Can allergy shots quiet the sneezing and stuffy nose caused by dust mites?
NCT ID NCT06920771
First seen Aug 10, 2026 · Last updated Aug 11, 2026 · Updated 1 time
Summary
This trial tests whether a series of allergy shots, called PURETHAL Mites, can reduce symptoms like sneezing, runny nose, and congestion in adults with moderate to severe house dust mite allergies, with or without asthma. Participants receive either the active treatment or a placebo over about a year, and their symptom and medication scores are compared. The goal is to see if this immunotherapy can provide meaningful relief and improve quality of life for people whose allergies are triggered by dust mites.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- PURETHAL Mites mixture, a modified house dust mite extract given as allergy shots
- What this could lead to
- If successful, this could offer a disease-modifying treatment that reduces allergy symptoms and medication use for people with house dust mite allergies.
- What could go wrong
- This is a Phase 3 trial, but results are not guaranteed. The treatment may not outperform placebo, and allergy shots can cause local reactions or, rarely, more serious allergic responses.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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691 people
The number who actually took part.
- Started
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Sep 2024
- Finished
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Mar 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Prior to screening, subjects need to have signed the current approved Informed Consent Form (ICF). 2. Male or female subjects age 18-65 years at the time of informed consent. 3. Clinical history consistent with moderate-severe HDM allergic rhinitis (with or without asthma) according to the ARIA classification (Allergic Rhinitis and its Impact on Asthma) (Bousquet et al., 2008), for at least one year prior to the first dosing. 4. Subjects should be able and willing to complete daily e-Diaries for a period of 4 weeks during the screening period, 1 week after maintenance visit 7, and for a period of 8 weeks at the end of treatment under the same living conditions. 5. Forced Expiratory Volume 1 (FEV1) \> 70% at Screening. 6. If a subject is asthmatic, asthma must be clinically controlled for at least three months before the screening using inhaled steroids and / or Long Acting Beta Agonists (corresponding to GINA treatment steps 1 -3) and inhaled steroid use should be on a stable, not higher dose than of ≤400 µg budesonide per day or dose-equivalent (≤500 µg beclometasone dipropionate; ≤160 µg ciclesonide; ≤250 µg fluticasone propionate; ≤200 µg mometasone furoate). Patients with asthma should use their standard asthma medication throughout the whole study period to ensure their asthma remains controlled. 7. Positive SPT to D. pter and/or D. far (mean wheal diameter ≥ 3 mm, negative control should be \< 2 mm, histamine positive control should be ≥ 3 mm), assessed at Screening. 8. Subjects with a positive NPT for D. pter extract at Screening (Lebel score ≥6 at 10,000 AU/mL, test should be postponed, if baseline score is ≥ 3 or if negative control score is \> 3). 9. Allergen specific serum IgE level for D. pter and/or D. far of \> 0.7 U/mL, assessed at Screening. 10. Subjects need to have an average daily TNSS of at least 8 out of 12 points at baseline, determined according to the daily e-Diary entries during 2 weeks of baseline assessment. Subjects should have a minimum e-Diary entry compliance of 70% for which the average is calculated. 11. Negative serum pregnancy test at screening for women of childbearing potential. 12. Females of childbearing potential must be using highly effective and acceptable methods of birth control (as per the CTFG recommendations) to prevent pregnancy and agree to continue to practice an acceptable method of contraception for the duration of participation in the trial. Contraceptive measures considered adequate are: 1. combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, transdermal) 2. progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable) 3. intrauterine device (IUD) 4. intrauterine hormone-releasing system (IUS) 5. bilateral tubal occlusion 6. vasectomised partner 7. sexual abstinence Waivers to the inclusion criteria will NOT be allowed. Exclusion Criteria: 1. A clinically relevant history of symptomatic seasonal ARC and/or a positive SPT (mean wheal diameter ≥ 3 mm) caused by an allergen (including animal hair and dander), to which the subject is regularly exposed and/or exposure is overlapping with the e-Diary completion periods at Screening and at the end of treatment. 2. Nasal surgery and/or severe nasal or severe oral disease within 6 months prior to Screening. 3. Patients not adhering to the e-Diary procedure and/or procedure for Rescue Medication use during e-Diary phase. 4. Severe asthma (GINA 2022 treatment steps 4 - 5). 5. Uncontrolled asthma, as defined by any of the following: 1. Asthma Control Test (ACT) ≤19, 2. FEV1 ≤70% of predicted value, 3. Emergency room visit for asthma attack/exacerbation within 6 months prior to screening, 4. At least 1 hospitalization due to asthma within the last year, 5. History of intubation/mechanical ventilation due to asthma, 6. More than 2 courses of oral steroids used for treatment of asthma within the last 6 months prior to Screening, 7. Daily use of inhaled corticosteroids \>400mcg budesonide or equivalent. 6. History of anaphylaxis with cardio-respiratory symptoms (food allergy, drugs or an idiopathic reaction). 7. Previous treatment with AIT with HDM allergen or a cross-reacting allergen for more than 1 month at the maintenance level within the last 5 years. Initiation of HDM SCIT is acceptable, if treatment has been discontinued before reaching maintenance dose. 8. AIT (subcutaneous, sublingual or oral) with other allergens than HDM within the last 3 months prior to screening or planned during the trial period. 9. Participation in a clinical trial within the last 3 months prior to screening (e.g. new investigational drug or biological) or during the trial. 10. Any vaccination (including COVID-19) less than 1 week prior to screening, during screening and the up-dosing phase and the TCRS scoring periods. 11. Any immunosuppressive treatment or anti-IgE therapy within the last 6 months prior to the first dosing of the trial drug and during the trial 12. Any treatment with β-adrenergic blockers unless prescribed as per treatment standards to the subject if the medical benefit will prevail the risks upon investigators discretion. 13. Hypersensitivity to any of the other components of the investigational product. 14. Severe immune disorders (including autoimmune diseases) and/or diseases requiring immunosuppressive medication. 15. Active COVID-19 infection at the time of screening or 2 weeks before. 16. Active malignancies or any malignant disease in the last 5 years. 17. A chronic or acute disease that in the opinion of the investigator might place the subject at an additional risk, including but not limited to the following: cardiovascular insufficiency, any severe or unstable lung diseases, endocrine disorders, clinically significant renal or hepatic diseases, haematological disorders, severe atopic dermatitis, other relevant skin diseases (affecting SPT testing areas). 18. Diseases with a contraindication for the use of adrenaline/epinephrine (e.g. hyperthyroidism, glaucoma). 19. Use of prohibited medication and/or not able to discontinue medications that are prohibited during the specified trial periods. 20. Moderate to severe nasal obstructive disease such as polyps, septum deviation. 21. Clinically significant chronic sinusitis or ocular infection. 22. Female subjects of childbearing potential who are pregnant or lactating. 23. Alcohol, drug, or medication abuse within the past year and during the trial. 24\. Any (expected) lack of cooperation or compliance upon the discretion of the investigator. 25. Severe psychiatric, psychological, or neurological disorders. 26. Employees of the Sponsor, CRO, clinical study site and/or who are 1st grade relatives, or partners of the investigator. 27. Known commitment to an institution by virtue of an order issued either by the judicial or the administrative authorities 28. Expected changes in average HDM exposure during the trial (e.g. new avoidance measures, relocation and holidays or trips lasting more than 10 days during the efficacy assessment period)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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ALERGOTEST s.c. Specjalistyczne Centrum Medyczne
Lublin, Poland
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Alergo-Med Specjalistyczna Przychodnia Lekarska Sp. z o. o.
Tarnów, Poland
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All-Med - Specjalistyczna Opieka Medyczna - Medyczny Instytut Badawczy
Wroclaw, Poland
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Allergo GmbH - Prüfzentrum Schorndorf
Schorndorf, Germany
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BAG Prof. G. Hoheisel/Dr. A. Bonitz Praxis für Pneumologie und Allergologie - Studienzentrum
Leipzig, Germany
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Ballenberger, Freytag, Wenisch -Institut für klinische Forschung GmbH
Neu-Isenburg, Germany
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CD8 clinic
Kaunas, Lithuania
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CM Szpital Św. Rodziny
Lodz, Poland
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Centrum Alergologii
Poznan, Poland
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Centrum Alergologii Irmed Irena Wojciechowska
Warsaw, Poland
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Centrum Alergoologii Specjalistyczna Przychodnia Alergologiczna
Lublin, Poland
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Centrum Diagnostyczno-Terapeutyczne Medicus Sp. z o.o.
Lubin, Poland
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Centrum Medyczne Angelius Provita
Katowice, Poland
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Centrum Medyczne KERmed
Bydgoszcz, Poland
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Centrum Nowoczesnych Terapii "Dobry Lekarz" Sp. z o.o.
Krakow, Poland
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Clinica Vitae Spółka z o. o.
Gdansk, Poland
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Clinmedica Research sp. z o.o.
Lodz, Poland
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DCC Convex
Sofia, Bulgaria
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Diagnostic-Consulativ Senter Ascendent
Sofia, Bulgaria
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ETG Warszawa
Warsaw, Poland
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Emovis GmbH
Berlin, Germany
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Gabinet Lekarski Bożena Kubicka-Kozik
Tomaszów Mazowiecki, Poland
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HNO Praxis Dr. Uta Thieme
Duisburg, Germany
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HNO Research GmbH
Itzehoe, Germany
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HNO-Facharztpraxis Alte Post
Göttingen, Germany
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HNO-Praxis Dr. Udo Schäfer
Dresden, Germany
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Hospital Schleswig-Holstein. Klinik für Dermatologie, Venerologie und Allergologie.
Kiel, 24105, Germany
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IP Clinic Sp. z o. o.
Lodz, Poland
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Indywidualna Specjalistyczna Praktyka Lekarska Elżbieta Matusz
Gryfice, Poland
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Indywidualna Specjalistyczna Praktyka Lekarska Jan Zdanowski Specjalista Alergolog
Koszalin, Poland
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Inovatyvios alergologijos centras
Vilnius, Lithuania
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JSC Center for Diagnosis and Treatment of Allergic Diseases
Vilnius, Lithuania
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JSC Family Doctor
Vilnius, Lithuania
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JSC Inlita
Vilnius, Lithuania
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JSC Verkiu clinic
Vilnius, Lithuania
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KliFOs - Klinische Forschung Osnabrück
Osnabrück, Germany
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Klinikum Stuttgart - Krankenhaus Bad Cannstatt
Stuttgart, Germany
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Krakowskie Centrum Medyczne Sp. z o.o - FutureMeds Kraków
Krakow, Poland
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LOR Clinic
Riga, Latvia
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Lithuanian University of Health Sciences Kauno klinikos
Kaunas, Lithuania
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Małopolskie Centrum Alergologii sp z o.o.
Krakow, Poland
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Medical Center Prolet EOOD
Rousse, Bulgaria
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Medical Center Smolyan
Smolyan, Bulgaria
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Medical University of Lodz
Lodz, Poland
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Medizentrum Essen-Borbeck
Essen, Germany
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NSZOZ Puls Med
Skarżysko-Kamienna, Poland
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NZOZ Alergo-Med
Poznan, Poland
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NZOZ Centrum Usług Medycznych "PROXIMUM" Sp. z o. o.
Wroclaw, Poland
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NZOZ Homeo Medicus Poradnia Alergologiczna
Bialystok, Poland
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POLIMEDICA CENTRUM BADAŃ, PROFILAKTYKI I LECZENIA Sp. z o.o. - POLIMEDICA PTG
Warsaw, Poland
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PZU Zdrowie Centra Medyczne Kielce
Kielce, Poland
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Pneumologisches Forschungsinstitut Hohegeest GbR
Geesthacht, Germany
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Poradnie Specjalistyczne Alergologia Plus - Justyna Rakowicz
Poznan, Poland
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Pratia - Ośrodek Badań Klinicznych
Częstochowa, Poland
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Praxis Dr. Bohn
Mittweida, Germany
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Praxis Dr. Elke Decot
Dreieich, Germany
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Praxis Dr. Ginko
Bonn, Germany
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Pro Life Medica Sp. z o.o.
Lublin, Poland
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Prywatna Praktyka Lekarska Gabinet Pediatryczno-Alergologiczny Anna Płoszczuk
Bialystok, Poland
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Specjalistyczna Praktyka Lekarska AlerMedica
Bialystok, Poland
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Specjalistyczna Praktyka Lekarska dr n.med. Joanna Orlicz-Widawska
Katowice, Poland
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Studienzentrum Dr.Laßmann
Saalfeld, Germany
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Studienzentrum Dr.Schlenska
Peine, Germany
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Studienzentrum MOL BAG Dres. E.Hippke & S. Runge
Neuenhagen, Germany
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The Center of Investigation in Treatment of Allergyc Diseases
Riga, Latvia
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UMBAL Kaspela
Plovdiv, Bulgaria
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University Hospital Alexandrovska
Sofia, Bulgaria
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Uniwersytecki Szpital Kliniczny Nr 4 w Lublinie
Lublin, Poland
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