Efficacy and Safety Evaluation for the Treatment of Allergy Against Mites

NCT ID: NCT04435990

Last Updated: 2025-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-06

Study Completion Date

2026-12-31

Brief Summary

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A double-blinded, placebo-controlled, prospective, multicenter randomized of 2 active treatment groups, compared to 1 placebo group, for the determination of the efficacy and safety of subcutaneous immunotherapy in patients with rhinitis/rhinoconjunctivitis with or without asthma, sensitised to Dermatophagoides pteronyssinus and /or Dermatophagoides farinae.

Detailed Description

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Double blind, multicenter, parallel placebo controlled study. It includes 150 subjects sensitised to mites, from 12 to 65 years of age. Medication treatment of 1 year. The main outcome: CSMS

Conditions

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Rhinitis, Allergic Rhinoconjunctivitis Asthma, Allergic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, double-blind, placebo-controlled, multi centre, parallel-group study
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
During the trial, both the investigator and the included subjects will be unaware of the treatment each subject is receiving.

The person in charge of data analysis will also not know the treatment assigned to each subject until the database has been closed.

So that neither the subject nor the investigator knows what treatment each subject is receiving, all the trial medication is identical in terms of outer packaging and appearance.

Study Groups

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Experimental:10,000 MM09

10,000 TU/mL of subcutaneous immunotherapy

Group Type EXPERIMENTAL

10,000 MM09

Intervention Type BIOLOGICAL

Purified allergenic extract, and adsorbed in aluminum hydroxide and polymerized with glutaraldehyde, mite mixture (Dermatophagoides pteronyssinus and Dermatophagoides farinae) with a concentration of 10,000 UT / mL

Experimental: 30,000 MM09

30,000 TU/mL of subcutaneous immunotherapy

Group Type EXPERIMENTAL

30,000 MM09

Intervention Type BIOLOGICAL

Purified allergenic extract, and adsorbed in aluminum hydroxide and polymerized with glutaraldehyde, mite mixture (Dermatophagoides pteronyssinus and Dermatophagoides farinae). The concentration is 30,000 UT / mL

Placebo subcutaneous

The same solution and presentation as the active treatment, but without any active ingredients.

Group Type PLACEBO_COMPARATOR

Placebo subcutaneous

Intervention Type BIOLOGICAL

The same solution and presentation as the active treatment, but without active ingredients.

Interventions

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10,000 MM09

Purified allergenic extract, and adsorbed in aluminum hydroxide and polymerized with glutaraldehyde, mite mixture (Dermatophagoides pteronyssinus and Dermatophagoides farinae) with a concentration of 10,000 UT / mL

Intervention Type BIOLOGICAL

30,000 MM09

Purified allergenic extract, and adsorbed in aluminum hydroxide and polymerized with glutaraldehyde, mite mixture (Dermatophagoides pteronyssinus and Dermatophagoides farinae). The concentration is 30,000 UT / mL

Intervention Type BIOLOGICAL

Placebo subcutaneous

The same solution and presentation as the active treatment, but without active ingredients.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Written informed consent.
* Age between 12 and 65, both genders.
* Subjects with a confirmed clinical history of inhalant allergy (intermittent or persistent moderate-severe rhinitis and/or rhinoconjunctivitis according to the ARIA classification with or without intermittent or persistent mild-moderate controlled asthma according to the GEMA 5.0 definition) caused by allergy to Dermatophagoides pteronyssinus and/or Dermatophagoides farinae. The diagnosis of asthma will be valid from 12 months prior to signing the informed consent.
* Subjects with a positive skin prick-test wheal size \>5 mm higher diameter due to Dermatophagoides pteronyssinus and/or Dermatophagoides farinae. The positive and negative control of the test should give consistent results. The results will be valid 12 months prior to the signing of the informed consent.
* Specific immunoglobulin E against house dust mites \>3,5 KU/mL (InmunoCAP® o Immulite), for the complete extract of Dermatophagoides pteronyssinus and / or for Dermatophagoides farinae or for some of the molecular components of these allergenic sources
* Subjects should preferably be monosensitized to the study allergens. In case of subjects sensitized to other aeroallergens, only those with the following characteristics may be included in the study:

* Subjects with positive skin test to Blomia tropicalis and Lepidoglyphus destructor, whose specific IgE values do not exceed or equal the values for the study allergens. The maximum specific IgE value for these allergens is 3.5 KU/L.
* Subjects with positive skin tests to epithelia, as long as they present occasional exposure and symptomatology.
* Subjects with positive skin tests to pollens, whose specific IgE values do not exceed or equal the values of the allergens in the study and who do not present exacerbations during the pollen season. The maximum value of specific IgE for these allergens is 17.5 KU/L.
* Subjects with negative skin test for fungi
* Women of childbearing age (from menarche) must present a urine pregnancy test with a negative result at the time of joining the trial, before the first administration of the IMP.
* Women of childbearing age participating in the trial must agree to use an appropriate method of contraception, meaning any act, device, or medication to prevent conception or viable pregnancy, during the trial if they are sexually active.
* Subjects with a diagnosis of asthma according to the GEMA 5.0 guideline.
* Subjects capable of complying with the dosing regimen.
* Subjects who own an smartphone for symptom registration and medication

Exclusion Criteria

* Subjects who have received previous immunotherapy in the previous 5 years to dander, fungi, and mites.
* Subjects in whom immunotherapy may be subject to an absolute general contraindication according to the criteria of the Immunotherapy Committee of the Spanish Society of Allergy and Clinical Immunology and the European Allergy and Clinical Immunology Immunotherapy Subcommittee.
* Subjects with persistent severe or uncontrolled asthma, with an FEV1\<70% of baseline despite adequate pharmacological treatment at the time of inclusion in the trial. Also subjects with intermittent or persistent rhinitis/rhinoconjunctivitis with severe symptoms in whom oral or systemic antihistamine therapy is contraindicated.
* Subjects who have previously presented a serious secondary reaction during the performance of diagnostic skin tests using the prick test.
* Subjects under treatment with β-blockers.
* Clinically unstable subjects at the time of inclusion in the trial (acute asthma exacerbation, respiratory infection, feverish process, acute urticaria, etc.).
* Subjects with chronic active urticaria, severe dermographism, severe atopic dermatitis, sunburn, active psoriasis with lesions in areas where skin prick test will be performed, or a history of hereditary angioedema.
* Subjects with any other disease not related to moderate rhinoconjunctivitis or asthma, but of potential severity and that may interfere with treatment and follow-up (epilepsy, psychomotor impairment, uncontrolled diabetes, malformations, multiple surgeries, nephropathy).
* Subjects with autoimmune disease (thyroiditis, lupus, etc.), tumor diseases or with a diagnosis of immunodeficiencies.
* Subject whose condition prevents him/her from offering cooperation and/or who has serious mental illness.
* Subjects with a known allergy to other components of the investigational medicinal product other than the allergen.
* Subjects with diseases of the lower respiratory tract other than asthma such as emphysema or bronchiectasis.
* Direct investigator's relatives.
* Pregnant women or breastfeeding women.
Minimum Eligible Age

12 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BioClever 2005 S.L.

OTHER

Sponsor Role collaborator

Inmunotek S.L.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Francisco Moreno, MD

Role: STUDY_DIRECTOR

Centro Médico ASISA

Locations

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Hospital Provincial de Conxo

Santiago de Compostela, A Coruña, Spain

Site Status RECRUITING

IMED Elche

Elche, Alicante, Spain

Site Status RECRUITING

Hospital Universitario de Torrevieja

Torrevieja, Alicante, Spain

Site Status RECRUITING

Clinica Tecma

Valencia, Alzira, Spain

Site Status COMPLETED

Clinica Virgen del Rosario

Algeciras, Cadiz, Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital HLA Jerez Puerta Sur

Jerez de la Frontera, Cádiz, Spain

Site Status WITHDRAWN

Hospital Dr. Peset

Valencia, España, Spain

Site Status RECRUITING

Hospital General Universitario Santa Maria de Rosell

Cartagena, Murcia, Spain

Site Status WITHDRAWN

Hospital Rivera Povisa

Vigo, Pontevedra, Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital General Universitario Dr. Balmis

Alicante, , Spain

Site Status RECRUITING

Hospital Universitario San Juan de Alicante

Alicante, , Spain

Site Status RECRUITING

Clínica Dermatológica y Alergia

Badajoz, , Spain

Site Status RECRUITING

Hospital Quironsalud Clideba

Badajoz, , Spain

Site Status RECRUITING

Hospital Sant Pere Claver

Barcelona, , Spain

Site Status RECRUITING

Clínica Corachan

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitari Dexeus

Barcelona, , Spain

Site Status RECRUITING

Cenvi Medic

Barcelona, , Spain

Site Status RECRUITING

Allergocenter

Barcelona, , Spain

Site Status ACTIVE_NOT_RECRUITING

Clinica privada

Bilbao, , Spain

Site Status WITHDRAWN

Centro Médico ASISA Dr. Lobatón

Cadiz, , Spain

Site Status RECRUITING

Centro Médico Puerto

Cadiz, , Spain

Site Status RECRUITING

Hospital Quiron Salud Córdoba

Córdoba, , Spain

Site Status RECRUITING

Hospital Polusa

Lugo, , Spain

Site Status RECRUITING

Clinica privada

Málaga, , Spain

Site Status RECRUITING

Hospital Comarcal de Melilla

Melilla, , Spain

Site Status RECRUITING

Clinica Privada

Murcia, , Spain

Site Status NOT_YET_RECRUITING

Alergocantabria

Santander, , Spain

Site Status RECRUITING

Hospital Quiron Infanta Luisa

Seville, , Spain

Site Status RECRUITING

Clinica Lanuza

Valencia, , Spain

Site Status RECRUITING

Hospital Universitario Y Politecnico La Fe

Valencia, , Spain

Site Status RECRUITING

Clinica IMED

Valencia, , Spain

Site Status WITHDRAWN

Hospital de Sagunto

Valencia, , Spain

Site Status WITHDRAWN

Countries

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Spain

Central Contacts

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Miguel Casanovas, MD PhD

Role: CONTACT

+34916510010

Raquel Caballero, MD

Role: CONTACT

+34607600638

Facility Contacts

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Carmen Vidal, MD

Role: primary

+34 981 95 15 00

Eugenia Margarita Campos, MD

Role: primary

966915151

Dorimar Brugaletta, MD

Role: primary

965 69 55 00

Mª Carmen Pérez Francés, MD

Role: primary

+34963975150

Teodoriked Jimenez, MD

Role: primary

965 93 30 00

Mónica Antón, MD

Role: primary

965 16 94 00

Irán Sánchez Ramos, MD

Role: primary

924220562

Silvia Sánchez, MD

Role: primary

924 22 90 50

Helena Hermida, MD

Role: primary

934 42 39 03

César Alías, MD

Role: primary

932545800

Elena Botey, MD

Role: primary

932274747

Mario Tubella Martín, MD

Role: primary

934108895

Francisco Moreno, MD

Role: primary

+34956 29 21 00

Mª José Pereira González, MD

Role: primary

916748081

Ignacio García Núñez, MD

Role: primary

957410000

Joaquín Martín, MD

Role: primary

982222854

Manuel Barceló, MD

Role: primary

952120102

Arturo Ruiz, MD

Role: primary

952 67 00 00

Yulia Petryk, MD

Role: primary

968238621

Miguel Ángel Añó, MD

Role: primary

942760777

María Antonia Ortega Camarero, MD

Role: primary

954 33 01 00

Amparo Lanuza, MD

Role: primary

963923099

Miguel Tortajada, MD

Role: primary

961 24 40 00

References

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Piacentini GL, Vicentini L, Mazzi P, Chilosi M, Martinati L, Boner AL. Mite-antigen avoidance can reduce bronchial epithelial shedding in allergic asthmatic children. Clin Exp Allergy. 1998 May;28(5):561-7. doi: 10.1046/j.1365-2222.1998.00260.x.

Reference Type BACKGROUND
PMID: 9645592 (View on PubMed)

Yepes-Nunez JJ, Gomez C, Espinoza Y, Cardona R. [The impact of subcutaneous immunotherapy with Dermatophagoides farinae and Dermatophagoides pteronyssinus on the quality of life of patients with allergic rhinitis and asthma]. Biomedica. 2014 Apr-Jun;34(2):282-90. doi: 10.1590/S0120-41572014000200014. Spanish.

Reference Type BACKGROUND
PMID: 24967933 (View on PubMed)

Cardona R, Lopez E, Beltran J, Sanchez J. Safety of immunotherapy in patients with rhinitis, asthma or atopic dermatitis using an ultra-rush buildup. A retrospective study. Allergol Immunopathol (Madr). 2014 Mar-Apr;42(2):90-5. doi: 10.1016/j.aller.2012.07.005. Epub 2012 Dec 20.

Reference Type BACKGROUND
PMID: 23265265 (View on PubMed)

Bousquet J, Hejjaoui A, Clauzel AM, Guerin B, Dhivert H, Skassa-Brociek W, Michel FB. Specific immunotherapy with a standardized Dermatophagoides pteronyssinus extract. II. Prediction of efficacy of immunotherapy. J Allergy Clin Immunol. 1988 Dec;82(6):971-7. doi: 10.1016/0091-6749(88)90133-9.

Reference Type BACKGROUND
PMID: 3204255 (View on PubMed)

Branco Ferreira M, Spinola Santos A, Pereira Santos MC, Palma Carlos ML, Pereira Barbosa MA, Palma Carlos AG. Efficacy and safety of specific immunotherapy with a modified mite extract. Allergol Immunopathol (Madr). 2005 Mar-Apr;33(2):80-5. doi: 10.1157/13072918.

Reference Type BACKGROUND
PMID: 15808114 (View on PubMed)

Other Identifiers

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2018-004262-34

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MM09-SIT-023

Identifier Type: -

Identifier Source: org_study_id

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