PQ Grass
BiologicalSuspension for injection
NCT Number: NCT04687059
PQGrass309 is aimed at exploring the expected average treatment effect of PQ Grass 27600 SU cumulative dose on symptom and medication score in a field setting. The study will enrol adult subjects with seasonal allergic rhinitis and/or rhinoconjunctivitis (SAR) induced by grass pollen exposure.
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Notify Me18 year–65 year
All sexes
Interventional
Phase 2 / Phase 3
Universitatsmedizin Berlin - Charite Campus Mitte - Allergie Centrum Charite, Berlin, Germany
PQGrass309 is a randomised, double-blind, placebo-controlled exploratory study to explore the efficacy and safety of PQ Grass 27600 SU in subjects with seasonal allergic rhinitis and/or rhinoconjunctivitis (SAR) induced by grass pollen exposure. The study is expected to be conducted in the United States (US) and the European Union (EU).
The aim of this exploratory field study is to explore amongst others the following:
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Please note: Subjects with asthma may be included, but the asthma must be well controlled (according to current Global Initiative for Asthma {GINA} guidelines [GINA, 2020]).
Exclusion criteria
(include amongst others):
Exception: screening, treatment and collection of eDiary data can be conducted outside of the pollen season(s) of concern or perennial allergies are irrelevant due to avoidance measures (e.g., cats and dog allergy).
Other exclusions
Suspension for injection
Suspension for injection
Other names: Placebo containing MCT
Solution for injection
Other names: Placebo without MCT
Time frame: Measures collected approximately over 2-5 weeks (peak GPS). The exact time frame depended on the GPS start and end dates for each region (depending on pollen detection), therefore, a specific week from baseline can not be estimated globally.
The daily CSMS is calculated as the sum of the daily Symptom Score (dSS) and the daily Medication Score (dMS).
The dSS component of the CSMS is calculated as the sum of 6 individual symptom (2 conjunctival and 4 nasal) scores, each with a range of 0 to 3 points and divided by 6, and therefore has a total range between 0 and 3.
The dMS is a score assigned according to the step of relief medication used in a day (from 0: no relief medication to 3: oral corticosteroids with step and step 2 medications).
The daily CSMS has a range between 0 and 6. The average CSMS over the peak GPS will be calculated as sum of the daily CSMS within the peak GPS divided by the number of days of the peak GPS where the CSMS has been collected. Higher values in the scale represent worse outcomes.
Time frame: Measures collected approximately over 10 weeks (entire/truncated GPS). The exact time frame depended on the GPS start and end dates for each region (depending on pollen detection), therefore, a specific week from baseline can not be estimated globally.
The daily CSMS is calculated as the sum of the daily Symptom Score (dSS) and the daily Medication Score (dMS).
The dSS component of the CSMS is calculated as the sum of 6 individual symptom (2 conjunctival and 4 nasal) scores, each with a range of 0 to 3 points and divided by 6, and therefore has a total range between 0 and 3.
The dMS is a score assigned according to the step of relief medication used in a day (from 0: no relief medication to 3: oral corticosteroids with step and step 2 medications).
The daily CSMS has a range between 0 and 6. The average CSMS over the entire (or truncated) GPS will be calculated as sum of the daily CSMS within the peak GPS divided by the number of days of the GPS where the CSMS has been collected. Higher values in the scale represent worse outcomes.
Time frame: Measures collected approximately over 2-5 weeks (peak GPS). The exact time frame depended on the GPS start and end dates for each region (depending on pollen detection), therefore, a specific week from baseline can not be estimated globally.
The daily TCS was the sum of the dSS and dMS calculated from the data recorded in the eDiary.
For the dSS 6 individual symptoms were assessed: conjunctival symptoms (2 items) and nasal symptoms (4 items). Each item was scored on a 4-point severity scale (0 = no symptoms, 3 = severe symptoms). The dSS was calculated as the sum of the scores for the 6 indicidual symptoms, ranging from 0 to 18.
For the dMS was rated on a scale from 0 to 20, depending on the relief medication use.
Higher scores in TCS are related to worse outcomes.
Time frame: Measures collected approximately over 10 weeks (entire/truncated GPS). The exact time frame depended on the GPS start and end dates for each region (depending on pollen detection), therefore, a specific week from baseline can not be estimated globally.
The daily TCS was the sum of the dSS and dMS calculated from the data recorded in the eDiary.
For the dSS 6 individual symptoms were assessed: conjunctival symptoms (2 items) and nasal symptoms (4 items). Each item was scored on a 4-point severity scale (0 = no symptoms, 3 = severe symptoms). The dSS was calculated as the sum of the scores for the 6 indicidual symptoms, ranging from 0 to 18.
The dMS was rated on a scale from 0 to 20, depending on the relief medication use: Score = 0, No relief medication used = 0 up to Score 20 = use of oral corticosteroids.
Higher scores in TCS are related to worse outcomes.
Time frame: Measures collected approximately over 2-5 weeks (peak GPS) or 10 weeks (entire/truncated GPS). The exact time frame depended on the GPS start and end dates for each region (depending on pollen detection).
The dSS component of the CSMS was calculated as the sum of 6 individual symptom (2 conjunctival and 4 nasal) scores, each with a range of 0 to 3 points and divided by 6, and therefore has a total range between 0 and 3.
Higher scores are related to worse outcomes.
Time frame: Measures collected approximately over 2-5 weeks (peak GPS) or 10 weeks (entire/truncated GPS). The exact time frame depended on the GPS start and end dates for each region (depending on pollen detection).
dMS of the CSMS consists on a score with a range from 0 to 3: Score 0 (no relief medication) to 3 (highest step relief medication) per day; based on at least 1 dose of the medication of the highest step taken that day. Higher scores are related to worse outcomes.
Time frame: Measures collected approximately over 2-5 weeks (peak GPS) or 10 weeks (entire/truncated GPS). The exact time frame depended on the GPS start and end dates for each region (depending on pollen detection)
The dSS of the TCS is calculated as the sum of the scores (0-No symptoms to 3-Severe symptoms) for the 6 individual symptoms (i.e. ranging from 0 to 18). Higher scores are related to worse outcomes.
Time frame: Measures collected approximately over 2-5 weeks (peak GPS) or 10 weeks (entire/truncated GPS). The exact time frame depended on the GPS start and end dates for each region (depending on pollen detection)
The dMS of the TCS was rated on a scale from 0 to 20 depending on the use of relief medication: Score = 0, No relief medication used = 0 up to Score 20 = use of oral corticosteroids. Higher values are related to worse outcomes.
Time frame: Measures collected approximately over 2-5 weeks (peak GPS) or 10 weeks (entire/truncated GPS). The exact time frame depended on the GPS start and end dates for each region (depending on pollen detection)
Variables evaluated for correlation:
The correlation between the above variables were explored using linear regression models.
Outcomes are presented as Mean Squared Errors, representing the strength of the correlation, CI numbers not available. Low values represent stronger correlation between the two variables.
Time frame: Measures collected approximately over 2-5 weeks (peak GPS) or 10 weeks (entire/truncated GPS). The exact time frame depended on the GPS start and end dates for each region (depending on pollen detection)
A "well day" was defined based on CSMS as a day with:
The probability of a well day or a severe day was analyzed using data on a by-day level per subject using generalized estimating equation (GEE) or similar approaches as appropriate.
Well days and severe days were assessed during the peak GPS and entire (or truncated) GPS.
Time frame: Baseline (Visit 2), Visit 12 (2 weeks before start of the GPS) and visit 15 (end of the GPS). The exact time frame depended on the GPS start and end dates for each region, and visit 15 was usually in the range between 24 and 32 weeks after screening
Immunological measurements (total IgE and grass-specific IgE) and their changes between screening and post-treatment were analyzed descriptively. The change from baseline in immunoglobulin measurements was additionally analyzed using analysis of covariance (ANCOVA), including treatment groups and with baseline as covariate.
Time frame: Baseline (Visit 2), Visit 12 (2 weeks before start of the GPS) and visit 15 (end of the GPS). The exact time frame depended on the GPS start and end dates for each region, and visit 15 was usually in the range between 24 and 32 weeks after screening
Immunological measurements (grass-specific IgG4) and their changes between screening and post-treatment were analyzed descriptively. The change from baseline in immunoglobulin measurements was additionally analyzed using analysis of covariance (ANCOVA), including treatment groups and with baseline as covariate.
Time frame: Measures were collected approximately over 2-5 weeks (peak GPS). The exact time frame depended on the GPS start and end dates for each region (depending on pollen detection), therefore, a specific week from baseline can not be estimated globally.
Rhinoconjunctivitis quality of life was assessed using the Rhinoconjunctivitis Quality of Life Questionnaire with Standardised Activities (RQLQ[S]). The RQLQ(S) comprises 28 questions in 7 domains (activity limitation, sleep problems, nose symptoms, eye symptoms, non-nose/eye symptoms, practical problems, and emotional function). Each question is scored on a scale from 0 to 6.
Score is calculated as a mean of the 28 responses, with a range from 0 to 6. Higher scores are related with worse outcomes.
Time frame: Up to 1 year
Number of subjects with at least one event of the specified AE type. The frequency, relationship and severity of AEs will be assessed within each treatment group.
Note: TEAE (treatment emergent adverse events) are reported in the Adverse Event section.
Time frame: Up to 1 year
Number of participants who prematurely discontinued from treatment or study due to AEs.
Time frame: Up to 1 year
Number of participants with Adverse events of special interest (AESI). Suspected AESIs in this study were defined as signs and symptoms indicative of new-onset auto-immune or neuroinflammatory disorders.
Time frame: At Screening (Visit 1) and at the end of pollen season (Visit 15). The exact time frame depended on the GPS start and end dates for each region, however, visit 15 usually ranged between week 24 and week 32 from screening
Alert ranges were defined for laboratory values (Glucose, Sodium, Uric acid, Urea, Potassium, Calcium, Creatinine, Chloride, Total protein, Phosphorus, Cholesterol, Albumin, Total Bilirubin, Alkaline phosphatase, LDH, AST, ALT, GGT, CRP) lying outside the normal range to a clinically relevant degree.
Shift tables comparing the values at baseline to the values at the final visit were created for each variable.
Time frame: At Screening (Visit 1) and at the end of pollen season (Visit 15). The exact time frame depended on the GPS start and end dates for each region, however, visit 15 usually ranged between week 24 and week 32 from screening
Alert ranges were defined for laboratory values (Haemoglobin, haematocrit, total WBC and differentials, total RBC, RBC indices, and platelet count) lying outside the normal range to a clinically relevant degree.
Shift tables comparing the values at baseline to the values at the final visit were created for each urinalysis parameter.
Time frame: At Screening (Visit 1) and at the end of pollen season (Visit 15). The exact time frame depended on the GPS start and end dates for each region, however, visit 15 usually ranged between week 24 and week 32 from screening (baseline)
pH, Protein, Glucose, Ketones, Bilirubin, Blood, Nitrite, Urobilinogen, Leukocytes were determined in urine.
Alert ranges were defined for laboratory values lying outside the normal range to a clinically relevant degree.
Shift tables comparing the values at baseline to the values at the final visit were created for each urinalysis parameter.
Time frame: At baseline (Visit [V]2) only for all subjects, and also at V3 (V2 +~1 week [wk]), V4 (V3+~1wk), V5 (V4+~4wk), V6 (V5+~3wk), V7 (V6+~1wk), V8 (V7+~1wk), V9 (V8+~1wk), V10 (V9+~1wk) and V11 (~3-7wk before GPS) for subjects with past or current asthma
PEFR - peak expiratory flow rate. Baseline measure of PEFR was performed in all subjects. Only in subjects with past or current asthma, PEFR was performed at Visits 2 (baseline) to 11, prior to and approximately 30 to 60 minutes following study drug administration. At Visit 1 (screening), the PEFR should be ≥75% predicted for subjects to be eligible for the study.
Note that the exact time frame for each visit depended on the GPS start and end dates for each region (depending on pollen detection), therefore, a specific week from baseline can not be estimated globally.
Time frame: From baseline (Visit 2) to Visit 15 (usually between week 24 and 32 from screening)
Body temperature was measured after the subject has been in the supine position for at least 5 minutes at all visits: Visit 1 to Visit 15. At Visits 2 (baseline) to 11, vital sign measurements were performed before and 30 to 60 minutes following study drug administration. Changes in temperature values reported only post-injection. All vital signs-related information will be listed by subject, visit and timepoint.
The exact time frame for each visit depended on the GPS start and end dates for each region (depending on pollen detection), therefore, a specific week from baseline can not be estimated globally.
Time frame: From baseline (Visit 2) to Visit 15 (usually between week 24 and 32 from screening)
Respiratory rate was measured after the subject has been in the supine position for at least 5 minutes at Visit 1 to Visit 15. At Visits 2 (baseline) to 11, vital sign measurements were performed before and 30 to 60 minutes following study drug administration. All vital signs-related information will be listed by subject, visit and timepoint.
The exact time frame for each visit depended on the GPS start and end dates for each region (depending on pollen detection), therefore, a specific week from baseline can not be estimated globally.
Time frame: From baseline (Visit 2) to Visit 15 (usually between week 24 and 32 from screening)
Pulse rate was measured after the subject has been in the supine position for at least 5 minutes at Visit 1 to Visit 15. At Visits 2 (baseline) to 11, vital sign measurements were performed before and 30 to 60 minutes following study drug administration. All vital signs-related information will be listed by subject, visit and timepoint.
The exact time frame for each visit depended on the GPS start and end dates for each region (depending on pollen detection), therefore, a specific week from baseline can not be estimated globally.
Time frame: From baseline (Visit 2) to Visit 15 (usually between week 24 and 32 from screening)
Systolic blood pressure were measured after the subject has been in the supine position for at least 5 minutes at Visit 1 to Visit 15. At Visits 2 (baseline) to 11, vital sign measurements were performed before and 30 to 60 minutes following study drug administration. All vital signs-related information will be listed by subject, visit and timepoint.
The exact time frame for each visit depended on the GPS start and end dates for each region (depending on pollen detection), therefore, a specific week from baseline can not be estimated globally.
Time frame: From baseline (Visit 2) to Visit 15 (usually between week 24 and 32 from screening)
Diastolic blood pressure were measured after the subject has been in the supine position for at least 5 minutes at Visit 1 to Visit 15. At Visits 2 (baseline) to 11, vital sign measurements were performed before and 30 to 60 minutes following study drug administration. All vital signs-related information will be listed by subject, visit and timepoint.
The exact time frame for each visit depended on the GPS start and end dates for each region (depending on pollen detection), therefore, a specific week from baseline can not be estimated globally.
Allergy Therapeutics
Industry
A Randomised, Double-blind, Placebo-controlled Exploratory Study to Explore the Efficacy and Safety of PQ Grass 27600 SU in Subjects With Seasonal Allergic Rhinitis and/or Rhinoconjunctivitis Induced by Grass Pollen Exposure
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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