Allergic Rhinitis Due to Dermatophagoides FarinaePhase 3MATICNCT04145219
House Dust Mite Allergy Trial In Children
A Phase 3 study testing Sublingual allergy immunotherapy tablet in people with Allergic Rhinitis Due to Dermatophagoides Farinae and Allergic Rhinitis Due to Dermatophagoides Pteronyssinus, run by ALK-Abelló A/S at 113 sites in 11 countries.
Trial summary
A research study of how house dust mite tablets work compared to placebo in children aged between 5 and 11 years and who have allergy to house dust mites (MATIC) Read more about this study
- Who is it for?
- Ages 5 to 11 years
- Conditions the study is for
- Allergic Rhinitis Due to Dermatophagoides Farinae, Allergic Rhinitis Due to Dermatophagoides Pteronyssinus, Allergic Rhinitis Due to House Dust Mite
- What is being tested?
- Sublingual allergy immunotherapy tablet
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,460 participants
- Where
- 113 sitesin 11 countries
- Study dates
- 12 Oct 2019to 21 Apr 2023
- Phase
- Phase 3
- 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 5 to 11 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Male or female subjects aged 5-11 years
- A clinical history of HDM AR/C (Allergic rhinitis/rhinoconjunctivitis) (with or without asthma) and with allergic rhinitis symptoms despite having received allergy pharmacotherapy during the previous year prior to screening
- Have a certain level of AR (Allergic rhinitis) symptoms on at least 8 of the last 14 days of the baseline period
- Use symptomatic medication for treatment of HDM allergic rhinitis during at least 8 of the last 14 days of the baseline period
- Positive skin prick test (SPT) and IgE (Immunoglobulin E) to D. pteronyssinus or D. farinae at screening
- Lung function ≥ 70% of predicted value
Who cannot join
- Sensitised and regularly exposed to perennial allergens
- Any nasal or pharyngeal condition that could interfere with the safety or efficacy evaluation
- Asthma requiring treatment with high dose of inhaled corticosteroid
- A relevant history of systemic allergic reaction
Trial locations and contacts
113 sites in 11 countries.
113 sites in 11 countries
United States29 sites
PMG Research of McFarland Clinic
Ames, Iowa, 50010
Allergy Partners of Western North Carolina
Asheville, North Carolina, 28801
Summit Medical Group
Berkeley Heights, New Jersey, 07922
The Children's Research Institute, Department of Pediatrics, University of North Carolina Children's Hospital
Chapel Hill, North Carolina, 27599
West Ashley office: Charleston Allergy & Asthma
Charleston, South Carolina, 29414
Bernstein Clinical Research Center
Cincinnati, Ohio, 45231
University of Missouri
Columbia, Missouri, 65201
The Corvallis Clinic
Corvallis, Oregon, 97330
Deaconess Clinic Allergy
Evansville, Indiana, 47715
Allergy, Asthma & Sinus Center, S.C.
Greenfield, Wisconsin, 53228
ADAC Research, PA
Greenville, South Carolina, 29607
Allergy & Asthma Specialists Medical Group and Research Center
Huntington Beach, California, 92647
Allergy & Asthma Associates of Monmouth City
Little Silver, New Jersey, 07739
California Allergy and Asthma Medical Group
Los Angeles, California, 90025
Miami Clinical Research
Miami, Florida, 33155
Clinical Research Institute
Minneapolis, Minnesota, 55402
Allergy, Asthma & Clinical Research Center
Oklahoma City, Oklahoma, 73120
Oklahoma Institute of Allergy & Asthma Clinical Research, LLC
Oklahoma City, Oklahoma, 73131
Pensacola Research Consultants, Inc. d.b.a. Avanza Medical Research Center
Pensacola, Florida, 32503
UNC Children's Raleigh
Raleigh, North Carolina, 27607
Biogenics Research Institute
San Antonio, Texas, 78229
Allergy & Asthma Medical Group and Research Center, A P.C.
San Diego, California, 92123
Sarasota Clinical Research
Sarasota, Florida, 34239
Aeroallergy Research Labs of Savannah, Inc.
Savannah, Georgia, 31406
GCP, Global Clinical Professionals
St. Petersburg, Florida, 33705
Clinical Research Atlanta
Stockbridge, Georgia, 30281
Charleston Allergy & Asthma
Summerville, South Carolina, 29485
Vital Prospects Clinical Research Institute, P.C.
Tulsa, Oklahoma, 74136
Clinical Research of The Ozarks Inc
Warrensburg, Missouri, 64093
Russia16 sites
City Children's Hospital
Kolpino, 196657
Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Krasnoyarsk, 660022
NRC Institute of Immunology
Moscow, 115478
Moscow City Children's Hospital No 9
Moscow, 123317
City Сhildren's Сlinical Polyclinic No5
Perm, 614066
I.P. Pavlov Ryazan State Medical University
Ryazan, 390026
Medical Technologies" Ltd.
Saint Petersburg, 191025
City Children's Polyclinic No44
Saint Petersburg, 191144
ArsVitae Severo-Zapad LLC
Saint Petersburg, 194223
North-Western State Medical University named after I.I. Mechnikov, Ministry of Public Health of Russian Federation
Saint Petersburg, 194291
Сurator LLC
Saint Petersburg, 196240
City Children's Polyclinic No45
Saint Petersburg
Сity Children's Polyclinic No 35
Saint Petersburg
Smolensk State Medical University
Smolensk, 214019
Scientific Medical Center for General Therapy and Pharmacology
Stavropol, 355000
Regional Children's Hospital
Tomsk, 634009
Ukraine14 sites
Chernivtsi Regional Children's Clinical Hospital, Department of Pediatrics and Children's Infectious Diseases
Chernivtsi, 58023
Clinical Emergency Hospital" of Dnipro City Council, Department of Pediatric Allergology at the Allergology Center
Dnipro, 49006
Dnipro City Children's Municipal Clinical Hospital #2
Dnipro
City Children's Clinic № 16" of Kharkiv City Council
Kharkiv, 61000
City Children's Clinical Hospital # 19" of Kharkiv City Council
Kharkiv, 61000
Kryvyi Rih City Clinical Hospital #8'' of Kryvyi Rih City Council, Department of Pediatric Pulmonology; State Institution "Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine
Kryvyi Rih, 50082
O.S. Kolomiychenko Institute, Center of Allergic Diseases of Upper Respiratory Ways and Ear
Kyiv, 03057
State Institution Phthisiology and Pulmonology Institute named after F.G. Yanovskyy of NAMS of Ukraine
Kyiv, 03680
Institute of Pediatrics, Obstetrics and Gynecology named after Academician O. M. Lukianova of the National Academy of Medical Sciences of Ukraine
Kyiv, 04050
Communal Nonprofit Enterprise "Lviv City Children's Clinical Hospital", Allergology Department, Lviv City Children's Allergology Center
Lviv, 79000
Children's Clinical Hospital of Poltava Regional Council
Poltava, 36011
Regional Children Clinical Hospital, Infectious-Diagnostic Department
Sumy, 40031
Regional Children's Clinical Hospital of Vinnytsia Regional Council
Vinnytsia, 21029
City Children's Hospital #5" of Zaporizhzhya City Council, Allergology Department
Zaporizhzhya, 69076
Poland12 sites
Indywidualna Specjalistyczna Praktyka Lekarska Elzbieta Matusz
Gryfice, 72-300
Specjalistyczna Praktyka Lekarska Dr n. med. Joanna Orlicz-Widawska
Katowice, 40-338
Centrum Medyczne ALL-MED
Krakow, 30-033
Centrum Medyczne Plejady
Krakow, 30-363
Poradnia Alergologiczna
Lodz, 90-141
Poradnia Alergologiczna
Lodz, 90-329
Alergotest s.c. Specjalistyczne Centrum Medyczne Andrzej Emeryk
Lublin, 20-050
Centrum Alergologii Teresa Hofman Sp. z o.o.
Poznan, 60-214
Podkarpacki Ośrodek Pulmonologii i Alergologii Sp. z o.o.
Rzeszów, 35-612
Prywatny Gabinet Lekarski Malgorzata Pawlukiewicz
Rzeszów
IRMED Irena Wojciechowska
Warsaw, 01-157
All-Med" Specjalistyczna Opieka Medyczna, Medyczny Instytut Badawczy Marek Jutel
Wroclaw, 53-201
Bulgaria11 sites
Multiprofile Hospital for active treatment, Department of Pediatrics
Gabrovo, 5300
Multiprofile Hospital for Active Treatment, Department of Pediatrics
Kyustendil, 2500
University Multiprofile Hospital for Active Treatment Sveti Georgi EAD
Plovdiv, 4002
University Multiprofile Hospital for Active Treatment "Sveti Georgi" EAD
Plovdiv
Multiprofile Hospital for Active Treatment, Department of pneumology and phthisiatrics
Razgrad, 7200
Outpatient Clinic for individual practice for specialized outpatient medical care in Allergology
Razgrad, 7200
Specialized Hospital For Active Treatment of Pneumo - Phtisiatric Diseases Dr Dimitar Gramatikov - Ruse
Rousse, 7002
Acibadem City Clinic Multiprofile Hospital for Active Treatment Tokuda, EAD, Clinic in Pediatrics
Sofia, 1407
Sv. Vratch and Sv.Sv. Kuzma i Damian
Sofia, 1408
Alitea-Med-Medical-Center
Sofia, 1618
Diagnostic-Consultative center Ritam TR
Stara Zagora, 6000
Canada10 sites
Halton Pediatric Allergy
Burlington, L7L 6W6
Triple A Lab
Hamilton, L8S 1G5
Kingston General Hospital - Division of Allergy & Immunology
Kingston, K7L 2V7
CHU Ste-Justine
Montreal, H3T1C5
The Montreal Children's Hospital
Montreal, H4A 3J1
Niagara Clinical Research
Niagara Falls, L2G 1J4
Gordon Sussman Clinical Research, Inc.
North York
Clinique spécialisée en allergie de la capitale
Québec, G1V 4W2
Hospital for Sick Children
Toronto, M5G 1X8
Joel Liem Medicine Professional Corporation
Windsor, N8X 2G1
Spain6 sites
Hospital Vall d'Hebron
Barcelona, 08035
Hospital Sant Joan de Deu
Esplugues de Llobregat, 08950
Hospital Universitario de Jerez de la Frontera
Jerez de la Frontera, 11407
Hospital de Sagunto
Sagunto, 46520
Hospital de Sagunto
Valencia
Hospital la Plana
Villarreal, 12540
Lithuania5 sites
CD8 klinika
Kaunas, LT-44191
Siauliai Republican Hospital
Šiauliai, LT-76231
JSC Seimos gydytojas
Vilnius, LT-01118
Center of Allergy Diagnosis and Treatment
Vilnius, LT-08109
Inlita JSC, Santara KTC
Vilnius
Germany4 sites
Kinderarztpraxis Bramsche
Bramsche, 49565
HNO praxis - Dr Yury Yarin
Dresden, 01139
Klinikum der Johann-Wolfgang-Goethe Universität - Zentrum f. Kinder- u. Jugendmedizin
Frankfurt
GMAP/HNO am Neckar
Heidelberg, 68120
Slovakia4 sites
Alersa, s.r.o, Ambulancia klinickej alergológie a imunológie
Košice
Ambulancia klinickej imunologie a alergologie
Levice, 93501
ALFA EL, Imunoalergologická ambulancia
Poprad, 05801
Ambulancia klinickej imunologie a alergologie
Šurany, 94201
France2 sites
Hôpital Morvan - Service de Pédiatrie
Brest
CHU de Montpellier - Service Pneumologie et Addictologie
Montpellier, 34090
About this study
Official title: A One-year Placebo-controlled Phase III Trial Evaluating the Efficacy and Safety of the House Dust Mite (HDM) SLIT-tablet in Children (5-11 Years of Age) With HDM Allergic Rhinitis/Rhinoconjunctivitis With or Without Asthma
A research study of how house dust mite tablets work compared to placebo in children aged between 5 and 11 years and who have allergy to house dust mites (MATIC)
Read the detailed description
The trial aims to demonstrate efficacy of the House Dust Mite SLIT-tablet compared to placebo in children (5-11 years of age) with House Dust Mite allergic rhinitis based on the total combined rhinitis symptoms and medication score during the last 8 weeks of treatment.
In addition, the trial will evaluate safety and tolerability of the treatment, and assess whether treatment has an impact on asthma symptoms and medication use, immunological parameters, and rhinoconjunctivitis quality of life (QoL).
The trial is a randomised, parallel-group, double-blind, placebo-controlled multi-national phase III trial conducted in Europe and North America. The treatment period will be approximately 1 year.
- Conditions
- Allergic Rhinitis Due to Dermatophagoides Farinae, Allergic Rhinitis Due to Dermatophagoides Pteronyssinus, Allergic Rhinitis Due to House Dust Mite
- Being tested
- Sublingual allergy immunotherapy tablet, Placebo
- Keywords
- Allergic rhinitis, HDM, pediatric
- Medical subject headings
- Rhinitis, Allergic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sublingual allergy immunotherapy tabletBiological
Also called Acarizax, Odactra
For daily administration (1 tablet per day)
PlaceboOther
Also called Placebo sublingual tablet
For daily administration (1 tablet per day)
| Study group | Role | What they receive |
|---|---|---|
| Active treatment | Experimental | HDM SLIT-tablet plus allergy and asthma rescue medication Receives: Biological: Sublingual allergy immunotherapy tablet |
| Placebo | Placebo comparator | Placebo oral tablet plus allergy and asthma rescue medication Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Average Daily Total Combined Rhinitis Symptom and Medication Score (TCRS) During the Primary Efficacy Assessment Period
The primary endpoint in the trial was the average daily total combined rhinitis symptoms and medication score (TCRS) during the primary efficacy assessment period. The average daily TCRS evaluates the treatment effect based on the reduction in daily rhinitis symptoms and medication score (on a scale of 0-24). Higher scores indicate more severe symptoms and/or more use of rhinitis medication. The endpoint is calculated as the average score of all reported daily values during the 8-week primary efficacy assessment period. For example, if a subject reported 56 daily TCRS values, the primary endpoint is calculated as the average of those values.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Secondary outcomes (17)
The Average Rhinitis Daily Symptom Score (DSS) During the Primary Efficacy Assessment Period
The average rhinitis DSS evaluates the treatment effect based on the reduction in daily rhinitis symptom score (on a scale of 0-12). Higher scores indicate more severe symptoms. The endpoint is calculated as the average score of all reported daily values during the 8-week primary efficacy assessment period. For example, if a subject reported 56 rhinitis DSS values, the endpoint is calculated as the average of those values.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
The Average Rhinitis Daily Medication Score (DMS) During the Primary Efficacy Assessment Period
Average rhinitis DMS evaluates the treatment effect based on the reduction in daily rhinitis medication use (on a scale of 0-12). Higher scores indicate more medication use. The endpoint is calculated as the average score of all reported daily values during the 8-week primary efficacy assessment period. For example, if a subject reported 56 rhinitis DMS values, the endpoint is calculated as the average of those values.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
The Average Daily Total Combined Rhinoconjunctivitis Symptom and Medication Score (TCS) During the Primary Efficacy Assessment Period
Average rhinoconjunctivitis TCS evaluates the treatment effect based on the reduction in daily rhinoconjunctivitis symptoms and medication use (on a scale of 0-38). Higher scores indicate more severe symptoms and/or more medication use. The endpoint is calculated as the average score of all reported daily values during the 8-week primary efficacy assessment period. For example, if a subject reported 56 daily TCS values, the endpoint is calculated as the average of those values.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
The Average Rhinoconjunctivitis Daily Symptom Score (DSS) During the Primary Efficacy Assessment Period
The average rhinoconjunctivitis DSS evaluates the treatment effect based on the reduction in daily rhinoconjunctivitis symptom score (on a scale of 0-18). Higher scores indicate more severe symptoms. The endpoint is calculated as the average score of all reported daily values during the 8-week primary efficacy assessment period. For example, if a subject reported 56 rhinoconjunctivitis DSS values, the endpoint is calculated as the average of those values.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
The Average Rhinoconjunctivitis Daily Medication Score (DMS) During the Primary Efficacy Assessment Period
Average rhinoconjunctivitis DMS evaluates the treatment effect based on the reduction in daily rhinoconjunctivitis medication use (on a scale of 0-20). Higher scores indicate more medication use. The endpoint is calculated as the average score of all reported daily values during the 8-week primary efficacy assessment period. For example, if a subject reported 56 rhinoconjunctivitis DMS values, the endpoint is calculated as the average of those values.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Overall Paediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ) Score at the End of Trial
The overall PRQLQ score measures the effect of rhinoconjunctivitis on participant's quality of life on a scale of 0-6. Higher scores indicate worse rhinoconjunctivitis-related quality of life.
Measured: Week leading up to visit 7 (at the end of the primary efficacy assessment period, after approximately 52-57 weeks of treatment)
The Average Asthma Daily Symptom Score (DSS) During the Primary Efficacy Assessment Period
The average asthma DSS evaluates the treatment effect based on the reduction in daily asthma symptom score (on a scale of 0-12). Higher scores indicate more severe symptoms. The endpoint is calculated as the average score of all reported daily values during the 8-week primary efficacy assessment period. For example, if a subject reported 56 asthma DSS values, the endpoint is calculated as the average of those values.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
SABA Free Days During the Primary Efficacy Assessment Period
The endpoint SABA free days evaluates the treatment effect based on the reduction in SABA use. The higher the proportion of SABA free days the higher the estimated probability of a participant having a day where they didn't use SABA.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Weekly Number of Puffs of As-needed SABA Use During the Primary Efficacy Assessment Period
Average weekly number of puffs of as-needed SABA use evaluates the treatment effect based on the reduction in the use of asthma reliever medication (SABA), and is calculated as 7 times the average of the daily number of puffs of as-needed SABA use. Higher values indicate more medication use.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Rhinitis Mild Days During the Primary Efficacy Assessment Period
The endpoint rhinitis mild days evaluates the treatment effect based on days when participants have no symptoms or mild symptoms and no medication use. The higher the proportion of rhinitis mild days the higher the estimated probability of a participant having a rhinitis mild day.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Rhinitis Exacerbation Days During the Primary Efficacy Assessment Period
The endpoint rhinitis exacerbation days evaluates the treatment effect based on days when participants have severe symptoms. The higher the proportion of rhinitis mild days the higher the estimated probability of a participant having a rhinitis exacerbation day.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Average Rhinitis Combined Symptom and Medication Score (CSMS) During the Primary Efficacy Assessment Period
Average rhinitis CSMS evaluates the treatment effect based on the reduction in daily rhinitis symptoms and/or medication use. For this endpoint, the rhinitis symptoms and medication use were scored using an alternative method as recommended by EAACI (European Academy of Allergy \& Clinical Immunology) (on a scale of 0-5). Higher scores indicate more severe symptoms and/or more medication use. The endpoint is calculated as the average score of all reported daily values during the 8-week primary efficacy assessment period. For example, if a subject reported 56 rhinitis CSMS values, the endpoint is calculated as the average of those values.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Average Rhinoconjunctivitis Combined Symptom and Medication Score (CSMS) During the Primary Efficacy Assessment Period
Average rhinoconjunctivitis CSMS evaluates the treatment effect based on the reduction in daily rhinoconjunctivitis symptoms and/or medication use. For this endpoint, the rhinoconjunctivitis symptoms and medication use were scored using an alternative method as recommended by EAACI (European Academy of Allergy \& Clinical Immunology) (on a scale of 0-5). Higher scores indicate more severe symptoms and/or more medication use. The endpoint is calculated as the average score of all reported daily values during the 8-week primary efficacy assessment period. For example, if a subject reported 56 rhinoconjunctivitis CSMS values, the endpoint is calculated as the average of those values.
Measured: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
House Dust Mite Specific IgE
House dust mite specific IgE reflects the allergen-specific allergy immunotherapy-induced immune modulation
Measured: Change from screening to the end of trial (after approximately 52-57 weeks of treatment)
House Dust Mite Specific IgG4
House dust mite specific IgG4 reflects the allergen-specific allergy immunotherapy-induced immune modulation
Measured: Change from screening to the end of trial (after approximately 52-57 weeks of treatment)
Total IgE
The change in total IgE was measured from screening to the end of trial.
Measured: Change from screening to the end of trial (after approximately 52-57 weeks of treatment)
House Dust Mite IgE-Blocking Factor
The IgE-blocking factor assesses the effect of serum components (including IgE-blocing antibodies known to be induced by allergy immunotherapy) competing with IgE for binding to allergen. IgE-blocking factor is calculated as 1-(S/T), where S is the amount of allergen-specific IgE bound to allergen in the (possible) presence of competing components, and where T is the total amount of allergen-specific IgE capable of binding to allergen when all competing antibodies/components have been washed off. IgE-blocking factor values closer to 0 indicate the presence of fewer IgE-blocking components and values closer to 1 indicate that more IgE is blocked from binding to the allergen.
Measured: Change from screening to the end of trial (after approximately 52-57 weeks of treatment)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Oct 2019
- Study start12 Oct 2019
- Primary completion1 Apr 2023
- Study completion21 Apr 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Allergic Rhinitis Due to Dermatophagoides FarinaeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,460 participants (actual)
Sponsor and investigators
- Lead sponsor
- ALK-Abelló A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Antje Schuster, MD, Principal investigator, Professor of Pediatrics, Düsseldorf University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04145219
- Sponsor's protocol ID
- MT-12
- Acronym
- MATIC
- Status last verified
- Jun 2024
- First submitted
- 11 Oct 2019
- Last updated
- 12 Jun 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Schuster A, Caimmi D, Nolte H, Novakova S, Mikler J, Foss-Skiftesvik MH, Osterdal AS, Emeryk A, Gagnon R, Pfaar O. Efficacy and safety of SQ house dust mite sublingual immunotherapy-tablet (12 SQ-HDM) in children with allergic rhinitis/rhinoconjunctivitis with or without asthma (MT-12): a randomised, double-blind, placebo-controlled, phase III trial. Lancet Reg Health Eur. 2024 Nov 26;48:101136. doi: 10.1016/j.lanepe.2024.101136. eCollection 2025 Jan.
PubMed 39678704Field K, Blaiss MS. Sublingual Versus Subcutaneous Immunotherapy for Allergic Rhinitis: What Are the Important Therapeutic and Real-World Considerations? Curr Allergy Asthma Rep. 2020 Jun 16;20(9):45. doi: 10.1007/s11882-020-00934-4.
PubMed 32548677
Study at a glance
From the registry record, last updated by the sponsor on 12 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A One-year Placebo-controlled Phase III Trial Evaluating the Efficacy and Safety of the House Dust Mite (HDM) SLIT-tablet in Children (5-11 Years of Age) With HDM Allergic Rhinitis/Rhinoconjunctivitis With or Without Asthma
- ClinicalTrials.gov ID
- NCT04145219
- Acronym / sponsor ID
- MATIC / MT-12
- Conditions
- Allergic Rhinitis Due to Dermatophagoides Farinae, Allergic Rhinitis Due to Dermatophagoides Pteronyssinus, Allergic Rhinitis Due to House Dust Mite
- Keywords
- Allergic rhinitis, HDM, pediatric
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,460 participants (actual)
- Lead sponsor
- ALK-Abelló A/SIndustry (pharma, biotech, devices)
- Study start
- 12 Oct 2019 (actual)
- Primary completion
- 1 Apr 2023 (actual)
- Study completion
- 21 Apr 2023 (actual)
- First posted
- 30 Oct 2019 (actual)
- Results
- Posted 12 Jun 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A research study of how house dust mite tablets work compared to placebo in children aged between 5 and 11 years and who have allergy to house dust mites (MATIC)
Detailed description
The trial aims to demonstrate efficacy of the House Dust Mite SLIT-tablet compared to placebo in children (5-11 years of age) with House Dust Mite allergic rhinitis based on the total combined rhinitis symptoms and medication score during the last 8 weeks of treatment.
In addition, the trial will evaluate safety and tolerability of the treatment, and assess whether treatment has an impact on asthma symptoms and medication use, immunological parameters, and rhinoconjunctivitis quality of life (QoL).
The trial is a randomised, parallel-group, double-blind, placebo-controlled multi-national phase III trial conducted in Europe and North America. The treatment period will be approximately 1 year.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Active treatment | Experimental | Biological: Sublingual allergy immunotherapy tabletHDM SLIT-tablet plus allergy and asthma rescue medication |
| Placebo | Placebo comparator | Other: PlaceboPlacebo oral tablet plus allergy and asthma rescue medication |
Who may qualify
- Ages
- 5 to 11 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- Male or female subjects aged 5-11 years
- A clinical history of HDM AR/C (Allergic rhinitis/rhinoconjunctivitis) (with or without asthma) and with allergic rhinitis symptoms despite having received allergy pharmacotherapy during the previous year prior to screening
- Have a certain level of AR (Allergic rhinitis) symptoms on at least 8 of the last 14 days of the baseline period
- Use symptomatic medication for treatment of HDM allergic rhinitis during at least 8 of the last 14 days of the baseline period
- Positive skin prick test (SPT) and IgE (Immunoglobulin E) to D. pteronyssinus or D. farinae at screening
Key exclusion criteria (4 listed)
- Sensitised and regularly exposed to perennial allergens
- Any nasal or pharyngeal condition that could interfere with the safety or efficacy evaluation
- Asthma requiring treatment with high dose of inhaled corticosteroid
- A relevant history of systemic allergic reaction
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sublingual allergy immunotherapy tabletAlso: Acarizax, OdactraFor daily administration (1 tablet per day) | Biological | Active treatment |
| PlaceboAlso: Placebo sublingual tabletFor daily administration (1 tablet per day) | Other | Placebo |
Primary outcome
Average Daily Total Combined Rhinitis Symptom and Medication Score (TCRS) During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
The primary endpoint in the trial was the average daily total combined rhinitis symptoms and medication score (TCRS) during the primary efficacy assessment period. The average daily TCRS evaluates the treatment effect based on the reduction in daily rhinitis symptoms and medication score (on a scale of 0-24). Higher scores indicate more severe symptoms and/or more use of rhinitis medication. The endpoint is calculated as the average score of all reported daily values during the 8-week primary efficacy assessment period. For example, if a subject reported 56 daily TCRS values, the primary endpoint is calculated as the average of those values.
17 secondary outcomes
The Average Rhinitis Daily Symptom Score (DSS) During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
The Average Rhinitis Daily Medication Score (DMS) During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
The Average Daily Total Combined Rhinoconjunctivitis Symptom and Medication Score (TCS) During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
The Average Rhinoconjunctivitis Daily Symptom Score (DSS) During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
The Average Rhinoconjunctivitis Daily Medication Score (DMS) During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Overall Paediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ) Score at the End of Trial
Time frame: Week leading up to visit 7 (at the end of the primary efficacy assessment period, after approximately 52-57 weeks of treatment)
The Average Asthma Daily Symptom Score (DSS) During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
SABA Free Days During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Weekly Number of Puffs of As-needed SABA Use During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Rhinitis Mild Days During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Rhinitis Exacerbation Days During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Average Rhinitis Combined Symptom and Medication Score (CSMS) During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
Average Rhinoconjunctivitis Combined Symptom and Medication Score (CSMS) During the Primary Efficacy Assessment Period
Time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP
House Dust Mite Specific IgE
Time frame: Change from screening to the end of trial (after approximately 52-57 weeks of treatment)
House Dust Mite Specific IgG4
Time frame: Change from screening to the end of trial (after approximately 52-57 weeks of treatment)
Total IgE
Time frame: Change from screening to the end of trial (after approximately 52-57 weeks of treatment)
House Dust Mite IgE-Blocking Factor
Time frame: Change from screening to the end of trial (after approximately 52-57 weeks of treatment)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jun 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39678704Schuster A, Caimmi D, Nolte H, Novakova S, Mikler J, Foss-Skiftesvik MH, Osterdal AS, Emeryk A, Gagnon R, Pfaar O. Efficacy and safety of SQ house dust mite sublingual immunotherapy-tablet (12 SQ-HDM) in children with allergic rhinitis/rhinoconjunctivitis with or without asthma (MT-12): a randomised, double-blind, placebo-controlled, phase III trial. Lancet Reg Health Eur. 2024 Nov 26;48:101136. doi: 10.1016/j.lanepe.2024.101136. eCollection 2025 Jan.
- Derived from this study: PubMed 32548677Field K, Blaiss MS. Sublingual Versus Subcutaneous Immunotherapy for Allergic Rhinitis: What Are the Important Therapeutic and Real-World Considerations? Curr Allergy Asthma Rep. 2020 Jun 16;20(9):45. doi: 10.1007/s11882-020-00934-4.
- Individual participant dataSharing planned: No
Related trials for Allergic Rhinitis Due to Dermatophagoides Farinae
Not yet recruitingObservational study
Noninterventional Study on Tolerability and Safety of One Strength Updosing With Novo-Helisen Depot House Dust Mites
Allergic Rhinitis Due to House Dust Mite, Allergic Conjunctivitis Due to Dermatophagoides Farinae
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Antje Schuster, MD principal investigator
Professor of Pediatrics, Düsseldorf University Hospital
113 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Sublingual allergy immunotherapy tablet in people with Allergic Rhinitis Due to Dermatophagoides Farinae and Allergic Rhinitis Due to Dermatophagoides Pteronyssinus, run by ALK-Abelló A/S at 113 sites in 11 countries.
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 6 inclusion and 4 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 12 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 113 sites in United States, Russia, Ukraine, Poland, Bulgaria and 6 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 12 Jun 2024). 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?
Average Daily Total Combined Rhinitis Symptom and Medication Score (TCRS) During the Primary Efficacy Assessment Period (time frame: 8 weeks (primary efficacy assessment period), which started 44-49 weeks after initiation of IMP). 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 NCT04145219, which also lists 2 linked publications.
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 12 Jun 2024; AzTrials last refreshed its copy on 6 Nov 2026.