Effect and Underlying Immunological Mechanisms of Sublingual Immunotherapy in Allergic Rhinitis

Beijing Tongren Hospital71 enrolled

Overview

Allergic rhinitis (AR) is a common Ig-E mediated disease of nasal mucosa, induced by an immunoglobulin E (IgE)-mediated reaction in the allergen-sensitized subjects, affecting 10% to 40% of the world population. AR could be divided into two kinds, perennial AR and seasonal AR (SAR). Allergen specific immunotherapy (AIT) is the only etiological treatment available for AR. Traditionally, AIT is divided into 2 types, subcutaneous immunotherapy (SCIT) and sublingual immunotherapy (SLIT), both of which are effective and safe alternatives. The trial is a randomized, double-blind, placebo-controlled trial. 72 eligible SAR patients, who were sensitized to sweet sagewort (artemisia annua), were enrolled into the trial, followed by either a 32-week SLIT schedule, where the maintenance dose would be reached within 5 weeks, or placebo SLIT schedule. Standardized depot preparations of sweet sagewort (artemisia annua) extract (Zhejiang Wolwo Bio-pharmaceutical Co., Ltd., China ) were administered by means of sublingual drops.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Seasonal Allergic Rhinitis

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Male or female outpatients aged 18 to 60 years (inclusive). * With history of SAR for at least two years, with/without conjunctivitis and asthma * Two or more nasal symptoms scores were ≥ 2 points during July - October in the last year. * Sensitised to artemisia annua (specific IgE level ≥ 3.5 kilounit per liter). * Patients who have been informed of the nature and aims of the study and have given their written consent, willing to comply with the protocol. * Patients who are able to understand the information given and the consent and complete the daily record card. Exclusion Criteria: * Patients whose Humulus- or Artemisiifolia-specific immunoglobulin E (IgE) levels (ImmunoCAP) same as or higher than Artemisia-specific immunoglobulin E (IgE) level. * Patients with oral diseases/ allergies within the run-in period. * Patients accepted any kind of operations within 4 weeks of the run-in period. * Patients applied for systemic glucocorticoids within 4 weeks in the run-in period. * Patients with perennial AR. * Patients with any nasal condition that could confound the results of the study (chronic rhinitis, chronic rhinosinusitis with/without polyps). * Whatever the co-sensitization leading to clinically relevant AR, conjunctivitis or asthma likely to significantly change the symptoms of the patient throughout the study. * Patients with comorbidity of severe asthma.

Outcomes

Primary Outcomes

change from baseline symptom scores at Week 16

Primary outcome is the assessment data from all patients whom will record on diary cards their symptom scores based on visual analog scales, ranging from 0(asymptomatic) to 3(most severe).

Time frame: at baseline, Week 16

Secondary Outcomes

Quality of life

Assessment data from all patients whom will record on diary cards their quality-of-life measures for rhinitis(rhinoconjunctivitis quality of life questionnaire,RQLQ), including 28 questions, ranging from 0 (do not affect quality of life) to 6 (severely affect quality of life).

Time frame: at the pollen season of 2016, baseline, Week 16, Week 32, 6 months after discontinuation of treatment

Medication scores

Assessment data from all patients whom will record on diary cards their medication usage.

Time frame: at the pollen season of 2016, baseline, Week 16, Week 32, 6 months after discontinuation of treatment

Immunologic Changes-IgE

Changes in total serum IgE, specific IgE levels in peripheral blood.

Time frame: at baseline, Week 16, Week 32

Immunologic Changes-M2 population

Changes in M2 population in peripheral blood and nasal secretion (Flow cytometry).

Time frame: at baseline, Week 16, Week 32

Change of symptom scores

Assessment data from all patients whom will record on diary cards their symptom scores based on visual analog scales.

Time frame: at the pollen season of 2016, Week 16 and 6 months after discontinuation of treatment