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CompletedNCT01197053ARACHILDUpdated Aug 21, 2026

Epicutaneous Immunotherapy in Peanut Allergy in Children

A Phase 2 interventional study of Epicutaneous Immunotherapy and placebo of peanut in Peanut Allergy, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 1 site in France. Open to participants aged 5 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-08-21.

Sponsored by Assistance Publique - Hôpitaux de Paris · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
5 Years to 17 Years
Sex
All
01

Study summary

This study aims at showing that Epicutaneous Immunotherapy with peanut proteins is safe and efficacious for desensitizing children with peanut allergy.

Read the detailed description

Peanut allergy is a common allergy in the United Sates, with prevalence in the general population as high as 1%. Peanut allergy starts in childhood, its prevalence in children has doubled in the past 5 years, and barely 20% of the allergic children will outgrow this allergy So far, the only treatments available for peanut allergy are avoidance of peanut and injectable epinephrine after the allergic systemic reactions have started. Immunotherapy methods currently available have shown some limitations in their use because of important safety issues. Hence, there is an important unmet medical need for efficient and safe treatment of peanut allergy.

DBV Technologies, is a French biotech company which has developed an Epicutaneous Delivery System, called Viaskin®, a method based on delivering precise quantity of allergens on the upper layers of the skin, i.e. on the epidermis and without any passage in the vascularised dermis. Avoiding contact between the allergens and the bloodstream should confer to epicutaneous immunotherapy (EPIT) a high level of safety as systemic reactions are circumvented.

The goal of this pilot study is to demonstrate that epicutaneous immunotherapy (EPIT) with Viaskin® is safe and efficacious for the desensitization of peanut-allergic children, i.e. increasing the quantity of peanut proteins they can consume symptom-free.

Fifty-two (52) children from 5 to 17 years of age with a confirmed peanut allergy during a baseline double blind placebo-controlled food challenge (DBPCFC) (reacting to a capped value below 250 mg of peanut proteins) will be randomized 1 to 1 and treated either with DBV712, the Viaskin® disk loaded with 100 mcg peanut proteins (active treatment), or with placebo, the Viaskin® disk loaded with a placebo formulation devoid of peanut. Each child will receive one application of one Viaskin® on the skin every day repeatedly for 6 months in a blinded manner, followed by a 12-month open treatment with DBV712 for all of them; placebo children will all cross-over after the first 6 months of treatment to also receive the active treatment.

A DBPCFC to peanut will then be conducted after every 6 months of treatment to assess the efficacy of the treatment. Safety will be assessed during the whole study period.

Skin testing, peanut-specific IgE and IgG4 will occur at selected visits

02

Conditions studied

  • Peanut Allergy

Keywords

  • Peanut Allergy
  • Food Allergy
  • Epicutaneous Immunotherapy (EPIT)
  • Food Challenge
03

In context

Peanut Hypersensitivity

166 studies on the registry are indexed under Peanut Hypersensitivity; 27 are open to participants now.

This study's enrollment of 60 is above the median of 50 across 127 interventional studies indexed under Peanut Hypersensitivity.

Browse Peanut Hypersensitivity studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,592 studies on the registry; 1,033 are open to participants now.

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

04

Who can participate

Ages eligible
5 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or Female between 5 and 17 years of age at enrollment
  • An efficient method for girls with . Acceptable methods include sexual abstinence, oral, injectable contraceptive methods, intra uterine device.
  • Negative pregnancy test for girls with childbearing potential.
  • Child with a documented allergy to peanut, i.e. with peanut-specific IgE (>5KU/L, ImmunoCAP method) and/or a positive skin prick test to peanut (wheal diameter ≥ 8mm).
  • Child able to consume a cumulated quantity of peanut proteins \<250 mg during the baseline DBPCFC.
  • Child and his/her legal representative(s) who provide a signed consent form and assent form.
  • Child and his/her legal representative(s) whose family and social conditions allow them to understand the protocol and agree to comply in the long term with all study requirements.

Exclusion criteria

Exclusion criteria :

  • Child considered too severely allergic to peanut: with a history of severe anaphylaxis to peanut (with hypotension, loss of consciousness, severe bradycardia, respiratory or cardiac arrest requiring an admission to emergency rooms).
  • Child with peanut-specific IgE\<5 KU/L and whose skin prick test to peanut gave a wheal diameter \<8mm).
  • Child participating or having participated in a therapeutic study in the last 3 months
  • Pregnancy or Breastfeeding
  • Child with a generalized eczema
  • Child with an immune deficiency
  • Diabetic child
  • Child allergic to chocolate
  • Child or legal representative(s) who did not sign their consent or assent
  • Child with no baseline DBPCFC
  • Child having reacted to placebo during the baseline DBPCFC
  • Child able to consume > 250 mg of cumulated peanut proteins during the baseline DBPCFC
  • Child with a respiratory deficiency or with an uncontrolled asthma.
  • Child who could not discontinue oral or I.V. antihistamines or oral or I.V. at least the week prior to Visit 1.
  • Child with important skin lesions precluding the application of the disks.
  • Child not affiliated to social security.
Terms in these criteria, in plain language(3)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Investigator)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    100 mcg DBV712 (active)

    100 mcg DBV712 administered epicutaneously every 24 hours.

    Biological: Epicutaneous Immunotherapy

  • Placebo comparator
    Placebo

    Placebo will be administered epicutaneously every 24 hours

    Biological: placebo of peanut

Interventions

  • BiologicalEpicutaneous Immunotherapy

    100 mcg peanut proteins (active arm) applied on the skin every 24 hrs for 6 months blinded, followed by 12 months open treatment for all patients in the active arm

  • Biologicalplacebo of peanut

    placebo applied on the skin every 24 hrs for 6 months blinded, followed by 12 months open treatment for all patients in the active arm

06

What researchers measure

Primary outcomes

  1. Proportion of patients able to consume >1000 mg of peanut proteins symptom-free

    Proportion of patients able to consume \>1000 mg of peanut proteins symptom-free during the double blind placebo-controlled food challenges (DBPCFC) to peanut at 6 months, or who have a 10-fold increase in the quantity of peanut proteins consumed as compared to baseline value

    Time frame: 6 months

Secondary outcomes

  1. Description of the level of Ig

    * Level of Peanut-specific IgE at 3 months and 6 months in both groups of treatment. * Level of Peanut-specific IgG4 at 3 months and 6 months in both groups of treatment. * Evolution of peanut-specific IgE between Day-21 and 12 months and between Day-21 and 18 months for each subject in both groups. * Evolution of Peanut-specific IgG4 between Day-21 and 12 months and between Day-21 and 18 months for each subject in both groups.

    Time frame: 6 months

  2. Proportion of patients able to consume >1000 mg of peanut proteins symptom-free

    -Proportion of patients able to consume \>1000 mg of peanut proteins symptom-free during the double blind placebo-controlled food challenges (DBPCFC) to peanut at 12 months

    Time frame: 12 months

  3. Proportion of patients able to consume >1000 mg of peanut proteins symptom-free

    -Proportion of patients able to consume \>1000 mg of peanut proteins symptom-free during the double blind placebo-controlled food challenges (DBPCFC) to peanut at 18 months

    Time frame: 18 months

  4. diameter and safety

    * Diameter of the wheal of the Skin Prick tests to peanut at month 3 and month 6 in both groups * Diameter of the wheal of the Skin Prick tests to peanut at 12 and 18 months for each subject in both groups * Safety and tolerability of the epicutaneous administration of peanut proteins to peanut allergic children at 6, 12 and 18 months

    Time frame: 3, 6, 12 and 18 months

07

Study locations

1 site
  • Hopital Necker
    Paris, 75015, France
08

References and documents

Publications

  • Christophe Dupont, Thierry Bourrier, Frederic de Blay, Lydie Guénard-Bilbault, Christine Sauvage, Marie-Odile Cousin, Gisèle Kanny, Sophie Jarlot, Chantal Karila,Peanut Epicutaneous Immunotherapy (EPIT) In Peanut-Allergic Children: 18 Months Treatment In The Arachild Study,Journal of Allergy and Clinical Immunology
09

Timeline

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

The record gives a start of Aug 2010, a primary completion of Feb 2015 and a completion of Apr 2015. 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
Sep 7, 2010
First posted
Sep 9, 2010
Start
Aug 2010
Primary completionActual
Feb 2015
CompletionActual
Apr 2015
Last update
Aug 21, 2026
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 Aug 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01197053
Collaborators
DBV Technologies, URC-CIC Paris Descartes Necker Cochin
Responsible party
Sponsor
First posted
Sep 9, 2010
Start date
Aug 2010
Primary completion
Feb 2015
Completion
Apr 2015
Last update
Aug 21, 2026

Study contacts

Christophe Dupont, MD, PhD
principal investigator · Assistance Publique - Hôpitaux de Paris

Oversight

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

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This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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