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Phase 3 N=445 Randomized Quadruple-blind Treatment

A Study in Adults With Grass Pollen-induced Rhinoconjunctivitis

Allergy

Enrolled (actual)
445
Serious AEs
2.3%
Results posted
Dec 2024
Primary outcome: Primary: Average Daily Allergic Rhinoconjunctivitis Total Combined Score (TCS) During the 2nd Peak Grass Pollen Season (PGPS) — 7.10; 5.22 score on a scale — p=0.0036

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
5-grass mix SLIT-drops (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
ALK-Abelló A/S
Primary completion
Sep 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Average Daily Allergic Rhinoconjunctivitis Total Combined Score (TCS) During the 2nd Peak Grass Pollen Season (PGPS)
7.10; 5.22 0.0036 sig
SECONDARY
Average Weekly Overall Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Score During the 2nd Peak Grass Pollen Season (PGPS)
1.04; 0.86 0.1111
SECONDARY
Average Daily Allergic Rhinoconjunctivitis Total Combined Score (TCS) During the 1st Peak Grass Pollen Season (PGPS)
8.10; 6.76 0.0417 sig
SECONDARY
Average Weekly Overall Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Score During the 1st Peak Grass Pollen Season (PGPS)
1.26; 1.19 0.4984
SECONDARY
Average Weekly Overall Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Score During the 1st Entire Grass Pollen Season (EGPS)
1.16; 1.09 0.4438
SECONDARY
Average Weekly Overall Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Score During the 2nd Entire Grass Pollen Season (EGPS)
1.03; 0.83 0.0363 sig
SECONDARY
Average Daily Allergic Rhinoconjunctivitis Total Combined Score (TCS) During the 1st Entire Grass Pollen Season (EGPS)
7.42; 6.23 0.0329 sig
SECONDARY
Average Daily Allergic Rhinoconjunctivitis Total Combined Score (TCS) During the 2nd Entire Grass Pollen Season (EGPS)
6.58; 4.86 0.0016 sig
SECONDARY
Average Allergic Rhinoconjunctivitis Daily Symptoms Score (DSS) During the 1st Peak Grass Pollen Season (PGPS)
4.08; 3.83 0.4502
SECONDARY
Average Allergic Rhinoconjunctivitis Daily Symptoms Score (DSS) During the 2nd Peak Grass Pollen Season (PGPS)
3.64; 3.09 0.1177
SECONDARY
Average Allergic Rhinoconjunctivitis Daily Symptoms Score (DSS) During the 1st Entire Grass Pollen Season (EGPS)
3.82; 3.61 0.4604
SECONDARY
Average Allergic Rhinoconjunctivitis Daily Symptoms Score (DSS) During the 2nd Entire Grass Pollen Season (EGPS)
3.46; 2.89 0.0549
SECONDARY
Average Allergic Rhinoconjunctivitis Daily Medication Score (DMS) During the 1st Peak Grass Pollen Season (PGPS)
3.34; 2.23 0.0049 sig
SECONDARY
Average Allergic Rhinoconjunctivitis Daily Medication Score (DMS) During the 2nd Peak Grass Pollen Season (PGPS)
2.77; 1.52 0.0004 sig
SECONDARY
Average Allergic Rhinoconjunctivitis Daily Medication Score (DMS) During the 1st Entire Grass Pollen Season (EGPS)
3.04; 2.10 0.0054 sig
SECONDARY
Average Allergic Rhinoconjunctivitis Daily Medication Score (DMS) During the 2nd Entire Grass Pollen Season (EGPS)
2.62; 1.51 0.0002 sig

Summary

This is a 2 year clinical study to compare 5-grass mix SLIT-drops with placebo in relieving grass pollen-induced rhinoconjunctivitis symptoms and in use of symptom-relieving medication during the second grass pollen season (peak grass pollen season, PGPS) The study will collect health-related quality of life data in the groups treated with 5-grass mix SLIT-drops or with placebo during the first and second PGPS. The trial medication used is already approved to treat allergic rhinitis caused by grass pollen in adults in several countries.

Eligibility Criteria

Inclusion Criteria

  • Male or female aged ≥18 years on the day informed consent is obtained
  • A clinical history of grass pollen-induced allergic rhinoconjunctivitis for two years or more with or without asthma
  • A clinical history of severe allergic rhinoconjunctivitis symptoms (interfering with usual daily activities or sleep) induced by grass pollen, which remain troublesome despite symptomatic treatment with antihistamines, nasal steroids or eye drops during the previous grass pollen season
  • Positive specific immunoglobulin E (IgE) (defined as ≥class 2, ≥0.70 kU/l) against grass: Phleum pratense
  • Positive skin prick test to Phleum pratense at screening

Exclusion Criteria

  • Has a clinically relevant history of symptomatic seasonal and/or perennial allergic rhinoconjunctivitis and/or asthma caused by an allergen other than grass pollen, to which the subject is exposed, which could potentially overlap with the efficacy assessment periods
  • Within the last 3 months before the randomisation visit, has had an occurrence of any clinical deterioration of asthma that resulted in emergency treatment, hospitalisation, or treatment with systemic corticosteroids
  • SLIT treatment with any grass pollen AIT for more than 1 month within the last 5 years. In addition, any SLIT treatment with grass pollen AIT within the previous 12 months
  • SCIT treatment with any grass AIT reaching the maintenance dose within the last 5 years. In addition, any SCIT treatment with grass AIT within the previous 12 months
  • Ongoing treatment with any allergy immunotherapy product
  • Uncontrolled or severe asthma requiring daily use of more than 800 mcg budesonide or equivalent at screening
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04881461). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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