Study on the effectiveness of allergen immunotherapy in patients with house dust mite-induced allergic rhinitis and other associated allergic conditions

ISRCTN ISRCTN32263767
DOI https://doi.org/10.1186/ISRCTN32263767
Secondary identifying numbers HKSH RC-2019-06
Submission date
13/05/2019
Registration date
14/05/2019
Last edited
14/05/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Allergen-specific sublingual immunotherapy (SLIT) is an effective disease-modifying treatment for house dust mite-induced allergic rhinitis. However, research on its effectiveness on its concomitant allergic conditions is scarce. As a response, the effectiveness of SLIT in patients with house dust mite (HDM) induced allergic rhinitis, and its concomitant allergic diseases including asthma, allergic conjunctivitis and atopic dermatitis has been evaluated in this study.

Who can participate?
Patients suffering from house dust mite-induced allergic rhinitis.

What does the study involve?
All participants’ records in the standardized questionnaire reflecting their progress including their symptoms, medication use and side effect were retrieved and reviewed. Participants were allocated to one of the two groups depending on whether they received sublingual immunotherapy in allergy centre. Participants in the study group received sublingual immunotherapy with house dust mite allergen extract daily for at least 12 months in addition to conventional treatment. Participants in the control group received conventional treatment as usual practice. Symptom scores of allergic rhinitis, asthma, allergic conjunctivitis, and eczema were assessed. The medication usage including antihistamines and nasal topical steroids were also recorded. Any treatment-related side effect during the study period was documented according to the grading system recommended by the World Allergy Organization.

What are the possible benefits and risks of participating?
Participants need to complete a standardized questionnaire each time during their follow up visits for up to 36 months during the study period. Otherwise, there is no additional risk by taking part in this study. All Participants’ record data were anonymized.

Where is the study run from?
Allergy Centre of Hong Kong Sanatorium & Hospital

When is the study starting and how long is it expected to run for?
1 March 2019 to 1 March 2021

Who is funding the study?
Allergy Centre of Hong Kong Sanatorium & Hospital

Who is the main contact?
Dr. Alson Chan
awmc@hku.hk

Study website

Contact information

Dr Alson Chan
Scientific

Allergy Centre
Hong Kong Sanatorium & Hospital
9/F
Li Shu Pui Block
2 Village Road
Happy Valley
Hong Kong
N/A
Hong Kong

ORCiD logoORCID ID 0000-0003-1382-3690
Phone +85228358430
Email awmc@hku.hk

Study information

Study designRetrospective Case Control Study
Primary study designObservational
Secondary study designCase-control study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet.
Scientific titleEffectiveness of allergen-specific sublingual immunotherapy for house dust mite-induced allergic rhinitis and its co-morbid conditions
Study acronymN/A
Study objectivesAllergen-specific sublingual immunotherapy is an effective treatment for house dust mite-induced allergic rhinitis, as well as it co-morbid allergic conditions
Ethics approval(s)Approved 25/02/2019, Hong Kong Sanatorium & Hospital Research Ethics Committee (Research Ethics Committee, Hong Kong Sanatorium & Hospital, 38/F, Li Shu Pui Block, 2 Village Road, Happy Valley, Hong Kong; +852 2572 0211; hospital@hksh-hospital.com), ref: RC-2019-06.
Health condition(s) or problem(s) studiedHouse dust mite induced allergic diseases
InterventionPatients diagnosed to have house dust mite-induced perennial allergic rhinitis according to ARIA guidelines who received sublingual immunotherapy (SLIT) with sublingual allergen extract for over 12 months were enrolled as case, and controls were age- and sex-matched patients with the same diagnosis who were never treated with SLIT. All enrolled patients will be followed up regularly once every 3 months and given a standardized questionnaire at every visit to record their symptom severity, medication use and treatment-related adverse events. They will be followed-up regularly until 36 months.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)House dust mite sublingual allergen extract
Primary outcome measureSymptom scores are measured using a standardized questionnaire at baseline and then every 3 months.
Secondary outcome measuresMedication use is measured using a standardized questionnaire at baseline and then every 3 months.
Overall study start date01/01/2019
Completion date01/03/2022

Eligibility

Participant type(s)All
Age groupAll
SexBoth
Target number of participants120
Key inclusion criteriaSuffering from house dust mite-induced perennial allergic rhinitis.
Key exclusion criteria1. Incomplete records of clinical data.
2. Concurrent systemic immunological disorders.
3. Using immunomodulatory treatment.
Date of first enrolment01/03/2019
Date of final enrolment01/03/2021

Locations

Countries of recruitment

  • Hong Kong

Study participating centre

Hong Kong Sanatorium & Hospital
2 Village Road, Happy Valley, Hong Kong
Hong Kong
N/A
Hong Kong

Sponsor information

Hong Kong Sanatorium & Hospital
Hospital/treatment centre

2 Village Road
Happy Valley
Hong Kong
N/A
Hong Kong

Phone +852 2572 0211
Email hospital@hksh-hospital.com
Website www.hksh.com
ROR logo "ROR" https://ror.org/010mjn423

Funders

Funder type

Hospital/treatment centre

Hong Kong Sanatorium & Hospital

No information available

Results and Publications

Intention to publish date01/06/2020
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryOther
Publication and dissemination planStudy results on primary, secondary and relevant outcomes will be published in a peer reviewed medical journal.
IPD sharing planThe datasets generated and/or analysed during the current study during this study will be included in the subsequent results publication.

Editorial Notes

14/05/2019: Trial's existence confirmed by the Hong Kong Sanatorium & Hospital Research Ethics Committee.