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Intralymphatic Immunotherapy Enhanced by Vitamin-D, a Randomized Placebo-controlled Trial and Comparison With SLIT

Study Purpose

A national, multicenter, randmised double blind study with parallell arms. 360 patients with grass induced allergic rhinitis will be open randomised 1:2 to 3 years Grazax sublingual immunotherapy or 3 intralymphatic injections with ALK Alutard Timothy. In a second step, the ILIT group will be double blind randomised 1:1 to an intramuscular injection of Vitamin D Vicotrat or placebo, 4 week before the start of the intralymphatic treatment. The primary outcome measure is daily combined symptoms and medication scores during grass pollen season.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years - 60 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - moderate to severe allergic rhinitis due to grass pollen, with Rhinitis Total Symptom Score >/= 8.
  • - informed consent.

Exclusion Criteria:

  • - chronic rhinosinusitis.
  • - Previous immunotherapy.
  • - BMI > 35.
  • - house dust mite allergy with symptoms or allergy towards furry animals with exposition.
  • - 25(OH)Vitamin D levels < 25 or > 75 nmol/L.
  • - uncontrolled asthma.
  • - severe atopic dermatitis.
  • - pregnancy or nursing.
  • - autoimmune disease.
  • - hyper IgE-syndrome.
  • - cardiovascular disease.
  • - lung disease.
  • - liver or kidney disease.
  • - hematologic disorder.
  • - metabolic disease.
  • - chronic infectious disese.
  • - medications interacting with the immune system.
  • - cancer.
  • - previous cytostatic therapy.
  • - medication with beta-blockers or ACE-inhibiters, if medication cannot be paused at the day for treatment.
  • - medication with antiepileptic drugs, glykosides, orlistat, statines, thiazide diuretics.
  • - Mb Paget, osteoporosis or sarcidosis.
  • - Hyperparathyroidism or other disease conferring risk of hypercalcemia.
  • - malabsorption or bowel disease with diarrea.
  • - tendency for formation of kidney stones.
  • - hereditary pseudohypoparathyroidism with decreased phosphorous secretion.
  • - use of Vitamin D supplementation or excessive use of sun tanning booths.
  • - drug abuse.
  • - intake of other study product within 1 month or 6 half times, which ever is longest, before visit 1.
  • - Mental incapacity to follow study protocol.
  • - withdrawn consent.
  • - other significant disease.
- allergy towards study medication

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06061848
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2/Phase 3
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Lars Olaf Cardell
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Lars O Cardell, Professor
Principal Investigator Affiliation Karolinska Institutet
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries Sweden
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Allergic Rhinitis Due to Grass Pollen
Arms & Interventions

Arms

Active Comparator: SLIT

Sublingual immunotherapy timothy pollen 75000 SQ-T 1 daily for 3 years

Active Comparator: ILIT + Vitamin D

Intramuscular injection of kolecalciferol 100000 IU followed by intralymphatic immunotherapy with 3 monthly injections of grass pollen allergen 1000 SQ-U.

Active Comparator: ILIT + placebo

Intramuscular injection of saline solution followed by intralymphatic immunotherapy with 3 monthly injections of grass pollen allergen 1000 SQ-U.

Interventions

Drug: - SLIT Grazax ALK Nordic 75 000 SQ-T

Daily sublingual grass allergen tablets

Drug: - ILIT + Vitamin D

1 mL of Vicotrat D3, Heyl Pharma, 100 000 IU/mL, as intramuscular injection. Followed by 0,1 mL of Alutard SQ timothy, ALK Nordic, 10 000 SQ-U/mL as three intralymphatic injections

Drug: - ILIT + placebo

1 ml of Sodium chloride solution 9 mg/mL as intramuscular injection followed by 0,1 mL of Alutard SQ timothy, ALK Nordic, 10 000 SQ-U/mL as three intralymphatic injections

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

Lund, Sweden

Status

Not yet recruiting

Address

Skåne University Hospital, ENT department

Lund, ,

Site Contact

Franziska Nordström, MD

[email protected]

+46 72 580 29 63

Stockholm, Sweden

Status

Recruiting

Address

Karolinska University Hospital, ENT-department

Stockholm, ,

Site Contact

Eirini Paziou, MD

[email protected]

+46 8 123 723 96

Örebro University Hospital, Örebro, Sweden

Status

Not yet recruiting

Address

Örebro University Hospital

Örebro, ,

Site Contact

Amanj Saber, MD

[email protected]

+46 72 580 29 63

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