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Phase 2 N=36 Randomized Quadruple-blind Treatment

Peanut Reactivity Reduced by Oral Tolerance in an Anti-IgE Clinical Trial

Peanut Allergy · Food Allergy

Enrolled (actual)
36
Serious AEs
19.4%
Results posted
May 2017
Primary outcome: Primary: Tolerance of 2000 mg 6 Weeks After Last Dose of Omalizumab/Placebo — 23; 1 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Omalizumab (Drug); placebo (Drug)
Age
Pediatric, Adult · 7+ yrs
Sex
All
Sponsor
Boston Children's Hospital
Primary completion
Oct 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Tolerance of 2000 mg 6 Weeks After Last Dose of Omalizumab/Placebo
23; 1
SECONDARY
Pass 4000 mg OFC 12 Weeks After Last Dose of Omalizumab/Placebo
20; 1

Summary

The investigators will perform a double blind, placebo controlled clinical trial with Xolair (omalizumab) at four centers to safely and rapidly desensitize patients with severe peanut allergy. The investigators will determine if pretreatment with anti-IgE mAb (Xolair/omalizumab) can greatly reduce allergic reactions and allow for faster and safer desensitization.

Eligibility Criteria

Inclusion Criteria

  • Moderate to severe peanut allergy-sensitive subjects between the ages of 7 to 25 years old.
  • Sensitivity to peanut allergen will be documented by a positive skin prick test result (6 mm diameter wheal or greater)
  • ImmunoCAP IgE level to peanut > 10 kU/L.
  • Sensitivity to peanut allergen based on a double-blind placebo-controlled oral food challenge (DBPCFC) at maximum of cumulative 175 mg of peanut protein dose.

Exclusion Criteria

  • Subjects with a total IgE at screening of 2,000 kU/L.
  • Positive reaction to the placebo on DBPCFC.
  • Previous reaction to omalizumab.
  • Subjects having a history of severe anaphylaxis to peanut requiring intubation or admission to an ICU, frequent allergic or non-allergic urticaria, or history consistent with poorly controlled persistent asthma, or gastrointestinal or gastroesophageal disease.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01781637). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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