Allergic Rhinitis Due to Cat AllergyPhase 3NCT04981717
A Study to Examine the Efficacy and Safety of Anti-Fel d 1 Antibodies Injections in Cat-allergic Adolescent and Adult Patients With Allergic Rhinitis Who Live With a Cat
A Phase 3 study testing REGN1908-1909 in people with Allergic Rhinitis Due to Cat Allergy, run by Regeneron Pharmaceuticals at 92 sites in 6 countries.
Trial summary
The primary objective of the study is to determine the efficacy of REGN1908-1909, as compared to placebo, to reduce allergic rhinitis/conjunctivitis symptoms and allergy rescue medication use during natural cat exposure. Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Allergic Rhinitis Due to Cat Allergy
- What is being tested?
- REGN1908-1909
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 446 participants
- Where
- 92 sitesin 6 countries
- Study dates
- 30 Jul 2021to 24 Apr 2023
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Generally healthy males and females who are 12 years and older at the time of screening.
- Weight must be ≥40 kg at the time of screening
- Documented or patient reported history (for at least 2 years) of symptomatic cat allergen-triggered allergic rhinitis with or without conjunctivitis and with or without asthma as defined by all of the following criteria:
- Positive skin prick test (SPT) with cat hair extract (mean wheal diameter at least 5 mm greater than a negative control) at screening
- Positive allergen-specific IgE (sIgE) tests for cat and Fel d 1 (both ≥0.7 kUa/L at screening)
- Documented or patient reported history of nasal and/or ocular symptoms upon cat exposure
Show all 9Show fewer
- Symptomatic despite the use of medications to treat their nasal and/or ocular symptoms
- At least 1 generally healthy cat (that is unlikely to die during the study) living in the home resulting in regular exposure
- A daily total rhinitis/conjunctivitis symptom score (total symptom score [TSS]) of at least 8 of 18 during at least 8 days of the 15-day baseline assessment period and use of standard, therapeutic doses of pharmacotherapy for the treatment of allergic rhinoconjunctivitis on at least 8 days of the 15-day baseline assessment period.
Who cannot join
- History of significant multiple and/or severe allergies, as assessed by the investigator, that would potentially interfere with the assessments during the baseline and 12-week efficacy assessment periods or confound results, per investigator discretion, including significant rhinitis or sinusitis due to daily contact with other allergens causing symptoms that are expected to coincide with the baseline period or any of the efficacy assessment periods
- Received REGN1908-1909 in a prior REGN1908-1909 clinical trial (receipt of placebo in a previous trial is allowed)
- Active lung disease other than asthma
- FEV1 less than 70% of predicted at screening or randomization
- Treatment with an investigational drug within 2 months or within 5 half-lives (if known), whichever is longer, prior to screening
- Persistent chronic or recurring acute infection requiring treatment with antibiotics, antivirals, or antifungals, or any untreated respiratory infections within 4 weeks prior to screening. Patients may be re-evaluated after resolution of symptoms and specified time duration
- NOTE: Other protocol-defined Inclusion/ Exclusion Criteria apply
Trial locations and contacts
92 sites in 6 countries.
92 sites in 6 countries
United States42 sites
Allergy Partners of Western North Carolina
Asheville, North Carolina, 28801
Emory University
Atlanta, Georgia, 30322
Charleston Allergy and Asthma
Baltimore, Maryland, 21224
Riverside Medical Group - Circuit - PPDS
Belleville, New Jersey, 07109
SUNY Downstate Health Science University
Brooklyn, New York, 11203
Institute For Asthma and Allergy
Chevy Chase, Maryland, 20815
Rush University Medical Center
Chicago, Illinois, 60612
Bernstein Clinical Research Center Inc
Cincinnati, Ohio, 45231
Asthma and Allergy Associates PC - CRN - PPDS
Colorado Springs, Colorado, 80907
University of Missouri - Hospital
Columbia, Missouri, 65212
Optimed Research Ltd - Clinedge - PPDS
Columbus, Ohio, 43235
Colorado Allergy and Asthma Centers PC - CRN - PPDS
Denver, Colorado, 80230
Aventiv Research Inc - Columbus - HyperCore - PPDS
Dublin, Ohio, 43016
Asthma, Nasal Disease and Allergy Research Center of New England
East Providence, Rhode Island, 02914
The Medical College of Wisconsin, Inc.
Greenfield, Wisconsin, 53228
PDX Allergy, LLC dba Portland Research
Happy Valley, Oregon, 97068
Bluegrass Allergy Research
Lexington, Kentucky, 40509
Somnos Clinical Research
Lincoln, Nebraska, 68505
Velocity Clinical Research, Inc. (Meridan)
Meridian, Idaho, 83642
Allergy and Asthma Associates of Southern California - CRN - PPDS
Mission Viejo, California, 92691
Montana Medical Research
Missoula, Montana, 59808
NYU Langone Medical Center
New York, New York, 10029
Asthma and Allergy Center of Chicago Sc-Oak Park
Oak Park, Illinois, 60301
Atlantic Research Center LLC
Ocean City, New Jersey, 07712
Allergy Asthma and Clinical Research Center
Oklahoma City, Oklahoma, 73120
Allergy and Asthma Specialists PSC
Owensboro, Kentucky, 42301
Nebraska Medical Research Institute, Inc. - CRN - PPDS
Papillion, Nebraska, 68046
Allergy and Clinical Immunology Associates
Pittsburgh, Pennsylvania, 15241
Clinical Research Institute, Inc - CRN - PPDS
Plymouth, Minnesota, 55441
Northwest Research Center - CRN - PPDS
Portland, Oregon, 97202
Integrated Research of Inland, Inc
Riverside, California, 92506
Peninsula Research Associates - CRN - PPDS
Rolling Hills Estates, California, 90274
Allergy and Asthma Medical Group and Research Center - CRN - PPDS
San Diego, California, 92123
Seattle Allergy & Asthma Research Institute
Seattle, Washington, 98115
Princeton Center For Clinical Research - CRN - PPDS
Skillman, New Jersey, 08558
South Bend Clinic
South Bend, Indiana, 46617
Sneeze Wheeze and Itch Associates LLC
Springfield, Illinois, 62702
Allergy Partners of NJ, P.C.
Teaneck, New Jersey, 07666
Montefiore Medical Center
The Bronx, New York, 10461
Allergy Consultants PA
Verona, New Jersey, 07044
Asthma & Allergy Physicians of Rhode Island Clinical Research Institute (AAPRI CRI)
Warwick, Rhode Island, 02886
Respiratory Medicine Research Institute of Michigan PLC
Ypsilanti, Michigan, 48187
Poland20 sites
Homeo Medicus Szczesiul sp. j.
Bialystok, Podlaskie Voivodeship, 15-687
Clinica Vitae Sp z o o
Gdansk, Pomeranian Voivodeship, 80-382
ETG Kielce
Kielce, Świętokrzyskie Voivodeship, 25-355
Centrum Nowoczesnych Terapii Dobry Lekarz Sp. z o.o.
Krakow, Lesser Poland Voivodeship, 31-011
Malopolskie Centrum Alergologii
Krakow, Malopolski, 31-624
SPZOZ Uniwersytecki Szpital Kliniczny nr 1 im Norberta Barlickiego Uniwersytetu Medycznego w Lodzi
Lodz, Łódź Voivodeship, 90-153
Uniwersytecki Szpital Kliniczny im. Wojskowej Akademii Medycznej Centralny Szpital Weteranow
Lodz, Łódź Voivodeship, 90-153
ETG Lodz - PPDS
Lodz, Łódź Voivodeship, 90-302
Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Lodzi
Lodz, Łódź Voivodeship, 90-329
IP Clinic Sp. z o. o.
Lodz, Łódź Voivodeship, 90-752
ETG Lublin - PPDS
Lublin, Lublin Voivodeship, 20-089
Centrum Alergologii Specjalistyczna Przychodnia Alergologiczna
Lublin, Lublin Voivodeship, 20-552
ETG Warszawa - PPDS
Piaseczno, Masovian Voivodeship, 05-500
Centrum Alergologii Teresa Hofman
Piła, Greater Poland Voivodeship, 64-920
Specjalistyczna Przychodnia Lekarska Alergo-Med Sp. z.o.o
Poznan, 61-578
EMed Centrum Uslug Medycznych
Rzeszów, Podkarpackie Voivodeship, 35-205
Alergo-Med Specjalistyczna Przychodnia Lekarska Sp. z.o.o
Tarnów, Lesser Poland Voivodeship, 33-100
AES - DRS - Synexus Polska Sp. z o.o. Oddzial we Wroclawiu
Wroclaw, Lower Silesian Voivodeship, 50-088
ALL-MED - Specjalistyczna Opieka Medyczna - Medyczny Instytut Badawczy
Wroclaw, Lower Silesian Voivodeship, 53-201
ETG Zamosc - PPDS
Zamość, Lublin Voivodeship, 22-400
Germany14 sites
Charité - Universitätsmedizin Berlin
Berlin, 10117
Emovis GmbH
Berlin, 10629
Praxis Dr. med. Elke Decot
Dreieich, Hesse, 63303
Klinische Forschung Dresden GmbH (KFGN)
Dresden, Saxony, 01069
Praxis für HNO und Allergologie
Dresden, Saxony, 01139
Universitätsklinikum Carl Gustav Carus an der TU Dresden
Dresden, Saxony, 01307
Praxis Dr. med. Claus Keller
Frankfurt am Main, Hesse, 60389
HNO Praxis am Neckar
Heidelberg, Baden-Wurttemberg, 69120
Salvus-Klinische Studien GmbH
Leipzig, Saxony, 04207
BAG Prof. Dr. G. Hoheisel Dr. A. Bonitz
Leipzig, Saxony, 04275
Beldio Research GmbH
Memmingen, Bavaria, 87700
Universitatsklinikum Munster
Münster, North Rhine-Westphalia, 48149
Klinikum Stuttgart
Stuttgart, Baden-Wurttemberg, 70374
Praxis Dr. med. Gerhard Schindlbeck
Viernheim, Hesse, 68519
Canada11 sites
Aggarwal and Associates Ltd
Brampton, Ontario, L6T 0G1
Hamilton Allergy
Hamilton, Ontario, L8S 1G5
Kingston Health Science Centre
Kingston, Ontario, K7L 2V7
LMC Manna Research - Quebec - HyperCore - PPDS
Lévis, Quebec, G6W 5M6
Red Maple Trials
Ottawa, Ontario, K1Y 4G2
Clinique Spécialisée en Allergie de la Capitale
Québec, G1V 4M6
Stouffville Medical Clinic
Stouffville, Ontario, L4A 1H2
Gordon Sussman Clinical Research Inc
Toronto, Ontario, M4V 1R2
Toronto Allergy Clinic
Toronto, Ontario, M5G 1E2
Centre d'investigation Clinique Mauricie
Trois-Rivières, Quebec, G8T 7A1
Joel Liem Medicine Professional Corporation
Windsor, Ontario, N8X 2G1
Belgium4 sites
Private Practice Dr Jean Benoit Martinot
Erpent, 5101
UZ Gent
Ghent, Oost-Vlaanderen, 9000
UZ Leuven
Leuven, Vlaams Brabant, 3000
CHR de la Citadelle
Liège, 4000
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled Study in Cat-Allergic Patients With Allergic Rhinitis Who Live With a Cat to Assess the Efficacy and Safety of Anti-Fel d 1 Antibodies During Natural Cat Exposure in the Home
The primary objective of the study is to determine the efficacy of REGN1908-1909, as compared to placebo, to reduce allergic rhinitis/conjunctivitis symptoms and allergy rescue medication use during natural cat exposure.
The Secondary Objectives are:
- To assess the reduction of allergic symptoms and use of allergy rescue medications after treatment with REGN1908-1909 versus placebo, as measured by the individual components of the CSMS
- To assess health-related quality of life (HRQoL) as measured by the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ[S])
- To determine the efficacy of REGN1908-1909, as compared to placebo, to inhibit a wheal-and-flare response to a skin prick test with cat allergen
- To assess the durability of effect in allergic rhinitis and conjunctivitis symptom and medication scores after multiple doses of REGN1908-1909 compared to placebo given every 12 weeks (Q12W)
- To determine the efficacy following multiple doses of REGN1908-1909 compared to placebo at inhibiting a wheal-and-flare response to a skin prick test with cat allergen
- To estimate the effect of REGN1908-1909 on lung function, as compared to placebo, in patients with asthma
- To determine the efficacy of REGN1908-1909 as compared to placebo to reduce asthma symptoms in patients with asthma
- To assess whether there is a difference in asthma rescue medication use in patients with asthma who are treated with REGN1908-1909 compared to placebo
- To assess whether there is a difference in nighttime awakenings in patients with asthma treated with REGN1908-1909 compared to placebo
- To evaluate the short-term and long-term safety and tolerability of REGN1908-1909, including the incidence of hypersensitivity reactions, local injection site reactions, and asthma exacerbations
- To determine systemic exposure of total (free and antigen-bound) antibodies as measured by concentration of REGN1908 and REGN1909
- To assess the immunogenicity of REGN1908 and REGN1909
- Conditions
- Allergic Rhinitis Due to Cat Allergy
- Being tested
- REGN1908-1909, Matching Placebo
- Keywords
- Cat allergy induced allergic rhinitis, Allergic conjunctivitis, Asthma
- Medical subject headings
- Conjunctivitis, Allergic, Asthma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
REGN1908-1909Drug
Subcutaneous (SC) for a total of 5 administrations
Matching PlaceboDrug
SC for a total of 5 administrations
| Study group | Role | What they receive |
|---|---|---|
| REGN1908-1909 | Experimental | Randomized 1:1 Receives: Drug: REGN1908-1909 |
| Placebo | Placebo comparator | Randomized 1:1 Receives: Drug: Matching Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Daily Combined Symptom and Medication Score (CSMS) Averaged Over Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
CSMS is calculated by adding the Daily Medication Score (DMS) and Total Symptom Score (TSS) together, with scores ranging between 0 (none) and 38 (severe).
Measured: Weeks 48 to 60
Secondary outcomes (38)
Daily Total Nasal Symptom Score (TNSS) Averaged Over the Last 12 Weeks of Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Total nasal symptom score (TNSS) is from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for congestion, itching, and rhinorrhea, and from 0 (none) to 3 (5 or more sneezes) for sneezing.
Measured: Weeks 48 to 60
Percent Change From Pre-treatment Baseline in Average CSMS Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Measured: Weeks 48 to 60
Percent Change From Pre-treatment Baseline in Average TNSS Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Measured: Weeks 48 to 60
Daily Total Symptom Score (TSS) Averaged Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
TSS is a combined score of TOSS and TNSS. TNSS and TOSS are scored as in part 1 each for a combined TSS of 0 (none) to 18 (severe)
Measured: Weeks 48 to 60
Percent Change From Pre-treatment Baseline in Average TSS Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Measured: Weeks 48 to 60
Percent Change From Baseline to the End of Treatment in Cat Skin Prick Test (SPT) Mean Wheal Diameter in Patients Who Receive REGN1908-1909 Versus Placebo
Measured: Week 60
Daily CSMS Averaged Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
The combined symptom and medication score (CSMS) is defined as the daily combined allergic rhinitis and conjunctivitis total symptom score (TSS: calculated as the sum of total nasal symptom score [TNSS] and total ocular symptom score [TOSS]) plus daily medication score (DMS). Scores ranging between 0 (none) and 38 (severe).
Measured: Weeks 0 to 12
Daily TNSS Averaged Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Measured: Weeks 0 to 12
Percent Change From Pre-treatment Baseline in Average CSMS Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
The combined symptom and medication score (CSMS) is defined as the daily combined allergic rhinitis and conjunctivitis total symptom score (TSS: calculated as the sum of total nasal symptom score [TNSS] and total ocular symptom score [TOSS]) plus daily medication score (DMS).
Measured: Weeks 0 to 12
Percent Change From Pre-treatment Baseline in Average TNSS Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
The TNSS ranges from 0 to 12 and is based on assessment of 4 nasal symptoms graded on a Likert scale ranging from 0 (none) to 3 (severe) for nasal congestion, itching, and runny nose, and sneezing.
Measured: Weeks 0 to 12
Percent Change From Pre-treatment Baseline in Average TSS Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Total symptom score (TSS: calculated as the sum of TNSS and total ocular symptom score [TOSS]) plus daily medication score (DMS).
Measured: Weeks 0 to 12
Daily TSS Score Averaged Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Total symptom score (TSS: calculated as the sum of TNSS and total ocular symptom score [TOSS]) plus daily medication score (DMS).
Measured: Weeks 0 to 12
Percent Change From Pre-treatment Baseline in Average TOSS, Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Total ocular symptom score is 0 to 6 and is based on itching/redness/gritty feeling and tearing/watering; each of the 2 symptoms is graded 0 (absent), 1 (mild), 2 (moderate), and 3 (severe)
Measured: Weeks 0 to 12
Daily TOSS Averaged Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Total ocular symptom score is 0 to 6 and is based on itching/redness/gritty feeling and tearing/watering; each of the 2 symptoms is graded 0 (absent), 1 (mild), 2 (moderate), and 3 (severe)
Measured: Weeks 48 to 60
Percent Change From Pre-treatment Baseline in Average TOSS Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Total ocular symptom score is 0 to 6 and is based on itching/redness/gritty feeling and tearing/watering; each of the 2 symptoms is graded 0 (absent), 1 (mild), 2 (moderate), and 3 (severe)
Measured: Weeks 48 to 60
Percent Change in Forced Expiratory Volume (FEV)1 in Patients With Asthma Who Receive REGN1908-1909 Versus Placebo
In-clinic spirometry on all patients to determine FEV1 (forced expiratory volume in 1 second) in liters (L).
Measured: Baseline to week 12
Percent Change in FEV1 in Patients With Asthma Who Receive REGN1908-1909 Versus Placebo
In-clinic spirometry on all patients to determine FEV1 (forced expiratory volume in 1 second) in liters (L).
Measured: Baseline to week 60
Percent Change in Cat SPT Mean Wheal Diameter in Patients Who Receive REGN1908-1909 Versus Placebo
The full analysis set (FAS) includes all randomized participants; it is based on the treatment allocated (as randomized). Efficacy endpoints will be analyzed using the FAS.
Measured: Baseline to week 72
Daily Number of Nighttime Awakenings Averaged Over the Initial 12 Weeks of the Treatment Period in Patients With Asthma Who Receive REGN1908-1909 Versus Placebo
Measured: Weeks 0 to 12
Number of Participants With Adverse Event of Special Interests (AESIs) Throughout the Study
Measured: Weeks 0 to 72
Number of Participants With Serious Treatment-Emergent Adverse Events (TEAEs) Throughout the Study
Measured: Weeks 0 to 60
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Throughout the Study
Measured: Weeks 0 to 72
Total REGN1908 Concentration in Serum Over the Study Duration
Measured: Weeks 0 to 60
Total REGN1909 Concentration in Serum Over the Study Duration
Measured: Weeks 0 to 60
Incidence of Treatment-emergent Anti-drug Antibodies (ADAs) to REGN1908 Throughout the Study
Measured: Weeks 0 to 72
Incidence of Treatment-emergent ADAs to REGN1909 Throughout the Study
Measured: Weeks 0 to 72
Percent Change in Cat SPT Mean Wheal Diameter in Patients Who Receive REGN1908-1909 Versus Placebo (up to Week 12)
Measured: Baseline to week 12
Percent Change in FEV1 in Participants With Asthma Who Receive REGN1908-1909 Versus Placebo (up to Week 12)
Measured: Baseline to week 12
Percent Change in FEV1 in Participants With Asthma Who Receive REGN1908-1909 Versus Placebo (up to Week 60)
Measured: Baseline to week 60
Change From Baseline to Week 60 in Rhinoconjunctivitis Quality of Life Questionnaire for Ages 12+ (RQLQ(S)+12) in Participants Who Received REGN1908-1909 Versus Placebo
The RQLQ had 25 questions in 6 domains (nose symptoms, eye symptoms, practical problems, activity limitation, non-hay fever symptoms and emotional function). Participants recalled how they have been during the previous week and responded to each question on a 7-point scale. The overall RQLQ score was the mean of all 25 responses and the individual domain scores were the means of the items in those domains. The RQLQ(S) responses are based on a 7-point Likert scale with responses ranging from 0 (not troubled) to 6 (extremely troubled).
Measured: Baseline to week 60
Daily Medication Score (DMS) Averaged Over the Initial 12 Weeks of the Treatment Period in Participants Who Receive REGN1908-1909 Versus Placebo
The Daily Medication Score (DMS) was calculated by adding points for each pre-specified medication. Participants will be asked to record their daily rescue medication use using an e-diary, including which medications and the amount of these prespecified medications. The scale is 0 (minimum) to 20 (maximum)
Measured: Weeks 0 to 12
DMS Averaged Over the Last 12 Weeks of the Treatment Period in Participants Who Receive REGN1908-1909 Versus Placebo
Measured: Weeks 48 to 60
Percent Change From Pre-treatment Baseline in Average DMS Averaged Over the Last 12 Weeks of the Treatment Period in Participants Who Receive REGN1908-1909 Versus Placebo
Measured: Weeks 48 to 60
Asthma Daily Symptom (ADS) Score, Averaged Over the Initial 12 Weeks of the Treatment Period Using Asthma Daytime Symptom Diary (ADSD) and the Asthma Nighttime Symptom Diary (ANSD) in Participants With Asthma Who Receive REGN1908-1909 Versus Placebo
The total daily asthma symptom score is a participant-reported outcome concerning the occurrence of asthma symptoms and their effect on a patient's daily activities and sleep. It is composed of two parts: daytime (five items) and nighttime (four items), both scored ordinally. Higher scores indicate more severe symptoms. The ADSD score will be based on 6 patient-reported symptoms (difficulty breathing, wheezing, shortness of breath, chest tightness, chest pain, and cough at their worst using an 11-point numeric rating scale (NRS) ranging from 0 ('None') to 10 ('As bad as you can imagine').
Measured: Weeks 0 to 12
ADS Score Averaged Over the Last 12 Weeks of the Treatment Period Using ADSD and the ANSD in Participants With Asthma Who Receive REGN1908-1909 Versus Placebo (Weeks 48 to 60)
Measured: Weeks 48 to 60
Daily TOSS Averaged Over the Initial 12 Weeks of the Treatment Period in Participants Who Receive REGN1908-1909 Versus Placebo
The TOSS ranges from 0 to 6 and is based on 2 eye symptoms: itching/redness/gritty feeling and tearing/watering. Each of the 2 symptoms is graded on a Likert scale ranging from 0 (none) to 3 (severe).
Measured: Weeks 0 to 12
Change From Baseline to Week 60 in Asthma Control Questionnaire 5 Question Version (ACQ-5) in Participant With Asthma Who Receive REGN1908-1909 Versus Placebo
The ACQ-5 had 5 questions, reflecting the top-scoring five asthma symptoms: woken at night by symptoms, wake in the mornings with symptoms, limitation of daily activities, shortness of breath and wheeze. Participants were asked to recall how their asthma had been during the previous week and to respond to each of the five symptom questions on a 7-point scale ranged from 0 (no impairment) to 6 (maximum impairment). ACQ-5 total mean score was mean of the scores of all 5 questions and, therefore, ranged from 0 (totally controlled) to 6 (severely uncontrolled), higher scores indicated lower asthma control.
Measured: Baseline to week 60
Daily Number of Nighttime Awakenings Averaged Over the Last 12 Weeks of the Treatment Period in Patients With Asthma Who Receive REGN1908-1909 Versus Placebo (Weeks 48 to 60)
Measured: Weeks 48 to 60
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jul 2021
- Study start30 Jul 2021
- Primary completion4 Jan 2023
- Study completion24 Apr 2023
Why it stopped: Lack of efficacy
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Allergic Rhinitis Due to Cat AllergyStudies of the same condition, open and under way.
- More trials run by Regeneron PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 446 participants (actual)
Sponsor and investigators
- Lead sponsor
- Regeneron Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trial Management, Study director, Regeneron Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04981717
- Sponsor's protocol ID
- R1908-1909-ALG-2102
- Other IDs
- 2021-002089-42
- Status last verified
- May 2024
- First submitted
- 19 Jul 2021
- Last updated
- 11 Jun 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
Study at a glance
From the registry record, last updated by the sponsor on 11 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled Study in Cat-Allergic Patients With Allergic Rhinitis Who Live With a Cat to Assess the Efficacy and Safety of Anti-Fel d 1 Antibodies During Natural Cat Exposure in the Home
- ClinicalTrials.gov ID
- NCT04981717
- Acronym / sponsor ID
- R1908-1909-ALG-2102
- Conditions
- Allergic Rhinitis Due to Cat Allergy
- Keywords
- Cat allergy induced allergic rhinitis, Allergic conjunctivitis, Asthma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Lack of efficacy
- Enrolment
- 446 participants (actual)
- Lead sponsor
- Regeneron PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 30 Jul 2021 (actual)
- Primary completion
- 4 Jan 2023 (actual)
- Study completion
- 24 Apr 2023 (actual)
- First posted
- 29 Jul 2021 (actual)
- Results
- Posted 11 Jun 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to determine the efficacy of REGN1908-1909, as compared to placebo, to reduce allergic rhinitis/conjunctivitis symptoms and allergy rescue medication use during natural cat exposure.
The Secondary Objectives are:
- To assess the reduction of allergic symptoms and use of allergy rescue medications after treatment with REGN1908-1909 versus placebo, as measured by the individual components of the CSMS
- To assess health-related quality of life (HRQoL) as measured by the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ[S])
- To determine the efficacy of REGN1908-1909, as compared to placebo, to inhibit a wheal-and-flare response to a skin prick test with cat allergen
- To assess the durability of effect in allergic rhinitis and conjunctivitis symptom and medication scores after multiple doses of REGN1908-1909 compared to placebo given every 12 weeks (Q12W)
- To determine the efficacy following multiple doses of REGN1908-1909 compared to placebo at inhibiting a wheal-and-flare response to a skin prick test with cat allergen
- To estimate the effect of REGN1908-1909 on lung function, as compared to placebo, in patients with asthma
- To determine the efficacy of REGN1908-1909 as compared to placebo to reduce asthma symptoms in patients with asthma
- To assess whether there is a difference in asthma rescue medication use in patients with asthma who are treated with REGN1908-1909 compared to placebo
- To assess whether there is a difference in nighttime awakenings in patients with asthma treated with REGN1908-1909 compared to placebo
- To evaluate the short-term and long-term safety and tolerability of REGN1908-1909, including the incidence of hypersensitivity reactions, local injection site reactions, and asthma exacerbations
- To determine systemic exposure of total (free and antigen-bound) antibodies as measured by concentration of REGN1908 and REGN1909
- To assess the immunogenicity of REGN1908 and REGN1909
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| REGN1908-1909 | Experimental | Drug: REGN1908-1909Randomized 1:1 |
| Placebo | Placebo comparator | Drug: Matching PlaceboRandomized 1:1 |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (9 listed)
- Generally healthy males and females who are 12 years and older at the time of screening.
- Weight must be ≥40 kg at the time of screening
- Documented or patient reported history (for at least 2 years) of symptomatic cat allergen-triggered allergic rhinitis with or without conjunctivitis and with or without asthma as defined by all of the following criteria:
- At least 1 generally healthy cat (that is unlikely to die during the study) living in the home resulting in regular exposure
- A daily total rhinitis/conjunctivitis symptom score (total symptom score [TSS]) of at least 8 of 18 during at least 8 days of the 15-day baseline assessment period and use of standard, therapeutic doses of pharmacotherapy for the treatment of allergic rhinoconjunctivitis on at least 8 days of the 15-day baseline assessment period.
Key exclusion criteria (7 listed)
- History of significant multiple and/or severe allergies, as assessed by the investigator, that would potentially interfere with the assessments during the baseline and 12-week efficacy assessment periods or confound results, per investigator discretion, including significant rhinitis or sinusitis due to daily contact with other allergens causing symptoms that are expected to coincide with the baseline period or any of the efficacy assessment periods
- Received REGN1908-1909 in a prior REGN1908-1909 clinical trial (receipt of placebo in a previous trial is allowed)
- Active lung disease other than asthma
- FEV1 less than 70% of predicted at screening or randomization
- Treatment with an investigational drug within 2 months or within 5 half-lives (if known), whichever is longer, prior to screening
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| REGN1908-1909Subcutaneous (SC) for a total of 5 administrations | Drug | REGN1908-1909 |
| Matching PlaceboSC for a total of 5 administrations | Drug | Placebo |
Primary outcome
Daily Combined Symptom and Medication Score (CSMS) Averaged Over Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 48 to 60
CSMS is calculated by adding the Daily Medication Score (DMS) and Total Symptom Score (TSS) together, with scores ranging between 0 (none) and 38 (severe).
38 secondary outcomes
Daily Total Nasal Symptom Score (TNSS) Averaged Over the Last 12 Weeks of Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 48 to 60
Percent Change From Pre-treatment Baseline in Average CSMS Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 48 to 60
Percent Change From Pre-treatment Baseline in Average TNSS Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 48 to 60
Daily Total Symptom Score (TSS) Averaged Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 48 to 60
Percent Change From Pre-treatment Baseline in Average TSS Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 48 to 60
Percent Change From Baseline to the End of Treatment in Cat Skin Prick Test (SPT) Mean Wheal Diameter in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Week 60
Daily CSMS Averaged Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 0 to 12
Daily TNSS Averaged Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 0 to 12
Percent Change From Pre-treatment Baseline in Average CSMS Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 0 to 12
Percent Change From Pre-treatment Baseline in Average TNSS Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 0 to 12
Percent Change From Pre-treatment Baseline in Average TSS Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 0 to 12
Daily TSS Score Averaged Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 0 to 12
Percent Change From Pre-treatment Baseline in Average TOSS, Over the Initial 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 0 to 12
Daily TOSS Averaged Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 48 to 60
Percent Change From Pre-treatment Baseline in Average TOSS Over the Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 48 to 60
Percent Change in Forced Expiratory Volume (FEV)1 in Patients With Asthma Who Receive REGN1908-1909 Versus Placebo
Time frame: Baseline to week 12
Percent Change in FEV1 in Patients With Asthma Who Receive REGN1908-1909 Versus Placebo
Time frame: Baseline to week 60
Percent Change in Cat SPT Mean Wheal Diameter in Patients Who Receive REGN1908-1909 Versus Placebo
Time frame: Baseline to week 72
Daily Number of Nighttime Awakenings Averaged Over the Initial 12 Weeks of the Treatment Period in Patients With Asthma Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 0 to 12
Number of Participants With Adverse Event of Special Interests (AESIs) Throughout the Study
Time frame: Weeks 0 to 72
Number of Participants With Serious Treatment-Emergent Adverse Events (TEAEs) Throughout the Study
Time frame: Weeks 0 to 60
Number of Participants With Treatment-emergent Adverse Events (TEAEs) Throughout the Study
Time frame: Weeks 0 to 72
Total REGN1908 Concentration in Serum Over the Study Duration
Time frame: Weeks 0 to 60
Total REGN1909 Concentration in Serum Over the Study Duration
Time frame: Weeks 0 to 60
Incidence of Treatment-emergent Anti-drug Antibodies (ADAs) to REGN1908 Throughout the Study
Time frame: Weeks 0 to 72
Incidence of Treatment-emergent ADAs to REGN1909 Throughout the Study
Time frame: Weeks 0 to 72
Percent Change in Cat SPT Mean Wheal Diameter in Patients Who Receive REGN1908-1909 Versus Placebo (up to Week 12)
Time frame: Baseline to week 12
Percent Change in FEV1 in Participants With Asthma Who Receive REGN1908-1909 Versus Placebo (up to Week 12)
Time frame: Baseline to week 12
Percent Change in FEV1 in Participants With Asthma Who Receive REGN1908-1909 Versus Placebo (up to Week 60)
Time frame: Baseline to week 60
Change From Baseline to Week 60 in Rhinoconjunctivitis Quality of Life Questionnaire for Ages 12+ (RQLQ(S)+12) in Participants Who Received REGN1908-1909 Versus Placebo
Time frame: Baseline to week 60
Daily Medication Score (DMS) Averaged Over the Initial 12 Weeks of the Treatment Period in Participants Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 0 to 12
DMS Averaged Over the Last 12 Weeks of the Treatment Period in Participants Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 48 to 60
Percent Change From Pre-treatment Baseline in Average DMS Averaged Over the Last 12 Weeks of the Treatment Period in Participants Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 48 to 60
Asthma Daily Symptom (ADS) Score, Averaged Over the Initial 12 Weeks of the Treatment Period Using Asthma Daytime Symptom Diary (ADSD) and the Asthma Nighttime Symptom Diary (ANSD) in Participants With Asthma Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 0 to 12
ADS Score Averaged Over the Last 12 Weeks of the Treatment Period Using ADSD and the ANSD in Participants With Asthma Who Receive REGN1908-1909 Versus Placebo (Weeks 48 to 60)
Time frame: Weeks 48 to 60
Daily TOSS Averaged Over the Initial 12 Weeks of the Treatment Period in Participants Who Receive REGN1908-1909 Versus Placebo
Time frame: Weeks 0 to 12
Change From Baseline to Week 60 in Asthma Control Questionnaire 5 Question Version (ACQ-5) in Participant With Asthma Who Receive REGN1908-1909 Versus Placebo
Time frame: Baseline to week 60
Daily Number of Nighttime Awakenings Averaged Over the Last 12 Weeks of the Treatment Period in Patients With Asthma Who Receive REGN1908-1909 Versus Placebo (Weeks 48 to 60)
Time frame: Weeks 48 to 60
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jun 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trial Management study director
Regeneron Pharmaceuticals
92 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing REGN1908-1909 in people with Allergic Rhinitis Due to Cat Allergy, run by Regeneron Pharmaceuticals at 92 sites in 6 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 11 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 92 sites in United States, Poland, Germany, Canada, Belgium and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 11 Jun 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Daily Combined Symptom and Medication Score (CSMS) Averaged Over Last 12 Weeks of the Treatment Period in Patients Who Receive REGN1908-1909 Versus Placebo (time frame: Weeks 48 to 60). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jun 2024; AzTrials last refreshed its copy on 8 Nov 2026.