Phase 2
N=217
Efficacy of the Anti-Bet v 1 Monoclonal Antibodies (Given Subcutaneously) to Reduce Allergic Rhinitis and Conjunctivitis Symptoms and Skin Test Reactivity Upon Exposure to Birch Allergen in Adult Participants
Allergic Rhinitis · Conjunctivitis
Bottom Line
View on ClinicalTrials.gov: NCT05430919 ↗Enrolled (actual)
217
Serious AEs
0.0%
Results posted
Nov 2024
Primary outcome: Primary: Mean Total Nasal Symptom Score (TNSS) (2 to 6 Hours) During Out-of-season Birch Allergen Environmental Exposure Unit (EEU) Challenge (REGN5713-5714-5715 vs. Placebo) at Day 29 — 4.40; 6.71 Scores on a Scale — p=<0.0001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- REGN5713 (Drug); REGN5714 (Drug); REGN5715 (Drug); Placebo (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Regeneron Pharmaceuticals
- Primary completion
- Jul 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Mean Total Nasal Symptom Score (TNSS) (2 to 6 Hours) During Out-of-season Birch Allergen Environmental Exposure Unit (EEU) Challenge (REGN5713-5714-5715 vs. Placebo) at Day 29 |
4.40; 6.71 | <0.0001 sig |
| SECONDARY Mean TNSS (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge (Except for REGN5713-5714-5715) at Day 29 |
4.06; 5.20; 6.71 | <0.0001 sig |
| SECONDARY Mean TNSS (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge at Day 57 and Day 85 |
4.47; 3.89; 5.58; 6.29; 4.61; 4.48 | — |
| SECONDARY Mean Total Ocular Symptom Score (TOSS) (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge at Day 29 |
1.81; 1.69; 2.01; 2.48 | — |
| SECONDARY Mean TOSS (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge at Day 57 and Day 85 |
1.63; 1.66; 2.04; 2.57; 1.90; 1.96 | — |
| SECONDARY Mean Total Symptom Score (TSS) (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge at Day 29 |
6.22; 5.76; 7.21; 9.20 | — |
| SECONDARY Mean TSS (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge at Day 57 and at Day 85 |
6.09; 5.57; 7.62; 8.86; 6.49; 6.44 | — |
| SECONDARY Change From Pre-treatment Baseline in TNSS (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge at Days 29, 57 and 85 |
-3.14; -3.52; -2.27; -0.84; -3.14; -3.71 | — |
| SECONDARY Change From Pre-treatment Baseline in TOSS (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge at Days 29, 57 and 85 |
-1.11; -1.26; -0.87; -0.44; -1.41; -1.37 | — |
| SECONDARY Change From Pre-treatment Baseline in TSS (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge at Days 29, 57 and 85 |
-4.24; -4.76; -3.14; -1.26; -4.55; -5.08 | — |
| SECONDARY Percent Change From Pre-treatment Baseline in TNSS (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge at Days 29, 57 and 85 |
-44.35; -46.86; -27.88; -4.10; -42.98; -48.26 | — |
| SECONDARY Percent Change From Pre-treatment Baseline in TOSS (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge at Days 29, 57 and 85 |
-44.15; -40.40; -29.90; -8.40; -53.08; -44.70 | — |
| SECONDARY Percent Change From Pre-treatment Baseline in TSS (2 to 6 Hours) During Out-of-season Birch Allergen EEU Challenge at Days 29, 57 and Day 85 |
-44.33; -44.97; -27.50; -4.18; -45.49; -46.81 | — |
| SECONDARY Change From Pre-treatment Baseline in the Birch Titrated Skin Prick Test (SPT) Mean Wheal Diameter Area Under the Curve (AUC) at Day 29 |
-5.396; -4.743; -3.266; -0.507 | — |
| SECONDARY Change From Pre-treatment Baseline in the Birch Titrated SPT Mean Wheal Diameter AUC at Day 57 and Day 85 |
-5.110; -4.693; -3.052; -0.054; -4.418; -4.241 | — |
| SECONDARY Change From Pre-treatment Baseline in the Birch Titrated SPT Mean Wheal Diameter AUC at Day 127 |
-3.980; -3.590; -2.485; 0.058 | — |
| SECONDARY Change From Pre-treatment Baseline in the Birch Titrated SPT Mean Wheal Diameter AUC at Day 225 and Day 253 |
-5.435; -4.587; -3.263; -0.715; -4.752; -4.546 | — |
| SECONDARY Percent Change From Pre-treatment Baseline in the Birch Titrated SPT Mean Wheal Diameter AUC at Day 29 |
-66.50; -59.32; -38.14; -3.31 | <0.0001 sig |
| SECONDARY Percent Change From Pre-treatment Baseline in the Birch Titrated SPT Mean Wheal Diameter AUC at Day 57 and Day 85 |
-64.45; -59.19; -37.04; 8.07; -54.36; -54.43 | — |
| SECONDARY Percent Change From Pre-treatment Baseline in the Birch Titrated SPT Mean Wheal Diameter AUC at Day 127 |
-49.10; -44.38; -29.13; 9.30 | — |
| SECONDARY Percent Change From Pre-treatment Baseline in the Birch Titrated SPT Mean Wheal Diameter AUC at Day 225 and Day 253 |
-72.42; -57.83; -36.74; -6.70; -62.71; -60.89 | — |
| SECONDARY Mean TNSS, TOSS and TSS (2 to 6 Hours) During Out-of-season Oak Allergen EEU Challenge at Day 36 |
4.79; 4.53; 5.04; 5.59; 1.86; 2.05 | — |
| SECONDARY Change From Pre-treatment Baseline in TNSS, TOSS and TSS (2 to 6 Hours) During Oak Allergen EEU Challenge at Day 36 |
-2.63; -2.89; -2.38; -1.83; -1.33; -1.14 | — |
| SECONDARY Percent Change From Pre-treatment Baseline in TNSS, TOSS and TSS (2 to 6 Hours) During Oak Allergen EEU Challenge at Day 36 |
-35.18; -34.95; -30.36; -20.46; -52.74; -32.95 | — |
| SECONDARY Number of Participants Achieving Different Degrees of Clinical Responses Compared Across TNSS (2 to 6 Hours) Response Thresholds |
2; 1; 11; 9; 7; 13 | — |
| SECONDARY Number of Participants Achieving Different Degrees of Clinical Responses Compared Across TOSS (2 to 6 Hours) Response Thresholds |
8; 6; 12; 16; 10; 18 | — |
| SECONDARY Number of Participants Achieving Different Degrees of Clinical Responses Compared Across TSS (2 to 6 Hours) Response Thresholds |
3; 2; 11; 11; 7; 13 | — |
| SECONDARY Number of Participants Achieving Different Degrees of Responses in the Birch Titrated SPT Mean Wheal Diameter AUC Compared Across Different Response Thresholds |
1; 1; 8; 19; 1; 12 | — |
| SECONDARY Mean TNSS, TOSS and TSS (2 to 6 Hours) During Peak-season Birch Allergen EEU Challenge at Day 190 |
4.49; 4.41; 5.07; 6.69; 1.90; 1.85 | — |
| SECONDARY Daily Averaged TNSS, TOSS, TSS, Daily Medication Score (DMS) and Combined Symptom and Medication Score (CSMS) During Birch Pollen Season (BPS) |
3.38; 3.44; 3.57; 4.05; 1.09; 1.15 | — |
| SECONDARY Daily Averaged TNSS, TOSS, TSS, DMS and CSMS During Peak BPS |
3.79; 3.87; 3.71; 4.67; 1.24; 1.32 | — |
| SECONDARY Change From Pre-treatment Baseline in TNSS, TOSS, TSS, DMS and CSMS Averaged During BPS |
1.38; 1.44; 1.57; 2.05; 0.54; 0.60 | — |
| SECONDARY Change From Pre-treatment Baseline in TNSS, TOSS, TSS, DMS and CSMS Averaged During Peak BPS |
1.79; 1.86; 1.71; 2.66; 0.69; 0.77 | — |
| SECONDARY Percent Change From Pre-treatment Baseline in TNSS, TOSS, TSS, DMS and CSMS Averaged During BPS |
86.55; 81.60; 112.71; 120.74; -2.85; -0.66 | — |
| SECONDARY Percent Change From Pre-treatment Baseline in TNSS, TOSS, TSS, DMS and CSMS Averaged During Peak BPS |
103.41; 110.33; 121.50; 166.54; 9.74; 14.03 | — |
| SECONDARY Standardized Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ[S]) Score Averaged During BPS |
0.98; 0.98; 1.11; 1.29 | — |
| SECONDARY Standardized RQLQ(S) Score Averaged During Peak BPS |
1.04; 1.14; 1.25; 1.62 | — |
| SECONDARY Change From Pre-treatment Baseline in the Average RQLQ(S) Score During BPS |
-0.11; -0.11; 0.02; 0.20 | — |
| SECONDARY Change From Pre-treatment Baseline in the Average RQLQ(S) Score During Peak BPS |
-0.04; 0.05; 0.16; 0.54 | — |
| SECONDARY Percent Change From Pre-treatment Baseline in the Average RQLQ(S) Score During BPS |
-32.68; -22.84; -12.70; 2.06 | — |
| SECONDARY Percent Change From Pre-treatment Baseline in the Average RQLQ(S) Score During Peak BPS |
-27.67; -9.90; -1.67; 29.24 | — |
| SECONDARY Number of Participants With Any Treatment-Emergent Adverse Event (TEAE) Over the Study Duration |
26; 23; 23; 25 | — |
| SECONDARY Number of Participants With Any Treatment-Emergent Serious AE (TESAE) Over the Study Duration |
0; 0; 0; 0 | — |
| SECONDARY Serum Concentration of REGN5713 Over the Study Duration |
0; 0; 15.2; 16.2; 7.10; 8.12 | — |
| SECONDARY Serum Concentration of REGN5714 Over the Study Duration |
0; 22.3; 13.1; 9.01; 5.34; 3.95 | — |
| SECONDARY Serum Concentration of REGN5715 Over the Study Duration |
0; 0; 0; 20.6; 21.5; 26.7 | — |
| SECONDARY Number of Participants With Anti-drug Antibodies (ADA) to REGN5713 Over Time |
51; 54; 0; 0; 0; 0 | — |
| SECONDARY Number of Participants With ADA to REGN5714 Over Time |
53; 1; 0; 0 | — |
| SECONDARY Number of Participants With ADA to REGN5715 Over Time |
53; 50; 53; 1; 1; 1 | — |
Summary
Primary objective: To assess the efficacy of a single dose of the anti- Bet v 1 monoclonal antibodies (mAb(s ) in the reduction of allergic nasal symptoms during an out-of-season birch allergen environmental exposure unit (EEU) challenge in participants receiving REGN5713-5714-5715 versus placebo (Part A)
Eligibility Criteria
Key Inclusion Criteria
- Documented or participant-reported history of birch tree pollen-triggered allergic-rhinitis (AR) symptoms with or without conjunctivitis (for at least 2 seasons)
- Positive Skin prick test (SPT) with birch tree pollen extract (mean wheal diameter at least 5 mm greater than a negative control) in screening period
- Positive allergen-specific immunoglobulin E (sIgE) tests for birch tree pollen and Bet v 1 (≥0.7 kUa/L) in screening period
- Demonstrated TNSS ≥ 6 out of 12 on at least 2 time points during the birch EEU exposure challenge in screening period
Key Exclusion Criteria
- Participation in a prior REGN5713-5714-5715 clinical trial and received REGN5713-5714-5715 antibodies (receipt of placebo in a previous trial is allowed)
- Significant rhinitis, sinusitis, significant and/or severe allergies not associated with the birch pollen season, or due to daily contact with other non-birch related allergens causing symptoms that are expected to coincide or potentially interfere with the study EEU assessments or with the birch pollen season, as assessed by the investigator
- Participants who anticipate major changes in allergen exposure during the birch pollen season that are expected to coincide with study assessments or planned travel that is expected to interfere with the study assessments, as assessed by the investigator (eg. anticipated travel during planned EEU sessions or birch pollen season)
- Persistent chronic or recurring acute infection requiring treatment with antibiotics, antivirals, or antifungals, or any untreated respiratory infections within 4 weeks prior to screening visit 1. Patients may be re-evaluated for eligibility after resolution of symptoms and specified duration.
- History of significant, recurrent sinusitis, defined as at least 3 episodes requiring antibiotic treatment per year for the last 2 years
- Abnormal lung function as judged by the investigator with Forced Expiratory Volume (FEV1) 2 asthma exacerbations requiring systemic steroids in past 12 months, asthma related emergency care or hospitalization within 12 months prior to screening, as defined in the protocol.
- History of birch or other tree allergen immunotherapy in the 3 years prior to screening.
- Use of anti-IgE or other biological therapy (including but not limited to anti IL-5, anti IL-4) that interferes with type 2 disease within 6 months prior to screening visit 1.
- Allergen-specific immunotherapy with any allergen other than birch or other trees at screening.
- History of clinically significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, psychiatric, or neurological disease,
- Any malignancy within the past 5 years, except for basal cell or squamous epithelial cell carcinomas of the skin or carcinoma in situ of the cervix or anus that have been resected, with no evidence of local recurrence or metastatic disease for 3 years.
NOTE: Other protocol defined Inclusion/Exclusion Criteria apply
Data sourced from ClinicalTrials.gov (NCT05430919). 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.