Clinical trial • Immunology|Respiratory
glutaraldehyde-modified L-tyrosine adsorbed grass pollen extract (Phleum pratense, Poa pratensis, Cynodon dactylon) for Allergic rhinoconjunctivitis|Grass pollen allergy|Allergic asthma
Clinical trial of glutaraldehyde-modified L-tyrosine adsorbed grass pollen extract (Phleum pratense, Poa pratensis, Cynodon dactylon) for Allergic rhinoco…
Overview
- Trial Therapeutic Area
- Immunology|Respiratory
- Trial Disease
- Allergic rhinoconjunctivitis|Grass pollen allergy|Allergic asthma
- Drug Modality
- Peptide/protein/enzyme|Other
Key dates
- Initial CTIS Submission Date
- 08-07-2025
- First CTIS Authorization Date
- 28-10-2025
Trial design
Randomised, experimental group - ilit grass pollen: three 0.1 ml intra-lymph node injections of a 10,000 allergenic units/ml glutaraldehyde-modified l-tyrosine adsorbed grass pollen extract (allergoide graminacee mix, anallergo) at time 0 and after 4 and 8 weeks. control group – ilit placebo: three 0.1 ml intra-lymph node injections of placebo (0.1 ml phosphate buffered saline, from anallergo; product listing also shows sodium chloride 9mg/1000ml as placebo) at time 0 and again after 4 and 8 weeks. trial across 2 sites in Italy.
- Randomised
- Yes
- Comparator
- Experimental group - ILIT GRASS POLLEN: three 0.1 ml intra-lymph node injections of a 10,000 Allergenic Units/ml glutaraldehyde-modified L-tyrosine adsorbed grass pollen extract (Allergoide Graminacee Mix, Anallergo) at time 0 and after 4 and 8 weeks. Control group – ILIT Placebo: three 0.1 ml intra-lymph node injections of Placebo (0.1 ml phosphate buffered saline, from Anallergo; product listing also shows Sodium chloride 9mg/1000ml as placebo) at time 0 and again after 4 and 8 weeks.
- Target Sample Size
- 70
- Trial Duration For Participant
- 280
Eligibility
Recruits 70 isVulnerablePopulationSelected = true. Informed consent required: "Provision of signed and dated informed consent form approved from IRB/IEC". Subject information and informed consent form documents for adults are provided (L1_SIS and ICF adults and site-specific versions). No explicit information provided about assent or parental consent in the available data..
- Pregnancy Exclusion
- • Pregnant or nursing
- Vulnerable Population
- isVulnerablePopulationSelected = true. Informed consent required: "Provision of signed and dated informed consent form approved from IRB/IEC". Subject information and informed consent form documents for adults are provided (L1_SIS and ICF adults and site-specific versions). No explicit information provided about assent or parental consent in the available data.
Inclusion criteria
- {"criterion_text":"- Patients aged 18 or older\n- Patients affected by moderate to severe allergic rhino-conjunctivitis (according to ARIA definition) diagnosed through a positive skin prick test - wheal, 3 mm larger than negative control-, and circulating specific IgE (minimum 0.5 kU/l) to grass pollen)\n- History of moderate-to-severe allergic rhinitis during the previous pollen season, documented at screening by a Symptom Score ≥ 7, or, if a previous Symptom Score is unavailable, by a self-reported retrospective visual analogue scale (VAS) rating of nasal and/or ocular symptoms ≥ 4/10 cm (0 = no symptoms; 10 = worst imaginable symptoms), obtained using a standardized questionnaire (VAS question: ‘Considering the period of worst symptoms during last pollen season, how severe were your nasal and/or ocular symptoms?’) and referring to the two-week period of peak symptom severity during the previous season (April–June).\n- Provision of signed and dated informed consent form approved from IRB/IEC"}
Exclusion criteria
- {"criterion_text":"- Significant year-round allergy symptoms or minor year-round symptoms without worsening during grass pollen seasons\n- Contraindications to the use of the Investigational Medicinal Product (i.e. hypersensitivity to any of the excipients of the standardized allergen extract modified with glutaraldehyde (allergoid) adsorbed onto L-tyrosine for delayed subcutaneous specific immunotherapy, severe chronic and inflammatory diseases, multiple sclerosis, autoimmune diseases, immunodeficiencies, active pulmonary and ocular tuberculosis, severe psychiatric disorders, cardiovascular insufficiency, chronic heart and/or lung diseases, malignant diseases, current concomitant treatment with beta-blockers or ACE inhibitors, febrile infections of the respiratory tract), or of the placebo (i.e. hypersensitivity to phenol or to any of the other excipients).\n- Clinically relevant allergy to Parietaria pollen\n- Pregnant or nursing\n- Significant cardiovascular, hepatic, renal, autoimmune, hematological, psychiatric or active infectious disease\n- Pulmonary disease, other than seasonal asthma but including perennial asthma, with perennial use of inhaled corticosteroids\n- Previous grass pollen AIT\n- No readily accessible inguinal lymph nodes\n- Chronic therapy with corticosteroids (≥10 mg/day of prednisone or equivalent for >2 weeks)\n- Immunosuppressive drugs"}
Endpoints
Primary endpoints
- {"endpoint_text":"- 1.\tSymptom scores (SS) (primary endpoint), ranging from 0 to 18 points, with 3 nasal and 3 ocular symptoms (runny nose, blocked nose, sneezing, red eyes, itchy eyes and watery eyes), each of which scored from 0 (no symptoms) to 3 (severe symptoms);","definition_or_measurement_approach":"Symptom score (SS) ranging 0–18 composed of 3 nasal and 3 ocular symptoms each scored 0–3."}
- {"endpoint_text":"- 2.\tMedication scores (MS), taking into account the exact number of anti-histamine tablets, nasal corticosteroid puffs, eye drops","definition_or_measurement_approach":"Medication score (MS) based on the exact count of antihistamine tablets, nasal corticosteroid puffs and eye drops used."}
- {"endpoint_text":"- 3.\tRhino-conjunctivitis Quality of Life Questionnaire (RQLQ)","definition_or_measurement_approach":"Patient-reported outcome measured using the RQLQ instrument."}
Recruitment
- Planned Sample Size
- 70
- Recruitment Window Months
- 12
- Consent Approach
- Provision of signed and dated informed consent form approved by IRB/IEC is required. Subject information and informed consent forms for adults are included in the dossier (L1_SIS and ICF adults, site-specific versions). No explicit mention of assent procedures or parental consent; languages of consent documents not specified in the available data.
Geography
- Total Number Of Sites
- 2
- Total Number Of Participants
- 70
Italy
- Earliest CTIS Part Ii Submission Date
- 16-10-2025
- Latest Decision Or Authorization Date
- 11-12-2025
- Processing Time Days
- 56
- Number Of Sites
- 2
- Number Of Participants
- 70
Sites
- Site Name
- Universita Politecnica Delle Marche
- Department Name
- Internal Medicine, Department of Clinical and Molecular Sciences
- Contact Person Name
- Maria Beatrice Bilò
- Contact Person Email
- mariabeatrice.bilo@ospedaliriuniti.marche.it
- Site Name
- University Of Foggia
- Department Name
- Allergologia ed Immunologia Clinica
- Contact Person Name
- Maria Filomena Caiaffa
- Contact Person Email
- protocollo@cert.unifg.it
Sponsor
Primary sponsor
- Full Name
- University Of Foggia
- Organisation Type
- Educational Institution
- Country Of Registered Address
- Italy
Contract research organisations
- Name
- Center For Outcomes Research And Clinical Epidemiology S.r.l.
- Responsibilities
- sponsorDuties codes: 1,10,11,12,5,6; contact email core@coresearch.it, phone 0859047114
Third parties
- {"country":"Italy","full_name":"Center For Outcomes Research And Clinical Epidemiology S.r.l.","duties_or_roles":"sponsorDuties codes: 1,10,11,12,5,6","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Allergoide Graminacee Mix (Anallergo)
- Active Substance
- glutaraldehyde-modified L-tyrosine adsorbed grass pollen extract (Phleum pratense, Poa pratensis, Cynodon dactylon)
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- Intralymphatic injection
- Route
- Intralymphatic
- Starting Dose
- 0.1 ml of 10,000 Allergenic Units/ml (intralymphatic)
- Dose Levels
- 0.1 ml given at time 0, week 4 and week 8 (three injections)
- Frequency
- At baseline (time 0), week 4, week 8
- Maximum Dose
- 0.3 ml total (across three injections)
- Investigational Product Name
- Sodium chloride 9mg/1000ml (placebo)
- Active Substance
- Sodium chloride (placebo) / or phosphate buffered saline as described in protocol
- Modality
- Other
- Routes Of Administration
- Intralymphatic injection
- Route
- Intralymphatic
- Starting Dose
- 0.1 ml (placebo)
- Dose Levels
- 0.1 ml given at time 0, week 4 and week 8 (three injections)
- Frequency
- At baseline (time 0), week 4, week 8
- Maximum Dose
- 0.3 ml total (across three injections)
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