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Efficacy of VALERGEN-DP sublingual vaccine in asthmatic adults.
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Efficacy of VALERGEN-DP sublingual vaccine in asthmatic adults.
General information
Section to complete general information about the trial: scientific and public title, protocol identifiers, sponsors and Source(s) of Monetary or Material Support.
Scientific title:
Clinical trial of Dermatophagoides pteronyssinus (VALERGEN-DP) allergenic extract for therapeutic sublingual use in asthmatic adults sensitive to this allergen.
Secondary indentifying numbers:
2005CALIXTOSL-DP04
Issuing authority of the secondary identifying numbers:
National Biopreparations Center (BIOCEN)
Primary sponsor:
National Biopreparations Center (BIOCEN)
Secondary sponsor:
Not applicable
Source(s) of monetary or material support:
Government funds
Authorization for beginning
Section to complete information about the regulatory approval of clinical trial: regulatory agency name, approval date and reference number in the agency.
Regulatory instance to authorize the initiation of the study:
Center for State Control of the Quality of Drugs(CECMED)
Authorization date :
27/05/2005
Reference number:
1003/05-010-05B
Principal investigator
Section to complete information about Email address, telephone number and postal address of the Principal Investigator.
First name:
Mercedes
Last name:
Ronquillo Diaz
Medical Specialty :
2nd Degree Specialist in Allergology
Affiliation:
Calixto Garcia Inniguez Hospital
Postal address:
Universidad and J street
City:
Havana
País:
Cuba
Zip Code:
10400
Telephone:
+53-78311508
Email address:
alergia@infomed.sld.cu
Clinical sites to participate
Section to complete the data related to the clinical sites involved in the trial: site and responsible investigator for every site.
Countries of recruitment:
Cuba
Clinical sites:
Not applicable
Research ethics committees:
Calixto Garcia Inniguez Hospital, June 22, 2004
Recruitment status
Section to complete information about the recruitment status and the date of first enrolment subject
Recruitment status:
Complete
Date of first enrollment:
07/09/2005
Health condition and Intervention
Section to complete information about the primary medical condition(s) or problem(s) studied and, a characteristics of the intervention(s).
Health condition(s) or Problem(s) studied:
Bronchial asthma
Health condition(s) code:
Asthma
Bronchial Diseases
Lung Diseases, Obstructive
Lung Diseases
Respiratory Tract Diseases
Respiratory Hypersensitivity
Hypersensitivity, Immediate
Hypersensitivity
Immune System Diseases
Environmental Illness
Intervention(s):
(Active) study group: The study group was given increasing sublingual volumes (drops) of the researched vaccine at different doses (20, 200 and 2,000 BU/ml) for three weeks during the incremental phase. Afterwards, during the maintenance phase, a fixed dose was administered (20 drops of the 2,000 BU/ml dose, maximum permissible dose, 2,000 BU), until reaching 12 months, twice a week (Monday and Friday). Control group (placebo): The control group was given the placebo, namely, a diluent solution for allergenic extracts (BIOCEN). The placebo dosage was identical to that administered to the active group.
Intervention code:
Dermatophagoides pteronyssinus
Sublingual Immunotherapy
Desensitization, Immunologic
Placebos
Intervention keyword:
allergenic extract, VALERGEN-DP
Outcomes and Timepoint
Section to complete information about primary and secondary outcomes including. It includes the metric or method of measurement used and, the time point for every outcome.
Primary outcome(s):
Score by symptoms, score by drug consumption, respiratory function (value of Exhalation Peak Flow (EPF) and EPF Variability), cutaneous reactivity (Ch10 value: relative allergen concentration causing in the patient a bump similar to the one caused by a 10 mg/ml HCL histamine solution (54.3 mmol/l base histamine). Measuring time: 6 months and 1 year.
Key secondary outcomes:
Respiratory function classification (depends on EPF and Variability), general evaluation (depends on symptoms, medication, respiratory function, Ch10). Measuring time: 6 months and 1 year.
Selection criterias
Section to complete information about the inclusion and exclusion criteria for participant selection, including age and gender.
Gender:
Male/Female
Minimum age:
16 years
Maximum age:
45 years
Inclusion criteria:
1. Asthmatic allergic patients with positive responses during the preliminary survey (Model 1) in the following aspects: family and personal history of atopy, clinical symptoms only triggered when exposed to dust at home, mainly indoors, when getting up in the morning or going to bed at night. 2. Skin test positive to D. pteronyssinus allergenic extract, 20,000 BU/ml VALERGEN-DP. The response to the allergen under study is predominant when compared to that obtained with other mites. 3. Patients included in the study will be patients clinically diagnosed as extrinsic asthmatics who, according to the clinical-therapeutic identification booklet, are classified as mild or moderate persistent patients in keeping with the International Agreement on Asthma Diagnosis and Treatment. 4. Age between 16 and 45 years. 5. Any sex and race. 6. Patients expressing their consent in writing to participate in our trial.
Exclusion criteria:
1. Patients not giving their consent in writing to participate in our trial. 2. Patients on allergenic extract immunotherapy during the two preceding years. 3. Patients classified as intermittent or severe persistent asthmatics after being interviewed. 4. Patients with a diagnosed autoimmune disease of any kind. 5. Generalized severe eczema. 6. Patients with diagnosed tumoral disease. 7. Patients on betablocker treatment. 8. Patients with psychiatric disorders. 9. Patients not cooperating with treatment. 10. Patients who, at least one year before the study, needed immunostimulant or immunosuppressor treatment (no corticosteroids), including interferon and cyclosporine A. 11. Pregnancy and breastfeeding. 12. Adrenalin-contraindicated patients (high blood pressure). 13. Patients who, at least one year before the study, were under non-conventional treatments such as: Vimang, Aloe, ozone, banana capsules.
Type of population:
Adults
Type of participant:
Patients
Study design
Section to complete information about the characteristics of the study design.
Type study:
Interventional
Purpose:
Treatment
Allocation:
Randomized controlled trial
Masking:
Double Blind
Control group:
Placebo
Study design:
Parallel
Phase:
2
Target sample size:
40 patients (20 active, 20 placebo)
Contact for public queries
Section to complete information about Email address, telephone number and postal address of the contact who will respond to general queries, including information about current recruitment status
First Name:
Raul
Middle Name:
Lazaro
Last Name:
Castro Almarales
Specialty:
2nd degree specialist in Allergology, Master in Transmmisible Deseases
Affiliation:
National Biopreparations Center (BIOCEN)
Postal Address:
Highway Beltran Km 1 1/2, Bejucal.
City:
Mayabeque
País:
Cuba
Zip Code:
13050, Box 6048
Telephone:
+53-047066-82201 to 07, Allergen Department Ext.: 2100, 2101 and 2102.
Email :
rcastro@biocen.cu
Contact for scientific queries
Section to complete information about Email address, telephone number and postal address of the contact who will respond to scientific queries.
First Name:
Raul
Middle Name:
Lazaro
Last Name:
Castro Almarales
Specialty:
2nd degree specialist in Allergology, Master in Transmmisible Deseases
Affiliation:
National Biopreparations Center (BIOCEN)
Postal Address:
Highway Beltran Km 1 1/2, Bejucal.
City:
Mayabeque
País:
Cuba
Zip Code:
13050, Box 6048
Telephone:
+53-047066-82201 to 07, Allergen Department Ext.: 2100, 2101 and 2102.
Email :
rcastro@biocen.cu
Registration and Update
Section to complete information about the name of Primary Registry, date of registration and the unique ID number assigned by the registry (RPCEC).
Primary registry:
RPCEC
Unique ID number:
RPCEC00000034
Date of Registration in Primary Registry:
2010-12-09
Record Verification Date:
2017/03/10
Next update date:
2018/03/10
Link to the spanish version:
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