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Allergic RhinitisPhase 1/2NCT06960382

Safety and Immunogenicity of Cat-allergen Intralymphatic Immunotherapy in Patients With Cat Allergy With and Without Asthma

A Phase 1/2 study testing ALUTARD SQ® Felis domesticus in people with Allergic Rhinitis and Allergic Asthma, run by University of Zurich at 1 site in Switzerland.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to evaluate the safety and tolerability of intralymphatic immunotherapy (ILIT) with ALUTARD SQ Felis domesticus in patients with cat allergy-induced allergic rhinitis and asthma. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Allergic Rhinitis, Allergic Asthma
What is being tested?
ALUTARD SQ® Felis domesticus
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteSwitzerland
Study dates
20 Aug 2025to 31 Mar 2028
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

Who may be able to join

  • Informed consent as documented by signature.
  • Cat-dander-induced ARC as confirmed by patient history and type-1-sensitization to cat dander in skin and/or serum.

Who cannot join

  • Hypersensitivity to phenol.
  • Planned depot steroid injection for treatment of ARC
  • Patients with uncontrolled asthma or FEV1 < 70% of the predicted value in adults (after adequate pharmacological therapy).
  • Patients with a severe asthma exacerbation in the past 3 months.
  • Irreversible secondary changes in the affected organ (e.g., emphysema, bronchiectasis).
  • Chronic obstructive or restrictive lung disease.
Show all 21Show fewer
  • Patients with active systemic autoimmune diseases and patients with immune deficiencies or immune weaknesses.
  • Severe chronic inflammatory diseases.
  • Concomitant infection with fever or other signs/symptoms of an acute or chronic infection at treatment visit.
  • Chronic obstructive or restrictive lung disease
  • Patients with malignant tumours that currently have clinical significance.
  • Disease or conditions rendering the treatment of anaphylactic reactions difficult (symptomatic coronary heart diseases, severe arterial hypertension, and treatment with beta-blockers).
  • Known cardiovascular disease, i.e., not even NYHA class I.
  • Use of ACE-blockers.
  • Recent or on-going hepatic or renal disease.
  • Severe chronic renal insufficiency (due to aluminium burden).
  • Alcohol or drug abuse
  • Women who are pregnant and breast feeding
  • Women of childbearing age who wish to become pregnant or do not use contraception.
  • Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant.
  • Participation in another study with investigational drug within the 30 days preceding and during the present study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Pål Johansen, Professor, PhD contact

+41 44 255 8616

pal.johansen@usz.ch

Switzerland1 site, 1 recruiting
  • University Hospital Zurich

    Zurich, 8091

    Carole Guillet, MD, +41 43 253 1063, Carole.Guillet@usz.ch

    Claudia V.L. Lang, MD

    Recruiting

Other trials in Switzerland

About this study

Official title: Safety and Immunogenicity of Cat-allergen Intralymphatic Immunotherapy: an Open Label Phase II Study in Patients With Cat Allergy With and Without Asthma

The goal of this clinical trial is to evaluate the safety and tolerability of intralymphatic immunotherapy (ILIT) with ALUTARD SQ Felis domesticus in patients with cat allergy-induced allergic rhinitis and asthma. The main questions it aims to answer are:

Is ILIT with ALUTARD SQ Felis domesticus safe and well tolerated?

Read more

What immunological responses play a role in ILIT?

Researchers will compare the effects of ILIT to existing subcutaneous immunotherapy (SCIT) approaches to assess safety, tolerability, immunogenicity, and efficacy.

Participants will:

Receive 3-4 ILIT injections of ALUTARD SQ Felis domesticus into an inguinal lymph node, guided by ultrasound.

Undergo safety monitoring, including WAO guidelines for systemic allergic reactions and tryptase measurement.

Complete lung function tests, questionnaires, and a modified nasal provocation test to evaluate asthma effects and treatment efficacy.

Provide blood samples for ImmunoCAP and basophil activation testing using CAST ELISA.

Inclusion criteria: Adults aged 18-65 with cat-dander-induced allergic rhinitis and asthma.

Exclusion criteria: Hypersensitivity to treatment components, systemic steroid use, uncontrolled asthma (FEV1 < 70%), recent severe asthma exacerbations, or serious comorbidities.

The study aims to generate data to inform future efficacy trials.

Read the detailed description

Patients with allergic rhinitis and asthma due to sensitisation to cat allergens are seldom offered allergen immunotherapy (AIT) due to risk of systemic allergic adverse events such as asthma exacerbations and anaphylaxis. In Switzerland, ALUTARD SQ Felis domesticus is approved for subcutaneous immunotherapy (SCIT). The treatment comprises nearly 50 injections over 3 years. In contrast, intralymphatic immunotherapy (ILIT) is an experimental treatment option that has been suggested to be effective after only 3-4 injections using much lower doses as for SCIT. Since the lymph nodes do not contains mast cells, and due to the lower doses and less injections, ILIT is expected to be a safer alternative to SCIT. This study in patient with cat allergy therefore tests the safety and tolerability of ALUTARD SQ Felis domesticus in ILIT.

The objective is to test if ILIT is safe and tolerable in patients with allergy to cat hair allergen and to determine which immunological responses play a role in ILIT.

The main outcome measures on the safety, tolerability, immunogenicity and efficacy. The data will be used to design later efficacy studies.

Safety is measured using a World Allergy Organization (WAO) guideline for systemic allergic reactions and by tryptase measurement in blood serum. Effects on asthma is measured using lung functions tests and questionnaires. Immunogenicity is measured by ImmunoCAP and basophil activation is measured using CAST ELISA. Treatment effect is measured using a modified nasal provocation test and quality of life questionnaires.

Inclusion: Informed consent, cat-dander-induced ARC, age 18-65 years, any sex and gender.

Exclusion: Hypersensitivity to aluminium hydroxide or phenol. Systemic steroid treatment. Uncontrolled asthma or FEV1 < 70%. Severe asthma exacerbation last 3 months. Emphysema, bronchiectasis. Serious comorbidities as judged by the recruiting physician.

The study drug is administered by injection into an inguinal lymph node. The targeting of the lymph node is supported by simultaneous sonography.

"ALUTARD SQ Felis domesticus" is administered intralymphatically. The injection volume is 50-200 mcl and the dose is between 10 SQ units and 10,000 SQ units. The injections will be performed three to four times with 4 weeks or more interval between each injection.

The procedures last for 5-10 minutes, but various tests and are performed prior to and after the ILIT injection. The visits therefore last for 2-3 hours, including the safety follow up.

Being tested
ALUTARD SQ® Felis domesticus
Keywords
cat allergy, asthma, rhinitis, immunotherapy, intralymphatic injection, ILIT
Medical subject headings
Rhinitis, Allergic, Asthma, Rhinitis

What participants receive

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

  • ALUTARD SQ® Felis domesticusDrug

    The drug is approved for use in Switzerland for subcutaneous injections. I this study, we will test the intralympahtic injection

Study groups in NCT06960382
Study groupRoleWhat they receive
ALUTARD SQ® Felis domesticus, Fix dose: 1000 SQActive comparatorPatients will get 3 injections of each 1000 SQ contained in each 0.1 mL
Receives: Drug: ALUTARD SQ® Felis domesticus
ALUTARD SQ® Felis domesticus, Dose escalation: low dose and volumeActive comparatorPatients will get 3 injections with 100, 1000 and finally 10000 SQ contained in each 0.1 mL
Receives: Drug: ALUTARD SQ® Felis domesticus
Dose escalation: high dose and volumeActive comparatorPatients will get 3 injections 200, 2000 and finally 10000 SQ contained in 0.2, 0.2 and finally 0.1 mL
Receives: Drug: ALUTARD SQ® Felis domesticus

What is being measured

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

  1. Change of blood tryptase levels at baseline, after first ILIT and in case of systemic allergic reactions

    The overall objective is to test whether ILIT with a cat hair allergen extract is safe and tolerable in patients with allergy to cat hair allergen. To assess safety, blood tryptase levels (μg/L) are measured at baseline, 2 hours after the first ILIT and within 1 hour in case of systemic allergic reactions in the following ILIT-visits. Tryptase is released during a systemic allergic reaction.

    Measured: From enrollment to the end of treatment at 8 monts. At Baseline, 2 hours after the first Injection and within 1 hour in case of systemic allergic reactions.

  2. Incidence and severity of adverse events using the WAO rating system 2024

    Safety assessment by analyzing allergic reactions and their severity using World Allergy Organization Grading System (WAO 2024). The scale reaches from 0 (no averse events) to 5 (e.g. anaphylaxis or respiratory or cardiac arrest). Higher number indicating higher severity.

    Measured: From enrollment to the end of treatment at 8 months.

Secondary outcomes (14)
  1. Effect on phenotype and reactivity of cat-allergen-specific lymphocytes measuring basophil activation to cat allergen

    Immunogenicity will be assessed measuring basophil activation to cat allergen in vitro using CAST ELISA. Using this analysis, the effect on phenotype and reactivity of cat-allergen-specific lymphocyte reactions will be studied.

    Measured: From enrollment to the end of treatment at 8 months.

  2. Change in total IgE concentration from baseline to each injection, 1 and 4 months after the end of treatment

    Further the study aims to explore initial knowledge to immunogenicity of ILIT with ALUTARD SQ. Immunogenicity will be assessed measuring total IgE (kU/L) using IMMUNOCAP.

    Measured: From enrollment to the end of treatment at 8 months.

  3. Change in cat allergen-specific IgE from baseline to each injection and 1 and 4 months after the end of treatment

    Further the study aims to explore initial knowledge to immunogenicity of ILIT with ALUTARD SQ. Immunogenicity will be assessed measuring cat allergen-specific IgE (kUA/L) using IMMUNOCAP.

    Measured: From enrollment to the end of treatment at 8 months.

  4. Change in cat allergen-specific IgG4 from baseline to each injection, 1 and 4 months after the end of treatment

    Immunogenicity will be assessed measuring IgG4 (in μg/L)) using IMMUNOCAP.

    Measured: From enrollment to the end of treatment at 8 months

  5. Change in cat allergen-specific IgG from baseline to each injection, 1 and 4 months after the end of treatment

    Immunogenicity will be assessed measuring concentration of cat allergen-specific IgG (μg/L) using IMMUNOCAP.

    Measured: From enrollment to the end of treatment at ca. 8 months

  6. Assessment of treatment benefit by calculating the ratio of cat allergen-specific IgG4 to IgE

    Immunogenicity will be assessed calculating the allergen-specific IgG4 to IgE ratio (μg/kUA). The higher the ratio the greater is the expected benefit of the treatment. Both values will be measured using IMMUNOCAP.

    Measured: From enrollment to the end of treatment at 8 months.

  7. Change in skin sensitivity by measuring the diameters in Skin Prick Test (SPT) at baseline and 4 months after treatment

    Immunogenicity will be assessed by analyzing the change in skin sensitivity by measuring the diameters at baseline and 16 weeks after treatment as well as the change from baseline.

    Measured: From enrollment to the end of treatment at 8 months. At baseline and at 4 months after end of treatment.

  8. Change in spirometry from baseline and 4 months after end of treatment

    Immunogenicity will be assessed measuring the lung function with spirometry. The change from baseline to the last follow up 16 weeks after the last treatment will be assessed for each patient and in comparison to the other treatment groups.

    Measured: From enrollment to the end of treatment at 8 months. At baseline and 4 months after end of treatment.

  9. Change of Fraction Exspiratory Nitric Oxide (FeNo) from baseline to 4 months after end of treatment

    Immunogenicity will be asessed measuring FeNo. The change from baseline and the last follow up 16 weeks after the last ILIT will be assessed for each patient and in comparison to the other treatment groups.

    Measured: From enrollment to the end of treatment at 8 months. At baseline and at 4 months after treatment.

  10. Efficacy assessment using Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ)

    Efficacy will be measured using questionnaires to assess quality of life regarding rhinoconjuctivitis (RQLQ, scale 0-6, 6 indicating severely impaired).

    Measured: From enrollment to the end of treatment at 8 months

  11. Efficacy assessment using Asthma Quality of Life Questionnaire (AQLQ)

    Efficacy will be measured using questionnaires to assess quality of life regarding asthma (AQLQ, scale 1-7, 1 indicating severely impaired). This measure will only be applied in participants that have a history of asthma.

    Measured: From enrollment to the end of treatment at 8 months

  12. Change in leukotriene release of blood cells from baseline to each injection and 1 and 4 months after the end of treatment

    Efficacy is will be assessed measuring the release of leukotriene (μg/mL) in a culture of blood cells stimulated with the allergen using CAST ELISA. It will be measured at baseline, each ILIT visit and at the follow up visits 1 and 4 months after end of treatment.

    Measured: From enrollment to the end of treatment at 8 months. At baseline, each ILIT injection, 1 and 4 months after end of treatment.

  13. Change of rhinal secretion by using the Schirmer Test after nasal provocation test (NPT) at baseline and 4 months after end of treatment.

    Efficacy will be assessed using the NPT to reflect natural exposure. The change of nasal secretion after provocation with the cat hair allergen is measured using the Schirmer test. 30 seconds after nasal provocation the test strip will be attached to the nasal septum. After 3 minutes rhinal secretion is quantified measuring the running distance of rhinal fluid on the test strip in millimeters. The difference from baseline and 16 weeks after the last ILIT is measured.

    Measured: From enrollment to the end of treatment at 8 months. At baseline and 4 months after end of treatment.

  14. Change of nasal reactivity by rhinoscopic assessment before and after nasal provocation test (NTP) at baseline and 4 months after end of treatment

    Efficacy will be assessed using a rhinoscopic semi-quantitative evaluation before and after the nasal provocation test (NPT) at the start of the study and 4 months after the end of treatment. Rhinoscopy is used to assess secretion (0 = no secretion, 2 = heavy secretion), irritation (0 = 0-2 sneezes, 2 = >5 sneezes) and distant symptoms (1 = itching in the palate or ear, 2 = conjunctivitis, chemosis, coughing or dyspnoea, urticaria). The test is considered positive if the total score is at least 3 points.

    Measured: From enrollment to the end of treatment at 8 months. At baseline and 4 months after end of treatment.

Timeline

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

  1. First posted7 May 2025
  2. Study start20 Aug 2025
  3. Primary completion31 May 2027 (estimated)
  4. Study completion31 Mar 2028 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
36 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06960382
Sponsor's protocol ID
CAT-ILIT-USZ-25/1
Status last verified
Mar 2026
First submitted
25 Mar 2025
Last updated
16 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Summary of data upon analysis will be shared upon termination of the study. Protocols may be shared during the study upon contact with P or sponsor. Study and data will be published upon termination of the study.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing ALUTARD SQ® Felis domesticus in people with Allergic Rhinitis and Allergic Asthma, run by University of Zurich at 1 site in Switzerland.

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 2 inclusion and 21 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: looking for participants now, as of the sponsor's last update on 16 Mar 2026. 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 Switzerland. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

This study is still under way. Results are not available in the source record yet.

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

Contact Pål Johansen, Professor, PhD (+41 44 255 8616, pal.johansen@usz.ch), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change of blood tryptase levels at baseline, after first ILIT and in case of systemic allergic reactions (time frame: From enrollment to the end of treatment at 8 monts. At Baseline, 2 hours after the first Injection and within 1 hour in case of systemic allergic reactions.). The study lists 2 primary outcomes in all. 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 Mar 2026.

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