The aim of this first-in-human phase I study is to assess the safety and tolerability of HAL-MRE1 subcutaneous immunotherapy in subjects suffering from ragweed pollen-induced allergic rhinitis/rhinoconjunctivitis with or without asthma. The study has 4 treatment groups: 1 placebo group and 3 groups treated with different doses of HAL-MRE1.
A chemically modified, aluminum hydroxide adsorbed ragweed extract (HAL-MRE1) for subcutaneous administration was developed for the treatment of ragweed pollen-induced allergic rhinitis/rhinoconjunctivitis (ARC) with or without asthma. The aim of this first-in-human phase I study is to assess the safety and tolerability of HAL-MRE1 subcutaneous immunotherapy in subjects suffering from ragweed pollen-induced ARC with or without asthma. The study will consist of 3 staggered cohorts of 15 subjects each who are randomly assigned to the active or placebo group in a 2:1 manner using block randomization. A one month gap must be maintained between the end of the ragweed pollen peak season (2018) and subject randomization into the study. The study has seasonal constraints; subjects with concomitant tree and/or grass pollen allergies must complete study treatment before any allergy symptoms due to tree and/or grass pollen exposure develop or start study treatment after the symptoms caused by the tree and/or grass pollen exposure have disappeared.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
45
HAL-MRE1 is a liquid suspension for subcutaneous administration containing aluminum hydroxide adsorbed modified allergens extracted from ragweed pollen.
Inflamax Research Inc.
Mississauga, Canada
Occurence of local and systemic reactions
Number, intensity and seriousness of early (within 30 mins from injection), delayed (within 30mins and 3 hours from injection) and late (from 3 hours to 24 hours after injection) local reactions (\>8 cm wheal size swelling at injection site) as well as early, delayed and late systemic reactions.
Time frame: Through study completion, approximately 10 weeks
Occurence of other local reactions
Number, intensity and seriousness of other local reactions like itching, pain and redness at injection site.
Time frame: Through study completion, approximately 10 weeks
Occurrence of treatment emergent adverse events
Treatment emergent adverse events will be collected by reporting of adverse events and by clinical relevant changes in e.g. laboratory values, vital signs, physical exam, and lung function in plasma and urine
Time frame: Through study completion, approximately of 10 weeks
Number of subjects that reach maximum dose
The number of subjects in each cohort who reach the maximum dose is indicative of HAL-MRE1 tolerability.
Time frame: Through study completion, approximately of 10 weeks
Number of injections to reach maintenance dose
The number of injections that subjects in each cohort need to reach the maximum dose will provide an indication of HAL-MRE1 tolerability.
Time frame: Through study completion, approximately of 10 weeks
Immunoglobulin Levels
Short term pharmacodynamic effects of HAL-MRE1 will be measured by determining the change in serum levels of allergen specific immunoglobulins (IgE, IgG and IgG4) pre- and post-study treatment in the HAL-MRE versus placebo treated groups.
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Time frame: Pre-treatment and after the repeated maintenance dose visit (after 8 to 10 weeks)
Change in wheal size after skin prick test
Exploratory efficacy data will be obtained by measuring the change in wheal size following skin prick test with ragweed extract pre- and post-treatment in the HAL-MRE1 versus placebo treated groups.
Time frame: Pre-treatment and after the repeated maintenance dose visit (after 8 to 10 weeks)