NCT02654223

Brief Summary

The purpose of the study is to evaluate the more efficient dose for the treatment of rhinitis/rhinoconjunctivitis against grass pollen allergy

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
180

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Dec 2015

Longer than P75 for phase_2

Geographic Reach
1 country

12 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 22, 2015

Completed
8 days until next milestone

Study Start

First participant enrolled

December 30, 2015

Completed
14 days until next milestone

First Posted

Study publicly available on registry

January 13, 2016

Completed
5.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2021

Completed
Last Updated

January 27, 2022

Status Verified

January 1, 2022

Enrollment Period

5.8 years

First QC Date

December 22, 2015

Last Update Submit

January 12, 2022

Conditions

Keywords

Rhinitis / RhinoconjunctivitisVaccineImmunotherapyGrass pollenAllergy

Outcome Measures

Primary Outcomes (1)

  • Concentration required to elicit a positive response after nasal provocation test (NPT)

    Change in the threshold concentration of grass allergen extract, measured in Histamine Equivalent Prick per ml (HEP/ml), needed to trigger a positive response after nasal provocation test (NPT) assessed by acoustic rhinometry. This will be compared between the beginning and end of the trial and among active groups and placebo.

    4 months

Secondary Outcomes (5)

  • Dose finding skin prick test

    4 months

  • Cytokine production by T cells specific allergen

    4 months

  • Immunoglobulin production by B cells specific allergen

    4 months

  • Phenotypic and functional analysis of dendritic cells

    4 months

  • Number of participants with treatment-related adverse events as assessed by MG56-SIT-012

    4 months

Study Arms (9)

MG56 Mannosylated 500 subcutaneous

EXPERIMENTAL

500 mTU/mL of subcutaneous immunotherapy and sublingual placebo.

Biological: MG56 Mannosylated 500 subcutaneousBiological: Sublingual placebo

MG56 Mannosylated 1000 subcutaneous

EXPERIMENTAL

1000 mTU/mL of subcutaneous immunotherapy and sublingual placebo.

Biological: MG56 Mannosylated 1000 subcutaneousBiological: Sublingual placebo

MG56 Mannosylated 3000 subcutaneous

EXPERIMENTAL

3000 mTU/mL of subcutaneous immunotherapy and sublingual placebo.

Biological: MG56 Mannosylated 3000 subcutaneousBiological: Sublingual placebo

MG56 Mannosylated 5000 subcutaneous

EXPERIMENTAL

5000 mTU/mL of subcutaneous immunotherapy and sublingual placebo.

Biological: MG56 Mannosylated 5000 subcutaneousBiological: Sublingual placebo

MG56 Mannosylated 500 sublingual

EXPERIMENTAL

500 mTU/mL of sublingual immunotherapy and subcutaneous placebo.

Biological: MG56 Mannosylated 500 sublingualBiological: Subcutaneous placebo

MG56 Mannosylated 1000 sublingual

EXPERIMENTAL

1000 mTU/mL of sublingual immunotherapy and subcutaneous placebo.

Biological: MG56 Mannosylated 1000 sublingualBiological: Subcutaneous placebo

MG56 Mannosylated 3000 sublingual

EXPERIMENTAL

3000 mTU/mL of sublingual immunotherapy and subcutaneous placebo.

Biological: MG56 Mannosylated 3000 sublingualBiological: Subcutaneous placebo

MG56 Mannosylated 5000 sublingual

EXPERIMENTAL

5000 mTU/mL of sublingual immunotherapy and subcutaneous placebo.

Biological: MG56 Mannosylated 5000 sublingualBiological: Subcutaneous placebo

Placebo Sublingual Placebo subcutaneous

PLACEBO COMPARATOR

Sublingual and subcutaneous placebo.

Biological: Subcutaneous placeboBiological: Sublingual placebo

Interventions

Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 500 mTU (Mannosylated Therapeutic Units)/ml subcutaneous

MG56 Mannosylated 500 subcutaneous

Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 1000 mTU (Mannosylated Therapeutic Units)/ml subcutaneous

MG56 Mannosylated 1000 subcutaneous

Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 3000 mTU (Mannosylated Therapeutic Units)/ml subcutaneous

MG56 Mannosylated 3000 subcutaneous

Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 5000 mTU (Mannosylated Therapeutic Units)/ml subcutaneous

MG56 Mannosylated 5000 subcutaneous

Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 500 mTU (Mannosylated Therapeutic Units)/ml sublingual

MG56 Mannosylated 500 sublingual

Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 1000 mTU (Mannosylated Therapeutic Units)/ml sublingual

MG56 Mannosylated 1000 sublingual

Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 3000 mTU (Mannosylated Therapeutic Units)/ml sublingual

MG56 Mannosylated 3000 sublingual

Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 5000 mTU (Mannosylated Therapeutic Units)/ml sublingual

MG56 Mannosylated 5000 sublingual

Comparison between placebo and active group

MG56 Mannosylated 1000 sublingualMG56 Mannosylated 3000 sublingualMG56 Mannosylated 500 sublingualMG56 Mannosylated 5000 sublingualPlacebo Sublingual Placebo subcutaneous

Comparison between placebo and active group

MG56 Mannosylated 1000 subcutaneousMG56 Mannosylated 3000 subcutaneousMG56 Mannosylated 500 subcutaneousMG56 Mannosylated 5000 subcutaneousPlacebo Sublingual Placebo subcutaneous

Eligibility Criteria

Age14 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Written informed consent
  • Positive suggestive clinical history of intermittent or persistent moderate to severe rhinitis /rhinoconjunctivitis, with or without moderate asthma, due to grass pollen allergy
  • Subjects with a positive skin prick-test (wheal sixe \>6 mm diameter) Specific immunoglobulin E (IgE, CAP \>3) to grass pollen
  • Age between 14 and 65 years
  • Both genders
  • Subjects capable of giving informed consent
  • Subjects capable of complying with the dosing regimen
  • Subjects that have not received immunotherapy in the last 5 years
  • Subjects presenting sensitization to another aeroallergens and or mites, cats or dogs, but that is considered clinically not relevant or no clinical interference with the nasal provocation test.

You may not qualify if:

  • Subjects outside of the age range.
  • Subjects who have previously received immunotherapy for the treatment of the allergic rhinitis/rhinoconjunctivitis due to grass pollen and other allergens in the last 5 years.
  • Subjects that immunotherapy may be an absolute contraindication according to the criteria of the immunotherapy Committee of the Spanish society of Allergy and Clinical Immunology, and of the European Allergy and Clinical Immunology Immunotherapy Subcommittee may also include.
  • Subjects with important symptoms of rhinoconjunctivitis /bronchial asthma in which the suspension of the systemic antihistamine treatment is contraindicated.
  • Subjects that have previously submitted a serious secondary reaction during the skin prick test
  • Subjects in treatment with beta blockers.
  • Subject with chronic urticaria in the last 2 years or hereditary angioedema.
  • Subjects that have some pathology (hyperthyroidism, hypertension, heart disease, etc.) is contraindicated.
  • Subjects with any other disease not associated with the rhinitis/rhinoconjunctivitis, but of potential severity and that could interfere with treatment and follow-up (epilepsy, psychomotor deterioration, diabetes, malformations, multi-operated, kidney diseases,...).
  • Subjects with autoimmune disease (lupus, thyroiditis, etc.), tumor or with diagnosis of immunodeficiency diseases.
  • Subject whose status prevents him from providing cooperation and or which present severe psychiatric disorders.
  • Subject with known allergy to other components of the vaccine different from pollen of grasses.
  • Subjects with lower airway diseases other than asthma such as emphysema or bronchiectasis.
  • Direct investigator's relatives.
  • Pregnant or women at risk of pregnancy and breastfeeding women.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (12)

Clínica Atlas

Aranjuez, Madrid, 28300, Spain

Location

Hospital Universitario Puerta de Hierro

Majadahonda, Madrid, 28222, Spain

Location

Hospital Universitario Infanta Elena

Valdemoro, Madrid, 28342, Spain

Location

Hospital Nisa Aljarafe

Castilleja de la Cuesta, Sevilla, 41950, Spain

Location

Hospital San Agustín

Dos Hermanas, Sevilla, 41703, Spain

Location

CLÍNICA Dr. SUBIZA

Madrid, 28006, Spain

Location

Clínica Ojeda

Madrid, 28006, Spain

Location

Hospital Universitario Ramón y Cajal

Madrid, 28034, Spain

Location

HOSPITAL UNIVERSITARIO 12 de OCTUBRE

Madrid, 28041, Spain

Location

Hospital Universitario Virgen Macarena

Seville, 41009, Spain

Location

Hospital Viamed Santa Angola de la Cruz

Seville, 41013, Spain

Location

Clínica Alianza Médica

Valladolid, 47001, Spain

Location

Related Publications (1)

  • Ojeda P, Barjau MC, Subiza J, Moreno A, Ojeda I, Solano E, Alonso A, Caballero R, Del Pozo S, Gomez-Perosanz M, Sanchez-Trincado JL, Benito-Villalvilla C, Angelina A, Soria I, Reche PA, Palomares O, Subiza JL, Casanovas M. Grass pollen allergoids conjugated with mannan for subcutaneous and sublingual immunotherapy: a dose-finding study. Front Immunol. 2024 Jun 26;15:1431351. doi: 10.3389/fimmu.2024.1431351. eCollection 2024.

MeSH Terms

Conditions

RhinitisHypersensitivity

Condition Hierarchy (Ancestors)

Respiratory Tract InfectionsInfectionsNose DiseasesRespiratory Tract DiseasesOtorhinolaryngologic DiseasesImmune System Diseases

Study Officials

  • Javier Subiza, PhD; MD

    Clinica Subliza

    PRINCIPAL INVESTIGATOR
  • Carmen Diéguez, PhD; MD

    Hospital Universitario 12 de Octubre

    PRINCIPAL INVESTIGATOR
  • Pedro Ojeda, PhD; MD

    Clínica Ojeda

    STUDY DIRECTOR
  • Javier Ruiz Hornillos, PhD; MD

    Hospital Universitario Infanta Elena

    PRINCIPAL INVESTIGATOR
  • Matilde Domínguez, PhD; MD

    Hospital Universitario Puerta de Hierro

    PRINCIPAL INVESTIGATOR
  • Emilio Solano, MD

    Hospital Universitario Ramón y Cajal

    PRINCIPAL INVESTIGATOR
  • Antonio Moreno

    Clínica Atlas

    PRINCIPAL INVESTIGATOR
  • Pedro Guardia

    Hospital Universitario Virgen Macarena

    PRINCIPAL INVESTIGATOR
  • Agustín Orovigt

    Hospital Viamed Santa Ángela de la Cruz

    PRINCIPAL INVESTIGATOR
  • Alberto Caso

    Hospital San Agustín

    PRINCIPAL INVESTIGATOR
  • Alicia Alonso

    Clínica Alianza Médica

    PRINCIPAL INVESTIGATOR
  • Amparo Conde

    Hospital Nisa Sevilla Aljarafe

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
SCREENING
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 22, 2015

First Posted

January 13, 2016

Study Start

December 30, 2015

Primary Completion

November 1, 2021

Study Completion

November 1, 2021

Last Updated

January 27, 2022

Record last verified: 2022-01

Data Sharing

IPD Sharing
Will not share

Locations