iFAAM: The Impact of Proton-pump Inhibitors (Antacids) on Threshold Dose Distributions
iFAAM-PPI
Integrated Approaches to Food Allergen and Allergy Risk Management: iFAAM: The Impact of Proton-pump Inhibitors (Antacids) on Threshold Dose Distributions
1 other identifier
interventional
44
2 countries
2
Brief Summary
In patients with a walnut allergy double blind placebo controlled food challenge with walnut will be combined with the intake of proton pump inhibitor (PPI) or with placebo to assess the impact of PPI on threshold level and on clinical manifestation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Sep 2015
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2015
CompletedFirst Submitted
Initial submission to the registry
September 14, 2015
CompletedFirst Posted
Study publicly available on registry
September 17, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2017
CompletedMay 11, 2017
May 1, 2017
1.5 years
September 14, 2015
May 10, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
amount of walnuts that induces an allergic reaction assessed in milligram
The amount of walnut which induces an allergic reaction in walnut allergic patients will be assessed in milligram by titrated challenges under concommitant intake of therapeutic doses of omeprazole versus placebo
up to 18 months
Study Arms (2)
Omeprazole
ACTIVE COMPARATORpatients will take Omeprazole 40mg, in capsules, once a day, during five days before walnut challenge
Placebo
SHAM COMPARATORpatients will take Mannitol, in capsules, once a day, during five days before walnut challenge
Interventions
patients with walnut allergy will be exposed during 5 days before food challenge with Omeprazole
patients with walnut allergy will be exposed during 5 days before food challenge with Placebo
Eligibility Criteria
You may qualify if:
- signed informed consent, history of walnut allergy,minimum age 18 years
You may not qualify if:
- Known hypersensitivity or allergy to Omeprazole, other proton pump inhibitors, mannitol, ingredients of placebo meal
- Drugs not allowed during the study due to proved interaction with Omeprazole: Digoxin, Clopidogrel, Methotrexate, Antiretroviral drugs, Diazepam, Cilostazol, Phenytoin, Warfarin (R-Warfarin) and other Vitamin K antagonists, Phenytoin, Tacrolimus, Clarithromycin, voriconazole, Rifampicin and Hypericum
- Drugs not allowed due to interference with the food challenge (or shortest interval between last treatment and food challenge)
- corticosteroids systemically (2 weeks)
- antihistamines (3 days) except hydroxyzine (10 days)
- ketotifen (2 weeks)
- betablocker (1 day)
- angiotensin converting enzyme (ACE) inhibitors (2 days)
- omalizumab (2 months)
- Women who are pregnant or breast feeding
- Intention to become pregnant during the course of the study
- Lack of safe contraception, defined as: female participants of childbearing potential, not using and not willing to continue using a medically reliable method of contraception for the entire study duration, such as oral, injectable, or implantable contraceptives, or intrauterine contraceptive devices
- Please note that female participants who are surgically sterilised / hysterectomised or post-menopausal for longer than 2 years are not considered as being of child bearing potential.
- Uncontrolled asthma, forced expiratory volume \<70% predicted value
- Acute allergic disease
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Zurichlead
- Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)collaborator
- University of Nebraska Lincolncollaborator
- Region Hovedstadens Apotekcollaborator
- University of Manchestercollaborator
- Hospital San Carlos, Madridcollaborator
Study Sites (2)
Hospital Clinico San Carlos
Madrid, Spain
University Hospital Zurich
Zurich, 8091, Switzerland
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Clare Mills, Prof, PhD
University Manchester
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 14, 2015
First Posted
September 17, 2015
Study Start
September 1, 2015
Primary Completion
March 1, 2017
Study Completion
March 1, 2017
Last Updated
May 11, 2017
Record last verified: 2017-05