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    Summary
    EudraCT Number:2015-000820-27
    Sponsor's Protocol Code Number:MM09-SIT-013
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2015-09-04
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2015-000820-27
    A.3Full title of the trial
    Double blind, placebo-controlled, dose finding, prospective, multicenter clinical trial for the treatment of rhinitis/rinoconjuntivitis against a mixture of Dermatophagoides pteronyssinus and Dermatophagoides farinae allergen extract
    Ensayo clínico prospectivo multicéntrico aleatorizado de doble simulación controlado con placebo de búsqueda de la dosis más eficaz para el tratamiento de rinitis/rinoconjuntivitis por alergia frente a un extracto alergénico mezcla de Dermatophagoides pteronyssinus y Dermatophagoides farinae
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Double blind, placebo-controlled, dose finding, prospective, multicenter clinical trial for the treatment of rhinitis/rinoconjuntivitis against a mixture of Dermatophagoides pteronyssinus and Dermatophagoides farinae allergen extract
    Ensayo clínico prospectivo multicéntrico aleatorizado de doble simulación controlado con placebo de búsqueda de la dosis más eficaz para el tratamiento de rinitis/rinoconjuntivitis por alergia frente a un extracto alergénico mezcla de Dermatophagoides pteronyssinus y Dermatophagoides farinae
    A.4.1Sponsor's protocol code numberMM09-SIT-013
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorInmunotek, S.L.
    B.1.3.4CountrySpain
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportINMUNOTEK, S.L.
    B.4.2CountrySpain
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationINMUNOTEK, S.L.
    B.5.2Functional name of contact pointMiguel Casanovas
    B.5.3 Address:
    B.5.3.1Street AddressPunto Mobi, 5
    B.5.3.2Town/ cityAlcalá de Henares
    B.5.3.3Post code28805
    B.5.3.4CountrySpain
    B.5.4Telephone number34912908942110
    B.5.5Fax number34916639732
    B.5.6E-mailmcasanovas@inmunotek.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameMM09-I
    D.3.2Product code MM09-I
    D.3.4Pharmaceutical form Solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNN/A
    D.3.9.2Current sponsor codeMM09-I
    D.3.9.3Other descriptive nameHOUSE DUST MITE ALLERGEN EXTRACT
    D.3.9.4EV Substance CodeSUB50983
    D.3.10 Strength
    D.3.10.1Concentration unit BAU/ml Bioequivalent Allergy Unit(s)/millilitre
    D.3.10.2Concentration typerange
    D.3.10.3Concentration number5000 to 50000
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameMM09-II
    D.3.2Product code MM09-II
    D.3.4Pharmaceutical form Solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNN/A
    D.3.9.2Current sponsor codeMM09-II
    D.3.9.3Other descriptive nameHOUSE DUST MITE ALLERGEN EXTRACT
    D.3.9.4EV Substance CodeSUB50983
    D.3.10 Strength
    D.3.10.1Concentration unit BAU/ml Bioequivalent Allergy Unit(s)/millilitre
    D.3.10.2Concentration typerange
    D.3.10.3Concentration number5000 to 50000
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameMM09-III
    D.3.2Product code MM09-III
    D.3.4Pharmaceutical form Solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNN/A
    D.3.9.2Current sponsor codeMM09-III
    D.3.9.3Other descriptive nameHOUSE DUST MITE ALLERGEN EXTRACT
    D.3.9.4EV Substance CodeSUB50983
    D.3.10 Strength
    D.3.10.1Concentration unit BAU/ml Bioequivalent Allergy Unit(s)/millilitre
    D.3.10.2Concentration typerange
    D.3.10.3Concentration number5000 to 50000
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 4
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameMM09-IV
    D.3.2Product code MM09-IV
    D.3.4Pharmaceutical form Solution for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNN/A
    D.3.9.2Current sponsor codeMM09-IV
    D.3.9.3Other descriptive nameHOUSE DUST MITE ALLERGEN EXTRACT
    D.3.9.4EV Substance CodeSUB50983
    D.3.10 Strength
    D.3.10.1Concentration unit BAU/ml Bioequivalent Allergy Unit(s)/millilitre
    D.3.10.2Concentration typerange
    D.3.10.3Concentration number5000 to 50000
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 5
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameMM09-V
    D.3.2Product code MM09-V
    D.3.4Pharmaceutical form Sublingual spray, solution
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSublingual use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNN/A
    D.3.9.2Current sponsor codeMM09-V
    D.3.9.3Other descriptive nameHOUSE DUST MITE ALLERGEN EXTRACT
    D.3.9.4EV Substance CodeSUB50983
    D.3.10 Strength
    D.3.10.1Concentration unit BAU/ml Bioequivalent Allergy Unit(s)/millilitre
    D.3.10.2Concentration typerange
    D.3.10.3Concentration number5000 to 50000
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 6
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameMM09-VI
    D.3.2Product code MM09-VI
    D.3.4Pharmaceutical form Sublingual spray, solution
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSublingual use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNN/A
    D.3.9.2Current sponsor codeMM09-VI
    D.3.9.3Other descriptive nameHOUSE DUST MITE ALLERGEN EXTRACT
    D.3.9.4EV Substance CodeSUB50983
    D.3.10 Strength
    D.3.10.1Concentration unit BAU/ml Bioequivalent Allergy Unit(s)/millilitre
    D.3.10.2Concentration typerange
    D.3.10.3Concentration number5000 to 50000
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 7
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameMM09-VII
    D.3.2Product code MM09-VII
    D.3.4Pharmaceutical form Sublingual spray, solution
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSublingual use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNN/A
    D.3.9.2Current sponsor codeMM09-VIII
    D.3.9.3Other descriptive nameHOUSE DUST MITE ALLERGEN EXTRACT
    D.3.9.4EV Substance CodeSUB50983
    D.3.10 Strength
    D.3.10.1Concentration unit BAU/ml Bioequivalent Allergy Unit(s)/millilitre
    D.3.10.2Concentration typerange
    D.3.10.3Concentration number5000 to 50000
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 8
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameMM09-VIII
    D.3.2Product code MM09-VIII
    D.3.4Pharmaceutical form Sublingual spray, solution
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPSublingual use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNN/A
    D.3.9.2Current sponsor codeMM09-VII
    D.3.9.3Other descriptive nameHOUSE DUST MITE ALLERGEN EXTRACT
    D.3.9.4EV Substance CodeSUB50983
    D.3.10 Strength
    D.3.10.1Concentration unit BAU/ml Bioequivalent Allergy Unit(s)/millilitre
    D.3.10.2Concentration typerange
    D.3.10.3Concentration number5000 to 50000
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for injection
    D.8.4Route of administration of the placeboSubcutaneous use
    D.8 Placebo: 2
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSublingual spray, solution
    D.8.4Route of administration of the placeboSublingual use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Mites allergy
    Alergía frente a los acaros Dermatophagoides pteronyssinus y Dermatophagoides farinae
    E.1.1.1Medical condition in easily understood language
    Mites allergy
    Alergía frente a los acaros Dermatophagoides pteronyssinus y Dermatophagoides farinae
    E.1.1.2Therapeutic area Diseases [C] - Immune System Diseases [C20]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 18.0
    E.1.2Level LLT
    E.1.2Classification code 10020419
    E.1.2Term House dust mite allergy
    E.1.2System Organ Class 100000004870
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Establish a dose-response relationship for the treatment of rhinitis/rhinoconjunctivitis due to mites allergy treatment sublingual therapy.
    El objetivo principal de este ensayo consiste en la determinación de la dosis más eficaz para el tratamiento de rinitisrinoconjuntivitis por alergia a los ácaros Dermatophagoides pteronyssinus y Dermatophagoides farinae, mediante el test de provocación nasal (TPN), tanto para el tratamiento subcutáneo como para el tratamiento sublingual.
    E.2.2Secondary objectives of the trial
    As secondary objectives will be assessed the efficacy, tolerance and safety of four concentrations for both immunotherapy subcutaneous and sublingual immunotherapy.
    The influence of treatment on the following parameters were also assessed:
    - Dose response skin prick test
    -Evolution of symptoms
    - Medication consumption
    - Quality of life
    Como objetivos secundarios se evaluarán la eficacia, la tolerancia y la seguridad de las cuatro concentraciones tanto para la inmunoterapia subcutánea como para inmunoterapia sublingual.
    También se evaluará la influencia del tratamiento sobre los siguientes parámetros:
    - Prick test dosis respuesta
    -Evolución de síntomas
    - Consumo de medicación
    - Calidad de vida
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    - Written informed consent
    - Positive suggestive clinical history of intermittent or persistent moderate to severe rhinitis /rhinoconjunctivitis, with or without moderate asthma, due to Dermatophagoides pteronyssinus and/or Dermatophagoides farinae
    - Subjects with a positive skin prick-test (wheal sixe >6 mm diameter) to a Dermatophagoides pteronyssinus and/or Dermatophagoides farinae allergen extract
    - Specific IgE against house dust mites >10 kU/L and and whose determination does not exceed 6 months prior to the inclusion visit
    - Age between 12 and 65 years
    - Both genders
    - Subjects capable of giving informed consent
    - Subjects capable of complying with the dosing regimen
    - Subjects that have not received immunotherapy against mites in the last 5 years
    - Subjects submitting sensitization to other aeroallergens, but is considered clinically irrelevant or without clinical interference with the nasal provocation test.
    - Sujeto que haya firmado el consentimiento informado
    - Sujetos con historia clínica confirmada de alergia inhalatoria (rinitis y/o rinoconjuntivitis intermitente o persistente moderada-grave con o sin asma leve-moderada) causada por alergia a Dermatophagoides pteronyssinus y/o Dermatophagoides farinae
    - Sujetos con un prick-test positivo (diámetro medio de la pápula > 6 mm) con un extracto de Dermatophagoides pteronyssinus y/o Dermatophagoides farinae.
    - IgE específica (CAP) frente a ácaros con un valor > 10 KU/L y cuya determinación no supere los 6 meses anteriores a la visita de inclusión.
    - Sujetos con edad comprendida entre 12 y 65 años
    - Ambos sexos
    - Sujetos capaces de otorgar el consentimiento informado
    - Sujetos capaces de cumplir con el régimen de dosificación
    - Sujetos que no hayan recibido inmunoterapia frente a ácaros en los últimos 5 años
    - Sujetos que presenten sensibilización a otros aeroalérgenos pero que sea considerada como clínicamente no relevante o sin interferencia clínica en los momentos de la realización del test de provocación nasal.
    E.4Principal exclusion criteria
    - Subjects outside of the age range.
    - Subjects who have previously received immunotherapy for the treatment of the allergic rhinitis/rhinoconjunctivitis due to mites and other allergens in the last 5 years.
    - Subjects that immunotherapy may be an absolute contraindication according to the criteria of the immunotherapy Committee of the Spanish society of Allergy and Clinical Immunology, and of the European Allergy and Clinical Immunology Immunotherapy Subcommittee may also include.
    - Subjects with important symptoms of rhinoconjunctivitis in which the suspension of the systemic antihistamine treatment is contraindicated.
    - Subjects with persistent severe or not controlled asthma, with a FEV< 70 respect to the reference value in spite of the appropriate pharmacological treatment at the time of the inclusion in the trial.
    - Subjects that have required oral corticosteroids in the 12 weeks previous to the inclusion in the trial.
    - Subjects who receive or have received omalizumab
    - Subjects who can not stop treatment with intranasal corticosteroids
    - Subjects with persistent asthma treated with inhaled intranasal corticosteroids
    - Subjects treated with angiotensin converting enzyme inhibitors ( ACEIs )
    - Subjects that have some pathology (hyperthyroidism, hypertension, heart disease, etc.) in which immunotherapy is contraindicated.
    - Subjects in treatment with beta blockers.
    - Subjects that have previously submitted a serious secondary reaction during the skin prick test
    - Subject with active chronic urticaria in the last 2 years
    - Subjects with hereditary angioedema.
    - Subjects with any other disease not associated with the rhinitis/rhinoconjunctivitis, but of potential severity and that could interfere with treatment and follow-up (epilepsy, psychomotor deterioration, malformations, kidney diseases,...).
    - Subjects with tumor diseases
    - Subject diagnosed or diagnosed with immunodeficiencies
    - Subjects with chronic sinusitis
    - Subjects with acute otitis media
    - Subjects with active positive dermographism
    - Subjects with structural alterations of the nasal fossa ( polyps , deviated septum, turbinate hypertrophy, not alterable nasal obstruction, nasal vasoconstriction , etc
    - Subject whose status prevents him from providing cooperation and or which present severe psychiatric disorders.
    - Subject with known allergy to other components of the vaccine different from mites allergen extract.
    - Subjects with lower airway diseases other than asthma such as emphysema or bronchiectasis.
    - Direct investigator's relatives
    - Pregnant or women at risk of pregnancy and breastfeeding women.
    - Sujetos fuera del rango de edad.
    - Sujetos que hayan recibido previamente inmunoterapia para el tratamiento de la rinitis/rinoconjuntivitis o asma alérgicas en los últimos 5 años.
    - Sujetos con síntomas importantes de rinoconjuntivitis en los cuales la suspensión del tratamiento antihistamínico por vía sistémica esté contraindicada.
    - Sujetos con asma persistente grave o no controlada, con un FEV1 <70% con respecto al valor de referencia a pesar del un tratamiento farmacológico adecuado en el momento de la inclusión en el ensayo.
    - Sujetos que hayan requerido corticoides orales en las 12 semanas previas al momento de la inclusión en el ensayo.
    - Sujetos que reciben o hayan recibido omalizumab
    - Sujetos que no puedan suspender el tratamiento con corticoides intranasales
    - Sujetos con asma persistente en tratamiento con corticoides intranasales inhalados
    - Sujetos en tratamiento con inhibidores de la enzima convertidora de angiotensina (IECAs)
    - Sujetos que tengan alguna patología en la que esté contraindicada la administración de adrenalina (hipertiroidismo, HTA no controlada, cardiopatía, etc.).
    -Sujetos en tratamiento con ß-bloqueantes.
    - Sujetos que hayan presentado previamente una reacción secundaria grave durante la realización de pruebas cutáneas de diagnóstico mediante prick test.
    - Sujetos inestables desde el punto de vista clínico en el momento de la inclusión en el ensayo (infección respiratoria, proceso febril, urticaria aguda, etc.)
    - Sujetos con urticaria crónica activa durante los 2 últimos años
    - Sujetos con antecedentes de angioedema hereditario.
    - Sujetos con alguna otra enfermedad no relacionada con la rinitis/rinoconjuntivitis, pero de potencial gravedad y que pueda interferir con el tratamiento y seguimiento (epilepsia, alteración psicomotora, malformaciones, multioperados, nefropatías,..).
    - Sujetos con enfermedad autoinmune (tiroiditis, lupus, etc.)
    - Sujetos con enfermedades tumorales
    - Sujeto diagnosticado de inmunodeficiencia.
    - Sujetos con sinusitis crónica
    - Sujetos con otitis media aguda
    - Sujetos con dermografismo positivo activo
    - Sujetos con alteraciones estructurales de las fosa nasales (poliposis, desviación del septo, hipertrofia de los cornetes, obstrucción nasal no modificable, con vasoconstricciones nasal, etc
    - Sujeto cuyo estado le impide ofrecer cooperación y o que presente trastornos psiquiátricos severos.
    - Sujetos con alergia conocidas a los otros componentes de la vacuna diferentes al extracto de ácaros
    - Sujetos con enfermedades de la vía respiratoria inferior diferentes al asma como el enfisema o las bronquiectasias.
    - Sujetos que sean familiares directos de los investigadores.
    - Mujeres embarazadas o con riesgo de embarazo y mujeres lactantes
    E.5 End points
    E.5.1Primary end point(s)
    Change of the threshold concentration necessary to cause a reaction positive after the test of nasal provocation (TPN) between the start and the end of the trial, by acoustic rhinometry.
    Cambio de la concentración umbral necesaria para provocar una reacción positiva después del test de provocación nasal (TPN) entre el inicio y el final del ensayo, mediante rinometría acústica.
    E.5.1.1Timepoint(s) of evaluation of this end point
    Begining and end of the clinical trial
    Principio y final del ensayo
    E.5.2Secondary end point(s)
    - Dose finding skin prick test
    - Safety variables
    -Symptoms and concomitant medication consumption
    -Quality of life
    -Immunological parameters
    -Test cutáneos dosis-respuesta
    -Síntomas y consumo de medicación concomitante
    -Calidad de vida
    -Parámetros inmunológicos
    E.5.2.1Timepoint(s) of evaluation of this end point
    Begining and end of the clinical trial
    Principio y final del ensayo
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy No
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response Yes
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other Yes
    E.8.1.7.1Other trial design description
    Doble simulación
    Double dummy
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial9
    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.8.4.1Number of sites anticipated in Member State concerned13
    E.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.7Trial 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
    The trial will finishe with the closed out of the data base
    El ensayo finalizará con el cierre de la base de datos de los resultados del ensayo.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months0
    E.8.9.1In the Member State concerned days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1Number of subjects for this age range: 40
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) Yes
    F.1.1.6.1Number of subjects for this age range: 20
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 140
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state180
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 180
    F.4.2.2In the whole clinical trial 180
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    None
    Ninguno
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2016-02-16
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2015-10-07
    P. End of Trial
    P.End of Trial StatusOngoing
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