NCT05440643

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

58
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
192

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Sep 2022

Typical duration for phase_1

Geographic Reach
2 countries

42 active sites

Status
active not recruiting

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

June 17, 2022

Completed
14 days until next milestone

First Posted

Study publicly available on registry

July 1, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

September 7, 2022

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 10, 2026

Completed
22 days until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2026

Completed
Last Updated

March 18, 2026

Status Verified

September 1, 2025

Enrollment Period

3.5 years

First QC Date

June 17, 2022

Last Update Submit

March 17, 2026

Conditions

Keywords

Peanut allergyChildrenAdolescentAdult

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

EXPERIMENTAL

Adults and adolescents - peanut SLIT-tablet once daily for 2 weeks

Biological: Peanut SLIT-tablet

Part 1: Cohort 2

EXPERIMENTAL

Adults and adolescents - peanut SLIT-tablet once daily for 2 weeks

Biological: Peanut SLIT-tablet

Part 1: Cohort 3

EXPERIMENTAL

Adults and adolescents - peanut SLIT-tablet once daily for 2 weeks

Biological: Peanut SLIT-tablet

Part 1: Cohort 4

EXPERIMENTAL

Adults and adolescents - peanut SLIT-tablet once daily for 2 weeks

Biological: Peanut SLIT-tablet

Part 1: Cohort 5

EXPERIMENTAL

Adults and adolescents - peanut SLIT-tablet once daily for 2 weeks

Biological: Peanut SLIT-tablet

Part 2: Cohort 6

EXPERIMENTAL

Adults - UDR with once daily peanut SLIT-tablet

Biological: Peanut SLIT-tablet

Part 2: Cohort 7

EXPERIMENTAL

Adolescents - UDR with once daily peanut SLIT-tablet

Biological: Peanut SLIT-tablet

Part 2: Cohort 8

EXPERIMENTAL

Children - UDR with once daily peanut SLIT-tablet

Biological: Peanut SLIT-tablet

Part 2: Cohort 9

EXPERIMENTAL

Highly sensitized Adults/Adolescents - UDR with once daily peanut SLIT-tablet

Biological: Peanut SLIT-tablet

Part 2: Cohort 10

EXPERIMENTAL

Highly sensitized Children - UDR with once daily peanut SLIT-tablet

Biological: Peanut SLIT-tablet

Part 3: Maintenance A

EXPERIMENTAL

UDR A + maintenance dose A

Biological: Peanut SLIT-tablet

Part 3: Maintenance B

EXPERIMENTAL

UDR B + maintenance dose B

Biological: Peanut SLIT-tablet

Part 3: Placebo

PLACEBO COMPARATOR

Placebo UDR + placebo maintenance

Other: Placebo

Interventions

Peanut extract

Part 1: Cohort 1Part 1: Cohort 2Part 1: Cohort 3Part 1: Cohort 4Part 1: Cohort 5Part 2: Cohort 10Part 2: Cohort 6Part 2: Cohort 7Part 2: Cohort 8Part 2: Cohort 9Part 3: Maintenance APart 3: Maintenance B
PlaceboOTHER

Placebo

Part 3: Placebo

Eligibility Criteria

Age4 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

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

Study Sites (42)

Arkansas Children's Hospital

Little Rock, Arkansas, 72202, United States

Location

Children's Hospital of Los Angeles - USC School of Medicine

Los Angeles, California, 90027, United States

Location

UCLA - Pediatrics

Los Angeles, California, 90095, United States

Location

Stanford University - Lucile Packard Children's Hospital

Palo Alto, California, 94304, United States

Location

Peninsula Research Associates (PRA)

Rolling Hills Estates, California, 90274, United States

Location

Eastern Virginia Medical School - Children's Hospital

San Diego, California, 92123, United States

Location

Allergy & Asthma Clinical Research

Walnut Creek, California, 94598, United States

Location

Children's Hospital Colorado

Aurora, Colorado, 80045, United States

Location

Quality Research of South Florida

Hialeah, Florida, 33016, United States

Location

MOORE-PH Dermatology - Clinical Research

Tampa, Florida, 33609, United States

Location

USF Asthma Allergy and Immunology Clinical Research Unit

Tampa, Florida, 33609, United States

Location

Center for Advance Pediatrics

Atlanta, Georgia, 30329, United States

Location

Ann Robert H. Lurie Childrens Hospital of Chicago

Chicago, Illinois, 60611-2605, United States

Location

Rush University

Chicago, Illinois, 60612, United States

Location

Sneeze, Wheeze, & Itch Associates, LLC

Normal, Illinois, 61761, United States

Location

Family Allergy Asthma Research Institute

Louisville, Kentucky, 40215-1176, United States

Location

Velocity Clinical Research - Lafayette

Lafayette, Louisiana, 70508, United States

Location

Johns Hopkins University School of Medicine

Baltimore, Maryland, 21287-0005, United States

Location

Asthma, Allergy and Sinus Center

White Marsh, Maryland, 21162, United States

Location

Boston Food Allergy Center

Boston, Massachusetts, 02111, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Allergy Partners of NJ

Ocean City, New Jersey, 07712, United States

Location

Northwell Health

Great Neck, New York, 11021, United States

Location

NYU Langone Health - Fink Children's Ambulatory Care Center

New York, New York, 10016, United States

Location

Icahn School of Medicine at Mt. Sinai, Pediatric Allergy, Kravis Children Hospital

New York, New York, 10029, United States

Location

University of North Carolina

Chapel Hill, North Carolina, 27599, United States

Location

Aventiv research, Inc

Columbus, Ohio, 43212, United States

Location

Children's Hospital of Philadephia

Philadelphia, Pennsylvania, 19104, United States

Location

Children's Hospital of Pittsburg of UPMC - Immunology and Rheumatology

Pittsburgh, Pennsylvania, 15224, United States

Location

The University of Texas Southwestern Medical Center

Dallas, Texas, 75390, United States

Location

Western Sky Medical Research

El Paso, Texas, 79903, United States

Location

Baylor College of Medicine (BCM) Texas Children's Hospital Pediatrics and Immunology

Houston, Texas, 77030, United States

Location

BC Children's Hospital

Vancouver, British Colombia, V5H 3V4, Canada

Location

The Children's Hospital Foundation of Manitoba

Winnipeg, Manitoba, R3A 1M3, Canada

Location

Halton Pediatric Allergy

Burlington, Ontario, L7L 6W6, Canada

Location

Hamilton Allergy

Hamilton, Ontario, Canada

Location

Ottawa Allergy Research Corporation

Ottawa, Ontario, K1H 1E4, Canada

Location

The Hospital for Sick Children, Toronto

Toronto, Ontario, M5G 1E8, Canada

Location

McGill University Health Centre (MUHC) - Research Institute (RI-MUHC)

Montreal, Quebec, H3H 2R9, Canada

Location

CHU-Saint-Justine

Montreal, Quebec, H3T 1C5, Canada

Location

Clinique Specialisee en Allergie de la Capitale

Québec, G1V 4W2, Canada

Location

MeSH Terms

Conditions

Peanut Hypersensitivity

Condition Hierarchy (Ancestors)

Nut and Peanut HypersensitivityFood HypersensitivityHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Study Officials

  • Edwin Kim, MD

    University of North Carolina

    PRINCIPAL INVESTIGATOR

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
Model Details: Part 1 and 2 is sequential Part 3 is 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

Locations