Isabel Tabar Purroy, MD. PhD · Contact
  • Hospital Universitario de Canarias
    San Cristóbal de La Laguna, Santa Cruz De Tenerife 38320, Spain
    • Inmaculada Sánchez Machin, MD, PhD · Contact
  • Hospital Universitario A Coruña
    A Coruña, 15006, Spain
    • Antonio Parra Arrondo, MD, PhD · Contact
  • Hospital General Universitario de Alicante
    Alicante, 03010, Spain
    • Luis Moral, MD, PhD · Contact
  • Centro Médico Quiron Salud Alicante
    Alicante, 03015, Spain
    • Angel Ferrer, MD, PhD · Contact
  • Clínica RUSADIR
    Melilla, 52006, Spain
    • Oliver Alexis Muñoz Daga, MD, PhD · Contact
  • Hopital Quirón Salud Málaga
    Málaga, 29004, Spain
    • Leticia Herrero Lifona, MD, PhD · Contact
  • Clinica del Dr.Pérez Estrada Cornejo
    Málaga, 29005, Spain
    • Manuel Pérez Estrada Cornejo, MD. PhD · Contact
  • Hospital Universitario Regional de Málaga
    Málaga, 29010, Spain
    • Carmén Rondón, MD, PhD · Contact
  • Complexo Hospitalario Universitario de Pontevedra
    Pontevedra, 36071, Spain
  • Hospital Univeristario y Politécnico La Fe
    Valencia, 46026, Spain
  • Hospital Universitario de la Plana
    Vila-real, 12540, Spain
    • Francisco David El-Qutob López, MD. PhD · Contact
08

References and documents

Publications

  • Benito-Villalvilla C, Soria I, Subiza JL, Palomares O. Novel vaccines targeting dendritic cells by coupling allergoids to mannan. Allergo J Int. 2018;27(8):256-262. doi: 10.1007/s40629-018-0069-8. Epub 2018 May 18. PubMed 30546997 ↗
  • 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 ↗
  • 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 ↗
  • 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 ↗
  • 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 ↗
  • Gonzalez JL, Zalve V, Fernandez-Caldas E, Cases B, Subiza JL, Casanovas M. A pilot study of immunotherapy in dogs with atopic dermatitis using a mannan-Dermatophagoides farinae allergoid targeting dendritic cells. Vet Dermatol. 2018 Oct;29(5):449-e152. doi: 10.1111/vde.12679. PubMed 30183126 ↗

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 Nov 18, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05400811
Lead sponsor
Inmunotek S.L.
Collaborators
BioClever 2005 S.L., NTS hub S.L
Responsible party
Sponsor
First posted
Jun 2, 2022
Start date
Dec 2022 (estimated)
Primary completion
Jul 2024 (estimated)
Completion
Jul 2025 (estimated)
Last update
Nov 18, 2022

Study contacts

Miguel Casanovas, MD, PhD
Contact
mcasanovas@inmunotek.com
912908942 ext. 0034
Ana Isabel Tabar Purroy, MD. PhD
principal investigator · Hospital of Navarra

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: MM09

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