NCT05432388

Brief Summary

A study to evaluate the safety, efficacy and tolerability of remibrutinib at three doses versus placebo in adult participants who have a confirmed allergy to peanuts. The efficacy will be measured by the ability of participants to tolerate increasing doses of peanut protein during an oral food challenge after 1 month of study treatment.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
76

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Oct 2022

Geographic Reach
1 country

23 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 31, 2022

Completed
27 days until next milestone

First Posted

Study publicly available on registry

June 27, 2022

Completed
4 months until next milestone

Study Start

First participant enrolled

October 12, 2022

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 11, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 11, 2025

Completed
Last Updated

May 20, 2025

Status Verified

May 1, 2025

Enrollment Period

2.4 years

First QC Date

May 31, 2022

Last Update Submit

May 19, 2025

Conditions

Keywords

Groundnut HypersensitivityHypersensitivity, PeanutPeanut AllergyFood AllergyOral food challengeIgERemibrutinibBTKi

Outcome Measures

Primary Outcomes (1)

  • Efficacy or oral remibrutinib compared to placebo, as measured by the proportion of participants who can tolerate a single dose of >=600mg of peanut protein without dose-limiting symptoms during DBPCFC

    Responder status defined as tolerating a single dose of \>=600mg of peanut protein without dose-limiting symptoms during the DBPCFC

    Baseline and Day 26

Secondary Outcomes (10)

  • Efficacy or oral remibrutinib compared to placebo, as measured by the proportion of participants who can tolerate a single dose of >=1000mg of peanut protein without dose-limiting symptoms during DBPCFC

    Baseline, Days 26 and 28

  • Efficacy or oral remibrutinib compared to placebo, as measured by the proportion of participants who can tolerate a single dose of >=3000mg of peanut protein without dose-limiting symptoms during DBPCFC

    Baseline, Days 26 and 28

  • Efficacy or oral remibrutinib compared to placebo as measured by the madimum symptoms severity at any single challenged dose up to and including 1000mg of peanut protein

    Baseline, Days 26 and 28

  • Efficacy of 3 weeks placebo treatment followed by 1 week of oral remibrutinib treatment compared to placebo as measured by the proportion of participants who can tolerate a single dose of >=600mg peanut protein during DBPCFC

    Baseline, Days 26 and 28

  • Effects of multiple doses of remibrutinib compared to placebo, as measured by multiple systemic biomarkers to inform on response to treatment or disease severity

    Baseline, Days 26 and 28

  • +5 more secondary outcomes

Study Arms (5)

remibrutinib low dose

EXPERIMENTAL

remibrutinib oral tablet

Drug: remibrutinib

remibrutinib medium dose

EXPERIMENTAL

remibrutinib oral tablet

Drug: remibrutinib

remibrutinib high dose

EXPERIMENTAL

remibrutinib oral tablet

Drug: remibrutinib

placebo 3 week / remibrutinib low dose 1 week

EXPERIMENTAL

placebo oral tablet/ remibrutinib oral tablet

Drug: remibrutinibDrug: placebo

placebo

PLACEBO COMPARATOR

oral tablet

Drug: placebo

Interventions

oral tablets

Also known as: (LOU064)
placebo 3 week / remibrutinib low dose 1 weekremibrutinib high doseremibrutinib low doseremibrutinib medium dose

oral tablets

placeboplacebo 3 week / remibrutinib low dose 1 week

Eligibility Criteria

Age18 Years - 55 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Medical History of allergy to peanuts
  • Positive peanut IgE \>= 0.35 kUA/L
  • Positive Skin Prick test for peanut allergen during screening for study
  • Positive Oral Food Challenge to peanut during screening for study
  • Willingness to comply with study schedule and procedures and avoid other allergens during study period

You may not qualify if:

  • History of severe or life-threatening hypersensitivity event leading to ICU admission or intubation within 60 days of screening
  • Uncontrolled asthma
  • Bleeding risk or coagulation disorder(s)
  • Use of anticoagulants or anti-platelets (aspirin or clopidogrel may be permitted)
  • History of splenectomy
  • Any significant disease that would put the safety of the patient at risk. This includes, but is not limited to: history of cancer, significant cardiac disease/history, hematology disorders, history of GI bleeding, active infectious process, liver disease, renal disease, immunologic disease (stable diabetes and thyroid disease may be permitted), alcohol or drug abuse, etc.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (23)

Allervie Clinical Research

Birmingham, Alabama, 35209, United States

Location

Arkansas Children's Hospital

Little Rock, Arkansas, 72202, United States

Location

California Allergy and Asthma Medical Group

Los Angeles, California, 90025, United States

Location

Allergy and Asthma Clin Res Inc

Walnut Creek, California, 94598, United States

Location

Asthma and Allergy Associates P C

Colorado Springs, Colorado, 80907, United States

Location

Colorado Allergy and Asthma Ctr PC

Denver, Colorado, 80230, United States

Location

Childrens National Hospital

Washington D.C., District of Columbia, 20010, United States

Location

Treasure Valley Medical Research

Boise, Idaho, 83706, United States

Location

Midwest Allergy Sinus Asthma SC

Normal, Illinois, 61761, United States

Location

Asthma and Allergy Center of Chicago S C

River Forest, Illinois, 60305, United States

Location

Bluegrass Allergy Research .

Lexington, Kentucky, 40509, United States

Location

Family Allergy and Asthma

Louisville, Kentucky, 40217, United States

Location

Johns Hopkins Hospital

Baltimore, Maryland, 21287, United States

Location

Institute for Asthma and Allergy PC

Chevy Chase, Maryland, 20815, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

University of Michigan Clinical Trials Office

Ann Arbor, Michigan, 48109, United States

Location

CenExel HRI

Berlin, New Jersey, 08009, United States

Location

Columbia University Irving Medical

New York, New York, 10032, United States

Location

CR Services Acquisition US Main center

Columbus, Ohio, 43213, United States

Location

Vital Prospects Clinical Research Institute

Tulsa, Oklahoma, 74136, United States

Location

Western Sky Medical Research

El Paso, Texas, 79924, United States

Location

Allergy Associates of Utah

Sandy City, Utah, 84093, United States

Location

Seattle Allergy and Asthma Rsch

Seattle, Washington, 98115, United States

Location

MeSH Terms

Conditions

Peanut HypersensitivityFood Hypersensitivity

Interventions

remibrutinib

Condition Hierarchy (Ancestors)

Nut and Peanut HypersensitivityHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 31, 2022

First Posted

June 27, 2022

Study Start

October 12, 2022

Primary Completion

March 11, 2025

Study Completion

March 11, 2025

Last Updated

May 20, 2025

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will share

Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Locations