Validation of Strasbourg Environmental Exposure Chamber ALYATEC in Mite Allergic Subjects With Asthma

NCT ID: NCT04663880

Last Updated: 2020-12-11

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

COMPLETED

Clinical Phase

NA

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-30

Study Completion Date

2017-02-15

Brief Summary

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This is a randomized, double blind, cross-over study designed to determine the concentration of airborne house dust mite allergen inducing bronchial response in asthmatic subjects allergic to mite, during allergen exposures in the Alyatec environmental exposure chamber (EEC).

The study was also designed to validate the specificity of the asthmatic reaction induced by exposure to airborne house dust mite allergen in Alyatec EEC.

Detailed Description

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Conditions

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Allergic Asthma Allergy to House Dust Allergy

Keywords

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Allergy Asthma House dust mite

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Randomized, double blind, cross-over study including two study groups
Primary Study Purpose

OTHER

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Asthmatic subjects allergic to house dust mite

24 subjects were randomized in a doubleblinded manner into six subgroups. All were exposed first to placebo then in cross over to three different Der p1 concentrations, respectively 15, 25, and 46 ng/m3.

Group Type EXPERIMENTAL

Exposure to placebo in EEC

Intervention Type OTHER

Patients are exposed to placebo (saline solution) in the EEC for 4h maximum

Exposure to three concentrations of HDM allergen in EEC

Intervention Type OTHER

Patients are exposed to different concentrations of airborne HDM allergen (Der p1) in the EEC for 4h maximum

Asthmatic subjects not allergic to house dust mite

13 subjects were exposed first to placebo then to Der p1 concentration of 25 ng/m3.

Group Type ACTIVE_COMPARATOR

Exposure to placebo in EEC

Intervention Type OTHER

Patients are exposed to placebo (saline solution) in the EEC for 4h maximum

Exposure to a single concentration of HDM allergen in EEC

Intervention Type OTHER

Patients are exposed to a single concentration of airborne HDM allergen (Der p1) in the EEC for 4h maximum

Interventions

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Exposure to placebo in EEC

Patients are exposed to placebo (saline solution) in the EEC for 4h maximum

Intervention Type OTHER

Exposure to three concentrations of HDM allergen in EEC

Patients are exposed to different concentrations of airborne HDM allergen (Der p1) in the EEC for 4h maximum

Intervention Type OTHER

Exposure to a single concentration of HDM allergen in EEC

Patients are exposed to a single concentration of airborne HDM allergen (Der p1) in the EEC for 4h maximum

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subjects having signed the informed consent
* Subjects affiliated to a social security scheme
* Positive metacholine test
* FEV1 value \> 70% of theoretical FEV1 value
* Asthma Control Test (ACT) ≥ 20/25 in 4 weeks prior to EEC exposure

Group A:

* Mild allergic asthma to HDM (GINA 1 or 2) with associated rhinitis and/or conjunctivitis.
* Positive skin prick-test to Dpt and Df (wheal diameter \>5 mm compared to the negative control)
* Specific immunoglobulin E (IgE) for Dpt and Df \> 0.7 kU/L

Group B:

* Mild allergic asthma (GINA 1 or 2) not sensitized to HDM with associated rhinitis and/or conjunctivitis.
* Negative skin prick-test and specific IgE for Dpt and Df.
* Positive skin prick-test and specific IgE for another allergen.

Exclusion Criteria

* Uncontrolled asthma
* Asthma Control Test (ACT) \< 20/25 in 4 weeks prior to EEC exposure
* Use of oral corticosteroids in the 4 weeks preceding inclusion in the study
* Use of biotherapy in the 4 months preceding inclusion in the study
* Existence of a severe obstructive syndrome with FEV1 \<70% of the theoretical value
* Obstruction triggered by spirometric evaluations
* Hospitalization for asthma or exacerbation in the last 4 weeks
* History of Acute Severe Asthma requiring hospitalization in intensive care or intubation
* Desensitization to dust mite allergens in the last 5 years
* Sensitization to allergens in the indoor environment (cat allergens or molds) with obvious exposure to these allergens
* Active tobacco: plus 10 cigarettes / day and tobacco history of +10 PA
* Uncontrolled systemic arterial hypertension
* Recent myocardial infarction (\<3 months)
* Recent stroke (\<3 months)
* Known arterial aneurysm
* Epilepsy under treatment
* Progressive tumor pathology
* Chronic renal pathology
* Hypersensitivity to one of the excipients used
* Subjects who participated in another clinical study in the three months prior to inclusion
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alyatec

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Frédéric de Blay, Pr.

Role: PRINCIPAL_INVESTIGATOR

Alyatec

Locations

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Alyatec

Strasbourg, Grand Est, France

Site Status

Countries

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France

References

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Khayath N, Doyen V, Gherasim A, Radu C, Choual I, Beck N, Jacob A, Schoettel F, Vecellio L, Domis N, de Blay F. Validation of Strasbourg environmental exposure chamber (EEC) ALYATEC(R) in mite allergic subjects with asthma. J Asthma. 2020 Feb;57(2):140-148. doi: 10.1080/02770903.2018.1563902. Epub 2019 Mar 28.

Reference Type RESULT
PMID: 30919704 (View on PubMed)

Related Links

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Other Identifiers

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ALY-001

Identifier Type: -

Identifier Source: org_study_id