Food Allergy, Wheat Hypersensitivity
Conditions
Brief summary
This is a multicenter, randomized, open-label Phase II clinical study to evaluate the safety, efficacy, pharmacokinetic (PK), pharmacodynamic (PD) and immunogenicity profiles of LP-003 injection in participants with Wheat dependent exercise induced anaphylaxis. Its primary objective is to explore and preliminarily evaluate the efficacy of LP-003 Injection in the participants with Wheat dependent exercise induced anaphylaxis, as well as to investigate its safety, pharmacokinetic (PK), pharmacodynamic (PD) profiles, and immunogenicity.
Interventions
s.c. injection, Q8W
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged ≥12 years and ≤60 years, male or female; * History of wheat or gluten allergy; * Positive skin prick test (SPT) to the allergen (wheat or gluten), and/or positive allergen-specific immunoglobulin E (sIgE) to food allergen (crude wheat/gluten extract or ω 5 gliadin) at screening or within three months prior to screening; * Dose-limiting symptoms occurred at a cumulative dose of ≤24 g gluten protein during the food-exercise challenge test at screening; * No plan to conceive and agree to use effective contraceptive measures throughout the trial period; * The participant and/or parent/legal representative understands and voluntarily signs the informed consent form.
Exclusion criteria
* Allergic to LP-003 Injection or its excipients; * Uncontrolled asthma or severe asthma at screening; * Any severe disease; * History of severe allergic reactions to wheat or gluten; * Not enough washing-out period for previous therapy before the food exercise challenge at screening.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of participants who consumed a cumulative dose of 24 g gluten protein without dose limiting symptoms in the food exercise challenge test. | Week 24 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maximum tolerated cumulative dose of gluten protein (the highest dose without dose-limiting symptoms) in the food exercise challenge test | Week 24 | — |
| Proportion of participants who used any rescue medication (e.g., albuterol, epinephrine, or others) within 24 weeks | Week 24 | — |
| Change from baseline in the age-specific Food Allergy Quality of Life Questionnaire (FAQLQ). | Week 24 | The Food Allergy Quality of Life Questionnaires (FAQLQ) are disease-specific health-related quality of life (HRQL) questionnaires for patients with food allergy. FAQLQ-Teenager Form consists of 23 items and FAQLQ-Adult Form consists of 29 items. The raw score for each item ranges from 0 to 6, which is recorded as 1 to 7. Higher scores indicate greater impairment of food allergy-related quality of life. |
| Change from baseline in the age-specific Food Allergy Independent Measure (FAIM). | Week 24 | The FAIM (Food Allergy Independent Measure) consists of 7 items and each item is rated from 0 to 6, and a higher total score reflects a higher perceived risk or probability of experiencing an adverse event. The FAIM can therefore be seen as a patient-reported measure of perceived severity. |
| Incidence of Treatment-Emergent Adverse Events (TEAEs) . | Up to approximately 36 weeks | Incidence and severity of TEAEs from first dose to end of study are recorded. |
| Serum concentrations of LP-003 | Up to approximately 36 weeks | — |
| Concentrations of free immunoglobulin E (IgE) and total IgE | Up to approximately 36 weeks | — |
| Anti-drug antibodies (ADA), and neutralizing antibodies (Nab) | Up to approximately 36 weeks | — |
Countries
China
Contacts
Peking Union Medical College Hospital