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Completed

NCT Number: NCT02560948

Clinical Efficacy and Safety of a Subcutaneous Immunotherapy With gpASIT+™ in Patients With Grass Pollen-induced Allergic Rhinoconjunctivitis

gpASIT+TM product is based on highly purified allergen fragments obtained from grass pollen. The purpose of this study is to demonstrate the clinical efficacy and safety of a subcutaneous immunotherapy with gpASIT+™ in patients with grass pollen-induced allergic rhinoconjunctivitis compared to placebo.

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Key information

Age range

18 year–64 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

University Hospital Ghent, Ghent, Belgium

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Allergy diagnosis:
  • A medical history of moderate to severe seasonal allergic rhinoconjunctivitis (SARC) for the grass pollen season during at least the two previous seasons (definition of allergy severity according to ARIA (Bousquet et al 2001))
  • A positive skin prick test (SPT - wheal diameter ≥ 3 mm) to grass pollen mixture, histamine wheal ≥ 3 mm, NaCl control reaction < 2 mm
  • Specific IgE against grass pollen (with recombinant allergens - g213) > 0.7 kU/L
  • Positive response to CPT with at least 10,000 SQ-E/mL of grass allergens
  • Patients treated with anti-allergic medication for at least 2 grass pollen seasons prior to enrollment
  • For asthmatic patients: confirmed diagnosis of controlled asthma according to Global Initiative for Asthma (GINA) guidelines (steps 1-3, GINA 2014)

Key Exclusion Criteria:

  • Previous immunotherapy with grass allergens within the last 5 years
  • Ongoing immunotherapy with grass allergens or any other allergens
  • Patients with a history of anaphylaxis, including food (e.g. peanut or marine animals) or hymenoptera venom (e.g. bee or wasp stings) or medication (e.g. penicillin)
  • Patients with partly controlled or uncontrolled asthma according to GINA guidelines (GINA 2014)
  • Patients with chronic asthma or emphysema, particularly with a forced expiratory volume in 1 second (FEV1) < 80% of the predicted value (ECSC) or with a peak expiratory flow (PEF) < 70% of the individual optimum value
  • Patients symptomatic to inhaled allergens circulating during the grass pollen season (specific to each country: e.g. birch, hazel, mugwort, ragweed, olive, Alternaria alternata)
  • Patients symptomatic to perennial inhaled allergens (house dust mites, cat, dog) to which the patients are regularly exposed

Treatment and study plan

Placebo solution

Biological

4 x 2 injections over 21 days

gpASIT+TM

Biological

4 x 2 injections over 21 days

Primary outcomes

  1. Combined Symptom and Medication Score (CSMS)

    Time frame: over the peak (corresponding to 14 consecutive days with highest pollen counts) of grass pollen season estimated between 3 and 6 months after treatment

Secondary outcomes

  1. Combined Symptom and Medication Score (CSMS)

    Time frame: over the entire grass pollen season estimated between 3 and 6 months after treatment

  2. Symptom sub-scores (Eyes, Nose)

    Time frame: over the peak period (14 consecutive days with highest pollen counts within grass pollen season) and over the pollen season estimated between 3 and 6 months after treatment

  3. Well days: number of days with symptomatic score below or equal to 2 and no rescue medication

    Time frame: over the peak period (14 consecutive days with highest pollen counts within grass pollen season) and over the pollen season estimated between 3 and 6 months after treatment

  4. Lung Symptom Score (LLS: the average of coughing, wheezing, chest tightness and exercise induced dyspnoea scores) in asthmatic patients

    Time frame: over the peak period (14 consecutive days with highest pollen counts within grass pollen season) and over the pollen season estimated between 3 and 6 months after treatment

  5. Total Symptom Score (TSS: the sum of the nose, eye and lung scores) in asthmatic patients

    Time frame: over the peak period (14 consecutive days with highest pollen counts within grass pollen season) and the pollen season estimated between 3 and 6 months after treatment

  6. Use of rescue medication to relief asthma symptoms in asthmatic patients

    Time frame: over the peak period (14 consecutive days with highest pollen counts within grass pollen season) and the pollen season estimated between 3 and 6 months after treatment

  7. Conjunctival Provocation Test (CPT) outcomes

    Time frame: at baseline and up to 6 weeks

  8. Standardized Quality-of-Life Questionnaires for asthma and rhinoconjunctivitis

    Time frame: between 2 weeks and 8 months after treatment

  9. Number of working day lost due to grass pollen induced-allergy symptoms

    Time frame: between 2 weeks and 8 months after treatment

  10. Loss of productivity at work due to grass pollen induced-allergy symptoms, using a visual analog scale (VAS)

    Time frame: between 2 weeks and 8 months after treatment

  11. Solicited adverse events

    Time frame: up to 4 weeks

    • Local reactions at the injection site (swelling and redness)
    • Allergic systemic reactions
  12. Unsolicited adverse events and serious adverse events

    Time frame: up to 8 months

  13. Physical examinations and vital signs

    Time frame: up to 8 months

  14. Laboratory investigations (haematology, clinical biochemistry, immunological parameters)

    Time frame: up to 8 months

  15. Use of rescue medication

    Time frame: up to 4 weeks

Other outcomes

  1. Production of grass pollen specific immunoglobulins IgE, IgG and IgG4

    Time frame: up to 8 months

  2. Production of blocking antibodies (FAB assay)

    Time frame: up to 8 months

  3. Reduction of Th2 response by measuring IL-4+ and IFN-gamma+ production

    Time frame: up to 8 months

  4. Induction of regulatory T cells (Treg)

    Time frame: up to 8 months

  5. Induction of regulatory B cells (Breg) and their phenotyping

    Time frame: up to 8 months

  6. Reduction of basophil activation measured through detection of CD63 expression marker on activated cells

    Time frame: up to 8 months

Sponsors and collaborators

Lead sponsor

BioTech Tools S.A.

Industry

Registry information

Official study title

A Multicenter, International, Randomised, Double-blind, Placebo Controlled Study to Demonstrate the Clinical Efficacy and Safety of a Subcutaneous Immunotherapy With gpASIT+™ in Patients With Grass Pollen-induced Allergic Rhinoconjunctivitis

Important dates

Study start
2015
Primary completion
2016
Study completion
2016
First posted
Sep 25, 2015
Registry last updated
Oct 11, 2018

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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