Trial Outcomes & Findings for Efficacy/ Safety of Omalizumab in Patients With Seasonal Allergic Asthma and Seasonal Allergic Rhinoconjunctivitis (NCT NCT00396409)

NCT ID: NCT00396409

Last Updated: 2017-03-30

Results Overview

The daily symptom load (low=0, high=unbounded) represents the daily combined asthma and rhinoconjunctivitis symptom severity scores plus the daily asthma rescue medication score based on patient diary entries. A higher score indicates a worse patient asthma condition. Symptoms (e.g. - difficulty breathing, cough, tightness of chest, sneezing, itchy nose, red eyes, etc.) were evaluated daily by the patient using a 4-point scale (0=no symptom, 1=mild, 2=moderate, 3=severe). Point values were assigned by specific rescue medication usage. The daily scores were averaged over pollen days by site.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

128 participants

Primary outcome timeframe

Recorded daily during the 2007 and 2008 pollen season

Results posted on

2017-03-30

Participant Flow

Participant milestones

Participant milestones
Measure
Depigoid + Omalizumab
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Period 1 - 2007
STARTED
65
63
Period 1 - 2007
COMPLETED
62
57
Period 1 - 2007
NOT COMPLETED
3
6
Between Period 1 and Period 2
STARTED
62
57
Between Period 1 and Period 2
COMPLETED
59
55
Between Period 1 and Period 2
NOT COMPLETED
3
2
Period 2 - 2008
STARTED
59
55
Period 2 - 2008
COMPLETED
52
53
Period 2 - 2008
NOT COMPLETED
7
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Depigoid + Omalizumab
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Period 1 - 2007
Adverse Event
0
1
Period 1 - 2007
Lack of Efficacy
0
1
Period 1 - 2007
Withdrawal by Subject
1
1
Period 1 - 2007
Lost to Follow-up
2
3
Between Period 1 and Period 2
Withdrawal by Subject
3
2
Period 2 - 2008
Protocol Violation
1
0
Period 2 - 2008
Withdrawal by Subject
3
1
Period 2 - 2008
Lost to Follow-up
3
1

Baseline Characteristics

Efficacy/ Safety of Omalizumab in Patients With Seasonal Allergic Asthma and Seasonal Allergic Rhinoconjunctivitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Depigoid + Omalizumab
n=65 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=63 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Total
n=128 Participants
Total of all reporting groups
Age, Continuous
2007
27.8 years
STANDARD_DEVIATION 9.9 • n=5 Participants
30.4 years
STANDARD_DEVIATION 10.6 • n=7 Participants
29.1 years
STANDARD_DEVIATION 10.3 • n=5 Participants
Age, Continuous
2008 (N = 59/55/114)
27.6 years
STANDARD_DEVIATION 9.9 • n=5 Participants
30.1 years
STANDARD_DEVIATION 10.9 • n=7 Participants
28.8 years
STANDARD_DEVIATION 10.5 • n=5 Participants
Age, Customized
<=18 years
15 participants
n=5 Participants
15 participants
n=7 Participants
30 participants
n=5 Participants
Age, Customized
Between 18 and 65 years
45 participants
n=5 Participants
40 participants
n=7 Participants
85 participants
n=5 Participants
Age, Customized
>=65 years
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Age, Customized
<= 18 years
14 participants
n=5 Participants
15 participants
n=7 Participants
29 participants
n=5 Participants
Age, Customized
>= 65 years
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Age, Customized
Participated in 2007 but not in 2008
6 participants
n=5 Participants
8 participants
n=7 Participants
14 participants
n=5 Participants
Sex/Gender, Customized
2007 Female
28 participants
n=5 Participants
27 participants
n=7 Participants
55 participants
n=5 Participants
Sex/Gender, Customized
2007 Male
37 participants
n=5 Participants
36 participants
n=7 Participants
73 participants
n=5 Participants
Sex/Gender, Customized
2008 Female
24 participants
n=5 Participants
26 participants
n=7 Participants
50 participants
n=5 Participants
Sex/Gender, Customized
2008 Male
35 participants
n=5 Participants
29 participants
n=7 Participants
64 participants
n=5 Participants
Sex/Gender, Customized
Participated in 2007 but not in 2008
6 participants
n=5 Participants
8 participants
n=7 Participants
14 participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Race/Ethnicity, Customized
White
65 participants
n=5 Participants
62 participants
n=7 Participants
127 participants
n=5 Participants
Race/Ethnicity, Customized
More than one race
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Race/Ethnicity, Customized
Participated in 2007 but not in 2008
6 participants
n=5 Participants
8 participants
n=7 Participants
14 participants
n=5 Participants

PRIMARY outcome

Timeframe: Recorded daily during the 2007 and 2008 pollen season

Population: Intent-to-Treat (ITT). The complete analysis population who consisted of all patients that received at least one dose of study drug was used for all efficacy and safety evaluations in this extension period.

The daily symptom load (low=0, high=unbounded) represents the daily combined asthma and rhinoconjunctivitis symptom severity scores plus the daily asthma rescue medication score based on patient diary entries. A higher score indicates a worse patient asthma condition. Symptoms (e.g. - difficulty breathing, cough, tightness of chest, sneezing, itchy nose, red eyes, etc.) were evaluated daily by the patient using a 4-point scale (0=no symptom, 1=mild, 2=moderate, 3=severe). Point values were assigned by specific rescue medication usage. The daily scores were averaged over pollen days by site.

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Daily Symptom Load
2007
1.25 units on a scale
Standard Deviation 0.99
1.10 units on a scale
Standard Deviation 0.99
Daily Symptom Load
2008
1.32 units on a scale
Standard Deviation 1.74
0.97 units on a scale
Standard Deviation 1.02

SECONDARY outcome

Timeframe: Recorded daily during the 2007 and 2008 pollen season

Population: Intent-to-Treat (ITT)

The symptom severity score was defined as the mean of the daily symptom severity scores (asthma symptoms during the day, asthma symptoms at night, rhinitis symptoms, and conjunctivitis symptoms) during the pollen season. The daily symptom severity scores were evaluated daily by the patient using a 4-point scale (0 = none (no symptom), 1 = mild, 2 = moderate, 3 = severe) and were recorded in a patient diary. The possible minimum value for the Asthma/Rhinoconjunctivitis Symptom Severity Score is 0, and the possible maximum value is 3. Higher values represent a worse outcome.

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Asthma/Rhinoconjunctivitis Symptom Severity Score
2007
0.55 units on a scale
Standard Deviation 0.40
0.55 units on a scale
Standard Deviation 0.38
Asthma/Rhinoconjunctivitis Symptom Severity Score
2008
0.54 units on a scale
Standard Deviation 0.42
0.50 units on a scale
Standard Deviation 0.37

SECONDARY outcome

Timeframe: Recorded daily during the 2007 and 2008 pollen season

Population: Intent-to-Treat (ITT)

Asthma/Rhinoconjunctivitis rescue medication score is a component of symptom load. Patients were advised that between visits they could take short acting β-2 agonist rescue medication as initial rescue medication for symptoms of intercurrent bronchospasm. Patients were advised that between visits they could take rescue medication (systemic antihistamines) on an as-needed basis for symptoms of grass pollen allergic rhinoconjunctivitis. The symptom load and all its components were based on the patient's entries in their diaries.

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Asthma/Rhinoconjunctivitis Rescue Medication Score
2007
0.70 units on a scale
Standard Deviation 0.80
0.55 units on a scale
Standard Deviation 0.80
Asthma/Rhinoconjunctivitis Rescue Medication Score
2008
0.78 units on a scale
Standard Deviation 1.60
0.47 units on a scale
Standard Deviation 0.97

SECONDARY outcome

Timeframe: 52 Weeks (2007) and 104 Weeks (2008) after completion of core study

Population: Intent-to-Treat (ITT)

The investigator's assessment of the global evaluation of treatment effectiveness (GETE) using a five point scale, which evaluates change in asthma control/symptoms. GETE is scored as 1='excellent', 2='good', 3='moderate', 4='poor', 5='worsening' and (.)='missing').

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2007: 1 = Excellent
10.00 percentage of participants
9.09 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2007:2 = Good
70.00 percentage of participants
54.55 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2007:3 = Moderate
16.67 percentage of participants
21.82 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2007:4 = Poor
1.67 percentage of participants
14.55 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2007:5 = Worsening
1.67 percentage of participants
0 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2007:(.) = Missing
0 percentage of participants
0 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2007:Responders (1+2)
80 percentage of participants
63.64 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2008: 1 = Excellent
18.64 percentage of participants
14.55 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2008:2 = Good
49.15 percentage of participants
30.91 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2008:3 = Moderate
18.64 percentage of participants
43.64 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2008:4 = Poor
6.78 percentage of participants
9.09 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2008:5 = Worsening
0 percentage of participants
0 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2008:(.) = Missing
6.78 percentage of participants
1.82 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Investigator
2008:Responders (1+2)
67.79 percentage of participants
45.46 percentage of participants

SECONDARY outcome

Timeframe: 52 Weeks (2007) and 104 Weeks (2008) after completion of core study

Population: Intent-to-Treat (ITT)

The patient's assessment of the global evaluation of treatment effectiveness (GETE) using a five point scale, which evaluates change in asthma control/symptoms. GETE is scored as 1='excellent', 2='good', 3='moderate', 4='poor', 5='worsening' and (.)='missing').

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2007: 1 = Excellent
18.33 percentage of participants
7.27 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2007: 2 = Good
45.00 percentage of participants
50.91 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2007: 3 = Moderate
18.33 percentage of participants
18.18 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2007: 4 = Poor
10.00 percentage of participants
21.82 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2007: 5 = Worsening
1.67 percentage of participants
0 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2007: (.) = Missing
6.67 percentage of participants
1.82 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2008: 1 = Excellent
13.56 percentage of participants
5.45 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2008: 2 = Good
45.76 percentage of participants
43.64 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2008: 3 = Moderate
25.42 percentage of participants
36.36 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2008: 4 = Poor
6.78 percentage of participants
9.09 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2008: 5 = Worsening
1.69 percentage of participants
1.82 percentage of participants
Percentage of Participants by Global Evaluation of Treatment Effectiveness (GETE) Assessment Category Performed by the Patient
2008: (.) = Missing
6.78 percentage of participants
3.64 percentage of participants

SECONDARY outcome

Timeframe: 52 Weeks (2007) and 104 Weeks (2008) after completion of core study

Population: Intent-to-Treat (ITT)

The Asthma Control Questionnaire (ACQ) was developed and validated for assessing asthma symptom control in patients in clinical trials as well as for individuals in clinical practice. It is a simple questionnaire consisting of seven questions assessing symptoms, airway caliber and rescue β2-agonist use. It uses a 7-point scale. The possible minimum value is 1, the possible maximum value is 7. Higher values represent worse asthma control and quality of life, respectively.

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Asthma Control Questionnaire (ACQ)
2007
1.83 units on a scale
Standard Deviation 0.68
1.97 units on a scale
Standard Deviation 0.91
Asthma Control Questionnaire (ACQ)
2008
1.82 units on a scale
Standard Deviation 0.71
1.95 units on a scale
Standard Deviation 0.80

SECONDARY outcome

Timeframe: 52 Weeks (2007) and 104 Weeks (2008) after completion of core study

Population: Intent-to-Treat (ITT)

The Asthma Quality of Life Questionnaire (AQLQ) is a 32-item disease specific questionnaire designed to measure functional impairments that are most important to patients with asthma. It consists of 4 domains (symptoms, emotions, exposure to environmental stimuli and activity limitation). Patients are asked to recall their experiences during the previous 2 weeks and to score each item on a 7-point scale. The overall AQLQ score is the mean response to all 32 questions (low=1, high=7). Higher values represent better quality of life.

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Asthma Quality of Life Questionnaire (AQLQ)
2007
6.19 units on a scale
Standard Deviation 0.81
6.06 units on a scale
Standard Deviation 0.98
Asthma Quality of Life Questionnaire (AQLQ)
2008
6.22 units on a scale
Standard Deviation 0.77
6.21 units on a scale
Standard Deviation 0.74

SECONDARY outcome

Timeframe: 52 Weeks (2007) and 104 Weeks (2008) after completion of core study

Population: Intent-to-Treat (ITT)

The Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) is a 28-item disease specific questionnaire designed to measure functional impairments that are most important to patients with rhinoconjunctivitis. It consists of 7 domains (activities, sleep, common complaints, practical problems, nasal symptoms, ocular symptoms, and emotions). Patients recall their experiences during the previous week and to score each item on a 7-point scale. The overall RQLQ score is the mean response to all 28 questions (low=1, high=7). Higher values represent worse quality of life.

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)
2007
2.07 units on a scale
Standard Deviation 0.86
2.08 units on a scale
Standard Deviation 0.95
Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)
2008
2.05 units on a scale
Standard Deviation 0.99
1.98 units on a scale
Standard Deviation 0.94

SECONDARY outcome

Timeframe: Baseline of core study and 52 Weeks (2007) and 104 Weeks (2008) after completion of core study

Population: Intent-to-Treat (ITT)

Both the AQLQ and RQLQ clinical differences were categorized as important, moderate, or meaningful improvement; no clinical change; meaningful, moderate, or important impairment. Clinically important differences in scores between any two assessments have been determined by the authors of the AQLQ and RQLQ. Changes in scores of 0.5 to 1.0 are considered clinically meaningful; 1.0 to 1.5 as moderate and \> 1.5 as marked clinically important differences for any individual domain or for the overall summary score.

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 AQLQ: no clinical change
36 participants
28 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 AQLQ: important improvement
2 participants
3 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 AQLQ: moderate improvement
4 participants
3 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 AQLQ: meaningful improvement
8 participants
4 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 AQLQ: no clinical change
34 participants
27 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 AQLQ: meaningful impairment
5 participants
9 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 AQLQ: moderate impairment
2 participants
4 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 AQLQ: important impairment
4 participants
5 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 AQLQ: missing
1 participants
0 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 RQLQ: important improvement
4 participants
3 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 RQLQ: moderate improvement
4 participants
3 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 RQLQ: meaningful improvement
5 participants
4 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 RQLQ: no clinical change
27 participants
25 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 RQLQ: meaningful impairment
7 participants
10 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 RQLQ: moderate impairment
8 participants
5 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 RQLQ: important impairment
4 participants
5 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2007 RQLQ: missing
1 participants
0 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 AQLQ: important improvement
2 participants
4 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 AQLQ: moderate improvement
3 participants
2 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 AQLQ: meaningful improvement
6 participants
4 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 AQLQ: meaningful impairment
2 participants
9 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 AQLQ: moderate impairment
3 participants
4 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 AQLQ: important impairment
4 participants
3 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 AQLQ: missing
3 participants
1 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 RQLQ: important improvement
2 participants
3 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 RQLQ: moderate improvement
2 participants
2 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 RQLQ: meaningful improvement
7 participants
7 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 RQLQ: no clinical change
26 participants
22 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 RQLQ: meaningful impairment
9 participants
12 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 RQLQ: moderate impairment
6 participants
3 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 RQLQ: important impairment
4 participants
5 participants
Asthma Quality of Life Questionnaire (AQLQ) and Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) - Clinical Differences to Baseline
2008 RQLQ: missing
3 participants
1 participants

SECONDARY outcome

Timeframe: 52 Weeks (2007) and 104 Weeks (2008) after completion of core study

Population: Intent-to-Treat (ITT)

The Work Productivity and Activity Impairment questionnaire measures time missed from work, impairment of work and regular activities. It consists of 6 items. The outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity. The minimum value is 0 (0 %), the maximum value is 1 (100%). The recall time is 1 week. For this study WPAI-AA was used defining the specific health problem as allergic asthma, which has been validated by the instrument owner.

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Work Productivity and Activity Impairment
2007: Work time missed due to asthma
0.00 units on a scale
Standard Deviation 0.01
0.01 units on a scale
Standard Deviation 0.04
Work Productivity and Activity Impairment
2007: Impairment while working due to asthma
0.17 units on a scale
Standard Deviation 0.20
0.09 units on a scale
Standard Deviation 0.16
Work Productivity and Activity Impairment
2007: Overall work impairment due to asthma
0.17 units on a scale
Standard Deviation 0.20
0.10 units on a scale
Standard Deviation 0.17
Work Productivity and Activity Impairment
2007: Activitiy impairment due to asthma
0.15 units on a scale
Standard Deviation 0.15
0.17 units on a scale
Standard Deviation 0.22
Work Productivity and Activity Impairment
2007Time in school activities missed due to asthma
0.00 units on a scale
Standard Deviation 0.00
0.01 units on a scale
Standard Deviation 0.02
Work Productivity and Activity Impairment
2007:Impairment in school activities due to asthma
0.04 units on a scale
Standard Deviation 0.09
0.11 units on a scale
Standard Deviation 0.18
Work Productivity and Activity Impairment
2007: Overall impairment/activities due to asthma
0.00 units on a scale
Standard Deviation 0.00
0.01 units on a scale
Standard Deviation 0.03
Work Productivity and Activity Impairment
2008: Work time missed due to asthma
0.00 units on a scale
Standard Deviation 0.01
0.04 units on a scale
Standard Deviation 0.18
Work Productivity and Activity Impairment
2008: Impairment while working due to asthma
0.11 units on a scale
Standard Deviation 0.13
0.10 units on a scale
Standard Deviation 0.16
Work Productivity and Activity Impairment
2008: Overall work impairment due to asthma
0.11 units on a scale
Standard Deviation 0.14
0.10 units on a scale
Standard Deviation 0.16
Work Productivity and Activity Impairment
2008: Activitiy impairment due to asthma
0.16 units on a scale
Standard Deviation 0.18
0.15 units on a scale
Standard Deviation 0.19
Work Productivity and Activity Impairment
2008Time in school activities missed due to asthma
0.00 units on a scale
Standard Deviation 0.00
0.00 units on a scale
Standard Deviation 0.00
Work Productivity and Activity Impairment
2008:Impairment in school activities due to asthma
0.05 units on a scale
Standard Deviation 0.06
0.14 units on a scale
Standard Deviation 0.30
Work Productivity and Activity Impairment
2008: Overall impairment/activities due to asthma
0.00 units on a scale
Standard Deviation 0.00
0.00 units on a scale
Standard Deviation 0.00

SECONDARY outcome

Timeframe: Assist during 2007 and 2008 pollen season

Population: Intent-to-Treat (ITT)

The spirometric parameter Forced Expiratory Volume in One Second (FEV1) was measured during grass pollen season before each injection of Depigoid.

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Lung Function as Assessed by Forced Expiratory Volume in One Second (FEV1)
2007: FEV1 (best test)
3886 milliliters (mL)
Standard Deviation 740
3661 milliliters (mL)
Standard Deviation 720
Lung Function as Assessed by Forced Expiratory Volume in One Second (FEV1)
2008: FEV1 (best test)
3814 milliliters (mL)
Standard Deviation 721
3574 milliliters (mL)
Standard Deviation 691

SECONDARY outcome

Timeframe: Assist during 2007 and 2008 pollen season

Population: Intent-to-Treat (ITT)

The spirometric parameter Peak Expiratory Flow (PEF) was measured during grass pollen season before each injection of Depigoid. PEF was collected in the patient diary at seven days after visit 22, 23 and 24 as well as 35, 36 and 37. For analyzing purposes these data were averaged after the respective visits. Missing PEF-values from the patient diary were not replaced.

Outcome measures

Outcome measures
Measure
Depigoid + Omalizumab
n=60 Participants
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo
n=55 Participants
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Lung Function as Assessed by Peak Expiratory Flow (PEF)
2007: PEF (V23 or 36)
465.6 liters per minute (L/min)
Standard Deviation 111.5
441.0 liters per minute (L/min)
Standard Deviation 111.8
Lung Function as Assessed by Peak Expiratory Flow (PEF)
2008: PEF (V23 or 36)
463.9 liters per minute (L/min)
Standard Deviation 113.2
446.1 liters per minute (L/min)
Standard Deviation 116.4

Adverse Events

Depigoid + Omalizumab 2007

Serious events: 2 serious events
Other events: 36 other events
Deaths: 0 deaths

Depigoid + Omalizumab 2008

Serious events: 5 serious events
Other events: 32 other events
Deaths: 0 deaths

Depigoid + Placebo 2007

Serious events: 2 serious events
Other events: 34 other events
Deaths: 0 deaths

Depigoid + Placebo 2008

Serious events: 1 serious events
Other events: 26 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Depigoid + Omalizumab 2007
n=65 participants at risk
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Omalizumab 2008
n=59 participants at risk
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo 2007
n=63 participants at risk
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Depigoid + Placebo 2008
n=55 participants at risk
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Cardiac disorders
Pericardial effusion
0.00%
0/65
0.00%
0/59
1.6%
1/63
0.00%
0/55
Cardiac disorders
Tachyarrhythmia
0.00%
0/65
1.7%
1/59
0.00%
0/63
0.00%
0/55
Ear and labyrinth disorders
Vertigo
0.00%
0/65
1.7%
1/59
0.00%
0/63
0.00%
0/55
Gastrointestinal disorders
Nausea
0.00%
0/65
1.7%
1/59
0.00%
0/63
0.00%
0/55
Injury, poisoning and procedural complications
Ligament rupture
0.00%
0/65
0.00%
0/59
0.00%
0/63
1.8%
1/55
Injury, poisoning and procedural complications
Meniscus lesion
0.00%
0/65
1.7%
1/59
0.00%
0/63
0.00%
0/55
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/65
1.7%
1/59
0.00%
0/63
0.00%
0/55
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
1.5%
1/65
1.7%
1/59
0.00%
0/63
0.00%
0/55
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinoma
0.00%
0/65
0.00%
0/59
1.6%
1/63
0.00%
0/55
Nervous system disorders
Syncope
0.00%
0/65
1.7%
1/59
0.00%
0/63
0.00%
0/55
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.5%
1/65
0.00%
0/59
0.00%
0/63
0.00%
0/55
Respiratory, thoracic and mediastinal disorders
Hyperventilation
0.00%
0/65
1.7%
1/59
0.00%
0/63
0.00%
0/55
Skin and subcutaneous tissue disorders
Angioedema
0.00%
0/65
0.00%
0/59
1.6%
1/63
0.00%
0/55
Vascular disorders
Hypotension
0.00%
0/65
1.7%
1/59
0.00%
0/63
0.00%
0/55

Other adverse events

Other adverse events
Measure
Depigoid + Omalizumab 2007
n=65 participants at risk
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Omalizumab 2008
n=59 participants at risk
Depigoid administered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Omalizumab was given during the 2006 core study.
Depigoid + Placebo 2007
n=63 participants at risk
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Depigoid + Placebo 2008
n=55 participants at risk
Depigoid dministered in 4-week intervals using 0.5 ml of vial 2 (1000 DPP/mL). Placebo was given during the 2006 core study
Eye disorders
Conjunctivitis allergic
3.1%
2/65
0.00%
0/59
6.3%
4/63
3.6%
2/55
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/65
0.00%
0/59
1.6%
1/63
5.5%
3/55
General disorders
Injection site reaction
16.9%
11/65
8.5%
5/59
15.9%
10/63
14.5%
8/55
General disorders
Pyrexia
0.00%
0/65
1.7%
1/59
0.00%
0/63
5.5%
3/55
Immune system disorders
Hypersensitivity
4.6%
3/65
5.1%
3/59
3.2%
2/63
1.8%
1/55
Infections and infestations
Bronchitis
9.2%
6/65
5.1%
3/59
4.8%
3/63
9.1%
5/55
Infections and infestations
Gastroenteritis
3.1%
2/65
0.00%
0/59
0.00%
0/63
5.5%
3/55
Infections and infestations
Nasopharyngitis
29.2%
19/65
32.2%
19/59
22.2%
14/63
21.8%
12/55
Infections and infestations
Pharyngitis
1.5%
1/65
0.00%
0/59
0.00%
0/63
5.5%
3/55
Infections and infestations
Rhinitis
6.2%
4/65
1.7%
1/59
11.1%
7/63
3.6%
2/55
Infections and infestations
Sinusitis
4.6%
3/65
10.2%
6/59
3.2%
2/63
7.3%
4/55
Infections and infestations
Tonsillitis
0.00%
0/65
5.1%
3/59
6.3%
4/63
3.6%
2/55
Nervous system disorders
Headache
3.1%
2/65
6.8%
4/59
3.2%
2/63
7.3%
4/55
Respiratory, thoracic and mediastinal disorders
Asthma
6.2%
4/65
0.00%
0/59
7.9%
5/63
10.9%
6/55
Respiratory, thoracic and mediastinal disorders
Cough
7.7%
5/65
10.2%
6/59
6.3%
4/63
3.6%
2/55
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
6.2%
4/65
1.7%
1/59
7.9%
5/63
5.5%
3/55

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER