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NCT02443805

Efficacy & Safety of STG320 Sublingual Tablets of HDM Allergen Extracts in Adults and Adolescents With HDM-associated AR

Completed Phase 3 Results posted Last updated 14 October 2019
What this trial tests

Phase 3 trial testing 300 IR in Rhinitis, Allergic, Perennial in 1,607 participants. Completed in 25 June 2018.

Timeline
29 September 2015
Primary endpoint
25 June 2018
25 June 2018

Quick facts

Lead sponsorStallergenes Greer
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment1,607
Start date29 September 2015
Primary completion25 June 2018
Estimated completion25 June 2018
Sites2 locations across France, United States

Drugs / interventions tested

Conditions studied

Sponsor

Stallergenes Greer — full company profile →

Who can join

Adults 12 to 65, any sex, with Rhinitis, Allergic, Perennial or House Dust Mite Allergy. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Total Combined Score Primary · 12 months

Average Total Combined Score (TCS), calculated for each patient as the average of the non-missing daily TCSs during the primary evaluation period. The daily TCS (scale 0-15) was the sum of the patient's daily Rhinitis Total Symptom Score (RTSS, scale 0-12) and daily Rescue Medication Score (RMS, scale 0-3). Lower is better.

GroupValue95% CI
300 IR3.623.33 – 3.92
Placebo4.354.06 – 4.66
Average Rhinitis Total Symptom Score (RTSS) Secondary · 12 months

Average RTSS during the primary evaluation period. The daily Total Symptom Scores (RTSS) was the sum of the 4 rhinitis symptom scores: sneezing, rhinorrhoea, nasal pruritus and nasal congestion, each graded on a 4-point scale (0-3; 0: absent, 1: mild, 2: moderate, 3: severe). It ranges from 0 to 12. Lower is better.

GroupValue95% CI
300 IR3.162.89 – 3.43
Placebo3.793.53 – 4.07
Average Rescue Medication Score (RMS) Secondary · 12 months

Average RMS during the primary evaluation period. Rescue Medication Score (RMS) ; range 0-3, lower is better.

GroupValue95% CI
300 IR0.210.17 – 0.25
Placebo0.300.26 – 0.35

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

300 IR
Serious: 21/800 (3%)
Deaths: 0/800
Placebo
Serious: 9/801 (1%)
Deaths: 0/801

Serious adverse events (30 terms)

ReactionSystem300 IRPlacebo
AppendicitisInfections and infestations
Pharyngeal disorderRespiratory, thoracic and mediastinal disorders
Dermatitis atopicSkin and subcutaneous tissue disorders
Tick-borne viral encephalitisInfections and infestations
TonsillitisInfections and infestations
CellulitisInfections and infestations
PneumoniaInfections and infestations
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive ductal breast carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid neoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Hodgkin's diseaseNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Ankle fractureInjury, poisoning and procedural complications
Joint dislocationInjury, poisoning and procedural complications
Pelvic fractureInjury, poisoning and procedural complications
Spinal fractureInjury, poisoning and procedural complications
ChondromalaciaMusculoskeletal and connective tissue disorders
Plica syndromeMusculoskeletal and connective tissue disorders
Chest painGeneral disorders
Chronic fatigue syndromeGeneral disorders
Renal colicRenal and urinary disorders
NephrolithiasisRenal and urinary disorders
NeutropeniaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
DiarrhoeaGastrointestinal disorders
Other adverse events (13 terms — click to expand)

ReactionSystem300 IRPlacebo
Oral pruritusGastrointestinal disorders
Throat irritationRespiratory, thoracic and mediastinal disorders
NasopharyngitisInfections and infestations
Ear pruritusEar and labyrinth disorders
Oedema mouthGastrointestinal disorders
Tongue oedemaGastrointestinal disorders
HeadacheNervous system disorders
Lip oedemaGastrointestinal disorders
DysphagiaGastrointestinal disorders
NauseaGastrointestinal disorders
Pharyngeal oedemaRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Abdominal pain upperGastrointestinal disorders

Most-reported serious reactions: Appendicitis, Pharyngeal disorder, Dermatitis atopic, Tick-borne viral encephalitis, Tonsillitis, Cellulitis, Pneumonia, Breast cancer.

Data from ClinicalTrials.gov NCT02443805 adverse events section.

Sponsor's own description

The objective of this study was to assess the efficacy and safety of 12 months of treatment with 300 IR of STG320 sublingual tablets compared with placebo in adults and adolescents with HDM-associated allergic rhinitis.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Dogmas, challenges, and promises in phase III allergen immunotherapy studies.
    De Kam PJ, Kramer MF, Shamji MH, Oluwayi K, et al · · 2021 · cited 6× · PMID 34659627 · DOI 10.1016/j.waojou.2021.100578
  2. The evidence for commercial house dust mite immunotherapy products: A pragmatic systematic review with narrative synthesis.
    West T, Katelaris CH. · · 2024 · cited 3× · PMID 39092213 · DOI 10.1016/j.jacig.2024.100255
  3. Safety of 300IR house dust mite sublingual tablet from pooled clinical trial and post-marketing data.
    Worm M, Demoly P, Okamoto Y, Vidal C, et al · · 2024 · cited 1× · PMID 39035788 · DOI 10.1016/j.waojou.2024.100924
  4. Clinical benefits with 300 IR HDM SLIT tablet in Europeans with house dust mite allergic rhinitis: Post hoc analysis of a large phase 3 trial.
    Pfaar O, De Blay F, Canonica GW, Casale TB, et al · · 2024 · cited 1× · PMID 38225952 · DOI 10.1016/j.waojou.2023.100849

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