NCT05570383

Brief Summary

Allergic rhinitis is a common and recurrent ear, nose and throat (ENT) disease. It is a chronic or seasonal condition affecting 10% to 20% of the world's population. It is considered one of the most difficult diseases to treat globally and has become a major global health problem. SUblingual immunotherapy (SIT) is currently considered to be an effective pairings therapy that can alter the natural progression of allergic rhinitis through immunomodulatory mechanisms. Immunotherapy is more suitable for patients with moderate to severe intermittent or persistent allergic rhinitis, especially for those with poor drug treatment. This treatment can significantly reduce the severity of allergic rhinitis, reduce the use of allergy medications, and improve the quality of life for many patients. In the development of allergic rhinitis, the regulation of immune balance in Th1 / Th2 / Th17 cells is currently considered to be an important approach in the treatment of allergic rhinitis. But a growing body of evidence suggests that an intrinsic immune response is also the pathogenesis of allergic rhinitis. Innate lymphocytes are involved in mucosal immune formation, lymphocyte development, tissue damage repair and epithelial barrier protection, and play an important role in fighting infection, regulating inflammation and maintaining immune homeostasis. Three subsets of intrinsic lymphocytes (ILC1s, ILC2s, ILC3s) have been proposed to functionally approximate Th1, Th2, and Th17 in helper T lymphocytes (Th), but the results are inconclusive and the mechanism of ILCs role in AR progression is not fully elucidated. Therefore, the purpose of this study was to investigate the efficacy and mechanism of subglossal immunotherapy for perennial allergic rhinitis, and to reveal the correlation between ILCs (ILC1s, ILC2s, ILC3s) and Th1 / Th2 / Th17 cell immunity, and to provide a basis for clinical studies of allergic rhinitis.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Dec 2022

Geographic Reach
1 country

1 active site

Status
unknown

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

September 2, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

October 6, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

December 1, 2022

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2023

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2024

Completed
Last Updated

October 6, 2022

Status Verified

October 1, 2022

Enrollment Period

1.1 years

First QC Date

September 2, 2022

Last Update Submit

October 5, 2022

Conditions

Keywords

AR (Allergic rhinitis)PAR (perennial allergic rhinitis )SLIT (Sublingual immunotherapy)ILCs (Innate lymphoid cells)Curative effectDiscussion on mechanism

Outcome Measures

Primary Outcomes (16)

  • Change in total nasal symptom score scale

    The total nasal symptom score scale will be collected.

    Baseline, 1 month, 3 months

  • Change in Visual analogue scale

    Visual analogue scale will be collected.

    Baseline, 1 month, 3 months

  • Change in the quality by life questionnaire of rhinoconjunctivitis

    Quality of life questionnaire of rhinoconjunctivitis will be collected.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of IgE

    Serum samples will be collected the levels of IgE

    Baseline, 1 month, 3 months

  • Change in the Serum levels of IFN-γ

    Serum samples will be collected the levels of IFN-γ.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of IL-4

    Serum samples will be collected the levels of IL-4.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of IL-17

    Serum samples will be collected the levels of IL-17.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of TNF-α

    Serum samples will be collected the levels of TNF-α.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of IL-5

    Serum samples will be collected the levels of IL-5.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of IL-9

    Serum samples will be collected the levels of IL-9.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of IL-13

    Serum samples will be collected the levels of IL-13.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of IL-25

    Serum samples will be collected the levels of IL-25.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of IL-33

    Serum samples will be collected the levels of IL-33.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of VEGF

    Serum samples will be collected the levels of VEGF.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of TSLP

    Serum samples will be collected the levels of TSLP.

    Baseline, 1 month, 3 months

  • Change in the Serum levels of IL-22

    Serum samples will be collected the levels of IL-22.

    Baseline, 1 month, 3 months

Secondary Outcomes (1)

  • To reveal the correlation between ILCs (ILC1s, ILC2s, ILC3s) and Th1 / Th2 / Th17 cell immunity

    3 months after treatment

Study Arms (2)

In the control group

PLACEBO COMPARATOR

Half of the subjects(30 subjects)will be assigned to the control group,they will be using the Mometasone furoate nasal spray (Nasonex).

Drug: Dust mite drops (trade name: Changdi, Zhejiang Tawu Biotechnology Co. Ltd.).

The experimental group

EXPERIMENTAL

Half of the subjects (30) will be assigned to the experimental group. Received sublingual dust mite drops (trade name: Changdi, Zhejiang Wuwu Biotechnology Co., LTD.) for sublingual immunotherapy.

Drug: Dust mite drops (trade name: Changdi, Zhejiang Tawu Biotechnology Co. Ltd.).

Interventions

The experimental group will be with Sublingual immunotherapy (trade name: Changdi, Zhejiang Tawu Biotechnology Co., Ltd.). The control group will be with Mometasone Furoate Aqueous Nasal Spray (NASUNA); The treatment course of the two groups will be 3 months.

Also known as: Brucelated mamisone nasal spray, consisting mainly of an antacid mamisone, measuring 10ml, 50μg x 60 press (0.05%).
In the control groupThe experimental group

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Those who meet the above diagnostic criteria;
  • The course of disease is at least one year;
  • Over 18 years old to under 65 years old, both sexes;
  • Did not receive specific immunotherapy in the past 1 month or did not use any drugs for AR in the past 1 week;
  • Those with normal cognitive function agree to participate in this study and sign the informed consent form.

You may not qualify if:

  • Patients with severe nasal septum deviation, chronic rhinosinusitis, bronchial asthma, nasal polyps, upper respiratory tract infection, lung infection and other diseases;
  • Patients with severe dysfunction of heart, liver, kidney or autoimmune diseases;
  • pregnant or lactating women;
  • Allergic constitution and allergic to the experimental drugs and ingredients;
  • Patients with drug addiction history;
  • Patients with major neuropsychiatric diseases who cannot take medication regularly;
  • Patients who are participating in other clinical trials. Patients who met any of the above criteria were excluded.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Guangjun Tang

Anshan, Guizhou, 561000, China

Location

Related Publications (39)

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  • Marogna M, Spadolini I, Massolo A, Canonica GW, Passalacqua G. Randomized controlled open study of sublingual immunotherapy for respiratory allergy in real-life: clinical efficacy and more. Allergy. 2004 Nov;59(11):1205-10. doi: 10.1111/j.1398-9995.2004.00508.x.

  • Canonica GW, Cox L, Pawankar R, Baena-Cagnani CE, Blaiss M, Bonini S, Bousquet J, Calderon M, Compalati E, Durham SR, van Wijk RG, Larenas-Linnemann D, Nelson H, Passalacqua G, Pfaar O, Rosario N, Ryan D, Rosenwasser L, Schmid-Grendelmeier P, Senna G, Valovirta E, Van Bever H, Vichyanond P, Wahn U, Yusuf O. Sublingual immunotherapy: World Allergy Organization position paper 2013 update. World Allergy Organ J. 2014 Mar 28;7(1):6. doi: 10.1186/1939-4551-7-6.

  • Alvarez-Cuesta E, Bousquet J, Canonica GW, Durham SR, Malling HJ, Valovirta E; EAACI, Immunotherapy Task Force. Standards for practical allergen-specific immunotherapy. Allergy. 2006;61 Suppl 82:1-20. doi: 10.1111/j.1398-9995.2006.01219_1.x. No abstract available.

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  • Ren M, Tang Q, Chen F, Xing X, Huang Y, Tan X. Mahuang Fuzi Xixin Decoction Attenuates Th1 and Th2 Responses in the Treatment of Ovalbumin-Induced Allergic Inflammation in a Rat Model of Allergic Rhinitis. J Immunol Res. 2017;2017:8254324. doi: 10.1155/2017/8254324. Epub 2017 Jul 13.

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MeSH Terms

Conditions

Rhinitis, AllergicRhinitis, Allergic, Perennial

Condition Hierarchy (Ancestors)

RhinitisNose DiseasesRespiratory Tract DiseasesRespiratory HypersensitivityOtorhinolaryngologic DiseasesHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Study Officials

  • Guangjun Tang, MD

    Principal Investigator

    STUDY CHAIR
  • Long Chai, MM

    Head of Otolaryngology

    STUDY DIRECTOR
  • Fangming Chen, MB

    Director

    STUDY DIRECTOR

Central Study Contacts

Guangjun Tang, MD

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Because this test method is not consistent, so this topic will be using single blind method (blind) for the patients, but we will strictly implement spirit blinded phase separation principle, made random don't participate in the experiment, a researcher at the table, will conform to the criteria for the diagnosis of allergic rhinitis patients, according to the medical order, to give corresponding treatment, in the process of experiment, Research implementers do not participate in the statistics of experimental data; The efficacy evaluation index will be evaluated by a third party, blinded to the statistical analysis of the data, and the blind bottom was known only to the study designer and kept by a special person.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: We will be collected 60 subjects and randomize them into two groups, the trial group and control group. The QC will use a computerized randomization method using EXCEL software to generate random numbers using a RAND function (a total of 60 random numbers). Sixty randomly selected subjects will have a 1 / 2 chance of being randomly assigned to either the experimental or control groups. Patients were randomly assigned to appropriate groups and treatment regimens based on a random number of visits.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PHAnshun

Study Record Dates

First Submitted

September 2, 2022

First Posted

October 6, 2022

Study Start

December 1, 2022

Primary Completion

December 31, 2023

Study Completion

December 30, 2024

Last Updated

October 6, 2022

Record last verified: 2022-10

Data Sharing

IPD Sharing
Will not share

2022.08-2022.11: consult relevant literature, complete detailed and specific implementation plan, contact pharmacy and laboratory department, and complete preparation before the experiment 2022.12-2023.12: Complete the recruitment and treatment of clinical trials 2024.01-2024.04: Data collection, sorting, and statistical analysis of data 2024.05-2024.10: publish more than 1 paper 2024.11-2024.12: Summarize and conclude the thesis

Locations