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RhinitisPhase 3Oraltek-58NCT07348302

Efficacy and Safety of SLIT in Patients With Rhinitis/RC With/Without Mild-moderate Asthma, Due to Dpt and/or Df

A Phase 3 study testing Allergen Immunotherapy Extract in people with Rhinitis and Rhinoconjunctivitis, run by Inmunotek S.L. at 19 sites in 4 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this clinical trial is to learn if MM09 works to treat patients allergic to house mites, displaying rhinitis/rhinoconjunctivitis with or without mild to moderate asthma. It will also learn about the safety of MM09. Read more about this study

Who is it for?
Ages 12 to 65 years
Conditions the study is for
Rhinitis, Rhinoconjunctivitis
What is being tested?
Allergen Immunotherapy Extract
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
736 participants
Where
19 sitesin 4 countries
Study dates
2 Apr 2025to Jul 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participants who have signed and dated Informed Consent Form (ICF).
  • Female or male aged 12 to 65 years, both included, at the time of signature of ICF.
  • Participants with confirmed clinical history of inhalation allergy with intermittent or persistent moderate-severe rhinitis/ rhinoconjunctivitis according to the ARIA classification(1) of at least 1 year of duration (treated with anti-allergic medication) with or without mild-moderate controlled intermittent or persistent asthma according to the definition of GINA 2022(2) caused by Dermatophagoides pteronyssinus and/or Dermatophagoides farinae.
  • Participants with positive skin prick test and a wheal major diameter ≥ 5 mm to a standardized allergen extract of Dermatophagoides pteronyssinus and/or Dermatophagoides farinae.
  • Women of childbearing age (i.e., following menarche and until postmenopause, defined as no menses for 12 months without an alternative medical cause, or non-subject to permanent sterilisation methods, such as hysterectomy, bilateral salpingectomy and bilateral oophorectomy) must have a serum pregnancy test negative result, and a confirmed menstrual period before enrolling the study.
  • Women of childbearing age must commit to using a highly effective contraception method during the trial and up to 1 month after the end of treatment with the investigational medicinal product (IMP). Such methods include: combined (estrogen and progestogen containing) hormonal, contraception. associated with inhibition of ovulation (oral, intravaginal or transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable), intrauterine device, intrauterine hormone-releasing system, male condom, diaphragm used with spermicide, bilateral tubal occlusion, vasectomized partner or sexual abstinence.
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  • Participants capable of complying with dosage regimen.
  • Participants owning a smartphone to register symptoms and medication consumption.
  • Participants not sensitized to any other clinically relevant allergen or sensitized with the following characteristics (sensitization to other allergens will be assessed through skin prick test in Europe and LATAM and through IgE levels in China):
  • Participants sensitized to dander (with a positive skin prick test for dander or IgE ≥ 0.35 kU/L), provided that they have occasional exposure and symptoms.
  • Participants sensitized to endemic pollen (with a positive skin prick test or IgE ≥0.35 kU/L) will be scheduled to be included so that the pollen season does not coincide with the Baseline Evaluation Period nor with one month before and after the Main Evaluation Period. In LATAM, grass sensitized participants will not be included.
  • Participants not sensitized to moulds, cockroach, Blomia tropicalis or other geographically relevant mites (negative skin prick test or IgE < 0.7 kU/L).
  • Participants with a RCSMS ≥ 3 out of 6 recorded for at least 10 days during the baseline evaluation period, corresponding to moderate-to-severe allergic rhinitis/rhinoconjunctivitis.
  • Participants with specific IgE against a complete extract of D. pteronyssinus and / or D. farinae or any of the molecular components of allergenic sources with a value ≥ 3.5kU/L.

Who cannot join

  • Participants who have received previous immunotherapy to any of the tested allergen during the last 5 years or any desensitization process in the last 2 years (e.g., oral immunotherapy [OIT], milk, or egg) before the second screening visit (S2), or currently receiving immunotherapy with any other allergen.
  • Those cases in which allergen-specific immunotherapy (AIT) would be a contraindication according to the criteria of European Allergy and Clinical Immunology Immunotherapy Subcommittee.(3)
  • Asthmatic participants with forced expiratory volume in the first second (FEV1) <80% (following at least a 6-hour washout of short-acting beta2 agonists [SABA] and 12-hour washout of long-acting beta2 agonists [LABA]) despite pharmacological treatment by the time of enrolment.
  • Participants with uncontrolled asthma, according to GINA 2022,(2) asthma with poor symptom control (frequent symptoms or reliever use, activity limited by asthma, night waking due to asthma) and/or frequent exacerbations (≥2/year) requiring oral corticosteroids (OCS), or serious exacerbations (≥1/year) requiring hospitalization.
  • Participants with severe asthma, according to GINA 2022,(2) on Step 4 or 5 treatment, who had poor symptom control and had good adherence and inhaler technique.
  • Participants on treatment with β-blockers or angiotensin-converting enzyme (ACE) inhibitor.
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  • Participants on treatment with immunosuppressive or biological drugs.
  • Participants who had not had a long enough washout/withdrawal period at the first screening visit (S1) according to criteria in the study protocol (See Table 6 in section 9.5.3) before undergoing allergen diagnostic tests (skin prick test or IgE analysis).
  • Unstable participants who have suffered a respiratory tract infection and/or asthma exacerbation within 4 weeks prior to first screening visit (S1).
  • Participants who have suffered chronic urticaria, severe anaphylaxis, or with hereditary angioedema history within 2 years prior to the first screening visit (S1).
  • Participants having any contraindication for the use of adrenaline (e.g., hyperthyroidism, heart disease, or hypertension) according to the investigator's criteria.
  • Participants with other severe diseases not related to allergic rhinitis or asthma that could interfere with the study treatment or the follow-up.
  • Participants with severe and unresponsive to treatment autoimmune diseases (e.g., thyroiditis or lupus), tumoral diseases or immunodeficiencies.
  • Participants that could not comply with the study protocol, according to the investigator's criteria, or have a serious mental illness.
  • Participants with known allergy to any of the components of the study treatment other than study allergens.
  • Participants who had a complication(s) of any nasal disease (including nasal polyp, nasal septal deviation, and hypertrophic rhinitis, drug-induced rhinitis and/or non-allergic rhinitis) affecting an appropriate evaluation of the efficacy and/or safety, according to investigator's criteria.
  • Participants who had a nasal surgery within 6 months prior to the first screening visit (S1) or have programmed or anticipated nasal surgery during the trial period.
  • Participants with a lesion in the oral cavity that could confound the safety profile of the study treatment, according to the investigator's criteria.
  • Participants who required treatment with antihistamines and/or corticosteroids for other purposes than alleviating symptoms of allergic rhinitis (except temporal use for diseases such as common colds).
  • Participants with lower respiratory tract diseases different from asthma as emphysema, bronchiectasis, or chronic obstructive pulmonary disease.
  • Breastfeeding or pregnant women.
  • Participants who are immediate family members of the investigator.
  • Concurrent participation in other clinical trials or previous participation within 30 days prior to the first screening visit (S1).
  • Participants with history of serious systemic reactions, including food, Hymenoptera venom, medications, etc.
  • Participants expected to have marked changes (e.g., moving) in the circumstances of life during the study.
  • Participants who plan to start using anti-mite bedding or similar equipment during the study.
  • Participants who are considered inappropriate for the study, according to the investigator criteria.

Trial locations and contacts

19 sites in 4 countries. Contact the study team or a site near you to ask about taking part.

19 sites in 4 countries

China9 sites, 9 recruiting
  • Beijing Tongren Hospital

    Beijing, Beijing Municipality, 100730

    Luo Zhang, +86 13 911 189 954, dr.luozhang@139.com

    Recruiting
  • Changzhou Third People's Hospital

    Changzhou, Jiangsu, 213003

    Meiping Lu, +86 13 776 683 366, entlmp@126.com

    Recruiting
  • The Third Affiliated Hospital, Sun Yat-sen University

    Guangzhou, Guangzhou, 510080

    Qintai Yang, +86 18 922 103 352, yang.qt@163.com

    gzxur2708@163.com

    Recruiting
  • Union Hospital Tongji Medical College of HUST

    Huangzhou

    Jianjun Chen, +86 13 659 851 719, jj-c@tom.com

    Recruiting
  • The Affiliated Hospital of Qingdao University

    Qingdao, Shandong, 266005

    Yan Jiang, +86 13 256 875 886, jiangyanoto@163.com

    Recruiting
  • Eye & ENT Hospital of Fudan University

    Shanghai, Shanghai Municipality, 20032

    Hongfei Lou, +86 15 210 295 496, 1371445013@qq.com

    Recruiting
  • Tongji Hospital Tongji Medical College of HUST

    Tongji, Wuhan, 430033

    Rongfei Zhu, +86 18 986 292 602, zrf13092@163.com

    Recruiting
  • The Third Xiangya Hospital of Central South University

    Xiangya, Hunan, 410013

    Guolin Tan, +86 13 873 187 823, guolintan@163.com

    Recruiting
  • The First Affiliated Hospital, Sun Yat-sen University

    Zhongshan, Guangzhou, 510080

    Rui Xu, +86 13 802 509 090, gzxur2708@163.com

    Not yet recruiting

Other trials in China

Argentina6 sites, 5 recruiting
  • Fundación CIDEA

    Buenos Aires, 1121

    Active, not recruiting
  • Hospital Italiano de Buenos Aires

    Buenos Aires, 1199

    Claudio A Parisi, +54 911 5765 4081, claudio.parisi@hospitalitaliano.org.ar

    Recruiting
  • Centro de Educación Medica de Investigaciones Clinicas "Norberto Quirno" (CEMIC)

    Buenos Aires, 1431

    Esteban I Garramone, +54 9 11 5299-0100, eigarramone@gmail.com

    Recruiting
  • Centro Médico Vitae

    Nueve de Julio, Buenos Aires, 1650

    Iris V Medina, +54 9 2317 47 4535, irisvmedina@gmail.com

    Recruiting
  • Centro de Investigaciones Clínicas - Instituto de Especialidades de la Salud Rosario

    Rosario, Santa Fe Province, 2000

    Ledit R Ardusso, +54 9 341 6426843, cic-iesr@hotmail.com

    Recruiting
  • Centro Respiratorio Infantil

    Rosario, Santa Fe Province, 2000

    Gabriel Gattolin, +54 9342 473 6908, gabrielgattolin@gmail.com

    Recruiting

Other trials in Argentina

Portugal2 sites, 2 recruiting
  • Unidade de Local de Saúde de Santo António, E.P.E.

    Porto, 4050-651

    Diana Pinto, +351 222 077 500, diana.pinto@chporto.min-saude.pt

    Not yet recruiting
  • ULS Lezíria- Hospital Distrital de Santarém

    Santarém, 2005-177

    José M Onofre, +351 243 300 200, josemanuelonofre@gmail.com

    Not yet recruiting

Other trials in Portugal

Spain2 sites, 1 recruiting
  • Hospital General Universitario Dr. Balmis

    Alicante, 03010

    Active, not recruiting
  • Hospital IMED Benidorm

    Benidorm, Alicante, 03503

    Ana M Olano Rocha, +34 673 876 059, olano.melissa@gmail.com

    Recruiting

Other trials in Spain

About this study

Official title: Prospective, Randomised, DBPC, Multicenter Clinical Trial to Evaluate Efficacy and Safety of Sublingual Immunotherapy in Patients With Rhinitis/Rhinoconjunctivitis With or Without Mild to Moderate Asthma, Allergic to Dpt and/or Df

The goal of this clinical trial is to learn if MM09 works to treat patients allergic to house mites, displaying rhinitis/rhinoconjunctivitis with or without mild to moderate asthma. It will also learn about the safety of MM09. The main questions it aims to answer are:

Does MM09 reduce the symptoms and the need of rescue medication? What medical problems do participants have when inhaling MM09? Researchers will compare MM09 to a placebo (a look-alike substance that contains no drug) to see if MM09 works to treat rhinitis/rhinoconjunctivitis.

Read the detailed description

Sublingual MM09 is being investigated as an etiological treatment for moderate-to-severe allergic rhinitis and/or rhinoconjunctivitis (as classified by ARIA), with or without mild-to-moderate controlled allergic asthma (as defined by GINA 2022), caused by Dermatophagoides pteronyssinus and/or Dermatophagoides farinae. This prospective, randomized, double-blind, placebo-controlled, multicenter phase III clinical trial aims to assess the efficacy of sublingual MM09 at a dose of 30,000 TU/mL compared to placebo, administered over 12 months, in participants aged 12 to 65 years.

Being tested
Allergen Immunotherapy Extract
Keywords
immunotherapy, sublingual, Quality of live, dust mites, Dermatophagoides pteronyssinus, Dermatophagoides farinae, moderate asthma, allergic rhinitis, Allergic asthma, House dust mite allergy, efficacy, safety
Medical subject headings
Rhinitis, Rhinitis, Allergic, Dust Mite Allergy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Allergen Immunotherapy ExtractBiological

    Also called ORALTEK®

    Sublingual spray, solution

Study groups in NCT07348302
Study groupRoleWhat they receive
ControlPlacebo comparatorIs a solution identical in composition to the active treatment, but without active ingredients
Receives: Biological: Allergen Immunotherapy Extract
Sublingual MM09ExperimentalActive substance
Receives: Biological: Allergen Immunotherapy Extract

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. RCSMS : Rhinitis/Rhinoconjunctivitis Combined Symptom and Medication Score

    The RCMS corresponds to the sum of Rhinitis/Rhinoconjunctivitis Symptom Score (RSS) and Rhinitis/Rhinoconjunctivitis Medication Score (RMS).

    The daily RCSMS will be calculated as RCSMS (0-6) = RSS (0-3) + RMS (0-3)

    Higher scores mean a worse outcome.

    Measured: last 4 weeks of IMP treatment

Secondary outcomes (5)
  1. RSS : Rhinitis/Rhinoconjunctivitis Symptom Score

    The RSS will correspond to the sum of the grade of the six Rhinitis Rhinoconjunctivitis symptoms score (SS) divided by six:

    RSS (0-3) = (SS1+SS2+SS3+SS4+SS5+SS6) /6. The final RSS will range from 0 to 3.

    Each symptom will be graded 0-3 as follows:

    • 0 = No symptoms (no obvious symptoms).
    • 1 = Mild symptoms (trivial; the symptom is clearly present but not bothersome).
    • 2 = Moderate (annoying but not disabling or intolerable).
    • 3 = Severe (disabling and/or intolerable).

    Measured: last 4 weeks of IMP treatment

  2. RMS : Rhinitis/Rhinoconjunctivitis Medication Score

    The rhinitis/rhinoconjunctivitis rescue medication will be provided to the participants with the instruction to use them according to a specific stepwise standardised procedure (See section 8.6.2):

    • 0= no medication.
    • 1= if symptoms occur, first take an oral antihistamine (desloratadine) with or without ocular antihistamine (olopatadine)
    • 2= if symptoms are insufficiently controlled, add intranasal corticosteroid (INS) with or without oral antihistamine (fluticasone furoate).
    • 3= if symptoms persist and are insufficiently controlled add an oral corticosteroid (OCS) (methylprednisolone) (with or without intranasal corticosteroid [INS] and antihistamine)

    Measured: last 4 weeks of IMP treatment

  3. ASS : Asthma Symptom Score

    The score is obtained by the collection on the occurrence of following asthma symptoms:

    • Cough
    • Wheezing
    • Shortness of breath or feeling of choking
    • Chest tightness

    Each asthma symptom will be graded as follows:

    • 0= No symptoms (no obvious symptoms).
    • 1= Mild symptoms (trivial; the symptom is clearly present but not bothersome).
    • 2= Moderate (annoying but not disabling or intolerable).
    • 3= Severe (disabling and/or intolerable).

    The ASS will correspond to the sum of the grades of the four asthma symptoms score (SS) divided by four:

    ASS (0-3) = (SS1+SS2+SS3+SS4) /4. The final score will range from 0 to 3.

    Measured: last 4 weeks of IMP treatment

  4. AMS: Asthma Medication Score

    The AMS will be scored based on the therapeutic step in which the drugs are included in the GEMA 5.0 (90) and GINA 2020 guidelines.(91) The scoring method is detailed in the article entitled "Combination of Allergic Asthma Symptom and Medication Scores in Allergen Immunotherapy Trials: A Proposal."

    The steps of medication shown in the Figure 6 (above) correspond to the medication stepping of GEMA 5.0. In asthma participants AMS will be score as follows:

    • 0.5= SABA as needed.
    • 1= Low dose ICS with/without SABA as needed.
    • 1.5= Low dose ICS + LABA or medium dose ICS with/without SABA as needed.
    • 2= Medium dose ICS+LABA with/without SABA as needed.
    • 2.5= High dose ICS+LABA with/without SABA as needed.
    • 3= High dose ICS+LABA + systemic corticosteroids with/without SABA as needed. The AMS will correspond to the highest level of medication taken on a day. The score will range from 0 to 3.

    Measured: last 4 weeks of IMP treatment

  5. ARSS: Asthma and Rhinitis/Rhinoconjunctivitis Symptom Score

    The ARSS ranges from 0 to 6, corresponds to the sum of RSS and ASS, and is calculated as follows: ARSS (0-6) = RSS (0-3) + ASS (0-3)

    Higher scores mean a worse outcome.

    Measured: last 4 week of IMP treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jan 2026
  2. Study start2 Apr 2025
  3. Primary completion27 Apr 2029 (estimated)
  4. Study completionJul 2029 (estimated)

Resources

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
Model description
Prospective, randomised, double-blind, placebo-controlled
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
736 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07348302
Sponsor's protocol ID
MM09-SLG-058
Acronym
Oraltek-58
Status last verified
Jan 2026
First submitted
5 Dec 2025
Last updated
16 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Allergen Immunotherapy Extract in people with Rhinitis and Rhinoconjunctivitis, run by Inmunotek S.L. at 19 sites in 4 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 14 inclusion and 27 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: looking for participants now, as of the sponsor's last update on 16 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in China, Argentina, Portugal, Spain. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Raquel Caballero (+34 912 908 94, rcaballero@inmunotek.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

RCSMS : Rhinitis/Rhinoconjunctivitis Combined Symptom and Medication Score (time frame: last 4 weeks of IMP treatment). 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 16 Jan 2026.

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