Dose Finding for the Treatment of Rhinitis/Rhinoconjunctivitis Against Mite Allergy (MM09)

Inmunotek

Status and phase: Unknown; Phase 2

Conditions: Rhinoconjunctivitis; Rhinitis

Treatments: Biological: MM09 Mannosylated 5.000 subcutaneous; Biological: MM09 Mannosylated 10.000 sublingual; Biological: Subcutaneous placebo; Biological: MM09 Mannosylated 30.000 subcutaneous; Biological: MM09 Mannosylated 5.000 sublingual; Biological: MM09 Mannosylated 30.000 sublingual; Biological: Sublingual placebo; Biological: MM09 Mannosylated 50.000 sublingual; Biological: MM09 Mannosylated 50.000 subcutaneous; Biological: MM09 Mannosylated 10.000 subcutaneous

Study type: Interventional

Funder types: Industry

Identifiers

NCT02661854

MM09-SIT-013

2015-000820-27 (EudraCT Number)

Details and patient eligibility

About

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

Full description

Double blind placebo-controlled study. The subjects will receive medication during 4 months.

Enrollment: 186 patients

Sex: All

Ages: 12 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Written informed consent
• Positive suggestive clinical history of intermittent or persistent moderate to severe rhinitis /rhinoconjunctivitis, with or without moderate asthma, due to Dermatophagoides pteronyssinus and/or Dermatophagoides farinae allergy
• Subjects with a positive skin prick-test (wheal sixe >6 mm diameter)
• Specific immunoglobulin E against house dust mites >10 kU/L and whose determination does not exceed 6 months prior to the inclusion visit
• Age between 12 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, but that is considered clinically not relevant or no clinical interference with the nasal provocation test.

Exclusion criteria

• Subjects outside of the age range.
• Subjects who have previously received immunotherapy for the treatment of the allergic rhinitis/rhinoconjunctivitis due to mites 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 with persistent severe or not controlled asthma , with a forced expiratory volume (FEV) < 70 respect to the reference value in spite of the appropriate pharmacological treatment at the time of the inclusion in the trial.
• Subjects that have required oral corticosteroids in the 12 weeks previous to the inclusion in the trial.
• Subjects that have previously submitted a serious secondary reaction during the skin prick test
• Subjects in treatment with beta blockers.
• Unstable subjects from the clinical point of view (respiratory infection, febrile, acute urticaria, etc.) at the time of the inclusion in the clinical trial
• 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 mites allergen extract.
• 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.

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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186 participants in 9 patient groups, including a placebo group

MM09 Mannosylated 5.000 subcutaneous

Experimental group

Description:

5.000 MTU/ml of subcutaneous immunotherapy and sublingual placebo.

Treatment:

Biological: Sublingual placebo

Biological: MM09 Mannosylated 5.000 subcutaneous

MM09 Mannosylated 10.000 subcutaneous

Experimental group

Description:

10.000 MTU/ml of subcutaneous immunotherapy and sublingual placebo.

Treatment:

Biological: MM09 Mannosylated 10.000 subcutaneous

Biological: Sublingual placebo

MM09 Mannosylated 30.000 subcutaneous

Experimental group

Description:

30.000 MTU/ml of subcutaneous immunotherapy and sublingual placebo.

Treatment:

Biological: MM09 Mannosylated 30.000 subcutaneous

Biological: Sublingual placebo

MM09 Mannosylated 50.000 subcutaneous

Experimental group

Description:

50.000 MTU/ml of subcutaneous immunotherapy and sublingual placebo.

Treatment:

Biological: MM09 Mannosylated 50.000 subcutaneous

Biological: Sublingual placebo

MM09 Mannosylated 5.000 sublingual

Experimental group

Description:

5.000 MTU/ml of sublingual immunotherapy and subcutaneous placebo.

Treatment:

Biological: Subcutaneous placebo

Biological: MM09 Mannosylated 5.000 sublingual

MM09 Mannosylated 10.000 sublingual

Experimental group

Description:

10.000 MTU/ml of sublingual immunotherapy and subcutaneous placebo.

Treatment:

Biological: Subcutaneous placebo

Biological: MM09 Mannosylated 10.000 sublingual

MM09 Mannosylated 30.000 sublingual

Experimental group

Description:

30.000 MTU/ml of sublingual immunotherapy and subcutaneous placebo.

Treatment:

Biological: Subcutaneous placebo

Biological: MM09 Mannosylated 30.000 sublingual

MM09 Mannosylated 50.000 sublingual

Experimental group

Description:

50.000 MTU/ml of sublingual immunotherapy and subcutaneous placebo.

Treatment:

Biological: Subcutaneous placebo

Biological: MM09 Mannosylated 50.000 sublingual

Placebo Sublingual Placebo subcutaneous

Placebo Comparator group

Description:

Sublingual and subcutaneous placebo.

Treatment:

Biological: Subcutaneous placebo

Biological: Sublingual placebo