Allergic rhinoconjunctivitis caused by grass pollen Eye Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Persons of either sex between 18 and 65 years of age 2. Oral and written consent 3. Patients with clinically relevant sensitization to grass pollen and allergic symptoms for at least 2 years 4. Positive skin prick test (SPT) to grass pollen 5. Proven response to exposure to grass pollen in the allergen exposure chamber 6. Patients who agree to undergo all examinations and procedures mentioned in the study protocol 7. Patients who are fully conversant with the German language
Exclusion criteria
Exclusion criteria: 1. Persons under 18 years of age 2. Acute infections 3. Current cancer diagnosis/cancer within the last 5 years or autoimmune disease 4. Gastrointestinal disorders that may affect the absorption and processing of orally ingested substances, such as congenital gastrointestinal malformations or acute gastrointestinal infections 5. Severe forms of the following underlying chronic diseases: neurological diseases, metabolic diseases, severe asthma or respiratory obstruction, congenital anomalies of the heart, gastrointestinal system, or lungs 6. Patients with an FEV1 <60% (predicted value) prior to allergen exposure 7. Mental illnesses (e.g., depression) in the last 2 years 8. Eating disorders (e.g. bulimia, anorexia nervosa) in the last 2 years 9. Pregnant or breastfeeding female subjects 10. Alcohol or drug abuse 11. Clinically relevant hypersensitivity to any of the ingredients of SYN-AR 12. Participation in clinical trials in the last 3 months 13. Placement in an institution due to court or official orders 14. Contraindications to epinephrine and/or other emergency medications (especially cetirizine) 15. Hyposensitization within the last 5 years against grass pollen 16. Heavy smokers (according to WHO definition more than 20 cigarettes daily) 17. Use of certain medications before baseline exposure as well as during the study. These are: 17.1. Decongestant nasal drops (3 days) 17.2. Antihistamines (5 days) 17.3. Anti-allergic eye drops and nasal sprays (1 week) 17.4. Topical steroids (2 weeks) 17.5. Systemic corticosteroids (3 weeks) 17.6. Probiotics (4 weeks) 17.7. Antibiotics (4 weeks)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Symptoms are measured using the Total Symptom Score (TSS, max. 24 Points) = Total Nose Symptom Score (TNSS, max. 12 Points) + Total Eye Symptom Score (TESS, max. 12 Points) at baseline and after the 3-week-intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured at baseline and at the post-intervention exposure: 1. Eye symptoms measured using the Max. Total Eye Symptom Score (TESS) 2. Nasal symptoms measured using the Max. Total Nasal Symptom Score (TNSS) 3. Bronchial symptoms measured using the Max. Total Bronchial Symptom Score (TBSS) 4. Other symptoms measured using the Total Other Symptom Score (TOSS) 5. Peak Nasal Inspiratory Flow (PNIF) measured before and after each exposure 6. Spirometry (FEV1, FEV1/FVC, MEF25-75) measured before and after each exposure 7. Use of emergency medications and/or emergency case management 8. Number of incidents and number of subjects with adverse events related to ingestion of the dietary supplement SYN-AR 9. Number of incidents and number of individuals with late reactions and/or adverse events related to exposure after each exposure 10. Post-treatment follow-up questionnaire at 4 weeks after post-intervention exposure | — |
Countries
Germany