E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Allergic rhinitis or rhinoconjunctivitis with or without mild persistent or intermittent asthma, to Dermatophagoides pteronyssinus or Dermatophagoides pteronyssinus and Dermatophagoides farinae. |
Rinitis o rinoconjuntivitis alérgica, con o sin asma intermitente o persistente leve, a Dermatophagoides pteronyssinus o Dermatophagoides pteronyssinus y Dermatophagoides farinae. |
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E.1.1.1 | Medical condition in easily understood language |
Allergic rhinitis or rhinoconjunctivitis without asthma , or with mild intermittent or persistent asthma, sensitized to house dust mites. |
Rinitis o rinoconjuntivitis alérgica sin asma, o bien con asma intermitente o persistente leve, por sensibilización a los ácaros del polvo doméstico. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Immune System Diseases [C20] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10020419 |
E.1.2 | Term | House dust mite allergy |
E.1.2 | System Organ Class | 10021428 - Immune system disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the safety of a 4-month treatment with an extract of Depigoid® Dermatophagoides pteronyssinus 100% or a mixture of 50% Dermatophagoides pteronyssinus and 50% Dermatophagoides farinae at a concentration of 500 DPP/ml administered following a rush build-up regimen. |
Evaluar la seguridad de un tratamiento de 4 meses de duración con un extracto de Depigoid® Dermatophagoides pteronyssinus 100% o una mezcla 50% Dermatophagoides pteronyssinus y 50% Dermatophagoides farinae, administrado a una concentración de 500 DPP/ml en una pauta de escalado rápida. |
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E.2.2 | Secondary objectives of the trial |
To assess the subjects' immunologic responses to the above treatment |
Valorar la respuesta inmunológica de los pacientes al tratamiento mencionado arriba. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
(1) Men and women between 18 and 55 years of age (both inclusive). (2) Individuals suffering symptoms of allergic rhinoconjunctivitis or rhinitis during at least the preceding year -- with or without symptoms of mild persistent or intermittent allergic asthma which is controlled with a dose < or = 400 µg/day budesonide or an equivalent -- caused by a clinically relevant sensitization to house dust mites (Dermatophagoides pteronyssinus or Dermatophagoides pteronyssinus and Dermatophagoides farinae). The IgE-mediated sensitization will be demonstrated by means of the following : medical history and IgE specific to house dust mites (D. pteronyssinus or D. pteronyssinus and D. farinae) CAP RAST ? 2 and positive skin prick test. A skin prick test will be considered positive when it produces a wheal of at least 3 mm according to the largest diameter. (3) Asthmatic patients must be stable and on a stable inhaled steroid dose within 6 weeks prior to visit 1 and throughout the study. |
(1) Hombres y mujeres de entre 18 y 55 años de edad (ambos incluidos). (2) Individuos que padecen síntomas de rinoconjuntivitis o rinitis alérgica durante al menos el año anterior (con o sin síntomas de asma alérgico intermitente o persistente leve controlada con una dosis < ó = 400 µg/día de budesonida o un equivalente ) producidos por una sensibilización a ácaros del polvo doméstico (Dermatophagoides pteronyssinus o Dermatophagoides pteronyssinus y Dermatophagoides farinae) clínicamente relevante. La sensibilización mediada por IgE se demostrará teniendo en cuenta:: historia clínica e IgE específica para los ácaros del polvo doméstico (D. pteronyssinus o D. pteronyssinus y D. farinae) CAP RAST ? 2 y prick test positivo. Una prick test se considerará positiva cuando produzca una pápula de al menos 3 mm según el diámetro mayor. (3) Los pacientes asmáticos deben estar estables y estar tomando una dosis estable de esteroides inhalada en el plazo de 6 semanas antes de la visita 1 y durante todo el estudio. |
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E.4 | Principal exclusion criteria |
- Any contraindication for treatment with allergen specific immunotherapy - Forced expiratory volume in 1 s (FEV1) or peak expiratory flow (PEF) value < 80% of the predicted normal value - Allergy symptoms due to sensitization to pollens or other perennial allergens (molds, epithelia) - Asthma requiring a dose > 400 µg/day of Budesonide or an equivalent, without long-lasting beta-2 agonists, to reach control according to the Global Initiative for Asthma (GINA 2010) - Patients with non controlled bronchial asthma within 3 months prior to Visit 1 - Patients with asthma who have been treated with systemic steroids within 3 months prior to V1 - Patients with hospital admission due to asthma exacerbations within 1 year prior to V1 - Acute or chronic inflammatory or infectious diseases of the airways - Chronic structural diseases of the respiratory system - Immune system diseases, both autoimmune diseases and immunodeficiency - Any disease involving a contraindication for the use of adrenaline - Serious uncontrolled diseases - Malignant disease with activity in the last 5 years - Use of immunotherapy with allergenic extracts of storage or house dust mites in the last 5 years - Systemic or topical treatment with beta-blocker drugs 1 week before visit 2 - Treatment with substances interfering with the immune system 2 weeks before visit 2 - Use of psychotropic or antidepressants substances 1 week before visit 2 - Use of systemic corticosteroids 3 months before visit 1 - Immunization with prophylactic (bacterial or viral) vaccines within 7 days before visit 2 - Female subjects who are pregnant or nursing and women with a positive pregnancy test at visit 1 or 2 - Women of childbearing potential not using highly effective methods of birth control |
-Cualquier contraindicación para el tratamiento con inmunoterapia específica de alergeno. - Valor de volumen espiratorio forzado en 1 s (VEF1) o flujo espiratorio pico (FEP) < 80 % del valor normal previsto. - Síntomas de alergia debido a la sensibilización a pólenes u otros alergenos perennes (mohos, epitelios) - Asma que requiere una dosis > 400 ?g/día de budesonida o un equivalente, sin beta-2 agonistas de larga duración, para alcanzar un control según la Global Initiative for Asthma (GINA 2010) -Pacientes con asma bronquial no controlada en el plazo de 3 meses antes de la visita 1 - Pacientes con asma que se han tratado con esteroides sistémicos en el plazo de 3 meses antes de V1 - Pacientes con ingreso hospitalario debido a agravamiento del asma en el plazo de 1 año antes de V1 - Enfermedades inflamatorias o infecciosas agudas o crónicas de las vías respiratorias - Enfermedades estructurales crónicas del sistema respiratorio - Enfermedades del sistema inmunitario, tanto enfermedades autoinmunitarias como inmunodeficiencia. - Cualquier enfermedad que implique una contraindicación para el uso de adrenalina - Enfermedades graves no controladas - Enfermedad maligna con actividad en los últimos 5 años - Uso de inmunoterapia con extractos alergénicos de ácaros del polvo doméstico o de almacén en los últimos 5 años - Tratamiento sistémico o tópico con fármacos beta bloqueantes 1 semana antes de la visita 2 - Tratamiento con sustancias que interfieren con el sistema inmunitario 2 semanas antes de la visita 2 - Uso de sustancias psicotrópicas o antidepresivas 1 semana antes de la visita 2 - Uso de corticosteroides sistémicos 3 meses antes de la visita 1 - Inmunización con vacunas profilácticas (bacterianas o virales) en el plazo de 7 días antes de la visita 2 - Mujeres que están embarazadas o en periodo de lactancia y mujeres con una prueba de embarazo positiva en la visita 1 ó 2 - Mujeres que puedan tener hijos que no usen métodos altamente eficaces de control de natalidad |
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E.5 End points |
E.5.1 | Primary end point(s) |
Safety: Local and systemic adverse reactions (EAACI classification); adverse events. |
Seguridad: reacciones adversas locales y sistémicas (clasificación EAACI); acontecimientos adversos. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Safety: Reactions within 48h after treatment; Adverse events during study plus 1 week follow-up. |
Seguridad: Reacciones durante las primeras 48h tras el tratamiento; Acontecimientos adversos durante el estudio más una semana de seguimiento. |
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E.5.2 | Secondary end point(s) |
Efficacy: Immunologic response measured by immunological parameters |
Eficacia: Respuesta inmune medida mediante parametros inmunológicos. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Efficacy: At screening and 1 week after end of treatment (follow-up visit) |
Eficacia: En la visita de selección y 1 semana tras terminar el tratamiento. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 10 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Last visit of the last subject participating in the trial |
Última visita del último paciente que participa en el ensayo. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 11 |
E.8.9.1 | In the Member State concerned days | 0 |