NCT04891237

Brief Summary

Prospective, multicenter, randomized, double-blind, placebo-controlled clinical trial of efficacy and safety with subcutaneous immunotherapy in patients with mild to moderate rhinitis / rhinoconjunctivitis with or without mild to moderate asthma sensitized to grasses and olive

Trial Health

77
On Track

Trial Health Score

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

Enrollment
180

participants targeted

Target at P25-P50 for phase_3

Timeline
8mo left

Started Jun 2021

Longer than P75 for phase_3

Geographic Reach
1 country

32 active sites

Status
recruiting

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

Study Progress88%
Jun 2021Jan 2027

First Submitted

Initial submission to the registry

April 30, 2021

Completed
18 days until next milestone

First Posted

Study publicly available on registry

May 18, 2021

Completed
27 days until next milestone

Study Start

First participant enrolled

June 14, 2021

Completed
4.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2026

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2027

Expected
Last Updated

May 7, 2025

Status Verified

May 1, 2025

Enrollment Period

4.6 years

First QC Date

April 30, 2021

Last Update Submit

May 5, 2025

Conditions

Keywords

Rhinitis/ RhinoconjunctivitisMild to moderate asthmaAllergyGrassesOlea

Outcome Measures

Primary Outcomes (1)

  • CSMS: Combined Symptoms and Medication Score

    Overall score of symptoms and medication throughout the trial. The minimum score is cero and maximum six, per day

    12 months

Secondary Outcomes (10)

  • Medication-free days

    12 months

  • Symptom-free days

    12 months

  • Asthmatic exacerbations

    12 months

  • Visual Analogue Scale (VAS)

    12 months

  • Quality of life rhinitis test

    12 months

  • +5 more secondary outcomes

Study Arms (3)

10,000 MG01 + 10,000 T517

EXPERIMENTAL

10,000 TU/mL of MG01 + 10,000 TU/mL of T517 of subcutaneous immunotherapy

Biological: 10,000 MG01 + 10,000 T517

30,000 MG01 + 10,000 T517

EXPERIMENTAL

30,000 TU/mL of MG01 + 10,000 TU/mL of T517 of subcutaneous immunotherapy

Biological: 30,000 MG01 + 10,000 T517

Placebo subcutaneous

PLACEBO COMPARATOR

The same solution and presentation as the active treatment, but without active ingredients.

Other: Placebo

Interventions

Purified and polymerized with glutaraldehyde allergen extract, from a mixture of grasses (Phleum pratense, Holcus lanatus, Poa pratensis, Festuca pratensis, Lolium perenne and Dactylis glomerata) and Olea (Olea europaea), adsorbed on aluminum hydroxide. The other ingredients are: sodium chloride (0.9%), phenol (0.4%) and water for injections

Also known as: Grasses and olea 10,000
10,000 MG01 + 10,000 T517

Purified and polymerized with glutaraldehyde allergen extract, from a mixture of grasses (Phleum pratense, Holcus lanatus, Poa pratensis, Festuca pratensis, Lolium perenne and Dactylis glomerata) and Olea (Olea europaea), adsorbed on aluminum hydroxide. The other ingredients are: sodium chloride (0.9%), phenol (0.4%) and water for injections

Also known as: Grasses and olea
30,000 MG01 + 10,000 T517
PlaceboOTHER

The same solution and presentation as the active treatment, but without active ingredients

Placebo subcutaneous

Eligibility Criteria

Age12 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Subject who has signed the informed consent.
  • Subjects of both sexes aged between 12 and 65 years.
  • Subjects with confirmed clinical history of inhalational allergy (rhinitis and / or moderate-severe intermittent or persistent rhinoconjunctivitis according to the ARIA classification with or without intermittent or persistent controlled mild-moderate asthma according to the GEMA 5.0 classification caused by grass and olive allergy. The diagnosis of asthma will be valid from 12 months prior to signing the informed consent
  • Subjects with a positive prick test (higher papule diameter ≥ 5 mm) to a standardized extract of pollen from grasses (Phleum pratense, Holcus lanatus, Dactylis glomerata, Poa pratensis, Festuca elatior, Lolium perenne), or one of the components of the mixture and an olive extract.
  • Specific IgE (CAP or Immulite) against a mixture of grasses or against one of the components of the mixture of grasses, preferably Phleum pratense and olive or one of the molecular components of allergenic sources with a value \> 3,5 KU / L.
  • Women of childbearing age (from menarche) should submit a urine pregnancy test with a negative result at the time of joining the trial.
  • Women of childbearing potential, and men participating in the trial, should commit to using an appropriate method of contraception. Medically acceptable methods of contraception are intrauterine devices placed at least 3 months in advance, surgical sterilization (for example, tubal ligation), barrier methods, or the use of oral contraceptives.
  • Subjects capable of complying with the dosage regimen.
  • Subjects who have a smartphone to record symptoms and medication.
  • Subjects with a negative prick test to coestational pollens. In the case specific IgE is available, the result should be \<3,5 kU/L and without relevant symptomatology
  • Subjects with a negative prick test to other aeroallergens (dust mites, epitheliums and fungus). In the case specific IgE is available, the result should be \<3,5 kU/L and without relevant symptomatology

You may not qualify if:

  • Subjects polysensitized to other aeroallergens with the exception of epithelia with occasional exposure and symptoms
  • Subjects polysensitized to other aeroallergens with the exception non-seasonal pollens with grasses and olive
  • Subjects who have received prior immunotherapy in the preceding 5 years to any aeroallergens.
  • Subjects in which immunotherapy may be subject to an absolute general contraindication according to the criteria of the Immunotherapy Committee of the Spanish Society of Allergy and Clinical Immunology and the European Allergy and Clinical Immunology Immunotherapy Subcommittee.
  • Subjects who have previously presented a serious secondary reaction during the performance of diagnostic skin tests using the prick test.
  • Subjects under treatment with ß-blockers.
  • Clinically unstable subjects at the time of enrolment in the trial (acute asthma exacerbation, respiratory infection, feverish process, acute urticaria, etc.).
  • Subjects with active chronic urticaria, severe dermographism, severe atopic dermatitis, sunburns, active psoriasis with lesions in areas where skin tests will be performed, or a history of hereditary angioedema.
  • Subjects who have any pathology in which the administration of adrenaline is contraindicated (hyperthyroidism, HT, heart disease, etc.).
  • Subjects with some other disease not related to moderate rhinoconjunctivitis or asthma, but of potential severity and that may interfere with treatment and follow-up (epilepsy, psychomotor disorder, uncontrolled diabetes, malformations, multiple operations, kidney disease,).
  • Subjects with autoimmune disease (thyroiditis, lupus, etc.), tumor diseases or with a diagnosis of immunodeficiencies.
  • Subject whose condition prevents him / her from offering cooperation and who has severe psychiatric disorders.
  • Subjects with a known allergy to other investigational drug components other than the allergen.
  • Subjects with diseases of the lower respiratory tract other than asthma such as emphysema or bronchiectasis.
  • Subjects who are direct relatives of the researchers.
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

Cedt de Tarancón

Tarancón, Cuenca, 16400, Spain

RECRUITING

Hospital Universitario Principe de Asturias

Alcalá de Henares, Madrid, 28805, Spain

COMPLETED

Centro Médico Iza

Tres Cantos, Madrid, 28760, Spain

RECRUITING

Hospital Infanta Elena

Valdemoro, Madrid, 28342, Spain

RECRUITING

Hospital Clínico Universitario Virgen de Arrixaca

El Palmar, Murcia, 30120, Spain

RECRUITING

Private Practice

Albacete, 02003, Spain

WITHDRAWN

Hospital Ntra. Sra. de Sonsoles

Ávila, 05004, Spain

RECRUITING

Clinica Dermatologica Y Alergia

Badajoz, 06001, Spain

RECRUITING

Hospital Quironsalud Clideba

Badajoz, 06011, Spain

RECRUITING

Hospital Universitario Dexeus

Barcelona, 08028, Spain

RECRUITING

Clínica privada Barcelona

Barcelona, 08172, Spain

WITHDRAWN

Hospital General Universitario Ciudad Real

Ciudad Real, 13005, Spain

RECRUITING

Hospital Quironsalud Córdoba

Córdoba, 14004, Spain

RECRUITING

Hospital Universitario Clínico San Cecilio

Granada, 18016, Spain

ACTIVE NOT RECRUITING

Hospital Universitario de Jaén

Jaén, 23007, Spain

RECRUITING

Hospital Universitari Santa María

Lleida, 25198, Spain

RECRUITING

Private practice

Madrid, 28001, Spain

WITHDRAWN

Hospital Universitario Cruz Roja

Madrid, 28003, Spain

RECRUITING

Clínica de Asma y Alergia en Madrid | CLÍNICA OJEDA

Madrid, 28006, Spain

RECRUITING

Clínica Subiza

Madrid, 28006, Spain

RECRUITING

Hospital Carlos Iii

Madrid, 28029, Spain

COMPLETED

Hospital Universitario Rey Juan Carlos

Madrid, 28933, Spain

WITHDRAWN

Hospital Quirónsalud Málaga

Málaga, 29004, Spain

RECRUITING

Private Practice

Málaga, Spain

RECRUITING

Private Practice

Murcia, Spain

RECRUITING

Private Practice

Palencia, 34001, Spain

COMPLETED

Hospital Universitario Infanta Cristina

Parla, 28981, Spain

RECRUITING

Clínica privada Sevilla

Seville, 41005, Spain

WITHDRAWN

Hospital Virgen Del Rocío

Seville, 41013, Spain

RECRUITING

Hospital Viamed Santa Ángela de La Cruz

Seville, 41014, Spain

RECRUITING

Private Practice

Toledo, 45005, Spain

WITHDRAWN

Hospital Recoletas Felipe Ii

Valladolid, 47003, Spain

RECRUITING

Related Publications (3)

  • Subiza J, Feliu A, Subiza JL, Uhlig J, Fernandez-Caldas E. Cluster immunotherapy with a glutaraldehyde-modified mixture of grasses results in an improvement in specific nasal provocation tests in less than 2.5 months of treatment. Clin Exp Allergy. 2008 Jun;38(6):987-94. doi: 10.1111/j.1365-2222.2008.02995.x. Epub 2008 Apr 25.

    PMID: 18445082BACKGROUND
  • Klimek L, Uhlig J, Mosges R, Rettig K, Pfaar O. A high polymerized grass pollen extract is efficacious and safe in a randomized double-blind, placebo-controlled study using a novel up-dosing cluster-protocol. Allergy. 2014 Dec;69(12):1629-38. doi: 10.1111/all.12513. Epub 2014 Oct 6.

    PMID: 25130503BACKGROUND
  • Guzman-Fulgencio M, Caballero R, Lara B, Mena M, Tejera M, Sastre A, Subiza JL, Fernandez-Caldas E, Casanovas M. Safety of immunotherapy with glutaraldehyde modified allergen extracts in children and adults. Allergol Immunopathol (Madr). 2017 Mar-Apr;45(2):198-207. doi: 10.1016/j.aller.2016.08.008. Epub 2016 Dec 7.

    PMID: 27939406BACKGROUND

MeSH Terms

Conditions

Rhinitis, AllergicAsthmaHypersensitivity

Condition Hierarchy (Ancestors)

RhinitisNose DiseasesRespiratory Tract DiseasesRespiratory HypersensitivityOtorhinolaryngologic DiseasesHypersensitivity, ImmediateImmune System DiseasesBronchial DiseasesLung Diseases, ObstructiveLung Diseases

Study Officials

  • Irán Sánchez

    Private Site

    STUDY CHAIR

Central Study Contacts

Miguel Casanovas

CONTACT

Raquel Caballero

CONTACT

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
During the trial, both the investigator and the included subjects will be unaware of the treatment each subject is receiving. The person in charge of data analysis will also not know the treatment assigned to each subject until the database has been closed. So that neither the subject nor the investigator knows what treatment each subject is receiving, all the trial medication is identical in terms of outer packaging and appearance.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Prospective, randomized, double-blind, placebo-controlled, multicentre, parallel-group study
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 30, 2021

First Posted

May 18, 2021

Study Start

June 14, 2021

Primary Completion

January 1, 2026

Study Completion (Estimated)

January 1, 2027

Last Updated

May 7, 2025

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will not share

Locations