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RhinitisPhase 2MG56NCT02654223

Dose Finding for the Treatment of Rhinitis/Rhinoconjunctivitis Against Grass Pollen Allergy

A Phase 2 study testing MG56 Mannosylated 500 subcutaneous, MG56 Mannosylated 1000 subcutaneous and MG56 Mannosylated 3000 subcutaneous in people with Rhinitis and Rhinoconjunctivitis, run by Inmunotek S.L. at 12 sites in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to evaluate the more efficient dose for the treatment of rhinitis/rhinoconjunctivitis against grass pollen allergy Read more about this study

Who is it for?
Ages 14 to 65 years
Conditions the study is for
Rhinitis, Rhinoconjunctivitis
What is being tested?
MG56 Mannosylated 500 subcutaneous, MG56 Mannosylated 1000 subcutaneous and MG56 Mannosylated 3000 subcutaneous
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
180 participants
Where
12 sitesSpain
Study dates
30 Dec 2015to Nov 2021
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 14 to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Written informed consent
  • Positive suggestive clinical history of intermittent or persistent moderate to severe rhinitis /rhinoconjunctivitis, with or without moderate asthma, due to grass pollen allergy
  • Subjects with a positive skin prick-test (wheal sixe >6 mm diameter) Specific immunoglobulin E (IgE, CAP >3) to grass pollen
  • Age between 14 and 65 years
  • Both genders
  • Subjects capable of giving informed consent
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  • Subjects capable of complying with the dosing regimen
  • Subjects that have not received immunotherapy in the last 5 years
  • Subjects presenting sensitization to another aeroallergens and or mites, cats or dogs, but that is considered clinically not relevant or no clinical interference with the nasal provocation test.

Who cannot join

  • Subjects outside of the age range.
  • Subjects who have previously received immunotherapy for the treatment of the allergic rhinitis/rhinoconjunctivitis due to grass pollen and other allergens in the last 5 years.
  • Subjects that immunotherapy may be an absolute contraindication according to the criteria of the immunotherapy Committee of the Spanish society of Allergy and Clinical Immunology, and of the European Allergy and Clinical Immunology Immunotherapy Subcommittee may also include.
  • Subjects with important symptoms of rhinoconjunctivitis /bronchial asthma in which the suspension of the systemic antihistamine treatment is contraindicated.
  • Subjects with persistent severe or not controlled asthma , with a forced expiratory volume (FEV) < 70 respect to the reference value in spite of the appropriate pharmacological treatment at the time of the inclusion in the trial.
  • Subjects that have required oral corticosteroids in the 12 weeks previous to the inclusion in the trial.
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  • Subjects that have previously submitted a serious secondary reaction during the skin prick test
  • Subjects in treatment with beta blockers.
  • Unstable subjects from the clinical point of view (respiratory infection, febrile, acute urticaria, etc.) at the time of the inclusion in the clinical trial
  • Subject with chronic urticaria in the last 2 years or hereditary angioedema.
  • Subjects that have some pathology (hyperthyroidism, hypertension, heart disease, etc.) is contraindicated.
  • Subjects with any other disease not associated with the rhinitis/rhinoconjunctivitis, but of potential severity and that could interfere with treatment and follow-up (epilepsy, psychomotor deterioration, diabetes, malformations, multi-operated, kidney diseases,...).
  • Subjects with autoimmune disease (lupus, thyroiditis, etc.), tumor or with diagnosis of immunodeficiency diseases.
  • Subject whose status prevents him from providing cooperation and or which present severe psychiatric disorders.
  • Subject with known allergy to other components of the vaccine different from pollen of grasses.
  • Subjects with lower airway diseases other than asthma such as emphysema or bronchiectasis.
  • Direct investigator's relatives.
  • Pregnant or women at risk of pregnancy and breastfeeding women.

Trial locations and contacts

12 sites in 1 country.

12 sites in 1 country

Spain12 sites
  • Clínica Atlas

    Aranjuez, Madrid, 28300

  • Hospital Nisa Aljarafe

    Castilleja de la Cuesta, Sevilla, 41950

  • Hospital San Agustín

    Dos Hermanas, Sevilla, 41703

  • CLÍNICA Dr. SUBIZA

    Madrid, 28006

  • Clínica Ojeda

    Madrid, 28006

  • Hospital Universitario Ramón y Cajal

    Madrid, 28034

  • HOSPITAL UNIVERSITARIO 12 de OCTUBRE

    Madrid, 28041

  • Hospital Universitario Puerta de Hierro

    Majadahonda, Madrid, 28222

  • Hospital Universitario Virgen Macarena

    Seville, 41009

  • Hospital Viamed Santa Angola de la Cruz

    Seville, 41013

  • Hospital Universitario Infanta Elena

    Valdemoro, Madrid, 28342

  • Clínica Alianza Médica

    Valladolid, 47001

Other trials in Spain

About this study

Official title: Double Blind, Placebo-controlled, Dose Finding, Prospective, Multicenter Clinical Trial for the Treatment of Rhinitis/Rhinoconjunctivitis Against Grass Pollen Allergy

The purpose of the study is to evaluate the more efficient dose for the treatment of rhinitis/rhinoconjunctivitis against grass pollen allergy

Read the detailed description

Double blind placebo-controlled study. The subjects will receive medication during 4 months.

Being tested
MG56 Mannosylated 500 subcutaneous, MG56 Mannosylated 1000 subcutaneous, MG56 Mannosylated 3000 subcutaneous, MG56 Mannosylated 5000 subcutaneous, MG56 Mannosylated 500 sublingual
Keywords
Rhinitis / Rhinoconjunctivitis, Vaccine, Immunotherapy, Grass pollen, Allergy
Medical subject headings
Rhinitis, Hypersensitivity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MG56 Mannosylated 500 subcutaneousBiological

    Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 500 mTU (Mannosylated Therapeutic Units)/ml subcutaneous

  • MG56 Mannosylated 1000 subcutaneousBiological

    Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 1000 mTU (Mannosylated Therapeutic Units)/ml subcutaneous

  • MG56 Mannosylated 3000 subcutaneousBiological

    Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 3000 mTU (Mannosylated Therapeutic Units)/ml subcutaneous

  • MG56 Mannosylated 5000 subcutaneousBiological

    Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 5000 mTU (Mannosylated Therapeutic Units)/ml subcutaneous

  • MG56 Mannosylated 500 sublingualBiological

    Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 500 mTU (Mannosylated Therapeutic Units)/ml sublingual

  • MG56 Mannosylated 1000 sublingualBiological

    Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 1000 mTU (Mannosylated Therapeutic Units)/ml sublingual

  • MG56 Mannosylated 3000 sublingualBiological

    Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 3000 mTU (Mannosylated Therapeutic Units)/ml sublingual

  • MG56 Mannosylated 5000 sublingualBiological

    Mixture of the following pollens: Phleum pratense, Dactylis glomerata, allergen extract with a concentration of 5000 mTU (Mannosylated Therapeutic Units)/ml sublingual

  • Subcutaneous placeboBiological

    Comparison between placebo and active group

  • Sublingual placeboBiological

    Comparison between placebo and active group

Study groups in NCT02654223
Study groupRoleWhat they receive
MG56 Mannosylated 500 subcutaneousExperimental500 mTU/mL of subcutaneous immunotherapy and sublingual placebo.
Receives: Biological: MG56 Mannosylated 500 subcutaneous; Biological: Sublingual placebo
MG56 Mannosylated 1000 subcutaneousExperimental1000 mTU/mL of subcutaneous immunotherapy and sublingual placebo.
Receives: Biological: MG56 Mannosylated 1000 subcutaneous; Biological: Sublingual placebo
MG56 Mannosylated 3000 subcutaneousExperimental3000 mTU/mL of subcutaneous immunotherapy and sublingual placebo.
Receives: Biological: MG56 Mannosylated 3000 subcutaneous; Biological: Sublingual placebo
MG56 Mannosylated 5000 subcutaneousExperimental5000 mTU/mL of subcutaneous immunotherapy and sublingual placebo.
Receives: Biological: MG56 Mannosylated 5000 subcutaneous; Biological: Sublingual placebo
MG56 Mannosylated 500 sublingualExperimental500 mTU/mL of sublingual immunotherapy and subcutaneous placebo.
Receives: Biological: MG56 Mannosylated 500 sublingual; Biological: Subcutaneous placebo
MG56 Mannosylated 1000 sublingualExperimental1000 mTU/mL of sublingual immunotherapy and subcutaneous placebo.
Receives: Biological: MG56 Mannosylated 1000 sublingual; Biological: Subcutaneous placebo
MG56 Mannosylated 3000 sublingualExperimental3000 mTU/mL of sublingual immunotherapy and subcutaneous placebo.
Receives: Biological: MG56 Mannosylated 3000 sublingual; Biological: Subcutaneous placebo
MG56 Mannosylated 5000 sublingualExperimental5000 mTU/mL of sublingual immunotherapy and subcutaneous placebo.
Receives: Biological: MG56 Mannosylated 5000 sublingual; Biological: Subcutaneous placebo
Placebo Sublingual Placebo subcutaneousPlacebo comparatorSublingual and subcutaneous placebo.
Receives: Biological: Subcutaneous placebo; Biological: Sublingual placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Concentration required to elicit a positive response after nasal provocation test (NPT)

    Change in the threshold concentration of grass allergen extract, measured in Histamine Equivalent Prick per ml (HEP/ml), needed to trigger a positive response after nasal provocation test (NPT) assessed by acoustic rhinometry.

    This will be compared between the beginning and end of the trial and among active groups and placebo.

    Measured: 4 months

Secondary outcomes (5)
  1. Dose finding skin prick test

    Comparison between the beginning and end of the trial and among active groups and placebo

    Measured: 4 months

  2. Cytokine production by T cells specific allergen

    Comparison between the beginning and end of the trial and among active groups and placebo

    Measured: 4 months

  3. Immunoglobulin production by B cells specific allergen

    Comparison between the beginning and end of the trial and among active groups and placebo

    Measured: 4 months

  4. Phenotypic and functional analysis of dendritic cells

    Will be analyzed changes in the frequency of plasmacytoid dendritic cells, myeloid dendritic cell and Treg cells in peripheral blood, between the beginning and end of the trial and among active groups and placebo

    The frequencies of peripheral blood mononuclear cells in each of the above populations is determined before and after treatment with mannosylated polymers by flow cytometry after staining with specific antibodies.

    Measured: 4 months

  5. Number of participants with treatment-related adverse events as assessed by MG56-SIT-012

    Comparison between the beginning and end of the trial and among active groups and placebo

    Measured: 4 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jan 2016 (estimated)
  2. Study start30 Dec 2015
  3. Primary completionNov 2021
  4. Study completionNov 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Screening
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02654223
Sponsor's protocol ID
MG56-SIT-012
Other IDs
2014-005471-88, 2014
Acronym
MG56
Status last verified
Jan 2022
First submitted
22 Dec 2015
Last updated
27 Jan 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ojeda P, Barjau MC, Subiza J, Moreno A, Ojeda I, Solano E, Alonso A, Caballero R, Del Pozo S, Gomez-Perosanz M, Sanchez-Trincado JL, Benito-Villalvilla C, Angelina A, Soria I, Reche PA, Palomares O, Subiza JL, Casanovas M. Grass pollen allergoids conjugated with mannan for subcutaneous and sublingual immunotherapy: a dose-finding study. Front Immunol. 2024 Jun 26;15:1431351. doi: 10.3389/fimmu.2024.1431351. eCollection 2024.

    PubMed 38989287

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MG56 Mannosylated 500 subcutaneous, MG56 Mannosylated 1000 subcutaneous and MG56 Mannosylated 3000 subcutaneous in people with Rhinitis and Rhinoconjunctivitis, run by Inmunotek S.L. at 12 sites in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Concentration required to elicit a positive response after nasal provocation test (NPT) (time frame: 4 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02654223, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2022.

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