PURETHAL Grasses Rush Study
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Purpose
This study investigates the safety of two up-dosing regimen. The safety of PURETHAL Grasses will be evaluated in a rush regimen (maximum dose reached in 3 injections during 2 weeks) compared to the conventional regimen (maximum dose reached in 6 injections during 5 weeks).
The primary parameter will be the proportion of patients who experience systemic reactions > grade I within 24 hours after injection or who need more than 2 additional injections during the up-dosing phase until the maintenance dose has been reached.
It is expected that up-dosing PURETHAL Grasses according to the rush regimen is as safe as using the conventional regimen.
| Condition | Intervention | Phase |
|---|---|---|
|
Allergic Rhinitis Allergic Rhinoconjunctivitis |
Drug: PURETHAL Grasses, 20.000 AUM/ml |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Prospective, Randomized, Open, Multi-centre Study to Assess Safety of PURETHAL Grasses Given With a Rush Induction Schedule to Patients With Allergic Rhinoconjunctivitis |
- systemic reactions > grade I or large local reactions related to injection [ Time Frame: 24 hrs after injection ] [ Designated as safety issue: Yes ]
- specific serum IgE and IgG concentrations [ Time Frame: 16 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 150 |
| Study Start Date: | February 2010 |
| Study Completion Date: | September 2010 |
| Primary Completion Date: | September 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: conventional regimen of PURETHAL Grasses
Initial treatment: 6 incremental weekly subcutaneous doses of 0.05, 0.1, 0.2, 0.3, 0.4 and 0.5 ml (week 1, 2, 3, 4, 5, 6). Maintenance treatment: 0.5 ml in intervals according to registered scheme (week 8, 10, 12, 16). |
Drug: PURETHAL Grasses, 20.000 AUM/ml
subcutaneous injections of increasing doses according to the described regimen
|
|
Experimental: rush regimen of PURETHAL Grasses
Initial treatment: 3 incremental weekly subcutaneous doses of 0.1, 0.3, and 0.5 ml (week 1, 2, 3) Maintenance treatment: 3 monthly doses of 0.5 ml (week 7, 11, 15). |
Drug: PURETHAL Grasses, 20.000 AUM/ml
subcutaneous injections of increasing doses according to the described regimen
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria
- Patients with rhinitis or rhinoconjunctivitis, with or without mild asthma (FEV1 > 70%) for at least 2 years related to grass pollen, eligible for SCIT.
Confirmation of IgE-mediated allergy by means of:
- Positive SPT to grass pollen (mean wheal diameter ≥ 3 mm and negative control truly negative (no reaction), or
- Specific serum IgE-test (ssIgE >0.7 U/ml) for grass pollen, or
- Positive provocation test for grass pollen.
- Age ≥ 18 years.
- Patients have given a written informed consent
Exclusion Criteria:
- Chronic asthma or emphysema, particularly with a FEV1 ≤ 70% of predicted value.
- Serious immuno-pathological diseases or malignancies (including auto-immune diseases, tuberculosis, HIV).
- Active inflammation/infection of the target organs (nose, eyes, lungs).
- Severe atopic dermatitis in need for systemic immunosuppressive medication.
- Symptomatic coronary heart diseases (e.g heart failure, recent myocardial infarction, unstable angina, serious arrhythmias) or severe (even under treatment) arterial hypertension.
- Severe kidney disease.
- Diseases with a contra-indication for the use of adrenaline.
- Treatment with systemic or local beta-blockers or immunosuppressive drugs.
- History of life threatening anaphylactic events, including anaphylactic food allergy, insect venom anaphylaxis, exercise or drug induced anaphylaxis.
- Any specific immunotherapy (including sublingual) during the study period or during the previous 3 years for a period longer than three months.
- Participation in a clinical study with a new investigational drug within the last three months.
- Pregnancy, lactation or inadequate contraceptive measures (adequate measures: oral contraceptives, IUD, condom use if used together with a spermicide and having no sexual relationship with a man).
- Alcohol or drug abuse.
- Lack of co-operation or severe psychological disorders.
- Completed or ongoing long-term treatment with tranquilizer or psycho active drugs.
- Low compliance or inability to understand instructions/study documents.
- Completed or ongoing treatment with anti-IgE-antibody.
- Patients being in relationship or dependence with the sponsor or investigator.
- Allergy to any of the excipients.
- Severe illness or any other condition, which makes the patient, in the opinion of the investigator, unsuitable for the study.
Contacts and Locations| Germany | |
| Universitätsklinikum Bonn Klinik u. Poliklinik f. Dermatologie | |
| Bonn, Germany, 53127 | |
| Practice Blum | |
| Dortmund, Germany, 44263 | |
| Uni-Klinikum Carl Gustav Carus Klinik und Poliklinik für HNO | |
| Dresden, Germany, 01307 | |
| Practice Thieme | |
| Duisburg, Germany, 47051 | |
| Medaimun GmbH | |
| Frankfurt, Germany, 60596 | |
| Practice Wrede | |
| Herford, Germany, 32052 | |
| Dr. med. Jörg Michael Nebel | |
| Koblenz, Germany, 56072 | |
| Practice Scholz | |
| Mahlow, Germany, 15831 | |
| St. Kamillus Krankenhaus Abt. Lungen- und Bronchialheilkunde und Allergologie | |
| Mönchengladbach, Germany, 41069 | |
| Practice Termeer | |
| Stuttgart, Germany, 70499 | |
| Zentrum für Rhinologie & Allergologie | |
| Wiesbaden, Germany, D - 65183 | |
| Study Chair: | Oliver Pfaar, MD | Zentrum für Rhinologie & Allergologie, An den Quellen 10, D - 65183 Wiesbaden |
More Information
No publications provided
| Responsible Party: | HAL Allergy |
| ClinicalTrials.gov Identifier: | NCT01059266 History of Changes |
| Other Study ID Numbers: | P/0035 |
| Study First Received: | January 28, 2010 |
| Last Updated: | February 9, 2012 |
| Health Authority: | Germany: Paul-Ehrlich-Institut |
Keywords provided by HAL Allergy:
|
immunotherapy grass pollen seasonal allergy dose tolerability |
Additional relevant MeSH terms:
|
Rhinitis Conjunctivitis, Allergic Conjunctivitis Nose Diseases Respiratory Tract Diseases Respiratory Tract Infections |
Otorhinolaryngologic Diseases Conjunctival Diseases Eye Diseases Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
ClinicalTrials.gov processed this record on May 22, 2013