In vivo biological standardization of Lepidoglyphus destructor allergen extract

2025-520753-37-00 Protocol API-EAL-2024-01 Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites · Protocol API-EAL-2024-01

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 36
Countries 1
Sites 1

Allergies

Biological standardization of the allergenic extract of Lepidoglyphus destructor

Key facts

Sponsor
Asac Pharmaceutical Inmunology S.A., Advanced Outcomes Research S.L.
Participant type
Patients
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Diagnosis [E01]
Decision date (initial)
2025-08-13
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
ASAC PHARMACEUTICAL INMUNOLOGY SA

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis

Biological standardization of the allergenic extract of Lepidoglyphus destructor

Conditions and MedDRA coding

Allergies

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Patient residing in a geographic area where Lepidoglyphus destructor is prevalent
  2. Age between 18 and 50 years, regardless of gender.
  3. Patient diagnosed with IgE-mediated allergy to Lepidoglyphus destructor allergen, meeting both of the following criteria: 1. Skin prick test with a wheal diameter at least ≥ 3 mm larger than that produced by the negative control used in the diagnostic panel. 2. Positive specific IgE (in vitro diagnostic test) of class 1 or higher.
  4. Wheal diameter ≥ 4 mm induced by a solution of histamine dihydrochloride at 10 mg/ml (positive control).
  5. The patient must be able to understand the purpose and scope of the study and must have signed the informed consent to participate

Exclusion criteria 8

  1. That the patient has received treatment with specific immunotherapy with an extract of the allergen to be standardized and/or with other allergen(s) that may interfere with skin reactivity to the extract to be standardized (cross-reactivity/homologous groups) in the last 5 years.
  2. The administration of drugs capable of interfering with the results of the SPT, including antihistamines (H1 and H2 blockers) or cromoglycate, which cannot be discontinued for the skin tests.
  3. That the patient has lesions or tattoos on the skin area where the tests will be performed, and at the time of the tests, these could influence the proper evaluation of the same.
  4. Any process that may alter the patient's response to the SPT, such as: pregnancy (in case of suspicion, perform a pregnancy test), breastfeeding, dermatographism, atopic dermatitis (affecting the test area), urticaria, or any other skin disease affecting the area where the skin tests for standardization should be performed.
  5. Patient's inability to understand the objective/purpose of the study.
  6. Patient's inability/refusal to sign the informed consent for participation in the study
  7. Hypersensivity to any of the excipients in the investigational product
  8. Treatment with beta-blockers or angiotensin-converting enzyme (ACE) inhibitors, as well as chronic treatment with tricyclic antidepressants and/or systemic corticosteroids (not inhaled).

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 3

  1. The area of the wheal (mm2) that occurs at the cutaneous level after the administration of the extracts in the prick test for the calculation of the primary endpoint.
  2. Estimation of the dose/response relationship in each patient; regression analysis of area values versus concentration in PNU/ml.
  3. Determination of the theoretical concentration of extract that produces a papule equivalent to that produced by a solution of histamine at 10 mg/ml

Secondary endpoints 1

  1. Safety assessment through descriptive analysis of adverse reactions that could occur during the course of the study

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

Diagnóstico prick Lepidoglyphus destructor

PRD11854147 · Product

Active substance
Lepidoglyphus Destructor
Pharmaceutical form
SOLUTION FOR SKIN-PRICK TEST
Route of administration
INTRAEPIDERMAL USE
Max daily dose
10 mg/ml milligram(s)/millilitre
Max total dose
10 mg/ml milligram(s)/millilitre
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ASAC PHARMACEUTICAL INMUNOLOGY
Paediatric formulation
No
Orphan designation
No

Diagnóstico prick Lepidoglyphus destructor

PRD11854400 · Product

Active substance
Lepidoglyphus Destructor
Pharmaceutical form
SOLUTION FOR SKIN-PRICK TEST
Route of administration
INTRAEPIDERMAL USE
Max daily dose
10 mg/ml milligram(s)/millilitre
Max total dose
10 mg/ml milligram(s)/millilitre
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ASAC PHARMACEUTICAL INMUNOLOGY
Paediatric formulation
No
Orphan designation
No

Diagnóstico prick Lepidoglyphus destructor

PRD11854417 · Product

Active substance
Lepidoglyphus Destructor
Pharmaceutical form
SOLUTION FOR SKIN-PRICK TEST
Route of administration
INTRAEPIDERMAL USE
Max daily dose
10 mg/ml milligram(s)/millilitre
Max total dose
10 mg/ml milligram(s)/millilitre
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ASAC PHARMACEUTICAL INMUNOLOGY
Paediatric formulation
No
Orphan designation
No

Auxiliary 2

Diagnóstico prick control positivo

PRD11295687 · Product

Active substance
Histamine Dihydrochloride
Pharmaceutical form
SOLUTION FOR SKIN-PRICK TEST
Route of administration
SUBCUTANEOUS USE
Max daily dose
10 mg/ml milligram(s)/millilitre
Max total dose
10 mg/ml milligram(s)/millilitre
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ASAC PHARMACEUTICAL INMUNOLOGY
Paediatric formulation
No
Orphan designation
No

Diagnóstico prick control negativo

PRD11295652 · Product

Active substance
Sodium Chloride
Pharmaceutical form
SOLUTION FOR SKIN-PRICK TEST
Route of administration
SUBCUTANEOUS USE
Max daily dose
10 mg/ml milligram(s)/millilitre
Max total dose
10 mg/ml milligram(s)/millilitre
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
ASAC PHARMACEUTICAL INMUNOLOGY
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Asac Pharmaceutical Inmunology S.A.

Sponsor organisation
Asac Pharmaceutical Inmunology S.A.
Address
Calle Capricornio 3-5
City
Alicante
Postcode
03006
Country
Spain

Scientific contact point

Organisation
Advanced Outcomes Research S.L.
Contact name
Dra. Carmen Santos

Public contact point

Organisation
Advanced Outcomes Research S.L.
Contact name
Dra. Carmen Santos

Advanced Outcomes Research S.L.

Sponsor organisation
Advanced Outcomes Research S.L.
Address
Calle De Tarragona 84-90 Esc C 2ª-7
City
Barcelona
Postcode
08015
Country
Spain

Scientific contact point

Organisation
Advanced Outcomes Research S.L.
Contact name
Dra. Carmen Santos

Public contact point

Organisation
Advanced Outcomes Research S.L.
Contact name
Dra. Carmen Santos

Sponsor responsibilities

Article 77 compliance
Asac Pharmaceutical Inmunology S.A.

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Authorised, recruitment pending 36 1
Rest of world 0

Investigational sites

Spain

1 site · Authorised, recruitment pending
Hospital Universitario Lucus Augusti
Alergología, Rua Dr. Ulises Romero 1, 27003, Lugo

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2025-520753-37-00 2.0
Recruitment arrangements (for publication) K1_Recruitmen arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF adults_public 2.0
Synopsis of the protocol (for publication) D1_Protocol synopsis ES 2025-520753-37-00 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-05-12 Spain Acceptable
2025-07-30
2025-08-13