A Phase 2 interventional study of Avoidance of peanut in Eczema, Egg Allergy and Food Allergy, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 1 site in United Kingdom. Open to participants aged 5 Years to 5 Years. Per ClinicalTrials.gov, last updated 2017-03-10.
Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 2, Interventional, and Treatment
ITN049AD (LEAP-On) Study is a continuation of the ITN032AD LEAP Study (NCT00329784).
Peanut Allergy, a recognized public health concern, is a common and potentially life-threatening food allergy for which there is no treatment. ITN032AD (LEAP) Study evaluated whether early exposure to peanut promotes tolerance and provides protection from developing peanut allergy in children who are allergic to eggs or who have severe eczema. ITN049AD (LEAP-On) Study will evaluate persistent tolerance to peanut by assessing the effect of twelve months of cessation of peanut consumption in LEAP Study participants who consumed peanut and those who avoided peanut over the previous five years.
This is a two-sample comparison employing all available study participants in both arms of the LEAP (NCT00329784) study at visit 72. After obtaining informed consent, LEAP participants who are evaluable for peanut allergy at age 60 months (V60) will be enrolled into this study, the LEAP-On (NCT01366846) Study. All LEAP-On participants will avoid peanut for an additional 12 months regardless of their previous allocation to the LEAP Study consumption arm (Group A) or the LEAP Study avoidance arm (Group B).
At V72, after 12 months of this new intervention, all participants will have skin prick testing (SPT), specific IgE and a repeat oral challenge to peanut to determine the frequency of peanut allergy in both groups. The LEAP Study decision table will be used to determine the presence of peanut allergy. Briefly, peanut allergy will be based on the presence of a positive oral peanut challenge with objective signs of allergy. Tolerance will be established on the basis of a negative oral peanut challenge (tolerating 5 g of peanut protein in the absence of symptoms). For participants who do not have an oral challenge or an oral challenge at V72 with a determinate outcome, the following criteria will be used to determine their outcome at V72:
Predictive values of peanut-specific IgE and/or SPT will not be used in the LEAP-On study because participants in the peanut consumption arm in the LEAP study are tolerating peanuts despite having high IgE and/or SPT.
503 studies on the registry are indexed under Eczema; 89 are open to participants now.
This study's enrollment of 556 is above the median of 91 across 401 interventional studies indexed under Eczema.
Browse Eczema studies →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.
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Exclusion Criteria:
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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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
These participants were the peanut consumption group of the ITN032AD (LEAP) study
Other: Avoidance of peanut
These participants were the peanut avoidance group of the ITN032AD (LEAP) study
Other: Avoidance of peanut
All participants will be assigned to peanut avoidance as per United Kingdom (UK) public health recommendations and will avoid exposure to peanut protein during the study until the last study visit when they will receive the Oral Food Challenge.
Number of Participants With Peanut Allergy (PA) at 72 Months of Age - by Skin Prick Test Stratum
At 72 months of age, eligible participants were given an oral food challenge (oral intake of 5g of peanut protein in a single dose). Participants were considered to not have peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 13.7g of peanut protein administered in increments. These participants were considered to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have PA.
Time frame: 72 months
Number of Participants With Peanut Allergy (PA) at 72 Months of Age - by Treatment Group
At 72 months of age, eligible participants were given an oral food challenge (oral intake of 5g of peanut protein in a single dose). Participants were considered to have no peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 13.7g of peanut protein administered in increments. These participants were considered to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have PA.
Time frame: 72 months
Number of Participants With Peanut Allergy (PA) at 72 Months of Age - by Skin Prick Test Stratum in the Per Protocol Population
At 72 months of age, eligible participants were given an oral food challenge (oral intake of 5g of peanut protein in a single dose Participants were considered to have no peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 13.7g of peanut protein administered in increments. These participants were considered to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have peanut allergy.
Time frame: 72 months
Number of Participants With Peanut Allergy (PA) at 72 Months of Age - by Treatment Group in the Per Protocol Population
At 72 months of age, eligible participants were given an oral food challenge (oral intake of 5g of peanut protein in a single dose Participants were considered to have no peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 13.7g of peanut protein administered in increments. These participants were to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have PA.
Time frame: 72 months
Number of Participants With Peanut Allergy (PA) at 60- and 72-month Visits Within the Peanut Avoidance After Peanut Consumption Group
At 60 and 72 months of age, eligible participants were given an oral food challenge (intake of 5g of peanut protein in a single dose). Participants were considered to have no peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 9.4g/13.7g (month 60/month 72) of peanut protein administered in increments. These participants were considered to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have PA.
Time frame: 60 months and 72 months
Number of Peanut Avoidance After Peanut Consumption Group Participants With Peanut Allergy (PA) at 60- and 72-month Visits Within in the Per Protocol Population
At 60 and 72 months of age, eligible participants were given an oral food challenge (intake of 5g of peanut protein in a single dose). Participants were considered to have no peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 9.4g/13.7g (month 60/month 72) of peanut protein administered in increments. These participants were considered to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have PA.
Time frame: 60 months and 72 months
From among those who completed the LEAP study (protocol ID ITN032AD, ClinicalTrials.gov ID NCT00329784), 556 subjects were recruited between 26 May 2011 and 6 June 2014 at Evelina Children's Hospital in London, UK.
| Milestone | Negative Stratum - Continued Peanut Avoidance Group | Negative Stratum - Peanut Avoidance After Consumption Group | Positive Stratum - Continued Peanut Avoidance Group | Positive Stratum - Peanut Avoidance After Peanut Consumption G |
|---|---|---|---|---|
| Started | 235 | 228 | 47 | 46 |
| Completed | 232 | 224 | 46 | 45 |
| Not completed | 3 | 4 | 1 | 1 |
| Withdrew: Withdrawal by subject | 2 | 0 | 0 | 0 |
| Withdrew: Communication difficulties | 1 | 4 | 0 | 1 |
| Withdrew: Scheduling conflicts | 0 | 0 | 1 | 0 |
At 72 months of age, eligible participants were given an oral food challenge (oral intake of 5g of peanut protein in a single dose). Participants were considered to not have peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 13.7g of peanut protein administered in increments. These participants were considered to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have PA.
| Participants | Negative Stratum - Peanut Avoidance Group | Negative Stratum - Peanut Consumption Group | Positive Stratum - Peanut Avoidance Group | Positive Stratum - Peanut Consumption Group |
|---|---|---|---|---|
| Number of Participants With Peanut Allergy (PA) at 72 Months of Age - by Skin Prick Test Stratum | 34 | 7 | 18 | 6 |
At 72 months of age, eligible participants were given an oral food challenge (oral intake of 5g of peanut protein in a single dose). Participants were considered to have no peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 13.7g of peanut protein administered in increments. These participants were considered to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have PA.
| Participants | Continued Peanut Avoidance Group | Peanut Avoidance After Peanut Consumption Group |
|---|---|---|
| Number of Participants With Peanut Allergy (PA) at 72 Months of Age - by Treatment Group | 52 | 13 |
At 72 months of age, eligible participants were given an oral food challenge (oral intake of 5g of peanut protein in a single dose Participants were considered to have no peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 13.7g of peanut protein administered in increments. These participants were considered to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have peanut allergy.
| Participants | Negative Stratum - Peanut Avoidance Group | Negative Stratum - Peanut Consumption Group | Positive Stratum - Peanut Avoidance Group | Positive Stratum - Peanut Consumption Group |
|---|---|---|---|---|
| Number of Participants With Peanut Allergy (PA) at 72 Months of Age - by Skin Prick Test Stratum in the Per Protocol Population | 34 | 7 | 18 | 6 |
At 72 months of age, eligible participants were given an oral food challenge (oral intake of 5g of peanut protein in a single dose Participants were considered to have no peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 13.7g of peanut protein administered in increments. These participants were to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have PA.
| Participants | Continued Peanut Avoidance Group | Peanut Avoidance After Peanut Consumption Group |
|---|---|---|
| Number of Participants With Peanut Allergy (PA) at 72 Months of Age - by Treatment Group in the Per Protocol Population | 52 | 13 |
At 60 and 72 months of age, eligible participants were given an oral food challenge (intake of 5g of peanut protein in a single dose). Participants were considered to have no peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 9.4g/13.7g (month 60/month 72) of peanut protein administered in increments. These participants were considered to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have PA.
| Participants | Peanut Avoidance After Peanut Consumption Group |
|---|---|
| Month 60 | 10 |
| Month 72 | 13 |
At 60 and 72 months of age, eligible participants were given an oral food challenge (intake of 5g of peanut protein in a single dose). Participants were considered to have no peanut allergy (PA) if they experienced no reaction following the food challenge. Those who did react were offered a double-blind, placebo-controlled food challenge with a total of 9.4g/13.7g (month 60/month 72) of peanut protein administered in increments. These participants were considered to have PA if they experienced a reaction at any point during the dose escalation. For participants for whom data from the oral food challenge were either inconclusive or not available, a diagnostic algorithm based on the results of a SPT and the values for peanut-specific IgE were used to determine whether or not a participant should be considered to have PA.
| Participants | Peanut Avoidance After Peanut Consumption Group |
|---|---|
| Month 60 | 10 |
| Month 72 | 13 |
Collected over 4 years, 3 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Negative Stratum - Peanut Avoidance Group | — | 12/235 (5.1%) | 206/235 (87.7%) |
| Negative Stratum - Peanut Consumption Group | — | 7/228 (3.1%) | 182/228 (79.8%) |
| Positive Stratum - Peanut Avoidance Group | — | 3/47 (6.4%) | 45/47 (95.7%) |
| Positive Stratum - Peanut Consumption Group | — | 2/46 (4.3%) | 38/46 (82.6%) |
| Event | Negative Stratum - Peanut Avoidance Group | Negative Stratum - Peanut Consumption Group | Positive Stratum - Peanut Avoidance Group | Positive Stratum - Peanut Consumption Group |
|---|---|---|---|---|
| Anaphylactic reactionImmune system disorders | 2/235 | 1/228 | 2/47 | 2/46 |
| AsthmaRespiratory, thoracic and mediastinal disorders | 2/235 | 2/228 | 1/47 | 0/46 |
| WheezingRespiratory, thoracic and mediastinal disorders | 3/235 | 0/228 | 0/47 | 0/46 |
| TonsillitisInfections and infestations | 0/235 | 1/228 | 0/47 | 0/46 |
| Thermal burnInjury, poisoning and procedural complications | 0/235 | 1/228 | 0/47 | 0/46 |
| SynovitisMusculoskeletal and connective tissue disorders | 0/235 | 1/228 | 0/47 | 0/46 |
| Cerebral infarctionNervous system disorders | 0/235 | 1/228 | 0/47 | 0/46 |
| Abscess limbInfections and infestations | 1/235 | 0/228 | 0/47 | 0/46 |
| Eczema infectedInfections and infestations | 1/235 | 0/228 | 0/47 | 0/46 |
| Pneumonia viralInfections and infestations | 1/235 | 0/228 | 0/47 | 0/46 |
| Event | Negative Stratum - Peanut Avoidance Group | Negative Stratum - Peanut Consumption Group | Positive Stratum - Peanut Avoidance Group | Positive Stratum - Peanut Consumption Group |
|---|---|---|---|---|
| Food allergyImmune system disorders | 42/235 | 26/228 | 16/47 | 13/46 |
| EczemaSkin and subcutaneous tissue disorders | 61/235 | 42/228 | 14/47 | 9/46 |
| Respiratory tract infectionInfections and infestations | 40/235 | 39/228 | 11/47 | 9/46 |
| RhinitisInfections and infestations | 46/235 | 41/228 | 9/47 | 8/46 |
| WheezingRespiratory, thoracic and mediastinal disorders | 18/235 | 19/228 | 8/47 | 3/46 |
| AsthmaRespiratory, thoracic and mediastinal disorders | 32/235 | 20/228 | 4/47 | 7/46 |
| Lower respiratory tract infectionInfections and infestations | 20/235 | 7/228 | 2/47 | 5/46 |
| CoughRespiratory, thoracic and mediastinal disorders | 16/235 | 14/228 | 3/47 | 5/46 |
| UrticariaSkin and subcutaneous tissue disorders | 5/235 | 13/228 | 5/47 | 2/46 |
| GastroenteritisInfections and infestations | 23/235 | 12/228 | 4/47 | 4/46 |
Intent-to-treat
| Age, Customized(Months) | Negative Stratum - Peanut Avoidance Group | Negative Stratum - Peanut Consumption Group | Positive Stratum - Peanut Avoidance Group | Positive Stratum - Peanut Consumption Group | Total |
|---|---|---|---|---|---|
| Age in Months | 61.0 ± 3.44 | 61.7 ± 4.19 | 60.6 ± 3.76 | 61.4 ± 4.98 | 61.3 ± 3.93 |
| Sex: Female, Male(Participants) | Negative Stratum - Peanut Avoidance Group | Negative Stratum - Peanut Consumption Group | Positive Stratum - Peanut Avoidance Group | Positive Stratum - Peanut Consumption Group | Total |
|---|---|---|---|---|---|
| Female | 85 | 102 | 14 | 18 | 219 |
| Male | 150 | 126 | 33 | 28 | 337 |
| Region of Enrollment(participants) | Negative Stratum - Peanut Avoidance Group | Negative Stratum - Peanut Consumption Group | Positive Stratum - Peanut Avoidance Group | Positive Stratum - Peanut Consumption Group | Total |
|---|---|---|---|---|---|
| United Kingdom | 235 | 228 | 47 | 46 | 556 |
Plan to share: Yes — ITN049AD (LEAP-On) is a continuation of the ITN032AD LEAP Study. The plan is to share data in: 1.) ImmPort, a long-term archive of clinical and mechanistic data from DAIT-funded grants and contracts; and 2.)TrialShare, a clinical trials research portal developed by the Immune Tolerance Network.
The record gives a start of May 2011, a primary completion of May 2015 and a completion of May 2015. It does not say whether these dates are actual or estimated.
Results were first posted in Jan 2017, 1 year 8 months after primary completion.
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