NCT07580898

Brief Summary

The goal of this open-label, single escalating dose study in 3 sequential groups: adults, adolescents, and children with peanut allergy is to assess the safety of MOON101. The main question it aims to answer is:

  1. 1.the incidence and frequency of all treatment emergent adverse events (TEAEs) from baseline through study exit.
  2. 2.to determine the highest tolerated dose for each participant, as defined by the highest MOON101 dose level administered which did not cause a dose-limiting symptom (DLS).

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
40

participants targeted

Target at P50-P75 for phase_1

Timeline
19mo left

Started May 2026

Geographic Reach
1 country

5 active sites

Status
not yet 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

Study Progress3%
May 2026Dec 2027

First Submitted

Initial submission to the registry

April 24, 2026

Completed
13 days until next milestone

Study Start

First participant enrolled

May 7, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

May 12, 2026

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

May 14, 2026

Status Verified

May 1, 2026

Enrollment Period

1.7 years

First QC Date

April 24, 2026

Last Update Submit

May 11, 2026

Conditions

Keywords

peanut allergyimmunotherapytransdermalmicroneedleviaskinpalforziapediatricadolescentchildrenpatch

Outcome Measures

Primary Outcomes (1)

  • Treatment Emergent Adverse Events (TEAEs)

    Incidence and frequency of all TEAEs

    baseline (Day 1) through study exit (Day 45)

Secondary Outcomes (10)

  • TEAEs excluding application site reactions (ASRs)

    baseline (Day 1) through study exit (Day 45)

  • Serious Adverse Events (SAEs)

    baseline (Day 1) through study exit (Day 45)

  • Adverse Events (AEs)

    baseline (Day 1) through study exit (Day 45)

  • Application Site Reactions (ASRs)

    Visit 2 (Day 1)

  • Application Site Reactions (ASRs)

    Visit 3 (Day 8 +/-2)

  • +5 more secondary outcomes

Study Arms (6)

Dose A

EXPERIMENTAL

1ug MOON101 and Placebo stamps

Combination Product: Dose A

Dose B

EXPERIMENTAL

10ug MOON101 and Placebo stamps

Combination Product: Dose B

Dose C

EXPERIMENTAL

25ug MOON101 and Placebo stamps

Combination Product: Dose C

Dose D

EXPERIMENTAL

50ug MOON101 and Placebo stamps

Combination Product: Dose D

Dose E

EXPERIMENTAL

100ug MOON101 (two 50ug MOON101 stamps) and one Placebo stamp

Combination Product: Dose E

Placebo

PLACEBO COMPARATOR

microneedle stamp with no peanut extract on it

Combination Product: Placebo

Interventions

Dose ACOMBINATION_PRODUCT

MOON101-1 is a microneedle stamp (a square stainless steel array) coated with 1 ug of peanut extract (active drug).

Dose A
Dose BCOMBINATION_PRODUCT

MOON101-10 is a microneedle stamp (a square stainless steel array) coated with 10 ug of peanut extract (active drug).

Dose B
Dose CCOMBINATION_PRODUCT

MOON101-25 is a microneedle stamp (a square stainless steel array) coated with 25 ug of peanut extract (active drug).

Dose C
Dose DCOMBINATION_PRODUCT

MOON101-50 is a microneedle stamp (a square stainless steel array) coated with 50 ug of peanut extract (active drug).

Dose D
Dose ECOMBINATION_PRODUCT

MOON101-100 is two microneedle stamps (a square stainless steel array) coated with 50 ug of peanut extract (active drug) each. Two stamps are used to administer a 100ug dose of peanut extract in Dose E.

Dose E
PlaceboCOMBINATION_PRODUCT

MOON101-0 is a microneedle stamp (a square stainless steel array) coated with 0 ug of peanut extract (active drug). There is no peanut extract on the MOON101-0 stamp.

Placebo

Eligibility Criteria

Age4 Years - 55 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Participant and/or parent/guardian must understand and provide written informed consent and assent.
  • Aged 4 to 55 years per applicable enrolling group below of any sex/race/ethnicity at informed consent and assent (if applicable) form signature:
  • Group 1: Adults; ages 18-55 years
  • Group 2: Adolescents; ages 12-17 years
  • Group 3: Children; ages 4-11 years
  • A physician-confirmed medical history of peanut allergy within minutes to 2 hours of ingesting peanut.
  • A peanut SPT with mean wheal diameter as defined by age.

You may not qualify if:

  • Laboratory evidence of liver or renal disease.
  • Poorly controlled or severe asthma/wheezing
  • Previous use of any form of peanut allergen immunotherapy within the 6 months prior to Screening.
  • Previous use of any biologic therapies such as omalizumab, dupilumab, benralizumab, reslizumab, tezepelumab, or any other immunomodulatory or immunosuppressive therapy (not including corticosteroids) within the 6 months prior to Screening.
  • Current use of β-blockers (oral), angiotensin-converting enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), or calcium channel blockers.
  • Treatment with a burst of oral, intramuscular (IM), intra-articular (IA), or intravenous (IV) steroids of more than two days within 30 days of Screening.
  • Unable to temporarily discontinue antihistamines (5 half-lives of the antihistamine) prior to SPT.
  • Unable to discontinue topical steroids to the testing application site for 24 hours prior to testing.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Arkansas Children's Research Institute

Little Rock, Arkansas, 72202, United States

Location

Children's Healthcare of Atlanta

Atlanta, Georgia, 30329, United States

Location

Dr. Vince Clinical Research

Overland Park, Kansas, 66212, United States

Location

University of Michigan

Ann Arbor, Michigan, 48106, United States

Location

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599, United States

Location

MeSH Terms

Conditions

Peanut Hypersensitivity

Condition Hierarchy (Ancestors)

Nut and Peanut HypersensitivityFood HypersensitivityHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Study Officials

  • Samir Patel, PhD

    Moonlight Therapeutics, Inc.

    PRINCIPAL INVESTIGATOR
  • Brian P Vickery, MD

    Professor of Pediatrics, Emory University

    STUDY CHAIR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 24, 2026

First Posted

May 12, 2026

Study Start

May 7, 2026

Primary Completion (Estimated)

December 31, 2027

Study Completion (Estimated)

December 31, 2027

Last Updated

May 14, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations