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
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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