Safety Study of MK-3641 and MK-7243 Co-administered in Adult Participants With Ragweed and Grass Pollen Induced Allergic Rhinitis (P08607, MK-3641-006)
Condition: Rhinitis, Allergic, Seasonal
MeSH terms: Rhinitis; Rhinitis, Allergic; Rhinitis, Allergic, Seasonal
Intervention: MK-3641 12 Amb a 1-U (short ragweed extract); MK-7243 2800 BAU (Timothy grass extract); Rescue Medication
Intervention description: 12 units of Ambrosia artemisiifolia major allergen number 1 (Amb a 1-U) extract sublingual tablets; 2800 bioequivalent allergen units (BAU) of Phleum pratense extract sublingual tablets; Self-injectable epinephrine, to be administered for an anaphylactic reaction, including symptoms/signs of upper airway obstruction.
Phase: Phase 4
Study type: Interventional
Primary purpose: Treatment
Intervention model: Single Group Assignment
Masking: None (Open Label)
Enrollment: 102.0
Sex: All
Minimum age: 18 Years
Maximum age: 65 Years
Healthy volunteers: No

Summary:

      The purpose of this study is to assess the safety and tolerability of MK-3641 (short ragweed
      [Ambrosia artemisiifolia] extract, SCH 039641, RAGWITEK®) sublingual tablets and MK-7243
      (Timothy grass [Phleum pratense] extract, SCH 697243, GRASTEK®) sublingual tablets
      co-administered in participants 18 through 65 years of age with both ragweed- and grass
      polled-induced allergic rhinitis, with or without conjunctivitis and with or without asthma.
      The primary endpoint is the percentage of participants who experience at least one event of
      local swelling after co-administration of MK-3641 and MK-7243 sublingual tablets.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Clinical history of physician-diagnosed ragweed- and grass pollen-induced rhinitis
             with or without conjunctivitis of >1 year duration, with or without asthma

          -  Female participants of childbearing potential must have a negative urine pregnancy
             test at Screening and Randomization Visits and must agree to remain abstinent or use
             (or have their partner use) any one of the acceptable methods of birth control within
             the projected duration of the study. Acceptable methods of birth control are:
             intrauterine device (IUD), diaphragm with spermicide, contraceptive sponge, condom,
             vasectomy, hormonal contraception.

        Exclusion Criteria:

          -  Unstable, uncontrolled or severe asthma treated with long-acting beta agonists (LABAs)
             at the time of Screening

          -  Received immunosuppressive treatment within 3 months prior to Randomization (except
             steroids for allergic reactions other than asthma)

          -  History of anaphylaxis with cardiorespiratory symptoms with prior immunotherapy,
             unknown cause, or inhalant allergen

          -  Diagnosis of eosinophilic esophagitis

          -  History of any severe systemic allergic reaction or any severe local reaction to
             sublingual allergen immunotherapy

          -  Female and breastfeeding, pregnant or intending to become pregnant

          -  Received another form of allergen immunotherapy with the past month

          -  Previously exposed to MK-3641 (RAGWITEK®) or other sublingual ragweed immunotherapy

          -  Previously exposed to MK-7243 (GRASTEK®) or other sublingual grass immunotherapy

          -  Known history of allergy, hypersensitivity, or intolerance to the excipient
             ingredients of the study drug (except for Ambrosia artemisiifolia and/or Phleum
             pratense), or self-injectable epinephrine

          -  Unable to or will not comply with the use of self-injectable epinephrine

          -  Used an investigational drug within 30 days prior to Screening Visit, or plans to
             participate in another interventional clinical trial during the duration of this trial

          -  Family member of the investigational or sponsor staff involved in this trial

          -  Participating in this same trial at another investigational site.