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Clinical study to investigate the effect and safety of a tree pollen immunotherapy tablet in children and teenagers with a birch pollen allergy

Efficacy and safety of the SQ tree sublingual immunotherapy tablet in children and adolescents (5 through 17 years of age) with moderate to severe allergic rhinitis and/or conjunctivitis induced by pollen from birch and trees belonging to the birch homologous group.

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2020-004372-17-DE
Enrollment
1000
Registered
2020-12-17
Start date
2021-04-20
Completion date
Unknown
Last updated
2023-08-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Tree pollen induced allergic rhinitis and/or conjuctivitis. MedDRA version: 20.0 Level: LLT Classification code 10001726 Term: Allergic rhinitis due to pollen System Organ Class: 100000004870 MedDRA version: 20.0 Level: LLT Classification code 10001709 Term: Allergic conjunctivitis System Organ Class: 100000004853

Interventions

Trade Name: ITULAZAX Product Name: SQ tree SLIT-tablet Pharmaceutical Form: Oral lyophilisate INN or Proposed INN: BETULA VERRUCOSA (108) POLLEN EXTRACT Other descriptive name: BETULA VERRUCOSA (108)

Sponsors

ALK-Abelló A/S
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Subjects are eligible to be included in the trial only if all the following criteria apply: •Male or female of any race/ethnicity aged =4 to =65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: Subjects are excluded from the trial if any of the following criteria apply: •A clinically relevant history of symptomatic seasonal AR/C caused by an allergen source, other than tree pollen from the birch homologous group, with a season overlapping the TPS •A clinically relevant history of symptomatic perennial AR/C caused by an allergen source such as animal hair and dander to which the subject is exposed during the TPS •Any clinical deterioration of asthma (i.e. asthma exacerbation) that resulted in emergency treatment, hospitalisation or treatment with systemic corticosteroids within 3 months prior to randomisation •Reduced lung function at randomisation defined as forced expiratory volume in 1 second (FEV1) <70% of predicted value. For subjects with asthma, this is assessed on subject’s usual asthma medication following at least a 6-hour wash-out of SABA. This criterion does not need to be fulfilled if the subject is <7 years old, cannot perform reproducible FEV1 manoeuvres despite coaching and is not considered as having a diagnosis of asthma •Ongoing treatment with any allergy immunotherapy product •Severe chronic oral inflammation •A diagnosis of eosinophilic oesophagitis •A relevant history of systemic allergic reaction e.g. anaphylaxis with cardiorespiratory symptoms, generalised urticaria or severe facial angioedema that in the opinion of the investigator may constitute an increased safety concern •Immunosuppressive treatment (ATC code L04 or L01) within 3 months prior to the screening visit

Design outcomes

Primary

MeasureTime frame
Secondary Objective: Key secondary objectives: To compare the efficacy of the SQ tree SLIT-tablet to placebo based on: •The average TCS during the tree pollen season (TPS) •The average allergic rhinoconjunctivitis daily symptom score (average DSS) during the BPS and TPS •The average allergic rhinoconjunctivitis daily medication score (average DMS) during the BPS and TPS Secondary objectives: •To compare the safety and tolerability of the SQ tree SLIT-tablet to placebo •To compare the efficacy of the SQ tree SLIT-tablet to placebo using additional endpoints based on daily allergic rhinoconjunctivitis symptoms and rescue medication use •To compare the efficacy of the SQ tree SLIT-tablet to placebo based on assessments of quality of life •To compare the efficacy of the SQ tree SLIT-tablet to placebo based on patient treatment satisfaction •To compare the effect of the SQ tree SLIT-tablet to placebo on immunological parameters to birch, alder, hazel and oak pollen ;Primary end point(s): Average TCS during the BPS;Timepoint(s) of evaluation of this end point: During the Birch Pollen Season (BPS);Main Objective: To compare the efficacy of the SQ tree SLIT-tablet to placebo in the treatment of moderate to severe allergic rhinitis and/or conjunctivitis induced by pollen from birch and trees belonging to the birch homologous group in children and adolescents (5 through 17 years of age) based on the average allergic rhinoconjunctivitis daily total combined score (average TCS) during the birch pollen season (BPS)

Secondary

MeasureTime frame
Secondary end point(s): •Average TCS during the TPS •Average DSS during the BPS •Average DSS during the TPS •Average DMS during the BPS •Average DMS during the TPS ;Timepoint(s) of evaluation of this end point: During either Birch Pollen Season (BPS) or Tree Pollen Season (TPS), respectively.

Countries

Austria, Belgium, Canada, Denmark, Germany, Hungary, Lithuania, Netherlands, Poland, Russian Federation, Slovakia

Contacts

Public ContactHead of Clinical Project Management

ALK-Abelló A/S

clinicaltrials@alk.net

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Jul 12, 2026