ClinicalTrials.gg
RecruitingNCT06061848ILIT vs SLITUpdated Oct 21, 2024

Intralymphatic Immunotherapy Enhanced by Vitamin-D, a Randomized Placebo-controlled Trial and Comparison With SLIT

A Phase 2/3 interventional study of SLIT Grazax ALK Nordic 75 000 SQ-T and ILIT + Vitamin D in Allergic Rhinitis Due to Grass Pollen, sponsored by Lars Olaf Cardell. Recruiting at 3 sites in Sweden. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2024-10-21.

Sponsored by Lars Olaf Cardell · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Feb 2023, registered Sep 2023).
  • Started Feb 2023; still recruiting 3 years 9 months later.
Phase
Phase 2/3
Study type
Interventional
Enrollment
360
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 22 studies in Rhinitis, Allergic with a site in Sweden — 2 open to participants now, 2 under way, 1 of them phase 3. Rhinitis, Allergic · Sweden.

Planned enrollment
4th of 22
360 · median 69
Started
2023
the only one that year
Phase 2/3
6 of 22
1 open now
Registered
21st of 22
by date
Lead sponsor
3 of 22
Lars Olaf Cardell

Among the 22 studies in Rhinitis, Allergic with a site in Sweden, this one is the 4th largest by planned enrollment, is the only one that started in 2023, is one of 6 in phase 2/3, and was the 21st registered.

Rhinitis, Allergic

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

Browse Rhinitis, Allergic studies →

Open to participants now

2 of the 22 studies in Rhinitis, Allergic with a site in Sweden are open now. Recruiting first, the newest first:

All 2 open studies →

A study can be open while its sites in Sweden have not opened yet or have stopped. Only those recruiting at a site in Sweden →

Who these studies take

Of the 54 Rhinitis, Allergic studies recruiting now, 11 (20%) set no upper age limit and 38 (70%) stop at 75 or younger; 22 take children under 18; 13 take healthy volunteers.

This study: 18 Years to 60 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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02

Study summary

A national, multicenter, randmised double blind study with parallell arms. 360 patients with grass induced allergic rhinitis will be open randomised 1:2 to 3 years Grazax sublingual immunotherapy or 3 intralymphatic injections with ALK Alutard Timothy. In a second step, the ILIT group will be double blind randomised 1:1 to an intramuscular injection of Vitamin D Vicotrat or placebo, 4 week before the start of the intralymphatic treatment. The primary outcome measure is daily combined symptoms and medication scores during grass pollen season.

03

Conditions studied

  • Allergic Rhinitis Due to Grass Pollen

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04

Who can participate

Ages eligible
18 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

  • moderate to severe allergic rhinitis due to grass pollen, with Rhinitis Total Symptom Score >/= 8.

Exclusion criteria

Exclusion Criteria:

  • chronic rhinosinusitis with or without nose polyps
  • Previous immunotherapy (SLIT or SCIT)
  • > 35
  • house dust mite allergy with symptoms
  • allergy towards furry animals if exposition cannot be avoided
  • 25(OH)Vitamin D levels \< 25 or > 75 nmol/L
  • use of Vitamin D supplementation or excessive use of sun tanning booths
  • mental incapacity to follow study protocol
  • other significant disease
  • allergy towards study medication
  • uncontrolled asthma
  • severe atopic dermatitis
  • pregnancy or nursing
  • disease
  • hyper IgE-syndrome
  • cardiovascular disease
  • lung disease
  • liver or kidney disease
  • hematologic disorder
  • metabolic disease
  • chronic infectious disese
  • medications interacting with the immune system
  • cancer
  • previous cytostatic therapy
  • medication with beta-blockers or ACE-inhibiters, if medication cannot be paused at the day for treatment
  • drug or alcohol abuse
  • intake of other study product within 1 month or 6 half times, which ever is longest, before visit 1
  • withdrawn consent

Exclusion Criteria only for ILIT group (due to vitamin D treatment)

  • medication witch can interacts with vitD: (ACE-inhibitors, antiepileptic drugs, glycosides, orlistat, statines, thiazide diuretics)
  • tendency for formation of kidney stones
  • hyperparathyroidism or other disease conferring risk of hypercalcemia
  • hereditary pseudohypoparathyroidism with decreased phosphorous secretion
  • malabsorption or bowel disease with diarrhea
  • Mb Paget, osteoporosis or sarcoidosis
  • skin disease at the groin (where the treatment will be injected)
Terms in these criteria, in plain language(3)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
360 participants (estimated)

Study arms

  • Active comparator
    SLIT

    Sublingual immunotherapy timothy pollen 75000 SQ-T 1 daily for 3 years

    Drug: SLIT Grazax ALK Nordic 75 000 SQ-T

  • Active comparator
    ILIT + Vitamin D

    Intramuscular injection of kolecalciferol 100000 IU followed by intralymphatic immunotherapy with 3 monthly injections of grass pollen allergen 1000 SQ-U.

    Drug: ILIT + Vitamin D

  • Active comparator
    ILIT + placebo

    Intramuscular injection of saline solution followed by intralymphatic immunotherapy with 3 monthly injections of grass pollen allergen 1000 SQ-U.

    Drug: ILIT + placebo

Interventions

  • DrugSLIT Grazax ALK Nordic 75 000 SQ-T

    Daily sublingual grass allergen tablets

  • DrugILIT + Vitamin D

    Drug page: Vitamin D

    1 mL of Vicotrat D3, Heyl Pharma, 100 000 IU/mL, as intramuscular injection. Followed by 0,1 mL of Alutard SQ timothy, ALK Nordic, 10 000 SQ-U/mL as three intralymphatic injections

    Also known as: Alutard SQ timothy and Vicotrat D3

  • DrugILIT + placebo

    1 ml of Sodium chloride solution 9 mg/mL as intramuscular injection followed by 0,1 mL of Alutard SQ timothy, ALK Nordic, 10 000 SQ-U/mL as three intralymphatic injections

    Also known as: Alutard SQ timothy and Sodium chloride

06

What researchers measure

Primary outcomes

  1. CSMS

    Daily Combined Symptoms and Medication Scores (0-3)

    Time frame: 60-75 days at the grass pollen season year 1; 4 months before treatment. 60-75 days year 2; 6 months after start of treatment.

Secondary outcomes

  1. CSMS peak pollen season

    Daily Combined Symptoms and Medication Scores (0-3) during the 15 consecutive days with the highest pollen count

    Time frame: 15 days at the grass pollen season year 1; 4 months before treatment. 15 days year 2; 6 months after start of treatment.

  2. RQLQ

    Juniper Rhinoconjunctivitis Quality of Life Questionnaire, weekly scores (0-28)

    Time frame: 60-75 days at the grass pollen season year 1; 4 months before treatment. 60-75 days year 2; 6 months after start of treatment.

  3. VAS (0-10)

    Recalled symptoms severity at visual analogue scale

    Time frame: 4-6 months before treatment and 6-9 months after treatment

  4. Serolology with immunoglobulins

    Total and grass specific levels of IgE, IgG, IgG4, IgA in serum

    Time frame: 1 year before treatment, 4-6 weeks after treatment, 1 year after treatment

07

Study locations

1 of 3 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Feb 2023 (actual). Primary completion is estimated for Dec 2030, 94 months after the start.

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

Registered
Sep 11, 2023
First posted
Sep 29, 2023
StartActual
Feb 1, 2023
Primary completionEst.
Dec 28, 2030
CompletionEst.
Dec 28, 2031
Last update
Oct 21, 2024
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 Oct 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06061848
Lead sponsor
Lars Olaf Cardell
Responsible party
Lars Olaf Cardell (Professor, Karolinska Institutet) — Sponsor-investigator
First posted
Sep 29, 2023
Start date
Feb 1, 2023
Primary completion
Dec 28, 2030 (estimated)
Completion
Dec 28, 2031 (estimated)
Last update
Oct 21, 2024

Study contacts

Agneta Karlsson, Study nurse
Contact
agneta.j.karlsson@regionstockholm.se
+46 72 580 29 63
Laila Hellkvist, MD, PhD
Contact
laila.hellkvist@regionstockholm.se
+46 72 469 46 07
Lars O Cardell, Professor
principal investigator · Karolinska Institutet

Oversight

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

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Studies of the drug tested here: Vitamin D

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