Allergy to House Dust Mite Clinical Trial
Official title:
Validation of an Environmental Exposure Chamber for Inhalation Studies With House Dust Mite Allergen in Patients With Allergic Rhinitis
This clinical validation study is aimed at testing the efficacy of a new environmental challenge chamber (ECC) to induce symptoms of allergic rhinitis in patients allergic to house dust mite. The symptoms will be recorded on a validated symptom score as Total Nasal Symptom Score (TNSS), allowing for determine whether the challenge is dose dependent and reproducible.
At Fraunhofer ITEM, a novel technique to create an atmosphere loaded with allergenic
particles was recently developed. In brief, particles are produced in a combined process of
nebulization and drying of a solution containing soluble allergenic extracts and lactose.
The particle size distribution is regulated by the droplet size distribution and the lactose
concentration in the solution, while the allergen content can be chosen independently. Thus,
the Fraunhofer scientists have created a universal tool which provides them with the
possibility to create atmospheres containing allergenic particles of arbitrary sizes
containing a variety of different allergens. By choosing particle sizes preferentially
depositing in the nose (above 10 µm) or the lungs (5 to 10 µm), and selecting allergen
concentrations commonly found in the environment, it is possible to build up challenge
atmospheres for a large variety of indications.
The first clinical application of this new method will be to create an atmosphere simulating
the natural exposure to house dust mite allergens. The challenge aerosol will be composed of
lactose as carrier material and the two major allergens Der p1 and Der p2 of house dust
mites originating from a licenced allergen extract for inhaled challenge.
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Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Single Blind (Subject), Primary Purpose: Basic Science
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