ClinicalTrials.gg
CompletedNCT00356174Updated Sep 28, 2016

An Observational Study of Childhood Food Allergy

An observational study in Food Hypersensitivity, Peanut Hypersensitivity and Egg Hypersensitivity, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 5 sites in United States. Open to participants aged 3 Months to 15 Months. Per ClinicalTrials.gov, last updated 2016-09-28.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
515
Ages
3 Months to 15 Months
Sex
All
01

Study summary

The purpose of this study is to observe the natural course of food allergy, including both the development of peanut allergy in infants at high risk for developing this allergy, and the resolution of both egg and cow's milk allergy.

Read the detailed description

This observational study will investigate the developmental immunology of peanut, egg, and milk allergy in a cohort of milk- or egg-allergic children who are at risk for peanut allergy. This strategy will help to delineate, compare, and contrast biological markers and immunologic changes associated with the development of peanut allergy and loss of egg and milk allergy, while simultaneously evaluating important clinical and environmental influences likely to account for the recent rise in the prevalence of these allergies. The hallmark of food-allergic disease is the production of food-specific Immunoglobulin E (IgE) antibodies that represent an end result of a T helper 2 (Th2) influenced immune response. Currently, there is only a limited understanding of the mechanisms involved in the developmental course of food allergies. To effectively prevent or reverse the progression of food allergy, immune interventions will be needed. Furthermore, it is likely that successful strategies will need to be directed to those persons at identifiable risk (e.g., who have biomarkers associated with development of peanut allergy).

02

Conditions studied

  • Food Hypersensitivity
  • Peanut Hypersensitivity
  • Egg Hypersensitivity
  • Milk Hypersensitivity

Keywords

  • Food Allergy
03

In context

Food Hypersensitivity

376 studies on the registry are indexed under Food Hypersensitivity; 90 are open to participants now.

This study's enrollment of 515 is above the median of 151 across 120 observational studies indexed under Food Hypersensitivity.

Browse Food Hypersensitivity studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,446 studies on the registry; 179 are open to participants now.

Of its 405 completed or terminated interventional studies of FDA-regulated products, 302 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
3 Months to 15 Months
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Children with milk or egg allergy who are at risk for peanut allergy

Eligibility criteria

Inclusion Criteria for Children with Food Allergy: Participants who meet all of the following criteria are eligible for enrollment as study participants:

  • Atopic dermatitis evaluation
  • Either

    1. A convincing clinical history of cow's milk (and/or egg) allergy and a positive prick skin test (≥ 3mm larger than the negative control) to cow's milk (and/or egg, if egg allergy history), or
    2. Moderate to severe atopic dermatitis at the time of enrollment (or by a history prior to removal of milk and/or egg from the maternal (if breastfed) or infant diet) and a positive prick skin test to milk or egg, or
    3. Positive oral food challenge, prior to study entry, to either milk or egg with positive skin test
  • Written from parent/guardian
  • Willing to submit specimen for central laboratory plasma peanut IgE

Exclusion Criteria for Children with Food Allergy:

  • Participants who meet any of these criteria are not eligible for enrollment as study participants:
  • Chronic disease (other than asthma, atopic dermatitis, rhinitis) requiring therapy (e.g., heart disease, diabetes)
  • Participation in an interventional study*
  • Inability to discontinue antihistamines for routine tests
  • Children (other than sibling controls) from families with one child already participating in the observational study
  • Confirmed or convincing evidence of peanut allergy

Sibling Inclusion Criteria for Mechanistic Studies:

  • No history of food allergy (unrestricted diet), asthma, atopic dermatitis, allergic rhinitis (for blood sample)
  • Full sibling of child enrolled in study
  • Signed informed consent/assent as applicable

Sibling Exclusion Criteria in Mechanistic Studies:

  • Not fulfilling inclusion criteria
  • History of chronic anemia
  • Disease or medication that impair immune responses

Sibling Inclusion Criteria for Genetic Testing:

  • Full sibling of child enrolled in study
  • Signed informed consent/assent as applicable

Sibling Exclusion Criteria for Genetic Testing:

  • Not fulfilling inclusion criteria
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
515 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Children with food allergy

    340 longitudinally followed children with egg and/or milk allergy without elevated peanut specific Immunoglobulin E (IgE), less than 5 kUA/L

  • Full sibling controls for genetic studies

    Approximately 250 not age matched full siblings (i.e., non-step siblings, non-half siblings) will be recruited as an additional control group for genetic studies.

  • Full sibling controls for mechanistic studies

    Approximately 50 not age matched full siblings (i.e., non-step siblings, non-half siblings) will be recruited as an additional control group for mechanistic studies. A subset of this cohort will be without food allergy,

06

What researchers measure

Primary outcomes

  1. Peanut allergy after the age of three years

    diagnosed by generally accepted, \> 95% accurate, clinical criteria such as oral food challenge.

    Time frame: Year 10

Secondary outcomes

  1. Resolution of milk allergy after the age of three years

    determined by well established criteria with \> 95% diagnostic accuracy. Additional (interval analysis) endpoints of egg and milk allergy will be explored in younger children because these allergies may resolve earlier. Common clinical allergy evaluations (e.g., prick skin tests and food-specific IgE antibodies to the 3 targeted foods and common environmental allergens) will be performed and incorporated in the diagnoses of food allergy and atopy.

    Time frame: Year 10

  2. Resolution of egg allergy after the age of three years

    determined by well established criteria with \> 95% diagnostic accuracy.

    Time frame: Year 10

  3. Resolution of peanut allergy after the age of three years

    determined by well established criteria with \> 95% diagnostic accuracy.

    Time frame: Year 10

  4. Resolution of a positive test to peanut after the age of three years (suspected allergy category)

    determined by well established criteria with \> 95% diagnostic accuracy.

    Time frame: Year 10

  5. Development/persistence of milk allergy after the age of three years

    determined by well established criteria with \> 95% diagnostic accuracy.

    Time frame: Year 10

  6. Development/persistence of egg allergy

    determined by well established criteria with \> 95% diagnostic accuracy.

    Time frame: Year 10

07

Study locations

5 sites
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
  • National Jewish Health
    Denver, Colorado 80206, United States
  • Johns Hopkins University School of Medicine
    Baltimore, Maryland 21287, United States
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
  • University of North Carolina
    Chapel Hill, North Carolina 27599, United States
08

References and documents

Publications

  • Bjorksten B. Genetic and environmental risk factors for the development of food allergy. Curr Opin Allergy Clin Immunol. 2005 Jun;5(3):249-53. doi: 10.1097/01.all.0000168790.82206.17. PubMed 15864084 ↗
  • Grundy J, Matthews S, Bateman B, Dean T, Arshad SH. Rising prevalence of allergy to peanut in children: Data from 2 sequential cohorts. J Allergy Clin Immunol. 2002 Nov;110(5):784-9. doi: 10.1067/mai.2002.128802. PubMed 12417889 ↗
  • Lack G, Fox D, Northstone K, Golding J; Avon Longitudinal Study of Parents and Children Study Team. Factors associated with the development of peanut allergy in childhood. N Engl J Med. 2003 Mar 13;348(11):977-85. doi: 10.1056/NEJMoa013536. Epub 2003 Mar 10. PubMed 12637607 ↗
  • Sicherer SH, Noone SA, Munoz-Furlong A. The impact of childhood food allergy on quality of life. Ann Allergy Asthma Immunol. 2001 Dec;87(6):461-4. doi: 10.1016/S1081-1206(10)62258-2. PubMed 11770692 ↗
  • Sicherer SH, Wood RA, Vickery BP, Jones SM, Liu AH, Fleischer DM, Dawson P, Mayer L, Burks AW, Grishin A, Stablein D, Sampson HA. The natural history of egg allergy in an observational cohort. J Allergy Clin Immunol. 2014 Feb;133(2):492-9. doi: 10.1016/j.jaci.2013.12.1041. PubMed 24636473 ↗
  • Brough HA, Liu AH, Sicherer S, Makinson K, Douiri A, Brown SJ, Stephens AC, Irwin McLean WH, Turcanu V, Wood RA, Jones SM, Burks W, Dawson P, Stablein D, Sampson H, Lack G. Atopic dermatitis increases the effect of exposure to peanut antigen in dust on peanut sensitization and likely peanut allergy. J Allergy Clin Immunol. 2015 Jan;135(1):164-70. doi: 10.1016/j.jaci.2014.10.007. Epub 2014 Nov 18. PubMed 25457149 ↗
  • Wood RA, Sicherer SH, Vickery BP, Jones SM, Liu AH, Fleischer DM, Henning AK, Mayer L, Burks AW, Grishin A, Stablein D, Sampson HA. The natural history of milk allergy in an observational cohort. J Allergy Clin Immunol. 2013 Mar;131(3):805-12. doi: 10.1016/j.jaci.2012.10.060. Epub 2012 Dec 28. PubMed 23273958 ↗
  • Fleischer DM, Perry TT, Atkins D, Wood RA, Burks AW, Jones SM, Henning AK, Stablein D, Sampson HA, Sicherer SH. Allergic reactions to foods in preschool-aged children in a prospective observational food allergy study. Pediatrics. 2012 Jul;130(1):e25-32. doi: 10.1542/peds.2011-1762. Epub 2012 Jun 25. PubMed 22732173 ↗
  • Sicherer SH, Wood RA, Stablein D, Lindblad R, Burks AW, Liu AH, Jones SM, Fleischer DM, Leung DY, Sampson HA. Maternal consumption of peanut during pregnancy is associated with peanut sensitization in atopic infants. J Allergy Clin Immunol. 2010 Dec;126(6):1191-7. doi: 10.1016/j.jaci.2010.08.036. Epub 2010 Oct 28. PubMed 21035177 ↗
  • Sicherer SH, Wood RA, Stablein D, Burks AW, Liu AH, Jones SM, Fleischer DM, Leung DY, Grishin A, Mayer L, Shreffler W, Lindblad R, Sampson HA. Immunologic features of infants with milk or egg allergy enrolled in an observational study (Consortium of Food Allergy Research) of food allergy. J Allergy Clin Immunol. 2010 May;125(5):1077-1083.e8. doi: 10.1016/j.jaci.2010.02.038. PubMed 20451041 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jul 2006, a primary completion of Aug 2015 and a completion of Aug 2016. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 21, 2006
First posted
Jul 25, 2006
Start
Jul 2006
Primary completionActual
Aug 2015
CompletionActual
Aug 2016
Last update
Sep 28, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 28, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00356174
Collaborators
Consortium of Food Allergy Research
Responsible party
Sponsor
First posted
Jul 25, 2006
Start date
Jul 2006
Primary completion
Aug 2015
Completion
Aug 2016
Last update
Sep 28, 2016

Study contacts

Scott Sicherer, MD
principal investigator · Jaffe Food Allergy Institute, Icahn School of at Mount Sinai
Hugh Sampson, MD
principal investigator · Pediatric Allergy and Immunology, Icahn School of at Mount Sinai

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2016. You cannot join it, but the record below documents what was studied.

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