Efficacy and Safety of SLIT in Patients With Rhinitis/RC With/Without Mild-moderate Asthma, Due to Dpt and/or Df

NCT ID: NCT07348302

Last Updated: 2026-01-16

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

736 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-02

Study Completion Date

2029-07-31

Brief Summary

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The goal of this clinical trial is to learn if MM09 works to treat patients allergic to house mites, displaying rhinitis/rhinoconjunctivitis with or without mild to moderate asthma. It will also learn about the safety of MM09. The main questions it aims to answer are:

Does MM09 reduce the symptoms and the need of rescue medication? What medical problems do participants have when inhaling MM09? Researchers will compare MM09 to a placebo (a look-alike substance that contains no drug) to see if MM09 works to treat rhinitis/rhinoconjunctivitis.

Detailed Description

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Sublingual MM09 is being investigated as an etiological treatment for moderate-to-severe allergic rhinitis and/or rhinoconjunctivitis (as classified by ARIA), with or without mild-to-moderate controlled allergic asthma (as defined by GINA 2022), caused by Dermatophagoides pteronyssinus and/or Dermatophagoides farinae. This prospective, randomized, double-blind, placebo-controlled, multicenter phase III clinical trial aims to assess the efficacy of sublingual MM09 at a dose of 30,000 TU/mL compared to placebo, administered over 12 months, in participants aged 12 to 65 years.

Conditions

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Rhinitis Rhinoconjunctivitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective, randomised, double-blind, placebo-controlled
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Control

Is a solution identical in composition to the active treatment, but without active ingredients

Group Type PLACEBO_COMPARATOR

Allergen Immunotherapy Extract

Intervention Type BIOLOGICAL

Sublingual spray, solution

Sublingual MM09

Active substance

Group Type EXPERIMENTAL

Allergen Immunotherapy Extract

Intervention Type BIOLOGICAL

Sublingual spray, solution

Interventions

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Allergen Immunotherapy Extract

Sublingual spray, solution

Intervention Type BIOLOGICAL

Other Intervention Names

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ORALTEK®

Eligibility Criteria

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Inclusion Criteria

1. Participants who have signed and dated Informed Consent Form (ICF).
2. Female or male aged 12 to 65 years, both included, at the time of signature of ICF.
3. Participants with confirmed clinical history of inhalation allergy with intermittent or persistent moderate-severe rhinitis/ rhinoconjunctivitis according to the ARIA classification(1) of at least 1 year of duration (treated with anti-allergic medication) with or without mild-moderate controlled intermittent or persistent asthma according to the definition of GINA 2022(2) caused by Dermatophagoides pteronyssinus and/or Dermatophagoides farinae.
4. Participants with positive skin prick test and a wheal major diameter ≥ 5 mm to a standardized allergen extract of Dermatophagoides pteronyssinus and/or Dermatophagoides farinae.
5. Women of childbearing age (i.e., following menarche and until postmenopause, defined as no menses for 12 months without an alternative medical cause, or non-subject to permanent sterilisation methods, such as hysterectomy, bilateral salpingectomy and bilateral oophorectomy) must have a serum pregnancy test negative result, and a confirmed menstrual period before enrolling the study.
6. Women of childbearing age must commit to using a highly effective contraception method during the trial and up to 1 month after the end of treatment with the investigational medicinal product (IMP). Such methods include: combined (estrogen and progestogen containing) hormonal, contraception. associated with inhibition of ovulation (oral, intravaginal or transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable), intrauterine device, intrauterine hormone-releasing system, male condom, diaphragm used with spermicide, bilateral tubal occlusion, vasectomized partner or sexual abstinence.
7. Participants capable of complying with dosage regimen.
8. Participants owning a smartphone to register symptoms and medication consumption.
9. Participants not sensitized to any other clinically relevant allergen or sensitized with the following characteristics (sensitization to other allergens will be assessed through skin prick test in Europe and LATAM and through IgE levels in China):

1. Participants sensitized to dander (with a positive skin prick test for dander or IgE ≥ 0.35 kU/L), provided that they have occasional exposure and symptoms.
2. Participants sensitized to endemic pollen (with a positive skin prick test or IgE ≥0.35 kU/L) will be scheduled to be included so that the pollen season does not coincide with the Baseline Evaluation Period nor with one month before and after the Main Evaluation Period. In LATAM, grass sensitized participants will not be included.
10. Participants not sensitized to moulds, cockroach, Blomia tropicalis or other geographically relevant mites (negative skin prick test or IgE \< 0.7 kU/L).
11. Participants with a RCSMS ≥ 3 out of 6 recorded for at least 10 days during the baseline evaluation period, corresponding to moderate-to-severe allergic rhinitis/rhinoconjunctivitis.
12. Participants with specific IgE against a complete extract of D. pteronyssinus and / or D. farinae or any of the molecular components of allergenic sources with a value ≥ 3.5kU/L.

Exclusion Criteria

1. Participants who have received previous immunotherapy to any of the tested allergen during the last 5 years or any desensitization process in the last 2 years (e.g., oral immunotherapy \[OIT\], milk, or egg) before the second screening visit (S2), or currently receiving immunotherapy with any other allergen.
2. Those cases in which allergen-specific immunotherapy (AIT) would be a contraindication according to the criteria of European Allergy and Clinical Immunology Immunotherapy Subcommittee.(3)
3. Asthmatic participants with forced expiratory volume in the first second (FEV1) \<80% (following at least a 6-hour washout of short-acting beta2 agonists \[SABA\] and 12-hour washout of long-acting beta2 agonists \[LABA\]) despite pharmacological treatment by the time of enrolment.
4. Participants with uncontrolled asthma, according to GINA 2022,(2) asthma with poor symptom control (frequent symptoms or reliever use, activity limited by asthma, night waking due to asthma) and/or frequent exacerbations (≥2/year) requiring oral corticosteroids (OCS), or serious exacerbations (≥1/year) requiring hospitalization.
5. Participants with severe asthma, according to GINA 2022,(2) on Step 4 or 5 treatment, who had poor symptom control and had good adherence and inhaler technique.
6. Participants on treatment with β-blockers or angiotensin-converting enzyme (ACE) inhibitor.
7. Participants on treatment with immunosuppressive or biological drugs.
8. Participants who had not had a long enough washout/withdrawal period at the first screening visit (S1) according to criteria in the study protocol (See Table 6 in section 9.5.3) before undergoing allergen diagnostic tests (skin prick test or IgE analysis).
9. Unstable participants who have suffered a respiratory tract infection and/or asthma exacerbation within 4 weeks prior to first screening visit (S1).
10. Participants who have suffered chronic urticaria, severe anaphylaxis, or with hereditary angioedema history within 2 years prior to the first screening visit (S1).
11. Participants having any contraindication for the use of adrenaline (e.g., hyperthyroidism, heart disease, or hypertension) according to the investigator's criteria.
12. Participants with other severe diseases not related to allergic rhinitis or asthma that could interfere with the study treatment or the follow-up.
13. Participants with severe and unresponsive to treatment autoimmune diseases (e.g., thyroiditis or lupus), tumoral diseases or immunodeficiencies.
14. Participants that could not comply with the study protocol, according to the investigator's criteria, or have a serious mental illness.
15. Participants with known allergy to any of the components of the study treatment other than study allergens.
16. Participants who had a complication(s) of any nasal disease (including nasal polyp, nasal septal deviation, and hypertrophic rhinitis, drug-induced rhinitis and/or non-allergic rhinitis) affecting an appropriate evaluation of the efficacy and/or safety, according to investigator's criteria.
17. Participants who had a nasal surgery within 6 months prior to the first screening visit (S1) or have programmed or anticipated nasal surgery during the trial period.
18. Participants with a lesion in the oral cavity that could confound the safety profile of the study treatment, according to the investigator's criteria.
19. Participants who required treatment with antihistamines and/or corticosteroids for other purposes than alleviating symptoms of allergic rhinitis (except temporal use for diseases such as common colds).
20. Participants with lower respiratory tract diseases different from asthma as emphysema, bronchiectasis, or chronic obstructive pulmonary disease.
21. Breastfeeding or pregnant women.
22. Participants who are immediate family members of the investigator.
23. Concurrent participation in other clinical trials or previous participation within 30 days prior to the first screening visit (S1).
24. Participants with history of serious systemic reactions, including food, Hymenoptera venom, medications, etc.
25. Participants expected to have marked changes (e.g., moving) in the circumstances of life during the study.
26. Participants who plan to start using anti-mite bedding or similar equipment during the study.
27. Participants who are considered inappropriate for the study, according to the investigator criteria.
Minimum Eligible Age

12 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Inmunotek S.L.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Raquel Caballero

Role: STUDY_CHAIR

Inmunotek S.L.

Locations

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Centro Médico Vitae

Nueve de Julio, Buenos Aires, Argentina

Site Status RECRUITING

Centro de Investigaciones Clínicas - Instituto de Especialidades de la Salud Rosario

Rosario, Santa Fe Province, Argentina

Site Status RECRUITING

Centro Respiratorio Infantil

Rosario, Santa Fe Province, Argentina

Site Status RECRUITING

Fundación CIDEA

Buenos Aires, , Argentina

Site Status ACTIVE_NOT_RECRUITING

Hospital Italiano de Buenos Aires

Buenos Aires, , Argentina

Site Status RECRUITING

Centro de Educación Medica de Investigaciones Clinicas "Norberto Quirno" (CEMIC)

Buenos Aires, , Argentina

Site Status RECRUITING

Beijing Tongren Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

The Third Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangzhou, China

Site Status RECRUITING

The First Affiliated Hospital, Sun Yat-sen University

Zhongshan, Guangzhou, China

Site Status NOT_YET_RECRUITING

The Third Xiangya Hospital of Central South University

Xiangya, Hunan, China

Site Status RECRUITING

Changzhou Third People's Hospital

Changzhou, Jiangsu, China

Site Status RECRUITING

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Site Status RECRUITING

Eye & ENT Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Tongji Hospital Tongji Medical College of HUST

Tongji, Wuhan, China

Site Status RECRUITING

Union Hospital Tongji Medical College of HUST

Huangzhou, , China

Site Status RECRUITING

Unidade de Local de Saúde de Santo António, E.P.E.

Porto, , Portugal

Site Status NOT_YET_RECRUITING

ULS Lezíria- Hospital Distrital de Santarém

Santarém, , Portugal

Site Status NOT_YET_RECRUITING

Hospital IMED Benidorm

Benidorm, Alicante, Spain

Site Status RECRUITING

Hospital General Universitario Dr. Balmis

Alicante, , Spain

Site Status ACTIVE_NOT_RECRUITING

Countries

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Argentina China Portugal Spain

Central Contacts

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Raquel Caballero

Role: CONTACT

+34 912 908 94

Facility Contacts

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Iris V Medina

Role: primary

+54 9 2317 47 4535

Ledit R Ardusso

Role: primary

+54 9 341 6426843

Gabriel Gattolin

Role: primary

+54 9342 473 6908

Claudio A Parisi

Role: primary

+54 911 5765 4081

Esteban I Garramone

Role: primary

+54 9 11 5299-0100

Luo Zhang

Role: primary

+86 13 911 189 954

Qintai Yang

Role: primary

+86 18 922 103 352

Role: backup

Rui Xu

Role: primary

+86 13 802 509 090

Guolin Tan

Role: primary

+86 13 873 187 823

Meiping Lu

Role: primary

+86 13 776 683 366

Yan Jiang

Role: primary

+86 13 256 875 886

Hongfei Lou

Role: primary

+86 15 210 295 496

Rongfei Zhu

Role: primary

+86 18 986 292 602

Jianjun Chen

Role: primary

+86 13 659 851 719

Diana Pinto

Role: primary

+351 222 077 500

José M Onofre

Role: primary

+351 243 300 200

Ana M Olano Rocha

Role: primary

+34 673 876 059

Other Identifiers

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MM09-SLG-058

Identifier Type: -

Identifier Source: org_study_id

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