Study on the Safety and Effectiveness of Betula Pollen Extract for Children and Adolescents Aged 5-17 with Birch Pollen Allergies and Possible Asthma

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What is this study about?

This clinical trial is focused on studying a condition known as birch pollen-induced allergic rhinoconjunctivitis, which is an allergic reaction that affects the nose and eyes, often causing symptoms like sneezing, itching, and watery eyes. The study is also considering participants who have this condition along with asthma. The treatment being tested is called STALORAL® Birch 300 IR, which is an oromucosal solution, meaning it is a liquid that is applied inside the mouth. This treatment contains an extract from birch pollen, which is intended to help the body build a tolerance to the allergen and reduce symptoms over time.

The purpose of the study is to evaluate the safety and effectiveness of STALORAL® Birch 300 IR in children and adolescents aged 5 to 17 years. Participants in the study will be randomly assigned to receive either the STALORAL® Birch 300 IR treatment or a placebo, which is a substance with no active medication. Neither the participants nor the doctors will know which treatment is being given to ensure unbiased results. The study will last for a period of up to 13 months, during which participants will regularly use the treatment and report their symptoms and any changes they experience.

Throughout the study, participants will be monitored to assess how well the treatment works in reducing symptoms of allergic rhinoconjunctivitis and the need for additional medication. The trial aims to provide valuable information on whether STALORAL® Birch 300 IR can be a safe and effective option for managing symptoms in young people with birch pollen allergies, potentially improving their quality of life during the pollen season.

1 joining the study

Upon joining the study, the patient will be randomly assigned to receive either the STALORAL Birch 300 IR or a placebo. Neither the patient nor the doctor will know which treatment is being administered.

2 treatment administration

The treatment involves the use of an oromucosal solution, which is a liquid placed under the tongue. This method is known as sublingual use.

The active substance in the treatment is betula pollen extract.

3 treatment schedule

The patient will receive the treatment daily. The dosage and specific instructions will be provided by the healthcare team overseeing the trial.

4 monitoring and assessments

Throughout the trial, the patient will be required to complete an e-Diary using a mobile application. This will involve daily entries to track symptoms and any use of additional medication.

Regular assessments will be conducted to monitor the patient’s response to the treatment and any side effects.

5 end of trial

The trial is expected to conclude by July 31, 2025. At the end of the trial, the patient’s overall response to the treatment will be evaluated.

Who Can Join the Study?

  • Must be able to sign and date the informed consent form before any trial-specific procedure. If unable to sign, a box can be checked on the form. Parents or legal representatives must give written consent for minors.
  • Must have health insurance as required by local regulations.
  • Must be between the ages of 5 and 17 at the time of the randomization visit.
  • Must have a documented history of moderate to severe Allergic Rhinoconjunctivitis (ARC) caused by birch pollen, diagnosed by a doctor. This means having symptoms like a runny nose and itchy eyes during at least one previous birch pollen season for ages 4 to 6, or at least two seasons for ages 7 to 17, even after using symptom-relieving medication.
  • Must have a Total Symptom Score (TSS) of at least 12 out of 18 from the previous birch pollen season and a score of at least 30 on a Visual Analog Scale (VAS), which measures the severity of symptoms. This can be evaluated by the patient or a parent/legal representative if the patient cannot do it themselves.
  • Must have a positive Skin Prick Test (SPT) to birch pollen at the screening visit. This test is positive if it causes a skin reaction with a wheal (bump) of at least 3.0 mm in diameter.
  • Must have a positive test for specific Immunoglobulin E (IgE), which are antibodies, to birch pollen allergens at screening. The level must be at least 0.7 kU/L.
  • All female patients who can become pregnant must have a negative urine pregnancy test before randomization.
  • Must have internet access at home or on a portable device to complete an electronic diary daily using a mobile phone app. This starts 4 months before the pollen season.

Who Cannot Join the Study?

  • Individuals who do not have birch pollen-induced allergic rhinoconjunctivitis. This is a condition where the nose and eyes become irritated due to an allergy to birch pollen.
  • Individuals who are not within the specified age range for the study. The study is focused on children and adolescents.
  • Individuals who are not willing or able to follow the study procedures and requirements.
  • Individuals who have other medical conditions that might interfere with the study or its results.
  • Individuals who are currently participating in another clinical trial.
  • Individuals who have a history of severe allergic reactions that could pose a risk during the study.
  • Individuals who are pregnant or breastfeeding, as the study may not be safe for them.
  • Individuals who have used certain medications that could affect the study results.
  • Individuals who have a known allergy to any component of the study medication.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
HNO Praxis Dr. Sonja Runge Neuenhagen Germany
Leamed s.r.o. Presov Slovakia
Oliver-Med s.r.o. Rimavska Sobota Slovakia
ALL-MED Specialistyczna Opieka Medyczna. Medyczny Instytut Badawczy Wroclaw Poland
Medical University Of Vienna Vienna Austria
Acibadem City Clinic Diagnostic And Consultation Center Tokuda EAD Sofia Bulgaria
MVZ Dr. Kasche und Kollegen GmbH Hamburg Germany

Other Sites

Site Name City Country Status
Medical Center Hera EOOD Sofia Bulgaria
Region Oestergoetland Linkoping Sweden
Alergologia Plus Sp. z o.o. Poznan Poland
Delta Health Care S.R.L. Bucharest Romania
Centrul Medical Unirea S.R.L. Brasov Romania
Univerzitna Nemocnica Martin Martin Slovakia
Centrum Medyczne Plejady Magdalena Celinska Loewenhoff Michal Zolnowski sp.k. Cracow Poland
University Multiprofile Hospital For Active Treatment Kaspela EOOD Plovdiv Bulgaria
Vita Longa Sp. z o.o. Katowice Poland
Diagnostics-Consultancy Center Mladost M Varna OOD Varna Bulgaria
DRC Kft. Balatonfured Hungary
ProbarE i Lund AB Lund Sweden
Aranyklinika Kft. Szeged Hungary
ProbarE i Stockholm AB Stockholm Sweden
LOR Klinika Riga Latvia
Mediciniska sabiedriba ALERGISKO SLIMIBU IZMEKLESANAS UN ARSTESANAS CENTRS SIA Riga Latvia
Inovatyvios alergologijos centras UAB Vilnius Lithuania
Seimos Gydytojas UAB Vilnius Lithuania
CD8 klinika UAB Kaunas Lithuania
Niepubliczny Zaklad Opieki Zdrowotnej Centrum Uslug Medycznych Proximum Sp. z o.o. Wroclaw Poland
Clinica Vitae Sp. z o.o. Gdansk Poland
University Multiprofile Hospital For Active Treatment Saint Georgi EAD Plovdiv Bulgaria
University Of Debrecen Debrecen Hungary
Somogy Varmegyei Kaposi Mor Oktato Korhaz Kaposvar Hungary
Clinexpert Kft. Budapest Hungary
Respublikine Siauliu ligonine VšĮ Siauliai Lithuania
Diagnostic Consultative Center 14 Sofia EOOD Sofia Bulgaria
Diagnostic-consultative center “Aleksandrovska” EOOD Sofia Bulgaria
Semmelweis University Budapest Hungary
Justus-Liebig-Universitaet Giessen Giessen Germany
IRMED Irena Wojciechowska Warsaw Poland
HNO research GmbH Itzehoe Germany
Hno Praxis Am Neckar Heidelberg Germany
Balvu un Gulbenes slimnicu apvieniba SIA Balvi Latvia
Universitätsklinikum St. Pölten St. Poelten Austria
Alyatec STRASBOURG, Alsace France
Papp es tarsa Bt. Szigetvar Hungary
HNO-Praxis Dresden Germany
Soedersjukhuset AB Stockholm Sweden
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Smglkewk Cpbpbg Dp Ugbdhua Pckusv Czbyf Gbkaksa Aftgkvjfrgek Bucharest Romania
Ukdrpzloeyhydpisfumqc Aucnhnci Augsburg Germany
Bpgil Khhjjyel Uyxfbprwvviea Sashbyir Vjxi Riga Latvia
Afrkfygblm kqneonybz itjomluyhy a aoqzgtproyg Mhsot Ikguk Hofkajcip Šurany Slovakia
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Apufvkmybsp cvvviiz slwioc Kezmarok Slovakia
Acmkmayemffueeu Wsjz Wclg Vienna Austria
Auurowhibcpjnnboumsn Rktttvufhxql Vienna Austria
Ffmuz Vqtzvd Pfpkdnqlh Mkomunp Cglrln Vienna Austria
Muxwbbb Cwpccn Pbhaywosiio Lbif Sofia Bulgaria
Hcrymyksquseuoymcbcskt Hanover Germany
Kirxcsfitqjgaawm Dvl Mzuyxw Rhyonhty Oberursel Germany
Hzh Fsrxtizvfsisci &oypbyp Afpc Psxz Goettingen Germany
Hoy Ptpnlv Dbgkqbne Dreieich Germany
Adtxpgx Uxv Vilnius Lithuania
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Cwytidr Aayvwmaxqtu Sip z oydz Poznan Poland
Cglryyr Akbuqakzvki Purkl Kp Brdlgoxp Sjz z otxx Lodz Poland
Nksi Hauvt Mbiikss Bialystok Poland
Vtkhtj Vuaxxhrax &kpnacg adryi ptrpgm piwsdfztqkienk uh aeonmibfegwu Rezekne Latvia
Mkazxwzn Mxgwzzx Ayhxodq Pleven Bulgaria
Cffwbo Hddzqnaottc Ruzlabzn Dhxvlmrzvbbuin Angers France
Pyddii fbr Hvf upg Afwchetupfmr Dlq Ypes Yyoyw Dresden Germany
Eoi Łckw Lodz Poland
Idthrvjohmfg Shqgrggeakdhswh Pgmgnxlv Lioqidcv Eihgsxem Mmvieh Gryfice Poland
Mijunns Cmoatg Mnfmfhztux Pvpjaf Ogg Pleven Bulgaria
Mtf Hyrbmsnm Sm zat Makow Podhalanski Poland
Aafogviqan sjujd Shegbnkpumfshnt Ceynxly Mqkzfqsf Aojndhc Erhgikw Mzivgowgdz Bzmlyjlgiohhlsolj Lublin Poland
Sgccyi Txtzgzmyhnv Oe Turku Finland
Hghscqwq Ubkqmpadhdzmql Succokloom &wgtusf Hesmpox dz Holqgnromyj STRASBOURG, Alsace France
Purxvouv Pokbxvpj Lnufmpmx Gettwey Pcqpozvuwijozvqyuotifrjrllg Atib Pvfhjnvyn Bialystok Poland

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Austria Austria
Not recruiting
20.09.2023
Bulgaria Bulgaria
Not recruiting
20.09.2023
Finland Finland
Not recruiting
20.09.2023
France France
Not recruiting
20.09.2023
Germany Germany
Not recruiting
20.09.2023
Hungary Hungary
Not recruiting
20.09.2023
Latvia Latvia
Not recruiting
20.09.2023
Lithuania Lithuania
Not recruiting
20.09.2023
Poland Poland
Not recruiting
20.09.2023
Romania Romania
Not recruiting
20.09.2023
Slovakia Slovakia
Not recruiting
20.09.2023
Sweden Sweden
Not recruiting
20.09.2023

Trial locations

Investigated drugs:

STALORAL® Birch 300 IR is a medication used in this clinical trial to treat children and adolescents aged 5 to 17 years who suffer from allergic reactions caused by birch pollen. This medication aims to reduce symptoms such as runny nose, itchy eyes, and sneezing, which are common in allergic rhinoconjunctivitis. It may also help in reducing the need for other medications that relieve allergy symptoms. The trial is designed to assess the safety and effectiveness of this treatment in managing these allergy symptoms, with or without the presence of asthma.

Birch Pollen-induced Allergic Rhinoconjunctivitis – This condition is an allergic reaction that occurs when the immune system overreacts to birch pollen. It primarily affects the eyes and nose, leading to symptoms such as sneezing, runny or blocked nose, itchy and watery eyes, and sometimes itching in the throat or ears. The symptoms typically appear during the birch pollen season, which can vary depending on the geographical location. The condition is more common in children and adolescents, and symptoms can interfere with daily activities and sleep. Over time, repeated exposure to birch pollen can lead to a worsening of symptoms if not managed properly.

Trial ID:
2023-509833-38-00
Protocol code:
YOBI/SL79.22
Trial Phase:
Therapeutic confirmatory (Phase III)

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