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A randomized controlled trial to investigate the (cost)effectiveness of oral immunotherapy with different allergens in young children with an established food allergy.

A randomized controlled trial to investigate the (cost)effectiveness of oral immunotherapy with different allergens in young children with an established food allergy. - A RCT on oral immunotherapy in young children with food allergy.

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON51688
Enrollment
500
Registered
2022-11-22
Start date
2023-01-17
Completion date
Unknown
Last updated
2024-08-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Food allergie

Interventions

1-year low-dose oral immunotherapy (daily 300 mg allergenic protein) compared to strict avoidance in the control group.

Sponsors

Deventer Ziekenhuis
Lead Sponsor

Eligibility

Age
No minimum to 11 Years

Inclusion criteria

Inclusion criteria: - 9 to 30 months of age at inclusion. - an IgE-mediated food allergy to peanut, cashew, hazelnut, walnut, cow*s milk and/or hen*s egg as proven by sensitization to the specific allergen (sIgE > 0.35kU/l) and a positive oral food challenge. - The fore-mentioned allergens are introduced into the diet of the child (the child is tolerant for the specific allergen(s)), or the child is diagnosed with a food allergy for the specific allergen(s). - Informed consent is given by parent(s) or guardian(s).

Exclusion criteria

Exclusion criteria: - (suspected) eosinophilic oesophagitis - uncontrolled asthma/ viral wheeze. - the inability of parents to follow instructions, recognize allergic reactions or administer emergency medication. - participation in any other intervention study at the time of the OIT study, with the exception of studies on guided early introduction of highly allergenic foods.

Design outcomes

Primary

MeasureTime frame
Sustained unresponsiveness, defined as passing an exit oral food challenge at 4 weeks after discontinuation of the 12 months oral immunotherapy, and uncomplicated consumption of a full dose of the specific food at home, after 6 months unrestricted introduction of the specific food into the diet.

Secondary

MeasureTime frame
Quality of life, costs/impact of food allergy and treatment, immunological parameters (blood tests), adherence to treatment.

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)