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AllergyPhase 3RhapsodyNCT04881461

A Study in Adults With Grass Pollen-induced Rhinoconjunctivitis

A Phase 3 study testing 5-grass mix SLIT-drops in people with Allergy, run by ALK-Abelló A/S at 48 sites in 6 countries.

Completed

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

Official record
Search all trials

Trial summary

This is a 2 year clinical study to compare 5-grass mix SLIT-drops with placebo in relieving grass pollen-induced rhinoconjunctivitis symptoms and in use of symptom-relieving medication during the second grass pollen season (peak grass pollen season, PGPS) The study will collect health-related quality of life data in… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Allergy
What is being tested?
5-grass mix SLIT-drops
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
445 participants
Where
48 sitesin 6 countries
Study dates
10 May 2021to 26 Sep 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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female aged ≥18 years on the day informed consent is obtained
  • A clinical history of grass pollen-induced allergic rhinoconjunctivitis for two years or more with or without asthma
  • A clinical history of severe allergic rhinoconjunctivitis symptoms (interfering with usual daily activities or sleep) induced by grass pollen, which remain troublesome despite symptomatic treatment with antihistamines, nasal steroids or eye drops during the previous grass pollen season
  • Positive specific immunoglobulin E (IgE) (defined as ≥class 2, ≥0.70 kU/l) against grass: Phleum pratense
  • Positive skin prick test to Phleum pratense at screening

Who cannot join

  • Has a clinically relevant history of symptomatic seasonal and/or perennial allergic rhinoconjunctivitis and/or asthma caused by an allergen other than grass pollen, to which the subject is exposed, which could potentially overlap with the efficacy assessment periods
  • Within the last 3 months before the randomisation visit, has had an occurrence of any clinical deterioration of asthma that resulted in emergency treatment, hospitalisation, or treatment with systemic corticosteroids
  • SLIT treatment with any grass pollen AIT for more than 1 month within the last 5 years. In addition, any SLIT treatment with grass pollen AIT within the previous 12 months
  • SCIT treatment with any grass AIT reaching the maintenance dose within the last 5 years. In addition, any SCIT treatment with grass AIT within the previous 12 months
  • Ongoing treatment with any allergy immunotherapy product
  • Uncontrolled or severe asthma requiring daily use of more than 800 mcg budesonide or equivalent at screening

Trial locations and contacts

48 sites in 6 countries.

48 sites in 6 countries

Poland15 sites
  • Indywidualna Specjalistyczna Praktyka Lekarska Anna Latos

    Kielce, 25-017

  • Grażyna Pulka Centrum Medyczne ALL-MED

    Krakow, Lesser Poland Voivodeship, 30-033

  • Centrum Usług Medycznych Dyga-Med

    Krakow, 31-033

  • Grażyna Jasieniak-Pinis ATOPIA NZOZ Poradnie Specjalistyczne

    Krakow, 31-159

  • Barbara Rewerska Diamond Clinic

    Krakow, 33-559

  • Specjalistyczna Przychodnia Alergologiczna Centrum Alergologii

    Lublin, 20-552

  • Snzoz Alergologia Plus Ośrodek Diagnostyki i Terapii Uczuleń

    Poznan, Greater Poland Voivodeship, 60-693

  • Centrum Alergologii T.Hofman Sp. Z o.o.

    Poznan, 60-214

  • Snzoz Imedica

    Poznan, 60-537

  • Prywatny Gabinet Lekarski Małgorzata Pawlukiewicz

    Rzeszów, 35051

  • Alergo-Med Specjalistycza Przychodnia Lekarska Sp. zo.o.

    Tarnów, Maopolskie, 33-100

  • Gabinet Lekarski Bozena Kubicka-Kozik

    Tomaszów Mazowiecki, 97-200

  • ALL-MED. Specjalistyczna Opieka Medyczna. Medyczny Instytut Badawczy. Marek Jutel.

    Wroclaw, 53-201

  • NZOZ Centrum Usług Medycznych Proximum Sp. z o.o.

    Wroclaw, 53-428

  • Lekarze Specjaliści Malolepszy i Partnerzy

    Wroclaw, 54-239

Other trials in Poland

Czechia9 sites
  • Fakultni Nemocnice u Sv. Anny - FNUSA

    Brno, 65691

  • Ambulance alergologie a klinicke imunologie - Ceske Budejovice

    České Budějovice, 37001

  • Alergopraktik s.r.o.

    Jablonec nad Nisou, 46601

  • Allergology Jihlava

    Jihlava, 58601

  • Alergologicka Ambulance - Liberec

    Liberec, 46001

  • Alergomyšl s.r.o

    Litomyšl, 570 01

  • Acredula Benedicta s.r.o.

    Pardubice, 53002

  • KASMED s.r.o.

    Tábor, 39002

  • MUJ ALERGOLOG s.r.o.

    Trutnov, 54101

Other trials in Czechia

France9 sites
  • Cabinet medical

    Fenouillet, 31150

  • Cabinet medical

    Hyères, 83400

  • Cabinet medical

    Joué-lès-Tours, 37300

  • Hopital Privé de la Loire

    Loiré, Saint-Étienne, 42100

  • Cabinet medical

    Paris, 75012

  • Cabinet médical

    Rezé, 44400

  • Cabinet medical

    Saint-Quentin, 02100

  • Nouvel Hopital Civil

    Strasbourg, 67091

  • CHU Hôpital Larrey

    Toulouse, 31059

Other trials in France

Lithuania8 sites
  • JSC Ausros Medicinos Centras

    Kaunas, 49387

  • Hospital of Lithuanian University of Health Sciences Kauno klinikos

    Kaunas, 50161

  • JSC Inlita, Klaipedos CTC

    Klaipėda, 92231

  • JSC Seimos gydytojas

    Vilnius, 01118

  • JSC Center of Innovative Allergology

    Vilnius, 06256

  • JSC INLITA, Santaros CTC

    Vilnius, 08406

  • Allergy Clinic JSC Perspektyvos

    Vilnius, 08564

  • JSC Center for Diagnosis and Treatment of Allergic Diseases

    Vilnius, LT-08109

Other trials in Lithuania

Latvia6 sites
  • M & M Centrs LTD

    Adazi, LV-2164

  • Balvu and Gulbenes hospital union

    Balvi, LV-4501

  • Daugavpils Regional hospital, Outpatient clinic

    Daugavpils, LV-5401

  • Vevere Viktorija - Doctor's Practice in Pneumology and Allergology

    Rēzekne, LV-4601

  • Ozola Inese - Family doctor's practice

    Riga, LV-1003

  • The Centre of Investigation and Treatment of Allergic Diseases

    Riga, LV-1003

Other trials in Latvia

Estonia1 site
  • North Estonia Medical Centre Foundation

    Tallinn, 13419

Other trials in Estonia

About this study

Official title: A Randomised, Parallel-group, Double-blind, Placebo-controlled Phase III Trial Assessing the Efficacy and Safety of 5-grass Mix SLIT-drops in Adults With Grass Pollen-induced Rhinoconjunctivitis

This is a 2 year clinical study to compare 5-grass mix SLIT-drops with placebo in relieving grass pollen-induced rhinoconjunctivitis symptoms and in use of symptom-relieving medication during the second grass pollen season (peak grass pollen season, PGPS)

The study will collect health-related quality of life data in the groups treated with 5-grass mix SLIT-drops or with placebo during the first and second PGPS.

The trial medication used is already approved to treat allergic rhinitis caused by grass pollen in adults in several countries.

Read the detailed description

This trial is a 2 year, parallel-group, double-blind, placebo-controlled phase III trial to evaluate efficacy and safety of the 5-grass mix SLIT-drops in adults with grass pollen-induced rhinoconjunctivitis with or without asthma. Approximately 440 adults will be enrolled in the trial and will receive the 5-grass mix SLIT-drops or placebo. The trial is conducted in several European countries.

Conditions
Allergy
Being tested
5-grass mix SLIT-drops, Placebo
Keywords
Allergic rhinoconjunctivitis, Adults, Grass
Medical subject headings
Hypersensitivity

What participants receive

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

  • 5-grass mix SLIT-dropsDrug

    Also called SLIToneULTRA

    Sublingual allergy immunotherapy drops, for daily administration

  • PlaceboDrug

    Placebo

Study groups in NCT04881461
Study groupRoleWhat they receive
PlaceboPlacebo comparatorGlycerol, carbonate, sodium chloride One single-dose container (0.5 ml) once daily
Receives: Drug: Placebo
5-grass mix SLIT-dropsExperimentalGrass mix sublingual allergy immunotherapy drops One single-dose container (0.5 ml) once daily. 50 SRU/day for five consecutive days followed by 150 SRU/day for five additional consecutive days. Maintenance: 300 SRU/day from day 11.
Receives: Drug: 5-grass mix SLIT-drops

What is being measured

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

  1. Average Daily Allergic Rhinoconjunctivitis Total Combined Score (TCS) During the 2nd Peak Grass Pollen Season (PGPS)

    The average daily TCS evaluates the treatment effect based on reduction in daily rhinoconjunctivitis symptoms and in use of symptom-relieving medication (on a scale from 0 to 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 2nd PGPS.

    Measured: During the 2nd PGPS (14 days)

Secondary outcomes (15)
  1. Average Weekly Overall Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Score During the 2nd Peak Grass Pollen Season (PGPS)

    The RQLQ measures the rhinoconjunctivitis quality of life. The RQLQ contains 28 questions, each scored on a 7-point scale (0 = not impaired at all; 6 = severely impaired). The overall RQLQ score is a mean of the 28 questions. Higher scores indicate worse quality of life. The endpoint is calculated as the average score of all reported weekly values during the 2nd PGPS.

    Measured: During the 2nd PGPS (14 days)

  2. Average Daily Allergic Rhinoconjunctivitis Total Combined Score (TCS) During the 1st Peak Grass Pollen Season (PGPS)

    The average daily TCS evaluates the treatment effect based on reduction in daily rhinoconjunctivitis symptoms and in use of symptom-relieving medication (on a scale from 0 to 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 1st PGPS.

    Measured: During the 1st PGPS (14 days)

  3. Average Weekly Overall Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Score During the 1st Peak Grass Pollen Season (PGPS)

    The RQLQ measures the rhinoconjunctivitis quality of life. The RQLQ contains 28 questions, each scored on a 7-point scale (0 = not impaired at all; 6 = severely impaired). The overall RQLQ score is a mean of the 28 questions. Higher scores indicate worse quality of life. The endpoint is calculated as the average score of all reported weekly values during the 1st PGPS.

    Measured: During the 1st PGPS (14 days)

  4. Average Weekly Overall Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Score During the 1st Entire Grass Pollen Season (EGPS)

    The RQLQ measures the rhinoconjunctivitis quality of life. The RQLQ contains 28 questions, each scored on a 7-point scale (0 = not impaired at all; 6 = severely impaired). The overall RQLQ score is a mean of the 28 questions. Higher scores indicate worse quality of life. The endpoint is calculated as the average score of all reported weekly values during the 1st EGPS.

    Measured: During the 1st EGPS (observed mean duration of approximately 8 weeks)

  5. Average Weekly Overall Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Score During the 2nd Entire Grass Pollen Season (EGPS)

    The RQLQ measures the rhinoconjunctivitis quality of life. The RQLQ contains 28 questions, each scored on a 7-point scale (0 = not impaired at all; 6 = severely impaired). The overall RQLQ score is a mean of the 28 questions. Higher scores indicate worse quality of life. The endpoint is calculated as the average score of all reported weekly values during the 2nd EGPS.

    Measured: During the 2nd EGPS (observed mean duration of approximately 9 weeks)

  6. Average Daily Allergic Rhinoconjunctivitis Total Combined Score (TCS) During the 1st Entire Grass Pollen Season (EGPS)

    The average daily TCS evaluates the treatment effect based on reduction in daily rhinoconjunctivitis symptoms and in use of symptom-relieving medication (on a scale from 0 to 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 1st EGPS.

    Measured: During the 1st EGPS (observed mean duration of approximately 8 weeks)

  7. Average Daily Allergic Rhinoconjunctivitis Total Combined Score (TCS) During the 2nd Entire Grass Pollen Season (EGPS)

    The average daily TCS evaluates the treatment effect based on reduction in daily rhinoconjunctivitis symptoms and in use of symptom-relieving medication (on a scale from 0 to 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 2nd EGPS.

    Measured: During the 2nd EGPS (observed mean duration of approximately 9 weeks)

  8. Average Allergic Rhinoconjunctivitis Daily Symptoms Score (DSS) During the 1st Peak Grass Pollen Season (PGPS)

    The average DSS evaluates the treatment effect based on reduction in daily rhinoconjunctivitis symptoms (on a scale from 0 to18). Higher scores indicate more severe symptoms. The endpoint is calculated as the average score of all reported daily values during the 1st PGPS.

    Measured: During the 1st PGPS (14 days)

  9. Average Allergic Rhinoconjunctivitis Daily Symptoms Score (DSS) During the 2nd Peak Grass Pollen Season (PGPS)

    The average DSS evaluates the treatment effect based on reduction in daily rhinoconjunctivitis symptoms (on a scale from 0 to18). Higher scores indicate more severe symptoms. The endpoint is calculated as the average score of all reported daily values during the 2nd PGPS.

    Measured: During the 2nd PGPS (14 days)

  10. Average Allergic Rhinoconjunctivitis Daily Symptoms Score (DSS) During the 1st Entire Grass Pollen Season (EGPS)

    The average DSS evaluates the treatment effect based on reduction in daily rhinoconjunctivitis symptoms (on a scale from 0 to18). Higher scores indicate more severe symptoms. The endpoint is calculated as the average score of all reported daily values during the 1st EGPS.

    Measured: During the 1st EGPS (observed mean duration of approximately 8 weeks)

  11. Average Allergic Rhinoconjunctivitis Daily Symptoms Score (DSS) During the 2nd Entire Grass Pollen Season (EGPS)

    The average DSS evaluates the treatment effect based on reduction in daily rhinoconjunctivitis symptoms (on a scale from 0 to18). Higher scores indicate more severe symptoms. The endpoint is calculated as the average score of all reported daily values during the 2nd EGPS.

    Measured: During the 2nd EGPS (observed mean duration of approximately 9 weeks)

  12. Average Allergic Rhinoconjunctivitis Daily Medication Score (DMS) During the 1st Peak Grass Pollen Season (PGPS)

    The average DMS evaluates the treatment effect based on reduction in daily use of rhinoconjunctivitis symptom-relieving medication (on a scale from 0 to 20). Higher scores indicate more medication use. The endpoint is calculated as the average score of all reported daily values during the 1st PGPS.

    Measured: During the 1st PGPS (14 days)

  13. Average Allergic Rhinoconjunctivitis Daily Medication Score (DMS) During the 2nd Peak Grass Pollen Season (PGPS)

    The average DMS evaluates the treatment effect based on reduction in daily use of rhinoconjunctivitis symptom-relieving medication (on a scale of 0 to 20). Higher scores indicate more medication use. The endpoint is calculated as the average score of all reported daily values during the 2nd PGPS.

    Measured: During the 2nd PGPS (14 days)

  14. Average Allergic Rhinoconjunctivitis Daily Medication Score (DMS) During the 1st Entire Grass Pollen Season (EGPS)

    The average DMS evaluates the treatment effect based on reduction in daily use of rhinoconjunctivitis symptom-relieving medication(on a scale from 0 to 20). Higher scores indicate more medication use. The endpoint is calculated as the average score of all reported daily values during the 1st EGPS.

    Measured: During the 1st EGPS (observed mean duration of approximately 8 weeks)

  15. Average Allergic Rhinoconjunctivitis Daily Medication Score (DMS) During the 2nd Entire Grass Pollen Season (EGPS)

    The average DMS evaluates the treatment effect based on reduction in daily use of rhinoconjunctivitis symptom-relieving medication (on a scale from 0 to 20). Higher scores indicate more medication use. The endpoint is calculated as the average score of all reported daily values during the 2nd EGPS.

    Measured: During the 2nd EGPS (observed mean duration of approximately 9 weeks)

Timeline

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

  1. First posted11 May 2021
  2. Study start10 May 2021
  3. Primary completion26 Sep 2023
  4. Study completion26 Sep 2023

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
445 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04881461
Sponsor's protocol ID
SU-G-01
Other IDs
2020-000455-12
Acronym
Rhapsody
Status last verified
Dec 2024
First submitted
18 Mar 2021
Last updated
16 Dec 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 5-grass mix SLIT-drops in people with Allergy, run by ALK-Abelló A/S at 48 sites in 6 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 5 inclusion and 6 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 16 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 48 sites in Poland, Czechia, France, Lithuania, Latvia and 1 more country. 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 16 Dec 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 Allergic Rhinoconjunctivitis Total Combined Score (TCS) During the 2nd Peak Grass Pollen Season (PGPS) (time frame: During the 2nd PGPS (14 days)). 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 16 Dec 2024.

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