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Rhinitis, Allergic, SeasonalPhase 2NCT03101267

A Dose-finding Study of ASP4070

A Phase 2 study testing ASP4070 in people with Rhinitis, Allergic, Seasonal, run by Astellas Pharma Inc at 1 site in Japan.

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 objective of this study was to evaluate the efficacy, safety, and dose-response of ASP4070 vaccinated in patients with cedar pollinosis. Read more about this study

Who is it for?
Ages 20 to 64 years
Conditions the study is for
Rhinitis, Allergic, Seasonal
What is being tested?
ASP4070
Type of treatment
Vaccines
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
150 participants
Where
1 siteJapan
Study dates
13 Apr 2017to 27 Oct 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 20 to 64 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Subject who has exhibited symptoms of cedar pollinosis, consisting of nasal symptoms (sneezing, nasal discharge or nasal obstruction) and eye symptoms (itchy eyes or watery eyes) during the pollen dispersal seasons in 2016 and 2017
  • Subject who is positive for the Japanese red cedar (JRC) pollen-specific serum IgE antibody test
  • At screening, subject whose score has worsened compared to baseline over 120 to 180 minutes after cedar pollen exposure in a chamber

Who cannot join

  • Subject who has positive the test result of serum IgE antibody specific to other antigen than JRC pollen at screening
  • Subject who has received specific immunotherapy (including desensitization therapy) for cedar pollinosis in the past
  • Subject who has received specific or non-specific immunotherapy within 5 years prior to screening
  • Subject who has received laser therapy or surgery for the treatment of nasal symptoms within 3 years prior to screening.
  • Subject who has a history of allergic reactions such as anaphylactic shock and exanthema generalized caused by food and/or medical products in the past
  • Subject who has a positive test result for hepatitis B surface (HBs) antigen or anti-hepatitis C virus (HCV) antibody
Show all 19Show fewer
  • Subject who has nasal disease that may interfere with the evaluation
  • Subject who has autoimmune disease or other serious primary disease
  • Subject who was diagnosed with immunodeficiency in the past
  • Subject who has a complication of seasonal allergic rhinitis (due to allergens other than Japanese cedars or cypress), perennial allergic rhinitis, rhinitis medicamentosa, or non-allergic rhinitis that requires medical treatment
  • Subject who has a complication of cardiovascular disease
  • Subject who has a complication of hepatic disease
  • Subject who has a complication of renal disease
  • Subject who has a complication of respiratory disease
  • Subject has a complication of malignant tumor or has been diagnosed with or has received treatment for malignant tumor within 5 years prior to the first vaccination of the study drug
  • Subject who was diagnosed with schizophrenia, other mental conditions
  • Subject who has a complication that may have an impact on the results of the local or systemic reaction
  • Subject who has received a vaccination of Cry j 2-LAMP vaccine
  • Subject who has participated in a clinical study of ASP4070 and received a vaccination of the study drug.

Trial locations and contacts

1 site in 1 country.

Japan1 site
  • Site JP00001

    Shinjuku, Tokyo

Other trials in Japan

About this study

Official title: Phase 2 Dose-finding Study of ASP4070 - A Randomized, Double-blind, Placebo-controlled, Dose-finding Study in Patients With Cedar Pollinosis Using an Environmental Exposure Chamber -

The objective of this study was to evaluate the efficacy, safety, and dose-response of ASP4070 vaccinated in patients with cedar pollinosis.

Read the detailed description

Subjects were vaccinated with ASP4070 or placebo at 2 week intervals. Clinical symptoms were evaluated after cedar pollen exposure in a chamber at 4, 8 and 12 weeks after the last vaccination to identify the timing of the onset of therapeutic effect.

Being tested
ASP4070, Placebo
Keywords
Cedar pollinosis, ASP4070, DNA plasmid vaccine
Medical subject headings
Rhinitis, Allergic, Seasonal

What participants receive

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

  • ASP4070Drug

    Intradermal vaccination at 2-week intervals

  • PlaceboDrug

    Intradermal vaccination at 2-week intervals

Study groups in NCT03101267
Study groupRoleWhat they receive
ASP4070 4 mgExperimentalParticipants received ASP4070 4 mg 8 times by intradermal vaccination at 14-day intervals.
Receives: Drug: ASP4070
ASP4070 1 mgExperimentalParticipants received ASP4070 1 mg 8 times by intradermal vaccination at 14-day intervals.
Receives: Drug: ASP4070
PlaceboPlacebo comparatorParticipants received Placebo 8 times by intradermal vaccination at 14-day intervals.
Receives: Drug: Placebo

What is being measured

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

  1. Change From Pre-Exposure in Mean Total 3 Nasal Symptom Score (3TNSS) 120 to 180 Minutes After Start of Cedar Pollen Exposure on Day 183

    Participants were assessed for each symptom (sneezing, nasal discharge and nasal congestion) using the following score every 15 minutes from before cedar pollen exposure until 180 minutes after cedar pollen exposure.

    0: None (no symptoms)

    1. Mild (symptoms present but easily tolerated)
    2. Moderate (awareness of symptoms; bothersome, but tolerable)
    3. Severe (definite awareness of symptoms; difficult to tolerate, but does not interfere with the activities of daily living)
    4. Very severe (difficult to tolerate and interferes with the activities of daily living).

    3TNSS was a summed score of each symptom, and mean of 3TNSS at 120 to 180 min is the average of 5 timepoints of 3TNSS score, which ranged from 0 to 12. Higher 3TNSS score indicated greater disease activity.

    Measured: Day 183 at pre-exposure and 120 to 180 minutes after the start of cedar pollen exposure (5 samples 15 minutes apart)

Secondary outcomes (15)
  1. Change From Pre-Exposure in Mean Total 4 Nasal Symptom Score (4TNSS) 120 to 180 Minutes After Cedar Pollen Exposure

    Participants were assessed for each symptom (sneezing, nasal discharge, nasal congestion and itchy nose) using the following score every 15 minutes from before cedar pollen exposure until 180 minutes after cedar pollen exposure.

    0: None (no symptoms)

    1. Mild (symptoms present but easily tolerated)
    2. Moderate (awareness of symptoms; bothersome, but tolerable)
    3. Severe (definite awareness of symptoms; difficult to tolerate, but did not interfere with the activities of daily living)
    4. Very severe (difficult to tolerate and interfered with the activities of daily living). 4TNSS was a summed score of each symptom, and mean of 4TNSS at 120 to 180 min is the average of 5 timepoints of 4TNSS score, which ranged from 0 to 16. Higher 4TNSS score indicated greater disease activity.

    Measured: Pre-exposure and 120-180 minutes after the start of pollen exposure (5 samples 15 minutes apart) on Days 127, 155, and 183

  2. Change From Pre-Exposure in Sneezing Score 120 to 180 Minutes After Cedar Pollen Exposure

    Participants were assessed for sneezing using the following score every 15 minutes from before cedar pollen exposure until 180 minutes after cedar pollen exposure. The mean of score at 120 to 180 minutes was calculated.

    0: None (no symptoms)

    1. Mild (symptoms present but easily tolerated)
    2. Moderate (awareness of symptoms; bothersome, but tolerable)
    3. Severe (definite awareness of symptoms; difficult to tolerate, but did not interfere with the activities of daily living)
    4. Very severe (difficult to tolerate and interfered with the activities of daily living)

    Measured: Pre-exposure and 120-180 minutes after the start of pollen exposure (5 samples 15 minutes apart) on Days 127, 155, and 183

  3. Change From Pre-Exposure in Nasal Discharge Score 120 to 180 Minutes After Cedar Pollen Exposure

    Participants were assessed for nasal discharge using the following score every 15 minutes from before cedar pollen exposure until 180 minutes after cedar pollen exposure. The mean of score at 120 to 180 minutes was calculated.

    0: None (no symptoms)

    1. Mild (symptoms present but easily tolerated)
    2. Moderate (awareness of symptoms; bothersome, but tolerable)
    3. Severe (definite awareness of symptoms; difficult to tolerate, but did not interfere with the activities of daily living)
    4. Very severe (difficult to tolerate and interfered with the activities of daily living)

    Measured: Pre-exposure and 120-180 minutes after the start of pollen exposure (5 samples 15 minutes apart) on Days 127, 155, and 183

  4. Change From Pre-Exposure in Mean Nasal Congestion Score 120 to 180 Minutes After Cedar Pollen Exposure

    Participants were assessed for nasal congestion using the following score every 15 minutes from before cedar pollen exposure until 180 minutes after cedar pollen exposure. The mean of score at 120 to 180 minutes was calculated.

    0: None (no symptoms)

    1. Mild (symptoms present but easily tolerated)
    2. Moderate (awareness of symptoms; bothersome, but tolerable)
    3. Severe (definite awareness of symptoms; difficult to tolerate, but did not interfere with the activities of daily living)
    4. Very severe (difficult to tolerate and interfered with the activities of daily living)

    Measured: Pre-exposure and 120-180 minutes after the start of pollen exposure (5 samples 15 minutes apart) on Days 127, 155, and 183

  5. Change From Pre-Exposure in Mean Itchy Nose Score 120 to 180 Minutes After Cedar Pollen Exposure

    Participants were assessed for itchy nose using the following score every 15 minutes from before cedar pollen exposure until 180 minutes after cedar pollen exposure. The mean of score at 120 to 180 minutes was calculated.

    0: None (no symptoms)

    1. Mild (symptoms present but easily tolerated)
    2. Moderate (awareness of symptoms; bothersome, but tolerable)
    3. Severe (definite awareness of symptoms; difficult to tolerate, but did not interfere with the activities of daily living)
    4. Very severe (difficult to tolerate and interfered with the activities of daily living)

    Measured: Pre-exposure and 120-180 minutes after the start of pollen exposure (5 samples 15 minutes apart) on Days 127, 155, and 183

  6. Change From Pre-Exposure in Mean Total Non-Nasal Symptom Score (TNNSS) 120 to 180 Minutes After Cedar Pollen Exposure

    Participants were assessed for each non-nasal symptom (itchy eyes and watery eyes) using the following score every 15 minutes from before cedar pollen exposure until 180 minutes after cedar pollen exposure.

    0: None (no symptoms)

    1. Mild (symptoms present but easily tolerated)
    2. Moderate (awareness of symptoms; bothersome, but tolerable)
    3. Severe (definite awareness of symptoms; difficult to tolerate, but did not interfere with the activities of daily living)
    4. Very severe (difficult to tolerate and interfered with the activities of daily living).

    TNNSS was a summed score of each symptom, and mean of TNNSS at 120 to 180 min is the average of 5 timepoints of TNNSS score, which ranged from 0 to 8. Higher TNNSS score indicated greater disease activity.

    Measured: Pre-exposure and 120-180 minutes after the start of pollen exposure (5 samples 15 minutes apart) on Days 127, 155, and 183

  7. Change From Pre-Exposure in Mean Itchy Eyes Score 120 to 180 Minutes After Cedar Pollen Exposure

    Participants were assessed for itchy eyes using the following score every 15 minutes from before cedar pollen exposure until 180 minutes after cedar pollen exposure. The mean of score at 120 to 180 minutes was calculated.

    0: None (no symptoms)

    1. Mild (symptoms present but easily tolerated)
    2. Moderate (awareness of symptoms; bothersome, but tolerable)
    3. Severe (definite awareness of symptoms; difficult to tolerate, but did not interfere with the activities of daily living)
    4. Very severe (difficult to tolerate and interfered with the activities of daily living)

    Measured: Pre-exposure and 120-180 minutes after the start of pollen exposure (5 samples 15 minutes apart) on Days 127, 155, and 183

  8. Change From Pre-Exposure in Mean Watery Eyes Score 120 to 180 Minutes After Cedar Pollen Exposure

    Participants were assessed for watery eyes using the following score every 15 minutes from before cedar pollen exposure until 180 minutes after cedar pollen exposure. The mean of score at 120 to 180 minutes was calculated.

    0: None (no symptoms)

    1. Mild (symptoms present but easily tolerated)
    2. Moderate (awareness of symptoms; bothersome, but tolerable)
    3. Severe (definite awareness of symptoms; difficult to tolerate, but did not interfere with the activities of daily living)
    4. Very severe (difficult to tolerate and interfered with the activities of daily living)

    Measured: Pre-exposure and 120-180 minutes after the start of pollen exposure (5 samples 15 minutes apart) on Days 127, 155, and 183

  9. Change From Pre-Exposure in Total 5 Symptom Score (5TSS) 120 to 180 Minutes After Cedar Pollen Exposure

    Participants were assessed for each 5TSS (sneezing, nasal discharge, nasal congestion, itchy eyes and watery eyes) using the following score every 15 minutes from before cedar pollen exposure until 180 minutes after cedar pollen exposure.

    0: None (no symptoms)

    1. Mild (symptoms present but easily tolerated)
    2. Moderate (awareness of symptoms; bothersome, but tolerable)
    3. Severe (definite awareness of symptoms; difficult to tolerate, but did not interfere with the activities of daily living)
    4. Very severe (difficult to tolerate and interfered with the activities of daily living).

    5TSS was a summed score of each symptom, and mean of 5TSS at 120 to 180 min is the average of 5 timepoints of 5TSS score, which ranged from 0 to 20. Higher 5TSS score indicated greater disease activity.

    Measured: Pre-exposure and 120-180 minutes after the start of pollen exposure (5 samples 15 minutes apart) on Days 127, 155, and 183

  10. Change From Pre-Exposure in Mean Total 6 Symptom Score (6TSS) 120 to 180 Minutes After Cedar Pollen Exposure

    Participants were assessed for each 6TSS (sneezing, nasal discharge, nasal congestion, itchy nose, itchy eyes and watery eyes) using the following score every 15 minutes from before cedar pollen exposure until 180 minutes after cedar pollen exposure.

    0: None (no symptoms)

    1. Mild (symptoms present but easily tolerated)
    2. Moderate (awareness of symptoms; bothersome, but tolerable)
    3. Severe (definite awareness of symptoms; difficult to tolerate, but did not interfere with the activities of daily living)
    4. Very severe (difficult to tolerate and interfered with the activities of daily living).

    6TSS was a summed score of each symptom, and mean of 6TSS at 120 to 180 min is the average of 5 timepoints of 6TSS score, which ranged from 0 to 24. Higher 6TSS score indicated greater disease activity.

    Measured: Pre-exposure and 120-180 minutes after the start of pollen exposure (5 samples 15 minutes apart) on Days 127, 155, and 183

  11. Time to Occurrence of Nasal or Eye Symptom From Start of Cedar Pollen Exposure

    Time point when the score of nasal or eye symptom worsens by 1 or more as compared to before cedar pollen exposure were assessed.

    Measured: Days 127, 155 and 183, from the start of cedar pollen exposure for up to 180 minutes

  12. Amount of Nasal Discharge Per 30 Minutes During Cedar Pollen Exposure

    Nasal discharge amount was calculated by the difference in the weight of the tissue paper before and after use by participants who were instructed to use pre-allocated tissues for blowing their nose.

    Measured: Day 127: 0-30 min, 30-60 min, 60-90 min, 90-120 min, 120-150 min, 150-180 min, Day 155: 0-30 min, 30-60 min, 60-90 min, 90-120 min, 120-150 min, 150-180 min, Day 183: 0-30 min, 30-60 min, 60-90 min, 90-120 min, 120-150 min, 150-180 min

  13. Sneezing Count Per 30 Minutes During Cedar Pollen Exposure

    Sneezing count per 30 minutes were measured during chamber exposure.

    Measured: Day 127: 0-30 min, 30-60 min, 60-90 min, 90-120 min, 120-150 min, 150-180 min, Day 155: 0-30 min, 30-60 min, 60-90 min, 90-120 min, 120-150 min, 150-180 min, Day 183: 0-30 min, 30-60 min, 60-90 min, 90-120 min, 120-150 min, 150-180 min

  14. Number of Participants With Adverse Events (AE) During the Primary Study Period

    Treatment emergent adverse events (TEAE) was defined as an AE observed after starting administration of the test drug/comparative drug. A drug-related TEAE was a TEAE with either possible or probable relationship to the study drug as assessed by the investigator. Severity of AEs was assessed according to the following 4 levels. Mild: no disruption of normal daily activities, Moderate: affect normal daily activities, Severe: inability to perform daily activities, Life-threatening: necessity for urgent intervention.

    If the investigator or subinvestigator examined the patient and determined that the following items occurred from the date of study drug vaccination until 14 days after vaccination and a relationship with the study drug could not be negated, then it was evaluated as a local/systemic reaction at the vaccination site.

    • Local reactions: pain, tenderness, erythema/redness and induration/swelling
    • Systemic reactions: nausea/vomiting, diarrhea, headache, fatigue and myalgia

    Measured: From first dose of study drug up to the end of primary study period (up to 7 days after Day 183)

  15. Number of Participants With Serious Adverse Events (SAE) During the Long-Term Safety Follow-Up Period

    If SAEs occurred, then the participant was to contact the study site. With regard to participants who had discontinued the study during the primary study period, if the study drug had been vaccinated even once, then safety information (SAEs) was collected for 1 year after the final vaccination.

    Measured: Up to 9 months after the end of primary study period (primary study period was up to 7 days after Day 183)

Timeline

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

  1. First posted5 Apr 2017
  2. Study start13 Apr 2017
  3. Primary completion26 Jan 2018
  4. Study completion27 Oct 2018

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
150 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03101267
Sponsor's protocol ID
4070-CL-0020
Status last verified
Nov 2024
First submitted
2 Apr 2017
Last updated
26 Nov 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ASP4070 in people with Rhinitis, Allergic, Seasonal, run by Astellas Pharma Inc at 1 site in Japan.

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 3 inclusion and 19 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 26 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Japan. 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?

Yes. Results are posted in the registry (first posted 30 Jun 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change From Pre-Exposure in Mean Total 3 Nasal Symptom Score (3TNSS) 120 to 180 Minutes After Start of Cedar Pollen Exposure on Day 183 (time frame: Day 183 at pre-exposure and 120 to 180 minutes after the start of cedar pollen exposure (5 samples 15 minutes apart)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 26 Nov 2024.

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