E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
PATIENTS WITH RHINOCONJUNCTIVITIS SENSITISED TO PARIETARIA JUDAICA |
Pacientes con rinoconjuntivitis sensibilizados a Parietaria judaica |
|
E.1.1.1 | Medical condition in easily understood language |
PATIENTS WITH ALLERGY SENSITISED TO PARIETARIA JUDAICA |
Pacientes con alergia sensibilizados a Parietaria judaica |
|
E.1.1.2 | Therapeutic area | Body processes [G] - Immune system processes [G12] |
MedDRA Classification |
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 and tolerability of subcutaneous immunotherapy in depot presentation and guideline fast in patients with rhinoconjunctivitis with or without asthma sensitized to Parietaria judaica, aged between 18 and 60 through the identification and classification of adverse reactions throughout the duration of the clinical trial |
Evaluar la seguridad y tolerabilidad de la inmunoterapia subcutánea en presentación depot y pauta rápida en pacientes con rinoconjuntivitis con o sin asma leve sensibilizados a Parietaria judaica, de edades comprendidas entre 18 y 60 años a través de la identificación y clasificación de reacciones adversas a lo largo de la duración del ensayo. |
|
E.2.2 | Secondary objectives of the trial |
To evaluate the indirect efficacy of subcutaneous immunotherapy through of measurement of changes in the levels of specific IgE, total IgG and IgG4 and the realization of the dose-response prick test |
Evaluar la eficacia indirecta de la inmunoterapia a través de la medida de los cambios en los niveles de IgE específica, IgG total e IgG4 y la realización del prick test dosis respuesta |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Signed informed consent
2. Aged between 18 and 60
3. Patients with seasonal allergic rhinoconjunctivitis caused by Parietaria judaica for at least 2 years before participating in the study. Allergic rhinoconjunctivitis is the main pathology under study but patients with concomitant mild asthma may also be included.
4. Prick test results > 3 mm against Parietaria judaica. The positive and negative control tests should give consistent results.
5. Patients with allergen specific IgE value ≥ class 2 (CAP / PHADIA) against Parietaria judaica. 6. Patients sensitized to Parietaria judaica with clinically relevant symptoms and, according to medical criteria, 100% eligible for the type of immunotherapy used in this trial.
7. Women of childbearing potential must provide a negative pregnancy test and agree to use adequate contraception during the study if they are sexually active.
|
1.Pacientes que firmen el consentimiento informado.
2.Pacientes entre 18 y 60 años de edad.
3.Pacientes con rinoconjuntivitis alérgica estacional producida por Parietaria judaica durante al menos 2 años antes de participar en el estudio. Pese a que la patología en estudio es la rinoconjuntivitis alérgica, se permite la inclusión de pacientes con patología asmática leve concomitante.
4.Pacientes que han presentado un resultado de prick test > 3 mm de diámetro para Parietaria judaica. El control positivo y negativo del test deben dar resultados consistentes.
5.Pacientes con un valor de IgE específica de ≥ clase 2 (CAP/PHADIA) para Parietaria judaica.
6.Pacientes sensibilizados a Parietaria judaica con síntomas clínicamente relevantes a su exposición, en los que a juicio del investigador clínico esté indicado el tratamiento con una vacuna de Parietaria judaica 100%.
7.Las mujeres en edad fértil deben presentar una prueba de embarazo en orina con resultado negativo en el momento de su incorporación al estudio.
8.Además, las mujeres en edad fértil, deben comprometerse a utilizar un método anticonceptivo adecuado durante el estudio si son sexualmente activas. |
|
E.4 | Principal exclusion criteria |
1. Patients who have received prior immunotherapy anytime during the 5 years prior to the tested for the allergen under study or allergens with cross- reactivity, as well as patients currently receiving any allergen specific immunotherapy.
2. Patients with severe asthma or FEV1 <70 % or so with asthma requiring treatment with inhaled or systemic corticosteroids at the time of study entry or within 8 weeks of the start of treatment.
3. Patients with immune, heart, kidney or liver or any other disease with sufficient relevance to interfere with the study disease (as per medical criteria).
4. Patients with a history of anaphylaxis.
5. Patients with chronic urticaria.
6. Patients with moderate/severe atopic dermatitis
7. Patients with clinically relevant malformations of the upper respiratory tract.
8. Patients who have participated in another clinical trial three months ago .
9. Pregnant or breastfeeding women.
10. Patients treated with tricyclic antidepressants, phenothiazines, β -blockers, and angiotensin converting enzyme inhibitors (ACEIs) .
11. Difficulty/Impossibility to attend the visits.
12.Lack of collaboration or refusal to participate in the study. |
1.Pacientes que hayan recibido inmunoterapia previa en los 5 años precedentes para el alérgeno testado o un alérgeno con reactividad cruzada o estén actualmente recibiendo inmunoterapia con cualquier alérgeno.
2.Pacientes con asma severo o FEV1< 70% o con asma tal que precisen tratamiento con corticoides inhalados o sistémicos en el momento de entrada en el estudio o en las 8 semanas previas al inicio del tratamiento.
3.Pacientes con enfermedades inmunológicas, cardíacas, renales o hepáticas o de otro tipo que a juicio del investigador tengan relevancia suficiente como para interferir con el estudio.
4.Pacientes con historia previa de anafilaxias.
5.Pacientes con urticaria crónica.
6.Pacientes con dermatitis atópica moderada-severa
7.Pacientes con malformaciones del tracto respiratorio superior con clínica relevante.
8.Pacientes que hayan participado en otro ensayo clínico 3 meses antes.
9.Mujeres embarazadas o en período de lactancia.
10.Pacientes en tratamiento con antidepresivos tricíclicos, fenotiazinas, beta-bloqueantes, e inhibidores del enzima convertidor de angiotensina (IECAs).
11.Paciente que no pueda acudir a las visitas.
12.Falta de colaboración o negativa a participar por parte del paciente. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
The number, rate and severity of adverse reactions with reference to
the number of patients and number of administrations received in the
study |
Número, porcentaje y severidad de las reacciones adversas con
referencia al número de pacientes y número de administraciones
recibidas por cada uno de ellos en el estudio
|
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
-throughout the study |
-Durante la vigencia del estudio |
|
E.5.2 | Secondary end point(s) |
-Difference in the immunoglobulins levels: specific IgE, total IgG and
IgG4 in each group, between V0 and VF.
-Difference in the immunoglobulins levels: specific IgE, total IgG and
IgG4 obtained in VF comparing treatment versus placebo group.
|
diferencia obtenida en los niveles de
inmunoglobulinas: IgE específica, IgG total e IgG4 entre V0 y VF
intragrupo.
-Diferencia en los niveles de inmunoglobulinas: IgE específica, IgG total
e IgG4 obtenidos en la VF entre el grupo de tratamiento y el grupo
control.
|
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
At the end of the clinical trial |
Al finalizar el ensayo clínico |
|
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 | No |
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 | No |
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 | Yes |
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 | 4 |
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
|
1 week after LVLS |
1 semana después del LPLV |
|
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 | 5 |
E.8.9.1 | In the Member State concerned days | 15 |