Peanut Sublingual Immunotherapy (SLIT)-Tablet for Treatment of Peanut Allergy
A Phase I/II Trial in 3 Parts Assessing the Safety, Tolerability, and Efficacy of a Once-daily Peanut Sublingual Immunotherapy (SLIT) Tablet in Adults, Adolescents, and Children With Peanut Allergy
1 other identifier
interventional
192
2 countries
42
Brief Summary
This clinical research study investigates the safety, tolerability and efficacy of a peanut SLIT-tablet in adults, adolescents, and children with peanut allergy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Sep 2022
Typical duration for phase_1
42 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
First Submitted
Initial submission to the registry
June 17, 2022
CompletedFirst Posted
Study publicly available on registry
July 1, 2022
CompletedStudy Start
First participant enrolled
September 7, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 10, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2026
CompletedMarch 18, 2026
September 1, 2025
3.5 years
June 17, 2022
March 17, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Part 1 and 2: Dose tolerability response rate
The dose tolerability response rate is defined as the percentage of subjects who experience at most moderate local application site reactions after the last peanut SLIT-tablet intake of the dose step. Local application site reactions are treatment-related adverse events occurring in close proximity to the application site of the SLIT-tablet with a temporal relationship to tablet administration.
2 weeks per dose
Part 3: TD-600 response rate
The TD (tolerated dose)-600 response rate is defined as the percentage of subjects able to consume 600 mg (1044 mg cumulative) peanut protein without dose-limiting symptoms at the exit double-blind placebo-controlled food challenge (DBPCFC) after 24 weeks of maintenance treatment. Subjects that do not complete the exit DBPCFC are classified as non-responders.
After 24 weeks of maintenance treatment, up to 48 weeks.
Secondary Outcomes (7)
Part 1, 2 and 3: Treatment-emergent adverse events
Part 1 and 2: 2 weeks per dose; Part 3: from first IMP intake to 7 days after last IMP intake, up to 48 weeks.
Part 3: TD-300 response rate
After 24 weeks of maintenance treatment, up to 48 weeks.
Part 3: TD-1000 response rate
After 24 weeks of maintenance treatment, up to 48 weeks.
Part 3: TD-2000 response rate
After 24 weeks of maintenance treatment, up to 48 weeks.
Part 3: Maximum tolerated dose of peanut protein during DBPCFC
At screening, 1 - 3 weeks, and after 24 weeks of maintenance treatment, up to 48 weeks.
- +2 more secondary outcomes
Study Arms (13)
Part 1: Cohort 1
EXPERIMENTALAdults and adolescents - peanut SLIT-tablet once daily for 2 weeks
Part 1: Cohort 2
EXPERIMENTALAdults and adolescents - peanut SLIT-tablet once daily for 2 weeks
Part 1: Cohort 3
EXPERIMENTALAdults and adolescents - peanut SLIT-tablet once daily for 2 weeks
Part 1: Cohort 4
EXPERIMENTALAdults and adolescents - peanut SLIT-tablet once daily for 2 weeks
Part 1: Cohort 5
EXPERIMENTALAdults and adolescents - peanut SLIT-tablet once daily for 2 weeks
Part 2: Cohort 6
EXPERIMENTALAdults - UDR with once daily peanut SLIT-tablet
Part 2: Cohort 7
EXPERIMENTALAdolescents - UDR with once daily peanut SLIT-tablet
Part 2: Cohort 8
EXPERIMENTALChildren - UDR with once daily peanut SLIT-tablet
Part 2: Cohort 9
EXPERIMENTALHighly sensitized Adults/Adolescents - UDR with once daily peanut SLIT-tablet
Part 2: Cohort 10
EXPERIMENTALHighly sensitized Children - UDR with once daily peanut SLIT-tablet
Part 3: Maintenance A
EXPERIMENTALUDR A + maintenance dose A
Part 3: Maintenance B
EXPERIMENTALUDR B + maintenance dose B
Part 3: Placebo
PLACEBO COMPARATORPlacebo UDR + placebo maintenance
Interventions
Peanut extract
Eligibility Criteria
You may qualify if:
- Subjects are eligible to be included in the trial only if all the following criteria apply:
- Part 1: Male or female aged 12 through 65 years (inclusive) on the day of enrollment Part 2: Male or female aged 4 through 65 years (inclusive) on the day of enrollment Part 3: Male or female aged 4 through 65 years (inclusive) on the day of randomization
- Documented clinical history of an IgE-mediated allergic reaction towards peanut- containing food
- Peanut-specific serum IgE ≥ 0.7 kU/L at screening measured at central laboratory
- Skin prick test to peanut ≥ 5 mm at screening
- Cohorts 1-8: Experience dose-limiting symptoms at the 10 mg, 30 mg or 100 mg challenge dose of peanut protein on screening DBPCFC Cohorts 9-10: Experience dose-limiting symptoms at the 1 mg or 3 mg challenge dose of peanut protein on the screening DBPCFC Part 3: Experience dose-limiting symptoms at the 3 mg, 10 mg, 30 mg or 100 mg challenge dose of peanut protein on screening DBPCFC
You may not qualify if:
- Subjects are excluded from the trial if any of the following criteria apply:
- Diagnosis or history of eosinophilic esophagitis
- Uncontrolled asthma as defined by the Asthma Control Test questionnaire with a score of 19 or below at enrollment (subjects with a diagnosis of asthma only)
- All subjects ≥ 5 years old with FEV1 or PEFR \< 70% of predicted value at enrollment Subjects 4 years old with a history of recurrent wheeze requiring inhaled corticosteroids for 2 consecutive weeks or more within 3 months prior to enrollment
- Up-dosing with any allergy immunotherapy product. Maintenance dose of any subcutaneous immunotherapy product other than peanut is allowed
- History of peanut oral immunotherapy within the last 12 months prior to visit 1
- Chronic or acute oral inflammation at enrollment
- History of cardiovascular disease, including uncontrolled or inadequately controlled hypertension
- Currently using any prohibited medication on the list of prohibited medication
- Part 1 and 2: Allergic symptoms in reaction to the placebo part of the screening DBPCFC Part 3: Dose-limiting allergic symptoms in reaction to the placebo part of the screening DBPCFC
- History of severe or life-threatening episode of anaphylaxis or anaphylactic shock within 60 days of the screening DBPCFC
- Part 1 and 2: Asthma according to below criteria:
- Severe asthma as per the current GINA guidelines
- Uncontrolled or poorly controlled asthma as per the current GINA guidelines
- Asthma that requires more than a daily dose above 800 µg of inhaled budesonide (or clinically comparable inhaled corticosteroids)
- +12 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- ALK-Abelló A/Slead
- Parexelcollaborator
Study Sites (42)
Arkansas Children's Hospital
Little Rock, Arkansas, 72202, United States
Children's Hospital of Los Angeles - USC School of Medicine
Los Angeles, California, 90027, United States
UCLA - Pediatrics
Los Angeles, California, 90095, United States
Stanford University - Lucile Packard Children's Hospital
Palo Alto, California, 94304, United States
Peninsula Research Associates (PRA)
Rolling Hills Estates, California, 90274, United States
Eastern Virginia Medical School - Children's Hospital
San Diego, California, 92123, United States
Allergy & Asthma Clinical Research
Walnut Creek, California, 94598, United States
Children's Hospital Colorado
Aurora, Colorado, 80045, United States
Quality Research of South Florida
Hialeah, Florida, 33016, United States
MOORE-PH Dermatology - Clinical Research
Tampa, Florida, 33609, United States
USF Asthma Allergy and Immunology Clinical Research Unit
Tampa, Florida, 33609, United States
Center for Advance Pediatrics
Atlanta, Georgia, 30329, United States
Ann Robert H. Lurie Childrens Hospital of Chicago
Chicago, Illinois, 60611-2605, United States
Rush University
Chicago, Illinois, 60612, United States
Sneeze, Wheeze, & Itch Associates, LLC
Normal, Illinois, 61761, United States
Family Allergy Asthma Research Institute
Louisville, Kentucky, 40215-1176, United States
Velocity Clinical Research - Lafayette
Lafayette, Louisiana, 70508, United States
Johns Hopkins University School of Medicine
Baltimore, Maryland, 21287-0005, United States
Asthma, Allergy and Sinus Center
White Marsh, Maryland, 21162, United States
Boston Food Allergy Center
Boston, Massachusetts, 02111, United States
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
University of Michigan
Ann Arbor, Michigan, 48109, United States
Allergy Partners of NJ
Ocean City, New Jersey, 07712, United States
Northwell Health
Great Neck, New York, 11021, United States
NYU Langone Health - Fink Children's Ambulatory Care Center
New York, New York, 10016, United States
Icahn School of Medicine at Mt. Sinai, Pediatric Allergy, Kravis Children Hospital
New York, New York, 10029, United States
University of North Carolina
Chapel Hill, North Carolina, 27599, United States
Aventiv research, Inc
Columbus, Ohio, 43212, United States
Children's Hospital of Philadephia
Philadelphia, Pennsylvania, 19104, United States
Children's Hospital of Pittsburg of UPMC - Immunology and Rheumatology
Pittsburgh, Pennsylvania, 15224, United States
The University of Texas Southwestern Medical Center
Dallas, Texas, 75390, United States
Western Sky Medical Research
El Paso, Texas, 79903, United States
Baylor College of Medicine (BCM) Texas Children's Hospital Pediatrics and Immunology
Houston, Texas, 77030, United States
BC Children's Hospital
Vancouver, British Colombia, V5H 3V4, Canada
The Children's Hospital Foundation of Manitoba
Winnipeg, Manitoba, R3A 1M3, Canada
Halton Pediatric Allergy
Burlington, Ontario, L7L 6W6, Canada
Hamilton Allergy
Hamilton, Ontario, Canada
Ottawa Allergy Research Corporation
Ottawa, Ontario, K1H 1E4, Canada
The Hospital for Sick Children, Toronto
Toronto, Ontario, M5G 1E8, Canada
McGill University Health Centre (MUHC) - Research Institute (RI-MUHC)
Montreal, Quebec, H3H 2R9, Canada
CHU-Saint-Justine
Montreal, Quebec, H3T 1C5, Canada
Clinique Specialisee en Allergie de la Capitale
Québec, G1V 4W2, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Edwin Kim, MD
University of North Carolina
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Part 1 and 2 is open label. Part 3 is blinded.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 17, 2022
First Posted
July 1, 2022
Study Start
September 7, 2022
Primary Completion
March 10, 2026
Study Completion
April 1, 2026
Last Updated
March 18, 2026
Record last verified: 2025-09