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    Summary
    EudraCT Number:2021-003014-39
    Sponsor's Protocol Code Number:MM09-SIT-040
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Prematurely Ended
    Date on which this record was first entered in the EudraCT database:2021-10-13
    Trial 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 number2021-003014-39
    A.3Full title of the trial
    Prospective, randomised, double-blind, double-dummy, placebo-controlled multicenter clinical trial of efficacy and safety with immunotherapy in patients with controlled mild to moderate allergic asthma and rhinitis/rhinoconjunctivitis, allergic to Dermatophagoides pteronyssinus and/or Dermatophagoides farinae.
    Ensayo clínico de eficacia y seguridad, prospectivo, aleatorizado, doble ciego, de doble simulación, controlado con placebo, multicéntrico, con inmunoterapia en pacientes con asma de leve a moderada controlada y rinitis/rinoconjuntivitis, alérgicos a Dermatophagoides pteronyssinus y/o Dermatophagoides farinae
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Efficacy and Safety Evaluation for the Treatment of house dust mite induced allergic asthma and rhinitis/rhinoconjunctivitis
    Evaluación de la eficacia y seguridad del tratamiento del asma y de la rinitis/rinoconjuntivitis alergica a ácaros de polvo doméstico.
    A.4.1Sponsor's protocol code numberMM09-SIT-040
    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 pointMedical Department
    B.5.3 Address:
    B.5.3.1Street AddressCalle Punto Mobi, 5, Parque Científico Tecnológico
    B.5.3.2Town/ cityAlcalá de Henares, Madrid
    B.5.3.3Post code28805
    B.5.3.4CountrySpain
    B.5.4Telephone number0034912908942
    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 allergoid-mannan conjugates SC (3.000)
    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 allergoid-mannan conjugates
    D.3.9.3Other descriptive nameMixture of allergen extracts of Dermatophagoides pteronyssinus and Dermatophagoides farinae conjugated to mannan
    D.3.9.4EV Substance CodeSUB236082
    D.3.10 Strength
    D.3.10.1Concentration unit AU/ml allergy unit(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number3.000
    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 allergoid-mannan conjugates SL (3.000)
    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 allergoid-mannan conjugates
    D.3.9.3Other descriptive nameMixture of allergen extracts of Dermatophagoides pteronyssinus and Dermatophagoides farinae conjugated to mannan
    D.3.9.4EV Substance CodeSUB236082
    D.3.10 Strength
    D.3.10.1Concentration unit AU/ml allergy unit(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number3.000
    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 allergoid-mannan conjugates SL (9.000)
    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 allergoid-mannan conjugates
    D.3.9.3Other descriptive nameMixture of allergen extracts of Dermatophagoides pteronyssinus and Dermatophagoides farinae conjugated to mannan
    D.3.9.4EV Substance CodeSUB236082
    D.3.10 Strength
    D.3.10.1Concentration unit AU/ml allergy unit(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number9.000
    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
    Etiological treatment of mild to moderate controlled intermittent or persistent allergic asthma and intermittent or persistent allergic rhinitis / rhinoconjunctivitis
    Tratamiento etiológico de asma alérgica intermitente o persistente controlada de leve a moderada y rinitis/rinoconjuntivitis alérgica intermitente o persistente
    E.1.1.1Medical condition in easily understood language
    House dust mite induced allergy (asthma and rhinitis/rhinoconjunctivitis)
    Alergia frente a ácaros de polvo doméstico (asma y rinitis/rinoconjuntivitis)
    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 20.0
    E.1.2Level LLT
    E.1.2Classification code 10020419
    E.1.2Term House dust mite allergy
    E.1.2System Organ Class 100000004870
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.1
    E.1.2Level LLT
    E.1.2Classification code 10034382
    E.1.2Term Perennial allergic rhinitis
    E.1.2System Organ Class 100000004855
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10001728
    E.1.2Term Allergic rhinoconjunctivitis
    E.1.2System Organ Class 100000004853
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.1
    E.1.2Level LLT
    E.1.2Classification code 10001705
    E.1.2Term Allergic asthma
    E.1.2System Organ Class 100000004855
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The main objective of this trial is to evaluate the clinical efficacy of allergoid-mannan conjugates administered subcutaneously and sublingually, comparing with placebo in subjects with intermittent
    or persistent (mild-moderate) controlled asthma according to the definition of GEMA 5.0 and GINA 2020 and intermittent or persistent rhinitis / rhinoconjunctivitis according to the ARIA classification, by means of the combined score of symptoms and medication consumption related to the study pathologies for each trial subject
    El objetivo principal de este ensayo es evaluar la eficacia clínica de los extractos alergénicos polimerizados, conjugados con manano administrados por vía subcutánea y sublingual, comparando con placebo en sujetos con asma intermitente o persistente (leve-moderada) controlada según la definición de GEMA 5.0 y GINA 2020 y rinitis/rinoconjuntivitis intermitente o persistente según la clasificación ARIA, mediante la puntuación combinada de síntomas y consumo de medicación relacionada con las patologías del estudio para cada sujeto del ensayo
    E.2.2Secondary objectives of the trial
    To assess the safety & indirect efficacy of allergoid-mannan conjugates administered subcutaneously and sublingually, by comparisons between active groups & placebo, on the secondary variables:
    -Free-Symptom & Free-medication days for asthma&rhinitis/Rhinoconjunctivitis
    -Lung function:FEV1&PEF test
    -Time to first asthma exacerbation; number, length & severity
    -Time to appearance of clinical benefit
    -Immunological parameters: total IgE, specific IgE&IgG4, specific IgE/total IgE index & anti-Saccharomyces cerevisiae (ASCA) IgA&IgG
    - Asthma Quality of Life Questionnaire (AQLQ)
    - Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)
    - Asthma Control Questionnaire (ACQ)
    -Visual Analogue Scale
    -Consumption of health resources
    -Adverse event global rate, severity & relation to the IMP per administration & participant
    -Evaluation of reactions at the site of administration, systemic reactions & of any medications administered for the treatment of AA
    Evaluar la seguridad y eficacia indirecta de los extractos alergénicos polimerizados, conjugados con manano administrados subcutáneamente y sublingualmente, mediante comparaciones entre grupos activos y placebo:
    -Días libres de síntomas y medicación para asma y rinitis/rinoconjuntivitis
    -Medición: FEV1&PEF
    -Tiempo transcurrido hasta la primera aparición de las exacerbaciones asmáticas, nº, duración y gravedad
    -Tiempo transcurrido hasta la aparición del beneficio clínico
    -Parámetros inmunológicos: IgE total, IgE e IgG4 específicas, Índice IgE específica/IgE total e IgA e IgG anti-Saccharomyces cerevisiae(ASCA)
    -Cuestionario de calidad de vida para asma(AQLQ) y rinoconjuntivitis(RQLQ)
    -Cuestionario de control del asma (ACQ)
    -Escala visual analógica
    -Consumo de recursos sanitarios
    -Tasa global, gravedad y relación de cualquier AA por administración y sujeto
    -Reacciones en el lugar de la administración, sistémicas y de cualquier medicación administrada para el tratamiento de AA
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Signed and dated Informed Consent Form (ICF).
    2. Female or male aged 12 to 60 years, both included.
    3. Confirmed clinical history of inhalation allergy (mild-moderate controlled intermittent or persistent asthma according to the definition of GEMA 5.0 and GINA 2020 and intermittent or persistent rhinitis / rhinoconjunctivitis according to the ARIA classification, caused by Dermatophagoides pteronyssinus and / or Dermatophagoides farinae). The asthma diagnosis will be valid up to 24 months prior to signing the informed consent.
    4. Positive skin prick test (wheal major diameter ≥ 5 mm) to a standardized allergen extract of Dermatophagoides pteronyssinus and/or Dermatophagoides farinae.
    5. Specific IgE against a complete extract of D. pteronyssinus and/or D. farinae or any of the molecular components of allergenic sources with a value ≥ 3.5 kU/L.
    6. Women of childbearing age must have a urine pregnancy test negative result before enrolling the study.
    7. Women of childbearing age must commit to using an adequate contraception method.
    8. Capable of complying with dosage regimen.
    9. Owning a smartphone to register symptoms and medication consumption.
    10. A negative skin prick test to other aeroallergens with specific IgE < 3.5 kU/L with no clinical relevance
    1. Sujeto que haya firmado el consentimiento informado.
    2. Sujetos de ambos sexos con edad comprendida entre 12 y 60 años, ambos incluidos.
    3. Sujetos con historia clínica confirmada de alergia inhalatoria con asma intermitente o persistente controlada leve-moderada según la definición de GEMA 5.0 y GINA 2020 y rinitis/rinoconjuntivitis intermitente o persistente según la clasificación ARIA, causada por Dermatophagoides
    pteronyssinus y/o Dermatophagoides farinae). El diagnóstico de asma será válido hasta los 24 meses previos a la firma del consentimiento informado.
    4. Sujetos con un prick test positivo (diámetro mayor de la pápula ≥ 5 mm) a un extracto estandarizado de Dermatophagoides pteronyssinus y/o Dermatophagoides farinae.
    5. IgE específica frente a un extracto completo de D. pteronyssinus y/o D. farinae o a alguno de los componentes moleculares de las fuentes alergénicas con un valor ≥ 3,5 kU/L.
    6. Las mujeres en edad fértil (desde menarquia) deben presentar una prueba de embarazo en orina con resultado negativo en el momento de su incorporación en el ensayo.
    7. Las mujeres en edad fértil que participen en el ensayo, deben comprometerse a utilizar un método anticonceptivo adecuado.
    8. Sujetos capaces de cumplir con el régimen de dosificación.
    9. Sujetos que posean un smartphone para registro de síntomas y consumo de medicación.
    10. Sujetos con prueba cutánea negativa a otros aeroalérgenos y cuya IgE específica <3,5 kU/L sin clínica relevante.
    E.4Principal exclusion criteria
    1. Previous immunotherapy to any of the tested allergen during the last 5 years or any desensitization process in the last 2 years (ITO, milk, egg, ...) or currently receiving immunotherapy with any other allergen.
    2. Positive skin prick test to other aeroallergens, except for intermittent symptoms due to temporary exposition to dander.
    3. Those cases in which AIT would be a contraindication according to the criteria of European Allergy and Clinical Immunology Immunotherapy Subcommittee.
    4. Uncontrolled or severe asthma and/or FEV1 <70% despite pharmacological treatment by the time of enrolment.
    5. Intake of β-blockers.
    6. Use of immunosuppressive or biological drug.
    7. Unstable patients by the time of enrolment (acute exacerbation asthma, respiratory infection, fever, acute pruritus, etc).
    8. Patients who have suffered chronic urticaria during the last 2 years, severe anaphylaxis, or family history of angioedema.
    9. Having any contraindication for the use of adrenaline (hyperthyroidism, heart disease, high blood pressure).
    10. Other severe diseases not related to allergic asthma or rhinitis that could interfere in the study treatment or the follow-up (epilepsy, psychomotor agitation, diabetes, malformations, nephropathy) according to medical criteria.
    11. Autoimmune diseases (thyroiditis, lupus, etc.), tumoral diseases or immunodeficiencies.
    12. Participants that the investigator believes could not comply with the study protocol or have serious psychiatric disorders.
    13. Known allergy to any of the ingredients of the study medication except for mites.
    14. Lower respiratory tract diseases different from asthma as bronchiectasis or chronic obstructive pulmonary disease.
    15. Breast-feeding or pregnant women.
    16. Being immediate family of the investigator.
    17. Concurrent participation in other clinical trials or prior participation within 30 days prior to inclusion.
    18. History of serious systemic reactions, including food, Hymenoptera venom, medications, etc.
    1. Sujetos que hayan recibido inmunoterapia a los aeroalérgenos testados (D. pteronyssinus y D. farinae) en los últimos 5 años o se hayan sometido a cualquier proceso de desensibilización en
    los últimos 2 años (ITO, leche, huevo, …) o estén actualmente recibiendo inmunoterapia con cualquier alérgeno.
    2. Sujetos con prueba cutánea positiva a otros aeroalérgenos a excepción de epitelios con exposición y sintomatología ocasional.
    3. No podrán incluirse los pacientes en los que la inmunoterapia pueda ser objeto de contraindicación general absoluta según los criterios del Comité de Inmunoterapia de la Sociedad Española de Alergia e Inmunología Clínica y del European Allergy and Clinical Immunology Immunotherapy Subcommittee.
    4. Sujetos con asma grave o no controlada, y/o con un FEV1 <70% con respecto al valor de referencia a pesar del tratamiento farmacológico adecuado en el momento de la inclusión en el ensayo.
    5. Sujetos en tratamiento con ß-bloqueantes.
    6. Sujetos en tratamiento con fármacos inmunosupresores o biológicos.
    7. Sujetos inestables desde el punto de vista clínico en el momento de la inclusión en el ensayo (exacerbación asmática aguda, infección respiratoria, proceso febril, urticaria aguda, etc.).
    8. Sujetos con urticaria crónica activa durante los 2 últimos años, anafilaxia grave o antecedentes personales de angioedema hereditario.
    9. Sujetos que tengan alguna patología en la que esté contraindicada la administración de adrenalina (hipertiroidismo, HTA, cardiopatía, etc.).
    10. Sujetos con alguna otra enfermedad no relacionada con la rinoconjuntivitis moderada o con el asma, pero de potencial gravedad y que pueda interferir con el tratamiento y seguimiento (epilepsia, alteración psicomotora, diabetes descompensada, malformaciones, multioperados, nefropatías…),
    según el criterio del investigador.
    11. Sujetos con enfermedad autoinmune (tiroiditis, lupus, etc.), enfermedades tumorales o con diagnóstico de inmunodeficiencias.
    12. Sujeto cuyo estado le impide ofrecer cooperación y o que presente trastornos psiquiátricos severos, según el criterio del investigador.
    13. Sujetos con alergia conocida a los otros componentes del producto en investigación diferentes al alérgeno en estudio.
    14. Sujetos con enfermedades de la vía respiratoria inferior diferentes al asma como el enfisema o bronquiectasias.
    15. Mujeres embarazadas o en periodo de lactancia.
    16. Sujetos que sean familiares directos de los investigadores.
    17. Participación simultánea en otros ensayos clínicos o participación previa dentro de los 30 días anteriores a la inclusión.
    18. Historial de reacciones sistémicas graves, incluidos alimentos, veneno de himenópteros, medicamentos, etc.
    E.5 End points
    E.5.1Primary end point(s)
    Combined score of symptoms and medication consumption throughout the trial, for both asthma and rhinitis/rhinoconjunctivitis.
    Puntuación combinada de síntomas y consumo de medicación necesaria para el control del asma y la rinitis/rinoconjuntivitis
    E.5.1.1Timepoint(s) of evaluation of this end point
    Beginning and end of the trial
    Principio y final del ensayo
    E.5.2Secondary end point(s)
    A quantitative comparison will be made both at the beginning and at the end of the trial for each subject and between the different groups of active treatment and placebo. The following parameters will be analyzed:
    - Symptom score and asthma medication intake.
    - Symptom score and rhinitis medication consumption.
    - In asthma: Free-Symptom days and Free-Medication days
    - In rhinitis/Rhinoconjunctivitis: Free-Symptom days and Free-medication days
    - Lung function:FEV1 & PEF test
    - Time to first asthma exacerbation; number, length & severity
    -Time to appearance of clinical benefit
    - Immunological parameters:
    1. Total IgE
    2. Specific IgE & IgG4
    3. Specific IgE / total IgE index
    4. Anti-Saccharomyces cerevisiae (ASCA) IgA&IgG
    - Asthma Quality of Life Questionnaire (AQLQ)
    - Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)
    - Asthma Control Questionnaire (ACQ)
    - Visual Analogue Scale (VAS)
    - Consumption of health resources
    - Security parameters:
    1. Adverse event global rate, severity & relation to the IMP per administration & participant
    2. Evaluation of reactions at the site of administration, systemic reactions & of any medications administered for the treatment of AA
    Se realizará una comparación cuantitativa tanto al principio como al final del ensayo para cada sujeto y entre los distintos grupos de tratamiento activo y placebo. Se analizarán los siguientes parámetros:
    - Puntuación de síntomas y consumo de medicación para asma.
    - Puntuación de síntomas y consumo de medicación para rinitis.
    - En asma: Días libres de síntomas y Días libres de medicación
    - En rinitis/rinoconjuntivitis: Días libres de síntomas y Días libres de medicación
    - Medición: FEV1 y PEF
    - Tiempo transcurrido hasta la primera aparición de las exacerbaciones asmáticas, nº, duración y gravedad
    - Tiempo transcurrido hasta la aparición del beneficio clínico
    - Parámetros inmunológicos:
    1. IgE total
    2. IgE e IgG4 específicas
    3. Índice IgE específica/IgE total
    4. IgA e IgG anti-Saccharomyces cerevisiae (ASCA).
    - Cuestionario de calidad de vida para asma (AQLQ) y para rinoconjuntivitis (RQLQ)
    - Cuestionario de control de asma (ACQ)
    - Escala visual analógica (EVA)
    - Consumo de recursos sanitarios
    - Parámetros de seguridad:
    1. Tasa global, gravedad y relación de cualquier AA por administración y por sujeto.
    2. Evaluación de reacciones en el lugar de la administración, reacciones sistémicas y de cualquier medicación administrada para el tratamiento de AA.
    E.5.2.1Timepoint(s) of evaluation of this end point
    Beginning and end of the 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 Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    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) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    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 No
    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 trial4
    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 concerned16
    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 finished with the database closed out.
    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 years2
    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: 20
    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: 380
    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 state400
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 400
    F.4.2.2In the whole clinical trial 400
    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)
    At the end of the study and once the scheduled visit schedule has been completed and if the investigator considers it appropriate, patients will receive 3 cycles of study treatment free of charge. Each treatment cycle consists of a box with two vials.
    Al final del estudio y una vez completado el calendario de visitas previsto y si el médico lo considera adecuado, los pacientes recibirán sin coste alguno 3 ciclos del tratamiento del estudio. Cada ciclo de tratamiento consta de una caja con dos viales.
    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 Decision2022-04-08
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2022-03-11
    P. End of Trial
    P.End of Trial StatusPrematurely Ended
    P.Date of the global end of the trial2023-05-09
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