Trial Outcomes & Findings for Safety and Efficacy on Phase III Study on 300 IR SLIT to Patients Suffering From Grass Pollen Rhinoconjunctivitis (NCT NCT00803244)

NCT ID: NCT00803244

Last Updated: 2016-05-25

Results Overview

The Adjusted Symptom Score (AdSS) is a subject-specific symptom score which is adjusted for rescue medication use. Participants assessed daily, during the pollen period while on treatment, 6 rhinoconjunctivitis symptoms (sneezing, rhinorrhea, nasal pruritus, nasal congestion, ocular pruritus and watery eyes) each symptom is scored as follows: 0: no symptoms, 1: mild symptoms, 2: moderate symptoms, 3: severe symptoms. The sum of the 6 symptoms is the Rhinoconjunctivitis Total Symptom Score (RTSS) (range 0-18). If the subject took rescue medication on a given day, the AdSS equals the RTSS of that day or the AdSS of the day before, whichever is higher. This adjustment applies to the day of rescue medication use and the following day. Like the RTSS, the AdSS ranges from 0 to 18. The lower the score, the better the outcome.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

381 participants

Primary outcome timeframe

Pollen period (average of 32.1 days)

Results posted on

2016-05-25

Participant Flow

First Patient First Visit 28 JAN 2009, Last Patient Last Visit 31 AUG 2009

Participant milestones

Participant milestones
Measure
300 IR
300 IR grass pollen allergen extract tablet
Placebo
Placebo tablet
Overall Study
STARTED
188
193
Overall Study
COMPLETED
181
178
Overall Study
NOT COMPLETED
7
15

Reasons for withdrawal

Reasons for withdrawal
Measure
300 IR
300 IR grass pollen allergen extract tablet
Placebo
Placebo tablet
Overall Study
Adverse Event
1
2
Overall Study
Withdrawal by Subject
2
3
Overall Study
Any other reason not above-mentioned
4
10

Baseline Characteristics

Safety and Efficacy on Phase III Study on 300 IR SLIT to Patients Suffering From Grass Pollen Rhinoconjunctivitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
300 IR
n=178 Participants
300 IR grass pollen allergen extract tablet
Placebo
n=185 Participants
Placebo tablet
Total
n=363 Participants
Total of all reporting groups
Age, Continuous
30.5 years
STANDARD_DEVIATION 10.53 • n=5 Participants
29.6 years
STANDARD_DEVIATION 9.87 • n=7 Participants
30.0 years
STANDARD_DEVIATION 10.20 • n=5 Participants
Sex: Female, Male
Female
77 Participants
n=5 Participants
79 Participants
n=7 Participants
156 Participants
n=5 Participants
Sex: Female, Male
Male
101 Participants
n=5 Participants
106 Participants
n=7 Participants
207 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Pollen period (average of 32.1 days)

Population: The Full Analysis Set included all patients who received at least one dose of the investigational product and had at least one Adjusted Symptom Score during the pollen period while on treatment.

The Adjusted Symptom Score (AdSS) is a subject-specific symptom score which is adjusted for rescue medication use. Participants assessed daily, during the pollen period while on treatment, 6 rhinoconjunctivitis symptoms (sneezing, rhinorrhea, nasal pruritus, nasal congestion, ocular pruritus and watery eyes) each symptom is scored as follows: 0: no symptoms, 1: mild symptoms, 2: moderate symptoms, 3: severe symptoms. The sum of the 6 symptoms is the Rhinoconjunctivitis Total Symptom Score (RTSS) (range 0-18). If the subject took rescue medication on a given day, the AdSS equals the RTSS of that day or the AdSS of the day before, whichever is higher. This adjustment applies to the day of rescue medication use and the following day. Like the RTSS, the AdSS ranges from 0 to 18. The lower the score, the better the outcome.

Outcome measures

Outcome measures
Measure
300 IR
n=178 Participants
300 IR grass pollen allergen extract tablet
Placebo
n=184 Participants
Placebo tablet
Average Adjusted Symptom Score (AAdSS)
5.58 Units on a scale (range: 0 to 18)
Standard Error 0.330
6.07 Units on a scale (range: 0 to 18)
Standard Error 0.335

POST_HOC outcome

Timeframe: Pollen period (average of 32.1 days)

Population: The Full Analysis Set included all patients who received at least one dose of the investigational product and had at least one Combined Score during the pollen period while on treatment.

The daily Combined Score (CS) is a patient specific score taking into account the patient's daily Rhinoconjunctivis Total Symptom Score (RTSS) and daily Rescue Medication Score (RMS), assuming equivalent importance of symptoms and rescue medication scores. The RMS (range 0-3) is derived as follows: 0, no rescue medication; 1, use of antihistamine; 2, use of nasal corticosteroid; 3, use of oral corticosteroid. The RTSS (range 0-18) is the sum of the 6 individual rhinoconjunctivitis symptom score (each symptom is scored as follows: 0: no symptoms, 1: mild symptoms, 2: moderate symptoms and 3: severe symptoms). The CS (range 0-3) = (RTSS/6 + RMS)/2. The lower the score, the better the outcome.

Outcome measures

Outcome measures
Measure
300 IR
n=178 Participants
300 IR grass pollen allergen extract tablet
Placebo
n=182 Participants
Placebo tablet
Combined Score (CS)
0.38 Units on a scale (range: 0 to 3)
Standard Error 0.038
0.48 Units on a scale (range: 0 to 3)
Standard Error 0.038

Adverse Events

300 IR

Serious events: 1 serious events
Other events: 110 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 63 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
300 IR
n=188 participants at risk
300 IR grass pollen allergen extract tablet
Placebo
n=193 participants at risk
Placebo tablet
Injury, poisoning and procedural complications
JOINT DISLOCATION
0.00%
0/188 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
0.52%
1/193 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
Injury, poisoning and procedural complications
TIBIA FRACTURE
0.53%
1/188 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
0.00%
0/193 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.

Other adverse events

Other adverse events
Measure
300 IR
n=188 participants at risk
300 IR grass pollen allergen extract tablet
Placebo
n=193 participants at risk
Placebo tablet
Gastrointestinal disorders
ORAL PRURITUS
31.9%
60/188 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
2.6%
5/193 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
Gastrointestinal disorders
OEDEMA MOUTH
6.9%
13/188 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
0.00%
0/193 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
Respiratory, thoracic and mediastinal disorders
THROAT IRRITATION
16.5%
31/188 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
4.7%
9/193 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
Respiratory, thoracic and mediastinal disorders
COUGH
4.8%
9/188 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
5.7%
11/193 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
Respiratory, thoracic and mediastinal disorders
ASTHMA
4.3%
8/188 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
6.2%
12/193 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
Nervous system disorders
HEADACHE
17.0%
32/188 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
16.6%
32/193 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
Infections and infestations
NASOPHARYNGITIS
5.9%
11/188 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.
3.1%
6/193 • 2 months before the pollen period until the end of the pollen period.
A treatment-emergent adverse event (TEAE) is defined as any AE that started on or after the first dose of the investigational product was administered and is ongoing, or ended on or after the first dose of the investigational product.

Additional Information

Laurence Paolozzi, Medical Director

Stallergenes

Phone: +33 (0) 1 55 59 26 33

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place