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NCT Number: NCT05395689

Efficacy and Safety Assessment of Beltavac® With Polymerized Extract of HDM

The trial is performed to assess efficacy and safety of Beltavac with polymerized extract of house dust mites in allergic Rhinoconjunctivitis associated or not with asthma

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Key information

Age range

12 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Hospital Vega Baja, Orihuela, Alicante, Spain

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Written informed consent, signed and duly dated.
  • Man or woman between 12 and 65 years old (both included).
  • Patient with moderate or severe symptoms of persistent rhinitis according to the ARIA Guide, associated or not with well or partially controlled asthma according to the GEMA 5.0 Guide.
  • Confirmation of sensitization to DPT or DF with a positive prick test (mean papule diameter greater than or equal to 3 mm) with a commercial standardized allergenic extract and a serum extract-specific IgE value of class 3 or higher (> 3.5 kU / L) within the 6 months prior to the study.
  • Negative pregnancy test.
  • Nasal symptom and medication combined scale score ≥ 1.5 during the screening phase.

Exclusion criteria

  • Concomitant sensitization to allergens other than dust mites if clinically relevant symptoms are anticipated that may interfere with study evaluation periods at the discretion of the investigator.
  • Poorly controlled asthma according to the GEMA 5.0 guideline
  • Severe asthma, that is, those who during the last months have controlled their asthma according to therapeutic step 5-6 of the GEMA 5.0 guideline.
  • Autoimmune diseases or immunodeficiency.
  • Malignant neoplasms, serious cardiovascular disease, serious mental illness or other relevant chronic diseases that may interfere with the results of the study.
  • Clinical history of anaphylaxis with cardio / respiratory symptoms.
  • Hypersensitivity to any of the excipients of the investigational product.
  • Immunosuppressive medication during the last 6 months before the inclusion of patients and until the end of the study.
  • Treatment with beta-blockers during the study.
  • Patients who have previously received immunotherapy with allergenic dust mite extract or other extracts and have failed within the last 5 years.
  • Patients with immunotherapy with allergens other than dust mites during the study period.
  • Patients who receive any other vaccine one week before the start of treatment or awaiting the second dose of vaccine against COVID-19.
  • Pregnant or nursing patients.

Treatment and study plan

House dust mites allergoid from Dermatophagoides pteronyssinus and Dermatophagoides farinae

Biological

The vaccine will be administered according to a rush schedule meaning one administration each month for 1 year

Placebo

Biological

The vaccine will be administered according to a rush schedule meaning one administration each month for 1 year

Primary outcomes

  1. The combined nasal symptom and medication score

    Time frame: 12 months of treatment

    The symptoms assessed are: itchy nose, sneezing, runny nose, and blocked nose (all rated from 0-3). The medication score is 1 for oral and/or topical antihistamines, 2 for intranasal corticosteroids, and 3 for oral corticosteroids. The scores from the nasal symptoms are added and divided by 4 to a total daily symptom score from 0-3.Final score range from 0 to 6, higher score meaning a worse outcome.

Secondary outcomes

  1. Score of the nasal symptoms scale

    Time frame: 12 months of treatment

    Symptoms assessed are: itchy nose, sneezing, runny nose, and blocked nose (all rated from 0-3). Final score range from 0 to 3, higher score meaning worse outcome.

  2. Score of the specific medication scale

    Time frame: 12 months of treatment.

    The medication score is 1 for oral and/or topical antihistamines, 2 for intranasal corticosteroids, and 3 for oral corticosteroids. Final score range from 0 to 3, higher score meaning worse outcome.

  3. Percentage of days without symptoms or medication

    Time frame: 12 months of treatment

    Percentage of days with a zero value for symptom and medication recorded in the patient digital diary

  4. VAS score (completed by the patient and the investigator)

    Time frame: 12 months of treatment.

    Visual analogue score from 0 (no symptoms) to 100mm (serious symptoms) to assess global symptoms of allergy

  5. RCAT questionnaire

    Time frame: 12 months of treatment.

    Rhinitis Control Assessment Test. Score from 6 (poor control) to 30 (good control)

  6. Mini-RQLQ questionnaires

    Time frame: 12 months of treatment.

    Mini-Rhinoconjunctivitis Quality of Life Questionnaire

  7. Values in serum of specific IgE and IgG4

    Time frame: 12 months of treatment.

    Specific IgE and IgG4 to DPT and total DF, Der p1 and Der p2, Der p23, Der f1, Der f2

  8. Number of local and systemic reactions.

    Time frame: 13 months of study follow up

    Number of local and systemic reaccions associated with the treatment

  9. Cost-effectiveness analysis

    Time frame: 13 months of study follow up

    Number days/ visits related to allergy

  10. The combined asthma symptom and medication score

    Time frame: 12 months of treatment

    The symptoms assessed are: symptoms during the day, symptoms during the night and physical activity limitations (all rated from 0-3). The medication score is 1 for inhalated corticoids (low dose) , 2 for inhalated corticosteroids associated with LABA, and 3 for inhalated corticosteroids medium dosis associated with LABA. The scores from the symptoms are added and divided by 3 to a total daily symptom score from 0-3. The total daily medication score ranges from 0-3.

  11. PEF

    Time frame: 12 months of treatment

    Peak expiratory flow measured with a Smart Peak Flow device

  12. ACT questionnaire

    Time frame: 12 months of treatment

    Asthma Control Test Questionnaire to assess the control of asthma in asthmatic patients

Study contacts

Contact information is provided by the study sponsor or research team.

Inma Buendia

CONTACT

[email protected]

+34 608 933 618

Sponsors and collaborators

Lead sponsor

Probelte Pharma S.L.U.

Industry

Registry information

Official study title

Efficacy and Safety Assessment of a Subcutaneous Immunotherapy (Beltavac®) With Polymerized Allergenic Extract From House Dust Mites in Patients With Allergic Rhinitis/Rhinoconjuntivitis

Acronym: PROACAROS

Important dates

Study start
2022
Primary completion
2026
Study completion
2026
First posted
May 27, 2022
Registry last updated
Jul 18, 2024

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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