Actively Recruiting

Phase 2
Phase 3
Age: 18Years - 60Years
All Genders
NCT06061848

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

Led by Lars Olaf Cardell · Updated on 2024-10-21

360

Participants Needed

3

Research Sites

464 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

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.

CONDITIONS

Official Title

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

Who Can Participate

Age: 18Years - 60Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Moderate to severe allergic rhinitis due to grass pollen, with Rhinitis Total Symptom Score ≥ 8
  • Provided informed consent
  • Aged 18 to 60 years
Not Eligible

You will not qualify if you...

  • Chronic rhinosinusitis with or without nasal polyps
  • Previous immunotherapy (SLIT or SCIT)
  • Body mass index over 35
  • Symptomatic house dust mite allergy
  • Allergy to furry animals if exposure cannot be avoided
  • Vitamin D levels less than 25 or greater than 75 nmol/L
  • Use of Vitamin D supplements or excessive tanning booth use
  • Mental incapacity to follow study protocol
  • Other significant diseases
  • Allergy to study medications
  • Uncontrolled asthma
  • Severe atopic dermatitis
  • Pregnancy or nursing
  • Autoimmune disease
  • Hyper IgE syndrome
  • Cardiovascular disease
  • Lung disease
  • Liver or kidney disease
  • Hematologic disorders
  • Metabolic diseases
  • Chronic infectious diseases
  • Medications interacting with the immune system
  • Cancer
  • Previous cytostatic therapy
  • Use of beta-blockers or ACE inhibitors if cannot pause on treatment day
  • Drug or alcohol abuse
  • Intake of other study products within 1 month or 6 half-lives before visit 1
  • Withdrawn consent
  • For ILIT group only: Medications interacting with Vitamin D (ACE inhibitors, antiepileptic drugs, glycosides, orlistat, statins, thiazide diuretics)
  • Tendency to form kidney stones
  • Hyperparathyroidism or risk of hypercalcemia
  • Hereditary pseudohypoparathyroidism
  • Malabsorption or bowel disease with diarrhea
  • Paget's disease, osteoporosis, or sarcoidosis
  • Skin disease at the groin injection site

AI-Screening

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Trial Site Locations

Total: 3 locations

1

Skåne University Hospital, ENT department

Lund, Sweden

Not Yet Recruiting

2

Örebro University Hospital

Örebro, Sweden

Not Yet Recruiting

3

Karolinska University Hospital, ENT-department

Stockholm, Sweden

Actively Recruiting

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Research Team

A

Agneta Karlsson, Study nurse

CONTACT

L

Laila Hellkvist, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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