Trial Outcomes & Findings for Efficacy and Safety Study Of Short Ragweed Pollen Sublingual-Oral Immunotherapy (NCT NCT01353079)

NCT ID: NCT01353079

Last Updated: 2015-02-05

Results Overview

Change in baseline in avg combined daily RSS and medication scores during entire ragweed season in ITT population. Symptom score: sum of scores from 8 symptoms rated 0-3 (0=absent, 1=mild, 2=moderate, 3=severe), ocular (itchiness, swelling/redness, and watery eyes/tears), nasal (sneezing, itching, runny and stuffy nose), and ears (itching). Avg daily RSS computed by: (1) summing 8 individual allergy symptoms recorded in AM and PM; (2) forming daily RSS by summing AM and PM RSS for each day of ragweed season; (3) averaging daily RSS for entire ragweed season.Total allergy relief medication score computed by summing individual medication scores. Relief medication scores: 0-no medication taken; 1-using once daily oral antihistamine; 1-using once daily ocular antihistamine; 1-treatment with albuterol. Maximum medication score dependent on cumulative rescue medication use. Lower result is more favorable. Avg daily Combined Score Range: 0 (min) - 51 (max); lower score was more favorable.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

429 participants

Primary outcome timeframe

2011 ragweed pollen season, 8/2011 -10/2011

Results posted on

2015-02-05

Participant Flow

Participant milestones

Participant milestones
Measure
Short Ragweed Pollen Allergenic Extract
Allergy Immunotherapy: Daily administration of Ragweed Allergenic Extract up to 42 U Amb a 1 for a minimum of 8 week prior to the ragweed pollen season. Short Ragweed Allergenic Extract: Active-Short Ragweed Allergenic Extract sublingual
Glycero-COCAs
Placebo-Glycero-COCAs sublingual
Overall Study
STARTED
218
211
Overall Study
COMPLETED
191
190
Overall Study
NOT COMPLETED
27
21

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy and Safety Study Of Short Ragweed Pollen Sublingual-Oral Immunotherapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ragweed Allergenic Extract
n=218 Participants
Allergy Immunotherapy: Daily administration of Ragweed Allergenic Extract up to 42 U Amb a 1 for a minimum of 8 weeks prior to the ragweed pollen season. Short Ragweed Allergenic Extract: Active-Short Ragweed Allergenic Extract sublingual
Glycero-COCAs
n=211 Participants
Placebo: Glycero-COCAS sublingual
Total
n=429 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
218 Participants
n=93 Participants
211 Participants
n=4 Participants
429 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Sex: Female, Male
Female
127 Participants
n=93 Participants
117 Participants
n=4 Participants
244 Participants
n=27 Participants
Sex: Female, Male
Male
91 Participants
n=93 Participants
94 Participants
n=4 Participants
185 Participants
n=27 Participants

PRIMARY outcome

Timeframe: 2011 ragweed pollen season, 8/2011 -10/2011

Population: ITT population includes subjects who had at least one post treatment efficacy measurement

Change in baseline in avg combined daily RSS and medication scores during entire ragweed season in ITT population. Symptom score: sum of scores from 8 symptoms rated 0-3 (0=absent, 1=mild, 2=moderate, 3=severe), ocular (itchiness, swelling/redness, and watery eyes/tears), nasal (sneezing, itching, runny and stuffy nose), and ears (itching). Avg daily RSS computed by: (1) summing 8 individual allergy symptoms recorded in AM and PM; (2) forming daily RSS by summing AM and PM RSS for each day of ragweed season; (3) averaging daily RSS for entire ragweed season.Total allergy relief medication score computed by summing individual medication scores. Relief medication scores: 0-no medication taken; 1-using once daily oral antihistamine; 1-using once daily ocular antihistamine; 1-treatment with albuterol. Maximum medication score dependent on cumulative rescue medication use. Lower result is more favorable. Avg daily Combined Score Range: 0 (min) - 51 (max); lower score was more favorable.

Outcome measures

Outcome measures
Measure
Ragweed Allergenic Extract
n=196 Participants
Allergy Immunotherapy: Daily sublingual administration of ragweed allergenic extract up to 42 U Amb a 1 for a minimum of 8 weeks prior to the ragweed pollen season. Short Ragweed Allergenic Extract: Active-Short Ragweed Allergenic Extract sublingual
Placebo (Glycero-Cocas)
n=193 Participants
Placebo: Glycero-COCAs sublingual
Scores on a Scale [Net Average Combined Daily Rhinoconjunctivitis Symptom (RSS) and Medication Scores]
0.853 Scores on a scale
Standard Deviation 1.64
1.687 Scores on a scale
Standard Deviation 2.40

SECONDARY outcome

Timeframe: 3 peak weeks of the 2011 ragweed pollen season

Population: ITT population includes subjects who had at least one post treatment efficacy measurement. This analysis includes subjects the met the ITT criteria excluding those subjects that did not have either a combined symptom/medication score or RSS during the three peak weeks of the ragweed pollen season.

Symptom score: sum of scores from 8 symptoms rated 0-3 (0=absent, 1=mild, 2=moderate, 3=severe), ocular (itchiness, swelling/redness, watery eyes/tears), nasal (sneezing, itching, runny, stuffy nose), and ears (itching). Avg daily RSS computed by summing 8 individual allergy symptoms recorded in AM and PM; forming daily RSS by summing AM and PM RSS for each day; averaging daily RSS for three peak weeks. Total allergy relief medication score computed by summing individual medication scores. Relief medication scores: 0-no medication taken; 1-using once daily oral antihistamine; 1-using once daily ocular antihistamine; 1-treatment with albuterol. Max medication score dependent on cumulative rescue medication use. Lower result, more favorable. Three peak weeks of ragweed pollen counts during entire ragweed season was contiguous and calculated using a moving average of ragweed pollen counts for each week. Avg daily Combined Score Range: 0 (min) - 51 (max); lower score was more favorable.

Outcome measures

Outcome measures
Measure
Ragweed Allergenic Extract
n=192 Participants
Allergy Immunotherapy: Daily sublingual administration of ragweed allergenic extract up to 42 U Amb a 1 for a minimum of 8 weeks prior to the ragweed pollen season. Short Ragweed Allergenic Extract: Active-Short Ragweed Allergenic Extract sublingual
Placebo (Glycero-Cocas)
n=192 Participants
Placebo: Glycero-COCAs sublingual
Scores on a Scale (Net Average Combined Daily Rhinoconjunctivitis Symptom and Medication Scores Reported During the Three Peak Weeks of Ragweed Pollen Season)
1.374 Scores on a scale
Standard Deviation 2.10
2.231 Scores on a scale
Standard Deviation 3.20

SECONDARY outcome

Timeframe: 2011 ragweed pollen season; 8/2011 - 10/2011

Population: ITT population includes subjects who had at least one post treatment efficacy measurement

Change in baseline in avg daily RSS during entire ragweed season in ITT population. Symptom score: sum of scores from 8 symptoms rated 0-3 (0=absent, 1=mild, 2=moderate, 3=severe), ocular (itchiness, swelling/redness, and watery eyes/tears), nasal (sneezing, itching, runny and stuffy nose), and ears (itching). Avg daily RSS Total Score Range: 0 (min) - 48 (max); lower score was more favorable. Avg daily RSS computed by: (1) summing 8 individual allergy symptoms recorded in AM and PM; (2) forming daily RSS by summing AM and PM RSS for each day of ragweed season; (3) averaging daily RSS for entire ragweed season.

Outcome measures

Outcome measures
Measure
Ragweed Allergenic Extract
n=196 Participants
Allergy Immunotherapy: Daily sublingual administration of ragweed allergenic extract up to 42 U Amb a 1 for a minimum of 8 weeks prior to the ragweed pollen season. Short Ragweed Allergenic Extract: Active-Short Ragweed Allergenic Extract sublingual
Placebo (Glycero-Cocas)
n=193 Participants
Placebo: Glycero-COCAs sublingual
Scores of a Scale (Average Daily Rhinoconjunctivitis Symptom Scores During the Entire Ragweed Pollen Season)
0.830 Scores on a scale
Standard Deviation 1.56
1.601 Scores on a scale
Standard Deviation 2.29

SECONDARY outcome

Timeframe: 3 peak weeks of the 2011 ragweed pollen season

Population: ITT population includes subjects who had at least one post treatment efficacy measurement. This analysis includes subjects the met the ITT criteria excluding those subjects that did not have either a combined symptom/medication score or RSS during the three peak weeks of the ragweed pollen season.

Change from baseline in avg daily rhinoconjunctivitis symptom scores during the three peak weeks of ragweed pollen season for the ITT population (netpRSS). Symptom score: sum of scores from 8 symptoms rated 0-3 (0=absent, 1=mild, 2=moderate, 3=severe), ocular (itchiness, swelling/redness, and watery eyes/tears), nasal (sneezing, itching, runny and stuffy nose), and ears (itching). Avg daily RSS Total Score Range: 0 (min) - 48 (max); lower score was more favorable. Avg daily RSS computed by: (1) summing 8 individual allergy symptoms recorded in AM and PM; (2) forming daily RSS by summing AM and PM RSS for each day of ragweed season; (3) averaging daily RSS for three peak weeks of ragweed pollen season.

Outcome measures

Outcome measures
Measure
Ragweed Allergenic Extract
n=192 Participants
Allergy Immunotherapy: Daily sublingual administration of ragweed allergenic extract up to 42 U Amb a 1 for a minimum of 8 weeks prior to the ragweed pollen season. Short Ragweed Allergenic Extract: Active-Short Ragweed Allergenic Extract sublingual
Placebo (Glycero-Cocas)
n=192 Participants
Placebo: Glycero-COCAs sublingual
Scores on a Scale (Average Daily Rhinoconjunctivitis Symptom Scores During the Three Peak Weeks of Ragweed Pollen Season)
1.318 Scores on a scale
Standard Deviation 1.99
2.105 Scores on a scale
Standard Deviation 3.01

Adverse Events

Ragweed Allergenic Extract

Serious events: 2 serious events
Other events: 28 other events
Deaths: 0 deaths

Glycero-Cocas

Serious events: 3 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ragweed Allergenic Extract
n=218 participants at risk
allergy immunotherapy: Daily administration of ragweed allergenic extract up to 42U Amb a 1 for a minimum of 8 week prior to the ragweed pollen season. placebo and short ragweed allergenic extract: Active- short ragweed allergenic extract sublingual Placebo-Glycero-Cocas sublingual
Glycero-Cocas
n=211 participants at risk
placebo and short ragweed allergenic extract: Active- short ragweed allergenic extract sublingual Placebo-Glycero-Cocas sublingual
Gastrointestinal disorders
Abdominal pain
0.00%
0/218
0.47%
1/211 • Number of events 1
Gastrointestinal disorders
Nausea
0.00%
0/218
0.47%
1/211 • Number of events 1
Metabolism and nutrition disorders
Dehydration
0.00%
0/218
0.47%
1/211 • Number of events 1
Gastrointestinal disorders
Vomiting
0.00%
0/218
0.47%
1/211 • Number of events 1
Renal and urinary disorders
Nephrolithiasis
0.00%
0/218
0.47%
1/211 • Number of events 1
Cardiac disorders
Cardiac failure congestive
0.00%
0/218
0.47%
1/211
Surgical and medical procedures
Surgery
0.46%
1/218 • Number of events 1
0.00%
0/211
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.46%
1/218 • Number of events 1
0.00%
0/211

Other adverse events

Other adverse events
Measure
Ragweed Allergenic Extract
n=218 participants at risk
allergy immunotherapy: Daily administration of ragweed allergenic extract up to 42U Amb a 1 for a minimum of 8 week prior to the ragweed pollen season. placebo and short ragweed allergenic extract: Active- short ragweed allergenic extract sublingual Placebo-Glycero-Cocas sublingual
Glycero-Cocas
n=211 participants at risk
placebo and short ragweed allergenic extract: Active- short ragweed allergenic extract sublingual Placebo-Glycero-Cocas sublingual
Infections and infestations
Upper Respiratory Tract Infection
5.0%
11/218 • Number of events 11
10.4%
22/211 • Number of events 22
Nervous system disorders
Headache
7.8%
17/218 • Number of events 17
8.1%
17/211 • Number of events 17

Additional Information

Terrance Coyne, M.D., Executive Vice President of Research & Development; Chief Medical Officer

GREER Laboratories, Inc.

Phone: (828) 759-7495

Results disclosure agreements

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

Restriction type: LTE60