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Omalizumab (Xolair) and Allergy Shots For the Treatment of Seasonal Allergies
This study has been completed.
First Received: February 19, 2004   Last Updated: May 13, 2009   History of Changes
Sponsors and Collaborators: National Institute of Allergy and Infectious Diseases (NIAID)
Immune Tolerance Network
Information provided by: National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier: NCT00078195
  Purpose

A series of allergy shots may reduce symptoms of seasonal ragweed allergies. This study will determine whether taking a drug called omalizumab (also known as Xolair) before getting the allergy shots is more effective than allergy shots alone or other treatments, such as prescription antihistamines.


Condition Intervention Phase
Hay Fever
Hypersensitivity
Allergy
Rhinitis
Drug: omalizumab
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Efficacy and Safety Evaluation of Allergen Immunotherapy Co-Administered With Omalizumab, an Anti-IgE Monoclonal Antibody

Resource links provided by NLM:


Further study details as provided by National Institute of Allergy and Infectious Diseases (NIAID):

Primary Outcome Measures:
  • Average daily allergy severity score, calculated from participants' symptom scores

Secondary Outcome Measures:
  • Incidence and severity of adverse events
  • number of days with rescue medication (fexofenadine HCl 60 mg) use during the 2003 ragweed season
  • number of rescue medication capsules used during the 2003 ragweed season
  • rhinoconjunctivitis quality of life (QOL) questionnaire (RQLQ) scores during the 2003 ragweed season
  • daily morning allergy symptom scores during the 2003 ragweed season
  • daily nighttime allergy symptom scores during the 2003 ragweed season
  • individual allergy symptom scores during the 2003 ragweed season

Estimated Enrollment: 168
Study Start Date: April 2003
Detailed Description:

Allergic rhinitis affects 20 to 40 million Americans annually. Allergy symptoms, which can range from mild to seriously debilitating, may affect quality of life. Left untreated, allergic rhinitis can exacerbate or trigger more serious conditions, such as asthma and sinus inflammation.

Individuals with allergies react to harmless particles such as dust or pollen. Proteins in the blood called IgE antibodies treat the harmless particles as invaders and trigger an immune system response. The immune response results in harmful inflammation of healthy tissues. In ragweed allergy, inflammation occurs in the airways and causes familiar allergy symptoms like sneezing, coughing, and general discomfort.

Omalizumab is an investigational drug that has been shown to block the effects of IgE antibodies. The blocking effect of omalizumab is temporary, but giving the drug to people before their regular allergy shots may make the shots more effective.

Participants in this study will be randomly assigned to receive injections of omalizumab or a placebo before an accelerated course of allergy shots (given over 12 weeks). The participants will return for follow-up for up to one year, and they may have as many as 27 study visits.

  Eligibility

Ages Eligible for Study:   18 Years to 50 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria

  • History of seasonal allergic rhinitis
  • Intend to stay in a ragweed pollen area during the ragweed season
  • Baseline serum IgE level between 10 and 700 IU/ml
  • General good health

Exclusion Criteria

  • Current smoker
  • Pregnancy
  • Asthma
  • Certain medications
  • History of anaphylactoid or anaphylactic reactions
  • History of cancer, except for basal cell carcinoma
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00078195

Locations
United States, Iowa
University of Iowa
Iowa City, Iowa, United States, 52242
United States, Nebraska
Creighton University
Omaha, Nebraska, United States, 68131
United States, Wisconsin
University of Wisconsin
Madison, Wisconsin, United States, 53705
Sponsors and Collaborators
Immune Tolerance Network
Investigators
Principal Investigator: Thomas Casale, MD Creighton University
  More Information

Publications:
Study ID Numbers: DAIT ITN019AD
Study First Received: February 19, 2004
Last Updated: May 13, 2009
ClinicalTrials.gov Identifier: NCT00078195     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by National Institute of Allergy and Infectious Diseases (NIAID):
Ragweed
Immunotherapy
Rush Immunotherapy
RIT
Hayfever
Seasonal Allergic Rhinitis

Study placed in the following topic categories:
Otorhinolaryngologic Diseases
Anti-Asthmatic Agents
Rhinitis
Anti-Allergic Agents
Fever
Antibodies, Monoclonal
Hypersensitivity
Antibodies
Respiratory Tract Diseases
Respiratory Tract Infections
Rhinitis, Allergic, Seasonal
Hypersensitivity, Immediate
Respiratory Hypersensitivity
Omalizumab
Immunoglobulins

Additional relevant MeSH terms:
Respiratory System Agents
Otorhinolaryngologic Diseases
Immune System Diseases
Anti-Asthmatic Agents
Rhinitis
Anti-Allergic Agents
Pharmacologic Actions
Nose Diseases
Hypersensitivity
Respiratory Tract Diseases
Respiratory Tract Infections
Rhinitis, Allergic, Seasonal
Therapeutic Uses
Hypersensitivity, Immediate
Respiratory Hypersensitivity
Omalizumab

ClinicalTrials.gov processed this record on July 06, 2009