Clinical trial • Phase III • Immunology | Respiratory | Ophthalmology

mixture of allergen extracts of dermatophagoides pteronyssinus and dermatophagoides farinae polymerized with glutaraldehyde for Allergic rhinoconjunctivitis due to house dust mite | House dust mite allergy

Phase III trial of mixture of allergen extracts of dermatophagoides pteronyssinus and dermatophagoides farinae polymerized with glutaraldehyde for Allergi…

Overview

Trial Therapeutic Area
Immunology | Respiratory | Ophthalmology
Trial Disease
Allergic rhinoconjunctivitis due to house dust mite | House dust mite allergy
Trial Stage
Phase III
Drug Modality
Peptide/protein/enzyme | Other
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
09-10-2024
First CTIS Authorization Date
18-10-2024

Trial design

Placebo (Beltavac Polymerized placebo; it is a saline solution without the allergenic extract)-controlled Phase III trial in Spain.

Comparator
Placebo (Beltavac Polymerized placebo; it is a saline solution without the allergenic extract)
Target Sample Size
250
Trial Duration For Participant
365

Eligibility

Recruits 250 paediatric patients.

Pregnancy Exclusion
13. Pregnant or breastfeeding patients.
Vulnerable Population
Vulnerable population not selected. Trial includes adolescents aged 12-17; written informed consent is required. Specific subject information and informed consent forms and an assent form are provided for 12-17 year olds (documents listed: L1_SIS and ICF 12-17 yr; L1_Asentimiento_12-17 yr).

Inclusion criteria

  • {"criterion_text":"- For the screening phase. 1. Written informed consent, signed and dated."}
  • {"criterion_text":"- 2. Male or female between 12 and 65 years of age (both included)."}
  • {"criterion_text":"- 3. Patient with moderate or severe symptoms of persistent rhinitis according to the ARIA Guide (Figure 1) associated or not with asthma well or partially controlled according to the GEMA Guide 5.0. (Figure 2)."}
  • {"criterion_text":"- 4. Confirmation of sensitization to DPT or DF with a positive prick test (mean diameter of the wheal greater than or equal to 3 mm) with a standardized commercial allergenic extract and a serum extract-specific IgE value of class 3 or higher (>3.5 kU/L) within 6 months prior to the study."}
  • {"criterion_text":"- 5. For women with the possibility of pregnancy, use of contraception for at least 1 month prior to the visit and commitment to continue using it during the period of participation in the trial."}
  • {"criterion_text":"- 6. Patients who are willing and able to complete an electronic patient record during the 4-week screening period."}
  • {"criterion_text":"- For the treatment phase 1. Negative pregnancy test."}
  • {"criterion_text":"- 2. Combined symptom and medication score (ESMR4) ≥ 1.5 during the screening phase."}
  • {"criterion_text":"- 3. Patients willing and able to complete an electronic patient record for a 12-week period during the treatment phase."}
  • {"criterion_text":"- 4. Asthma Control Test (ACT) score >19 (for asthmatic patients only)."}
  • {"criterion_text":"- 5. PEF value >80% of personal best at the time of the visit (for asthmatic patients only)."}

Exclusion criteria

  • {"criterion_text":"- 1. Concomitant sensitization to allergens other than dust mites in case clinically relevant symptoms are expected that may interfere with the evaluation periods of the study (4 weeks before visits V1, V7, V10 and V13) according to the investigator's criteria. Clarification: The inclusion/exclusion of patients sensitized to other perennial allergens (other than Dermatophagoides), such as storage mites and fungi, will be evaluated by the PI and agreed with the scientific committee of the trial based on the clinical and IgE values ​​of each patient."}
  • {"criterion_text":"- 2. Poorly controlled asthma according to the GEMA 5.0 guide (Figure 2)."}
  • {"criterion_text":"- 3. Severe asthma, that is, those who have controlled their asthma during the last few months according to therapeutic step 5-6 of the GEMA 5.0 Guide."}
  • {"criterion_text":"- 4. Autoimmune diseases or immunodeficiency."}
  • {"criterion_text":"- 5. Malignant neoplasms, severe cardiovascular diseases, severe mental illnesses or other relevant chronic diseases that may interfere with the results of the study."}
  • {"criterion_text":"- 6. Clinical history of anaphylaxis with cardio/respiratory symptoms."}
  • {"criterion_text":"- 7. Hypersensitivity to any of the excipients of the investigational product."}
  • {"criterion_text":"- 8. Immunosuppressive medication (e.g. cyclosporine A, azathioprine, omalizumab, mepolizumab, benralizumab, reslizumab, dupilumab) during the last 6 months prior to patient inclusion and until the end of the study."}
  • {"criterion_text":"- 9. Treatment with beta-blockers during the study."}
  • {"criterion_text":"- 10. Patients who have previously received immunotherapy with dust mite allergen extract or other extracts and who have failed during the last 5 years."}
  • {"criterion_text":"- 11. Patients with immunotherapy with allergens other than dust mites during the study period."}
  • {"criterion_text":"- 12. Patients who receive any other vaccine one week before starting treatment or waiting for the second dose of the COVID-19 vaccine."}
  • {"criterion_text":"- 13. Pregnant or breastfeeding patients."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Score on the combined scale of nasal symptoms and specific medication (CSMS4) of allergy completed by the patient daily in his/her online patient card in periods of 4 weeks repeatedly during the year of follow-up.","definition_or_measurement_approach":"Patient-completed CSMS4 (combined nasal symptoms and specific medication) recorded daily in the online patient card in 4-week periods repeated during 12 months of follow-up."}

Secondary endpoints

  • {"endpoint_text":"- Nasal symptom scale score (SS4).","definition_or_measurement_approach":"Score on the nasal symptom scale (SS4) as recorded in patient assessments."}
  • {"endpoint_text":"- Specific medication scale score (MS).","definition_or_measurement_approach":"Score on the specific medication scale (MS) as recorded in patient assessments."}
  • {"endpoint_text":"- Nasal and ocular symptom scale score (SS6)","definition_or_measurement_approach":"Score on the nasal and ocular symptom scale (SS6) as recorded in patient assessments."}
  • {"endpoint_text":"- Combined nasal, ocular symptom and medication scale score (CSMS6).","definition_or_measurement_approach":"Score on the combined nasal, ocular symptom and medication scale (CSMS6) as recorded in patient assessments."}
  • {"endpoint_text":"- Percentage of days without symptoms or medication.","definition_or_measurement_approach":"Proportion/percentage of days during assessment periods when the patient reports no symptoms and no medication use."}

Recruitment

Planned Sample Size
250
Recruitment Window Months
49
Consent Approach
Written informed consent is required from participants. For adolescents 12-17 there are specific subject information and informed consent documents and an assent form (documents listed: L1_SIS and ICF 12-17 yr; L1_Asentimiento_12-17 yr). Adult ICF is provided (L1_SIS and ICF adults). No languages for consent forms explicitly stated in the available metadata.

Geography

Total Number Of Sites
16
Total Number Of Participants
250

Spain

Earliest CTIS Part Ii Submission Date
16-10-2024
Latest Decision Or Authorization Date
18-10-2024
Processing Time Days
2
Number Of Sites
16
Number Of Participants
250

Sites

Site Name
Hospital de Fatima
Department Name
Allergollogy
Contact Person Name
Jose Luis Pérez
Contact Person Email
jlpformoso@gmail.com
Site Name
Hospital Germans Trias I Pujol
Department Name
Allergology
Contact Person Name
Albert Roger
Contact Person Email
aroger.germanstrias@gencat.cat
Site Name
Hospital Universitari Vall D Hebron
Department Name
Allergology
Contact Person Name
Victoria Cardona
Contact Person Email
vcardona@vhebron.net
Site Name
Hospital Universitario De La Plana
Department Name
Allergology
Contact Person Name
David El-Qutob López
Contact Person Email
elqutob@comv.es
Site Name
Hospital General Universitario De Castellon
Department Name
Allergollogy
Contact Person Name
Jose Vicente Castelló
Contact Person Email
castello_jos@gva.es
Site Name
Hospital General De Granollers
Department Name
Allergollogy
Contact Person Name
Patricia Martinez
Contact Person Email
drapmartinezlezcano@gmail.com
Site Name
Hospital Universitario De Navarra
Department Name
Allergology
Contact Person Name
Ana Isabel Tabar Purroy
Contact Person Email
ana.tabar.purroy@navarra.es
Site Name
Hospital Universitario Y Politecnico La Fe
Department Name
Allergology
Contact Person Name
Miguel Angel Diaz Palacios
Contact Person Email
diaz_mig@gva.es
Site Name
Hospital Universitario Regional De Malaga
Department Name
Allergollogy
Contact Person Name
Maria Jose Torres
Contact Person Email
mjtorresj@gmail.com
Site Name
Hospital Universitario Y Politecnico La Fe
Department Name
Allergollogy
Contact Person Name
Miguel Tortajada
Contact Person Email
tortajadamig@gmail.com
Site Name
Hospital Universitari Vall D Hebron
Department Name
Allergology
Contact Person Name
Teresa Garriga
Contact Person Email
mtgarriga@vhebron.net
Site Name
Hospital Vega Baja De Orihuela
Department Name
Allergology
Contact Person Name
Angel Ferrer
Contact Person Email
angelyferrer@gmail.com
Site Name
Bellvitge University Hospital
Department Name
Allergollogy
Contact Person Name
Teresa Dordal
Contact Person Email
teresadordal@gmail.com
Site Name
Hospital Clinico Universitario De Valencia
Department Name
Allergology
Contact Person Name
Enrique Burches
Contact Person Email
burches_enr@gva.es
Site Name
Hospital Fundació Sant Pere Claver
Department Name
Allergollogy
Contact Person Name
Helena Hermida
Contact Person Email
helenahermida@gmail.com
Site Name
Hospital Universitario Virgen De La Macarena
Department Name
Allergollogy
Contact Person Name
Pilar Lara
Contact Person Email
pilar_lara_dlr@hotmail.com

Sponsor

Primary sponsor

Full Name
Probelte Pharma S.L.
Organisation Type
Pharmaceutical company
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
BELTAVAC with polymerized extract From Dermatophagoides
Active Substance
mixture of allergen extracts of dermatophagoides pteronyssinus and dermatophagoides farinae polymerized with glutaraldehyde
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
SUBCUTANEOUS INJECTION
Authorisation Status
euMpNumber PRD9441128; miaNumber 0372
Starting Dose
0.5 ml
Maximum Dose
0.5 ml
Investigational Product Name
Beltavac Polymerized placebo. It is a saline solution without the allergenic extract
Modality
Other

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