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Immunological and Histological Evaluation of Specific Immunotherapy With Recombinant Hypoallergenic Derivative

A

Allergopharma

Status and phase

Completed
Phase 2

Conditions

Allergic Rhinoconjunctivitis

Treatments

Other: Placebo
Biological: rBet v1-FV

Study type

Interventional

Funder types

Industry

Identifiers

NCT00841516
2008-006258-16 (EudraCT Number)
AL0801rB

Details and patient eligibility

About

This trial is performed for the immunological and histological evaluation of specific immunotherapy with an aluminium hydroxide-adsorbed recombinant hypoallergenic derivative of the major birch pollen allergen, rBet v1-FV

Full description

Type I allergy is an immune-disorder which stems from the formation of IgE antibodies against proteins and glycoproteins from plants, insects, animals and fungi, most of which are normally considered harmless. The cross-linking of specific IgE antibodies on effector cells by allergens activates an immunological cascade leading to the symptoms of Type I allergy including rhinitis, conjunctivitis, asthma, and anaphylactic shock. Allergic Rhinitis is the most common chronic atopic disease and is associated with considerable cost and co-morbidity. Seasonal allergic rhinitis (SAR), triggered by pollen from trees, grasses and weeds, is characterized by sneezing, nasal congestion, nasal itching, rhinorrhea, and pruritic, watery, red eyes.

Recombinant preparations offer various advantages over those based on natural allergen extracts. Recombinant proteins can be produced in highly purified forms of pharmaceutical quality; proteins are molecularly defined thus ensuring product consistency and minimising problems related to allergen extract standardisation; preparations only include those proteins that are considered relevant for specific immunotherapy; the risk of contamination with other allergenic material is excluded; the whole production process can be designed to exclude any risk factors for the introduction of infectious agents; the relative dosages of individual components of a final preparation can be optimised to favour better clinical efficacy. Allergy vaccination (AV) mediates the immune response to allergen exposure by altering the TH2 response in favour of a TH1 T-cell response, increasing IgG production and decreasing the production of inflammatory cytokines. rBet v1-FV is an AV designed to enhance beneficial immune responses. The investigational product has demonstrated efficacy and good tolerability in one previous pivotal Phase III and two previous Phase II studies.

Enrollment

14 patients

Sex

All

Ages

18 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Positive SPT
  • Positive EAST
  • Positive specific provocation test

Exclusion criteria

  • Serious chronic diseases
  • Other perennial allergies

Trial design

Primary purpose

Basic Science

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

14 participants in 2 patient groups, including a placebo group

Placebo
Placebo Comparator group
Description:
Placebo was given the same way as a subcutaneous (just under the skin) injection.
Treatment:
Other: Placebo
80 µg rBet v1-FV Immunotherapy
Experimental group
Description:
All randomized patients were treated with either placebo or 80 µg rBet v1-FV (maintenance dose) for 2 years.
Treatment:
Biological: rBet v1-FV

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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