The purpose of this 2-year study is to assess the sustained clinical efficacy and safety of 300 IR/day of a sublingual solution of birch pollen allergen extract starting 4 months prior to the birch pollen season and continuing over the birch pollen season compared with placebo for reduction of rhinoconjunctivitis-related symptoms and anti-allergy medication usage.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
574
10 actuations of placebo sublingual solution once daily 5 months a year and during 2 years
Sublingual solution of Birch pollen allergen extract 300IR (10 actuations) once daily 5 months per year and during 2 years
Alergologicka ordinace
Pilsen, Czechia
National University Hospital - Allergy Unit 4222
Copenhagen, Denmark
Merekivi Perearstid OÜ
Tallinn, Estonia
Helsingin yliopistollinen keskussairaala
Helsinki, Finland
NHC, Hôpitaux Universitaires de Strasbourg
Strasbourg, France
Universitätsmedizin Berlin - Allergie-Centrum-Charité
Berlin, Germany
Centre of Investigations and Treatment of Allergic Diseases
Riga, Latvia
Allergic Diseases Diagnostics and Treatment Centre
Vilnius, Lithuania
SPZOZ Uniwersytecki Szpital Kliniczny Nr 1im.N.Barlickiego w Uniwersystetu Medycznego w Łodzi
Lodz, Poland
Imunologicko-alergologicka amb.
Banská Bystrica, Slovakia
...and 1 more locations
Average Adjusted Symptom Score
Symptom score adjusted on patient's rescue medication usage
Time frame: Year 2 of treatment
Average Rhinoconjunctivitis Total Symptom Score
Time frame: Year 2 of treatment
Average Rescue Medication Score
Time frame: Year 2 of treatment
Each of Six Individual Average Rhinoconjunctivitis Symptom Scores
Time frame: Year 2 of treatment
Average Combined Score
Time frame: Year 2 of treatment
Average Rhinoconjunctivitis Visual Analogue Scale Score
Time frame: Year 2 of treatment
Average Adjusted Visual Analogue Scale Score
Time frame: Year 2 of treatment
Rescue Medication Usage
Time frame: Year 2 of treatment
Proportion of Symptom-controlled Days
Time frame: Year 2 of treatment
Rhinoconjunctivitis Quality of Life Questionnaire
Time frame: Year 2 of treatment
Global evaluation of the efficacy by the patient
Time frame: Year 2 of treatment
Sensitization profile
sensitization profile (mono- vs poly-sensitized) is derived from the skin prick test results
Time frame: Before and after each treatment period (over 2 years)
Asthma
Time frame: Before, during and after each pollen season (over 2 years)
Immunological markers specific for birch pollen
Time frame: Before and after each treatment period (over 2 years)
Economical Evaluation
Proportion of days-off due to birch pollen-induced symptoms
Time frame: Year 2 of treatment
Wheal diameter of the birch allergen Skin prick test
Time frame: Before and after each treatment period (over 2 years)
Oral Provocation Test
Analysis on a subset of patients presenting an Oral Allergy Syndrome at study entry
Time frame: Year 2 of treatment
Mucosa Local Inflammation
Analysis on a subset of patients
Time frame: Year 1 of treatment
Safety assessments
adverse events, physical examination including vital signs and laboratory data described by number of patients in each treatment group
Time frame: ~20 months
Average adjusted Symptom score analysis by tertiles
Time frame: Year 2 of treatment
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