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Not yet recruitingNCT07269509Updated Dec 8, 2025

Evaluation of the Efficacy and Safety of an Intensified Strategy of Intratonsillar Immunotherapy (ITIT) for Allergic Rhinitis: A Multicenter, Randomized, Double-blind, Controlled Trial

An interventional study of Basic Intratonsillar Immunotherapy (ITIT) and Strengthen Intratonsillar Immunotherapy (ITIT) in Allergic Rhinitis, sponsored by Renmin Hospital of Wuhan University. Not yet recruiting at 1 site in China. Open to participants aged 5 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-12-08.

Sponsored by Renmin Hospital of Wuhan University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
276
Allocation
Randomized
Ages
5 Years to 65 Years
Sex
All
01

Study summary

This is a multicenter, randomized, double-blind, controlled trial to evaluate the efficacy and safety of an enhanced strategy of allergen-specific immunotherapy (ITIT) in the treatment of allergic rhinitis. By recording the changes in CSMS from baseline to post-treatment in the subjects and the incidence of adverse reactions after treatment, the differences in efficacy and safety between the patients who received the basic three doses and those who received booster injections were compared. Furthermore, the impact of different booster strategies on long-term efficacy was compared to optimize the injection strategy. At the same time, the influence of different administration procedures on the immune response was evaluated.

02

Conditions studied

  • Allergic Rhinitis

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Keywords

  • Allergic rhinitis
  • Intratonsillar
  • Allergen immunotherapy
  • Standardized dust mite allergen extracts
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 276 is above the median of 68 across 552 interventional studies indexed under Rhinitis, Allergic.

Browse Rhinitis, Allergic studies →

Lead sponsor

Renmin Hospital of Wuhan University is the lead sponsor of 86 studies on the registry; 29 are open to participants now.

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

04

Who can participate

Ages eligible
5 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

  1. Voluntary signing of the form
  2. Commitment to abide by the research procedures and cooperate throughout the implementation of the research
  3. Diagnosis conforms to the ARIA guidelines. The basis for the diagnosis is as follows: a. Symptoms: Paroxysmal sneezing, clear nasal discharge, nasal itching, and nasal congestion occur for 2 or more times, with symptoms persisting or accumulating for more than 1 hour each day, accompanied by tearing, eye itching, and eye redness and other ocular symptoms; b. Signs: Commonly, the nasal mucosa is pale and edematous, and nasal watery secretions are present; c. Allergen testing: Positive results for dust mite allergens SPT and/or serum-specific IgE, or positive nasal challenge test, requiring Der p and Der f to be positive (SPT results of ++ or higher, serum sIgE ≥ 2 grades), and other allergens in the allergen test to be negative
  4. History of allergic rhinitis caused by atopic dust mite allergens
  5. Infertile women must ensure they do not become pregnant during the treatment period
  6. Age must be between 5 and 60 years old

Exclusion criteria

Exclusion Criteria:

  1. Allergic to the of Arrogel (aluminum hydroxide) or the rescue medication epinephrine
  2. Suffering from respiratory system diseases other than stable asthma
  3. Pulmonary dysfunction ( grade II or above, or FeV1 \< 70%) or having irreversible pathological changes in the reactive organs such as emphysema or bronchiectasis
  4. Severe acute or chronic diseases (including malignant diseases), inflammation and fever
  5. Multiple sclerosis
  6. Immune system diseases ( diseases, immune diseases caused by antigen-antibody complexes, immune deficiencies, etc.)
  7. Active pulmonary tuberculosis
  8. Severe mental disorders
  9. Obvious cardiac dysfunction
  10. Patients who have received immunotherapy within the last 1 years (subcutaneous injection or sublingual administration of allergen-specific immunotherapy, etc.)
  11. Patients who used experimental drugs or participated in other clinical studies within 30 days before treatment
  12. Patients who received IgE monoclonal antibody (mAb) treatment in the past 4 months
  13. Patients taking beta-blockers
  14. Patients who have insufficient understanding of the trial
  15. Patients whose age is not between 5 years old and 65 years old
  16. Patients who are pregnant or breastfeeding during the study period, or have plans to get pregnant
  17. Patients who cannot undergo tonsil injection due to acute or chronic tonsillitis, small tonsils, previous tonsillectomy, overly sensitive pharyngeal reflex and inability to cooperate with treatment
  18. Patients with aphthous stomatitis
Terms in these criteria, in plain language(4)

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
276 participants (estimated)

Study arms

  • Experimental
    experimental group

    Inject mite allergen solution into the tonsil at the 0th, 1st, 2nd, 6th, 12th, 18th and 24th months.

    Procedure: Strengthen Intratonsillar Immunotherapy (ITIT)

  • Placebo comparator
    control group

    Inject the mite allergen solution into the tonsil at months 0, 1, 2, 12, and 24, and administer the placebo at months 6 and 18.

    Procedure: Basic Intratonsillar Immunotherapy (ITIT)

Interventions

  • ProcedureBasic Intratonsillar Immunotherapy (ITIT)

    During injection, the operator needs to gently shake the injection bottle about 20 times, the drug must be mixed to ensure the consistency of allergen concentration, and carefully check the patient's name and concentration on the bottle. Allergy extracts should not be injected intravenously, so the syringe will be aspirated to avoid inadvertent intravascular injection. Before each injection, after inserting the needle into the selected tonsil, before injecting the dose, the investigator will slightly pull the plunger of the syringe. If blood returns from the syringe, the syringe, and its contents will be discarded. The other tonsil will be selected and a new syringe will be prepared. Inject the mite allergen solution into the tonsil at months 0, 1, 2, 12, and 24, and administer the placebo at months 6 and 18.

  • ProcedureStrengthen Intratonsillar Immunotherapy (ITIT)

    During injection, the operator needs to gently shake the injection bottle about 20 times, the drug must be mixed to ensure the consistency of allergen concentration, and carefully check the patient's name and concentration on the bottle. Allergy extracts should not be injected intravenously, so the syringe will be aspirated to avoid inadvertent intravascular injection. Before each injection, after inserting the needle into the selected tonsil, before injecting the dose, the investigator will slightly pull the plunger of the syringe. If blood returns from the syringe, the syringe, and its contents will be discarded. The other tonsil will be selected and a new syringe will be prepared. Inject mite allergen solution into the tonsil at the 0th, 1st, 2nd, 6th, 12th, 18th and 24th months.

06

What researchers measure

Primary outcomes

  1. CSMS

    combined symptom and medication score

    Time frame: Before treatment (baseline) and at 1, 2, 3, 6, 12, 24, and 36 months after treatment.

  2. adverse event

    Observe adverse events and classify them according to the World Allergy Organization (WAO) subcutaneous immunotherapy reaction classification system.

    Time frame: 30 minutes after each treatment (at the 0th, 1st, 2nd, 6th, 12th, 18th and 24th months).

Secondary outcomes

  1. Visual Analog Scale (VAS)

    Pain perception of allergy symptoms during treatment will be evaluated using a scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates maximum pain.

    Time frame: Before treatment (baseline) and at 1, 2, 3, 6, 12, 24, and 36 months after treatment.

  2. Absolute Value and Percentage of Blood Leukocytes

    Time frame: Before treatment (baseline) and at 6, 12, 24, and 36 months after treatment.

  3. Concentration of Key Serum Cytokines

    Time frame: Before treatment (baseline) and at 6, 12, 24, and 36 months after treatment.

  4. Concentration of Serum Immune Globulins

    Time frame: Before treatment (baseline) and at 6, 12, 24, and 36 months after treatment.

  5. Proportion of T Cell Differentiation

    Time frame: Before treatment (baseline) and at 6, 12, 24, and 36 months after treatment.

  6. ARCT

    The Allergic Rhinitis Control Test Questionnaire

    Time frame: At 1, 2, 3, 6, 12, 24, and 36 months after treatment.

  7. miniRQLQ

    mini Rhinoconjunctivitis Quality of Life Questionnaire

    Time frame: Before treatment (baseline) and at 1, 2, 3, 6, 12, 24, and 36 months after treatment.

07

Study locations

1 site
08

References and documents

Publications

  • Gu T, Zhang W, Tan L, Xiang R, Liu P, Huang J, Deng Q, Deng Y, Tao Z, Chen S, Xu Y. Intratonsillar Immunotherapy: A Convenient and Effective Alternative to Subcutaneous Immunotherapy for Allergic Rhinitis. Research (Wash D C). 2025 Jan 16;8:0573. doi: 10.34133/research.0573. eCollection 2025. PubMed 39822282 ↗

Related links

Individual participant data

Plan to share: Yes — Two years after the completion of the trial, data will be published on the EDC (http://edc.eplat.com.cn/).

Supporting information: Study protocol, Clinical study report

Time frame: Two years after the completion of the trial

Access criteria: Upon approval of the request, access to the de-identified individual patient-level data will be provided. Before accessing the requested information, a data sharing agreement (a non-negotiable contract for data visitors) must be signed.

Data sharing details ↗ · edc.eplat.com.cn

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

Start is estimated for Dec 2025; primary completion for Dec 2028, 36 months later.

Of 66 non-industry interventional studies with no phase under Rhinitis, Allergic, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 28. This study's planned 36 months is above that.

Counting every sponsor, half of 87 studies reached it within 11 months; a quarter within 4 and three quarters within 27.

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

Registered
Nov 25, 2025
First posted
Dec 8, 2025
StartEst.
Dec 30, 2025
Primary completionEst.
Dec 31, 2028
CompletionEst.
Feb 28, 2029
Last update
Dec 8, 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 Dec 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07269509
Lead sponsor
Renmin Hospital of Wuhan University
Responsible party
Sponsor
First posted
Dec 8, 2025
Start date
Dec 30, 2025 (estimated)
Primary completion
Dec 31, 2028 (estimated)
Completion
Feb 28, 2029 (estimated)
Last update
Dec 8, 2025

Study contacts

Yu Xu, Doctor
Contact
xuy@whu.edu.cn
+8615927088198

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 Nov 2025. You cannot join it, but the record below documents what was studied.

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