Early Allergen System Experience
EASE
Pragmatic, Randomized, Controlled Trial of Early Cow's Milk, Egg, and Peanut Allergen Introduction and Maintenance in Healthy and High-Risk Infants
1 other identifier
interventional
1,110
1 country
1
Brief Summary
Multiple clinical trials have demonstrated that early allergen introduction, feeding babies common food allergens before six months, decreases children's risk of developing a food allergy. Despite successful food allergy introduction trials showing that food allergies can be prevented, early introduction in the required amount can be challenging for parents. In some studies, less than 20% of parents introduce peanuts before their child is six months old, and few feed them regularly after introduction. Ready. Set. Food! is a direct-to-consumer product that offers a convenient supplement with a daily dose regimen that can be added to breastmilk, formula, or food to make early allergen introduction easy. The formulation includes cow's milk, egg, and peanut, representing the majority of childhood food allergies, and the protein levels are based on doses found to be effective in clinical trials. Over 200,000 infants have used Ready. Set. Food!. This study investigates the effectiveness of introducing common allergens to infants with the goal of preventing food allergies. The study will enroll 1,100 infants stratified by their risk of developing a food allergy who are assigned to either receive Ready. Set. Food! supplements or follow standard allergen introduction practices recommended by their pediatrician. The goal of this study is to assess how Ready. Set. Food! allergen introduction supplements improve the experience of parents introducing allergens, decrease healthcare costs related to food allergies, and decrease food allergy prevalence.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2024
Typical duration for not_applicable
1 active site
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
January 26, 2024
CompletedFirst Posted
Study publicly available on registry
February 16, 2024
CompletedStudy Start
First participant enrolled
March 7, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2026
June 5, 2025
February 1, 2025
2.3 years
January 26, 2024
June 2, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
The proportion of caregivers who are adherent with the evidence-based guidance for cow's milk, egg, and peanut during the 6 - month period
Adherence will be measured using a food frequency questionnaire
6 months of intervention
Secondary Outcomes (3)
Frequency of caregiver-reported allergy or food introduction-related adverse events (AEs) after introduction of cow's milk, egg, and peanut
12 months of age
Frequency of caregiver-reported serious adverse events (SAEs) after introduction of cow's milk, egg, and peanut
12 months of age
Frequency of caregiver-reported special interest adverse events (FPIES and anaphylaxis) after introduction to cow's milk, egg, and peanut by 12 months of age
12 months of age
Other Outcomes (4)
The proportion of caregivers who are satisfied with introduction of egg, cow's milk, and peanut
12 months of age
The total allergy-related healthcare costs
24 months of age
The proportion of participants with food allergy to cow's milk, egg, or peanut
24 months of age
- +1 more other outcomes
Study Arms (2)
Intervention
EXPERIMENTALParticipants randomized to the intervention group will receive an early allergen introduction supplement.
Control
NO INTERVENTIONParticipants randomized to the control group will follow the guidance of their pediatrician.
Interventions
These supplements contain cow's milk, eggs, and peanuts.
Eligibility Criteria
You may qualify if:
- Full term, singleton birth
- Infant will be 2-5 months old at the time of study enrollment
- Able to participate in the study under the supervision of a caregiver or legal guardian -who must be:
- At least 18 years of age
- The caregiver or legal guardian of the infant
- Living with the infant for the duration of the study
- Willing to follow all caregiver responsibilities
- Willing and able to sign the electronic Informed Consent
- Willing to conform to all protocol requirements (e.g., completion of study questionnaires and procedures, and reporting of AEs)
- Caregiver or legal guardian who owns a functioning smartphone device, has access to an internet connection (Wi-Fi or data plan), and is willing to download the study app
You may not qualify if:
- Known sensitivity/allergy to egg, cow's milk, or peanut (including products containing egg, cow's milk, or peanut) or undergoing evaluation for reactions due to cow's milk, egg, or peanut exposure (including exposure to products containing egg, cow's milk, or peanut).
- Participating in a clinical trial and/or treated with any investigational product within 3 months preceding the first dose of study product.
- Clinically significant medical conditions such as cardiac disease or lung disease, and/or babies who have bloody stools that have required milk elimination that are unstable or uncontrolled and may interfere with a participant's participation in the study in the opinion of the medically qualified investigator.
- Other severe, acute or chronic, medical or psychiatric condition(s) or laboratory abnormality(ies) that may increase the risk associated with study participation or intervention product administration or may interfere with the interpretation of study results, and in the judgment of the medically qualified investigator, would make the participant inappropriate for entry into this study.
- Preterm delivery (\<37 weeks \[259 days\] gestational age).
- Admission to the neonatal unit ≥ 3 days for issues other than establishment of normal feeding.
- Chronic use of antibiotics (≥ 28 consecutive days)
- Evidence of a baseline illness that would, in the opinion of the PI, introduce a significant safety concern if the infant is enrolled in the study or otherwise preclude study participation.
- Significant birth defect/complication that would, in the opinion of the PI, create a safety concern or otherwise confound the study (e.g., abdominal wall defects, congenital heart disease).
- Medical condition (infant) that, in the opinion of the PI, may significantly alter gut microbiota or healthy immune responses.
- Maternal infection with human immunodeficiency virus, tuberculosis, hepatitis C, or hepatitis B.
- Caregiver condition that, in the opinion of the PI, would not allow the Caregiver and/or infant to comply with the study protocol requirements.
- History of immunocompromised conditions. Is related to persons involved directly or indirectly with the conduct of this study (i.e., PI, sub-investigators, study coordinators, other study personnel, employees of Ready. Set. Food! contractors of Ready. Set. Food! and the families of each).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Prollergy dba Ready Set Foodlead
- ObvioHealthcollaborator
Study Sites (1)
Virtual Site Location - Curavit
New York, New York, 10583, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Kara McNamara, MD
ObvioHealth
- PRINCIPAL INVESTIGATOR
Vikram Garg, MD
Curavit
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 26, 2024
First Posted
February 16, 2024
Study Start
March 7, 2024
Primary Completion (Estimated)
July 1, 2026
Study Completion (Estimated)
July 1, 2026
Last Updated
June 5, 2025
Record last verified: 2025-02
Data Sharing
- IPD Sharing
- Will not share