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    Clinical Trial Results:
    A multicentre, open label, phase IIb clinical trial to evaluate safety, tolerability and efficacy of the depigmented modified allergen extract of two mites mixes at 200 DPP/ml (DP/MG/14-1 Dermatophagoides pteronyssinus / Lepidoglyphus destructor and DP/MG/14-2 Dermatophagoides pteronyssinus /Blomia tropicalis) in subjects with allergic rhinitis or rhinoconjunctivitis, with controlled allergic asthma.

    Summary
    EudraCT number
    2014-000172-26
    Trial protocol
    ES  
    Global end of trial date
    09 May 2018

    Results information
    Results version number
    v2(current)
    This version publication date
    08 Jul 2022
    First version publication date
    12 Sep 2021
    Other versions
    v1
    Version creation reason
    • Correction of full data set
    • Changes to summary attachments
    The trial information has a mistake. This trial has not been finalised prematurely.
    Summary report(s)
    Synopsis Final Report

    Trial information

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    Trial identification
    Sponsor protocol code
    1301-PG-PSC-203
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02340130
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    LETI Pharma S.L.U.
    Sponsor organisation address
    c/Sol nº 5, Madrid, Spain, 28760
    Public contact
    Medical Department, LETI Pharma S.L.U, +34 917711790, clinicalresearch@leti.com
    Scientific contact
    Medical Department, LETI Pharma S.L.U, +34 917711790, clinicalresearch@leti.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    31 May 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    09 May 2018
    Global end of trial reached?
    Yes
    Global end of trial date
    09 May 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this clinical trial is to evaluate the safety and tolerability of two allergens extract of mites mixes at 200 DPP/ml (DP/MG/14-1 Dermatophagoides pteronyssinus / Blomia tropicalis and DP/MG/14-2 Dermatophagoides pteronyssinus / Lepidoglyphus destructor) administered, using a rush build-up phase in subjects with allergic rhinitis or rhinoconjunctivitis, with controlled asthma.
    Protection of trial subjects
    The investigator requested the voluntary informed consent to he participants, after ensuring that study candidates have had understood what their participation in the study. The investigator was responsible for informing study candidates about the study characteristics, nature, purpose, procedures, estimated duration, and potential risks and benefits associated with their participation, clearly explaining to them what their participation involved. The investigator answered any questions that may have arisen and explained to the study candidates that their participation was voluntary.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    22 Sep 2014
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 40
    Worldwide total number of subjects
    40
    EEA total number of subjects
    40
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    40
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    It was planned to include 34 subjects in each treatment group, and perform an interim safety analysis of the first 18 subjects. It was not possible because they were included only 7 subjects at one of the treatment group.

    Pre-assignment
    Screening details
    They were selected for screening 43 subjects.

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    DP/MG/14-1
    Arm description
    D. pteronyssinus / B. tropicalis
    Arm type
    Experimental

    Investigational medicinal product name
    D. pteronyssinus / B. tropicalis
    Investigational medicinal product code
    • DP/MG/14-1
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    100/1000 DPP/ml, administering 0,5ml every 4-6 weeks

    Arm title
    DP/MG/14-2
    Arm description
    D. pteronyssinus / L. destructor
    Arm type
    Experimental

    Investigational medicinal product name
    D. pteronyssinus / L. destructor
    Investigational medicinal product code
    DP/MG/14-2
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    Dose 100/100 DPP/ml, administration 0,5ml every 4-6 weeks

    Number of subjects in period 1
    DP/MG/14-1 DP/MG/14-2
    Started
    7
    33
    Completed
    0
    31
    Not completed
    7
    2
         Other
    1
    -
         Lost to follow-up
    3
    2
         Lack of efficacy
    3
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall trial
    Reporting group description
    Safety population

    Reporting group values
    Overall trial Total
    Number of subjects
    40 40
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    40 40
    Gender categorical
    Units: Subjects
        Female
    26 26
        Male
    14 14

    End points

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    End points reporting groups
    Reporting group title
    DP/MG/14-1
    Reporting group description
    D. pteronyssinus / B. tropicalis

    Reporting group title
    DP/MG/14-2
    Reporting group description
    D. pteronyssinus / L. destructor

    Primary: Safety

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    End point title
    Safety
    End point description
    Number of subjects (%) who experience at least one systemic reaction
    End point type
    Primary
    End point timeframe
    Study Safety Period
    End point values
    DP/MG/14-1 DP/MG/14-2
    Number of subjects analysed
    7
    33
    Units: Subjects
    1
    5
    Statistical analysis title
    Safety evaluation, systemic reactions
    Statistical analysis description
    Subjects with immediate or delayed grade 2 or above systemic reaction
    Comparison groups
    DP/MG/14-1 v DP/MG/14-2
    Number of subjects included in analysis
    40
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    = 0.05
    Method
    Wilcoxon (Mann-Whitney)
    Parameter type
    Mean difference (final values)
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -
         upper limit
    -

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    2 years treatment
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    16.0
    Reporting groups
    Reporting group title
    Safety population
    Reporting group description
    -

    Serious adverse events
    Safety population
    Total subjects affected by serious adverse events
         subjects affected / exposed
    4 / 40 (10.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Injury, poisoning and procedural complications
    Ligament sprain
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Meniscus injury
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Thrombophlebitis
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Asthma
         subjects affected / exposed
    2 / 40 (5.00%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Asthma crisis
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Bronchospasm
         subjects affected / exposed
    1 / 40 (2.50%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0.05%
    Non-serious adverse events
    Safety population
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    16 / 40 (40.00%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    10 / 40 (25.00%)
         occurrences all number
    18
    Migraine
         subjects affected / exposed
    2 / 40 (5.00%)
         occurrences all number
    2
    Respiratory, thoracic and mediastinal disorders
    Asthma
         subjects affected / exposed
    8 / 40 (20.00%)
         occurrences all number
    8
    Skin and subcutaneous tissue disorders
    Pruritus
         subjects affected / exposed
    7 / 40 (17.50%)
         occurrences all number
    7
    Skin reaction
         subjects affected / exposed
    3 / 40 (7.50%)
         occurrences all number
    3
    Urticaria
         subjects affected / exposed
    3 / 40 (7.50%)
         occurrences all number
    3
    Musculoskeletal and connective tissue disorders
    Myalgia
         subjects affected / exposed
    4 / 40 (10.00%)
         occurrences all number
    4
    Infections and infestations
    Upper respiratory tract infection
         subjects affected / exposed
    14 / 40 (35.00%)
         occurrences all number
    14
    Influenza
         subjects affected / exposed
    11 / 40 (27.50%)
         occurrences all number
    11
    Tooth infection
         subjects affected / exposed
    6 / 40 (15.00%)
         occurrences all number
    6
    Pharyngitis
         subjects affected / exposed
    5 / 40 (12.50%)
         occurrences all number
    5
    Respiratory tract infection
         subjects affected / exposed
    5 / 40 (12.50%)
         occurrences all number
    5
    Nasopharyngitis
         subjects affected / exposed
    3 / 40 (7.50%)
         occurrences all number
    3
    Viral upper respiratory tract infection
         subjects affected / exposed
    3 / 40 (7.50%)
         occurrences all number
    3

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    01 Feb 2016
    Initial study design was modified to use two different concentrations of B. tropicalis (100/1000 DPP/ml and 100/500 DPP/ml), instead of the initial concentration foreseen (200 DPP/mL). An interim analysis was included and the possibility to an increase of the number of subjects to be included.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    15 Jul 2015
    Patient diagnosed of trombophlebitis . This case was considered by the investigator as a Serious Adverse Event (“Other important medical event”), “not related to the study medication”. The subject was withdrawn from the study as a consequence of this SAE
    -

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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