ClinicalTrials.gg
CompletedNCT01987817ARC001Updated Nov 30, 2021Results posted

Oral Desensitization to Peanut in Peanut-Allergic Children and Adults Using Characterized Peanut Allergen OIT

A Phase 2 interventional study of AR101 powder provided in capsules and Placebo powder provided in capsules in Peanut Allergy, sponsored by Aimmune Therapeutics, Inc.. Completed at 8 sites in United States. Open to participants aged 4 Years to 26 Years. Per ClinicalTrials.gov, last updated 2021-11-30.

Sponsored by Aimmune Therapeutics, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
4 Years to 26 Years
Sex
All
01

Study summary

This is a multi-center, randomized, double-blind placebo controlled study of efficacy and safety of characterized peanut oral immunotherapy in peanut allergic individuals.

Read the detailed description

This is a multicenter, randomized, double-blind placebo controlled study of efficacy and safety of characterized peanut OIT in peanut allergic individuals. All eligible subjects will receive an escalating dose of CPNA or placebo. Approximately 50 subjects will be randomized 1:1 to peanut OIT or placebo.

02

Conditions studied

  • Peanut Allergy

Keywords

  • Characterized Peanut Allergen
  • Peanut
  • OIT
  • Oral Desensitization
  • Peanut Allergen
  • Allergy
  • Peanut Allergy
  • Peanut-Allergic Children
  • Children
  • Peanut-Allergic Adults
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 56 is above the median of 50 across 127 interventional studies indexed under Peanut Hypersensitivity.

Browse Peanut Hypersensitivity studies →

Lead sponsor

Aimmune Therapeutics, Inc. is the lead sponsor of 12 studies on the registry; none are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 11 (100%) have results posted.

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

04

Who can participate

Ages eligible
4 Years to 26 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Ages 4 through 26 years, inclusive
  • Clinical history of allergy to peanuts or peanut-containing foods
  • Serum IgE to peanut >0.35 kU/L (determined by UniCAP within the past 12 months) and/or a SPT to peanut >3 mm compared to control
  • Experience dose-limiting symptoms at or before the 100mg dose of peanut protein (measured as 200 mg of peanut flour) on abbreviated screening OFC conducted via PRACTALL guidelines
  • Use of by females of

Key Exclusion Criteria:

  • History of Cardiovascular disease
  • History of frequent or repeated, severe or life-threatening episodes of anaphylactic shock
  • History of other chronic disease
  • History of eosinophilic gastrointestinal disease
  • Severe asthma
  • Mild or moderate asthma if uncontrolled
  • Use of omalizumab within the past 6 months or current use of other non-traditional forms of allergen immunotherapy
  • Use of beta-blockers(oral), angiotensin-converting enzyme (ACE)
  • Pregnancy, lactation
  • Having the same place of residence as another study subject
  • Participation in an interventional clinical trial 30 days prior to randomization
Terms in these criteria, in plain language(2)

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
56 participants (actual)

Study arms

  • Experimental
    AR101 powder provided in capsules

    Study product provided as peanut protein in pull-apart capsules

    Biological: AR101 powder provided in capsules

  • Placebo comparator
    Placebo powder provided in capsules

    Placebo formulation in pull-apart capsules containing only inactive ingredients

    Biological: Placebo powder provided in capsules

Interventions

  • BiologicalAR101 powder provided in capsules

    Drug pages: Panobacumab · Iclaprim, (r)-

    Study product formulated to contain peanut protein at different dosage strengths for use as defined in the protocol

  • BiologicalPlacebo powder provided in capsules

    Study product formulated to contain only inactive ingredients for use as defined in the protocol

06

What researchers measure

Primary outcomes

  1. The Percentage of Subjects Who Tolerate at Least 300 mg (443 mg Cumulative) of Peanut Protein With no More Than Mild Symptoms at the Exit DBPCFC

    The primary endpoint was the percentage of subjects who achieved desensitization, as determined by tolerating at least 300 mg (443 mg cumulative) of peanut protein at the Exit Double Blind Placebo Controlled Food Challenge (DBPCFC) with no more than mild symptoms (i.e., desensitization responders)

    Time frame: 6-9 Months

Secondary outcomes

  1. Change From Baseline in Maximum Tolerated Dose of Peanut Protein at the Exit DBPCFC

    The change in maximum tolerated dose of peanut protein from baseline (screening) to the Exit Double-Blind, Placebo-Controlled Food Challenge

    Time frame: 6-9 months

  2. Number of Participants by Maximum Dose Achieved With no or Mild Symptoms at Exit DBPCFC

    Time frame: 6-9 months

  3. Changes in Peanut-Specific IgE From Baseline to Exit DBPCFC

    Time frame: 6-9 months

  4. Changes in Peanut-Specific IgG4 From Baseline to Exit DBPCFC

    Time frame: 6-9 months

  5. Change in Skin Prick Test (SPT) Mean Peanut Wheal Diameter Results From Baseline

    Time frame: Baseline, 6-9 months

07

Results

Posted Nov 2, 2021

Participant flow

Participant flow — Overall Study
MilestoneAR101 Powder Provided in CapsulesPlacebo Powder Provided in Capsules
Started2927
Completed2326
Not completed61
Withdrew: Adverse event40
Withdrew: Withdrawal by subject11
Withdrew: Physician decision10

Outcome measures

PrimaryThe Percentage of Subjects Who Tolerate at Least 300 mg (443 mg Cumulative) of Peanut Protein With no More Than Mild Symptoms at the Exit DBPCFC

The primary endpoint was the percentage of subjects who achieved desensitization, as determined by tolerating at least 300 mg (443 mg cumulative) of peanut protein at the Exit Double Blind Placebo Controlled Food Challenge (DBPCFC) with no more than mild symptoms (i.e., desensitization responders)

Time frame:
6-9 Months
Reported as:
Count of participants · Participants
The Percentage of Subjects Who Tolerate at Least 300 mg (443 mg Cumulative) of Peanut Protein With no More Than Mild Symptoms at the Exit DBPCFC
ParticipantsAR101 Powder Provided in CapsulesPlacebo Powder Provided in Capsules
The Percentage of Subjects Who Tolerate at Least 300 mg (443 mg Cumulative) of Peanut Protein With no More Than Mild Symptoms at the Exit DBPCFC235
Statistical analysis
  • AR101 Powder Provided in Capsules vs Placebo Powder Provided in Capsules · Fisher Exact · p = <0.0001 · Risk difference (rd): 60.0 · 95% CI 35 to 79
SecondaryChange From Baseline in Maximum Tolerated Dose of Peanut Protein at the Exit DBPCFC

The change in maximum tolerated dose of peanut protein from baseline (screening) to the Exit Double-Blind, Placebo-Controlled Food Challenge

Time frame:
6-9 months
Reported as:
Least squares mean · Change from baseline in MTD (log10 mg)
Change From Baseline in Maximum Tolerated Dose of Peanut Protein at the Exit DBPCFC
Change from baseline in MTD (log10 mg)AR101 Powder Provided in CapsulesPlacebo Powder Provided in Capsules
Change From Baseline in Maximum Tolerated Dose of Peanut Protein at the Exit DBPCFC1.254 (0.984 to 1.523)0.341 (0.057 to 0.626)
Statistical analysis
  • AR101 Powder Provided in Capsules vs Placebo Powder Provided in Capsules · ANCOVA · p = <0.0001 (The p-value is based on the F-test for treatment effect adjusted for MTD from baseline (log10 mg). The p-value and confidence intervals are based on the normality assumption.) · Treatment difference: 0.912 · 95% CI 0.5184 to 1.3065Least squares means and 95% CIs based on ANCOVA model of change from baseline in MTD at Exit DBPCFC (terms for treatment \& MTD at baseline (log10 mg).
SecondaryNumber of Participants by Maximum Dose Achieved With no or Mild Symptoms at Exit DBPCFC
Time frame:
6-9 months
Reported as:
Count of participants · Participants
Number of Participants by Maximum Dose Achieved With no or Mild Symptoms at Exit DBPCFC
ParticipantsAR101 Powder Provided in CapsulesPlacebo Powder Provided in Capsules
0.3 mg01
3 mg22
10 mg37
30 mg15
100 mg06
300 mg55
600 mg180
SecondaryChanges in Peanut-Specific IgE From Baseline to Exit DBPCFC
Time frame:
6-9 months
Reported as:
Geometric mean · kUA/L
Changes in Peanut-Specific IgE From Baseline to Exit DBPCFC
kUA/LAR101 Powder Provided in CapsulesPlacebo Powder Provided in Capsules
Peanut-Specific IgE, Baseline32.571 (18.626 to 56.957)53.839 (34.952 to 82.934)
Peanut-Specific IgE, Exit36.889 (21.258 to 64.015)57.060 (37.186 to 87.557)
Relative Change From Baseline of Peanut-Specific IgGE1.231 (1.027 to 1.475)1.060 (1.001 to 1.122)
SecondaryChanges in Peanut-Specific IgG4 From Baseline to Exit DBPCFC
Time frame:
6-9 months
Reported as:
Geometric mean · μg/mL
Changes in Peanut-Specific IgG4 From Baseline to Exit DBPCFC
μg/mLAR101 Powder Provided in CapsulesPlacebo Powder Provided in Capsules
Peanut-Specific IgG4, Baseline0.734 (0.487 to 1.107)0.510 (0.344 to 0.757)
Peanut-Specific IgG4, Exit3.609 (2.074 to 6.281)0.540 (0.377 to 0.775)
Relative Change From Baseline of Peanut-Specific IgG45.068 (3.640 to 7.055)1.066 (0.905 to 1.255)
SecondaryChange in Skin Prick Test (SPT) Mean Peanut Wheal Diameter Results From Baseline
Time frame:
Baseline, 6-9 months
Reported as:
Mean · millimeter
Change in Skin Prick Test (SPT) Mean Peanut Wheal Diameter Results From Baseline
millimeterAR101 Powder Provided in CapsulesPlacebo Powder Provided in Capsules
Peanut Wheal, Baseline (mm)14.1 (11.6 to 16.7)13.7 (11.4 to 16.0)
Peanut Wheal, Exit (mm)7.1 (5.7 to 8.6)11.8 (9.3 to 14.4)
Change in Peanut Wheel from Baseline (mm)-7.0 (-9.9 to -4.1)-1.8 (-4.8 to -1.1)

Adverse events

Collected over 6-9 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
AR101 Powder Provided in Capsules0/29 (0%)1/29 (3.4%)28/29 (96.6%)
Placebo Powder Provided in Capsules0/26 (0%)1/26 (3.8%)22/26 (84.6%)
Most frequent serious events
Most frequent serious events
EventAR101 Powder Provided in CapsulesPlacebo Powder Provided in Capsules
HypersensitivityImmune system disorders1/291/26
Most frequent other events
Showing 10 of 55
Most frequent other events
EventAR101 Powder Provided in CapsulesPlacebo Powder Provided in Capsules
HypersensitivityImmune system disorders26/2914/26
Upper Respiratory Tract InfectionInfections and infestations2/295/26
PyrexiaGeneral disorders5/294/26
VomitingGastrointestinal disorders4/292/26
DiarrhoeaGastrointestinal disorders1/293/26
Nasal congestionRespiratory, thoracic and mediastinal disorders2/293/26
HeadacheNervous system disorders3/293/26
Viral InfectionInfections and infestations3/291/26
NauseaGastrointestinal disorders3/291/26
Oropharyngeal painRespiratory, thoracic and mediastinal disorders3/291/26

Baseline characteristics

These values reflect the intent-to-treat population (subjects who received at least 1 dose of randomized study treatment)

Age, Continuous
Age, Continuous(years)AR101 Powder Provided in CapsulesPlacebo Powder Provided in CapsulesTotal
Median7.0 (4 to 21)8.0 (4 to 14)8.0 (4 to 21)
Sex: Female, Male
Sex: Female, Male(Participants)AR101 Powder Provided in CapsulesPlacebo Powder Provided in CapsulesTotal
Female91019
Male201636
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)AR101 Powder Provided in CapsulesPlacebo Powder Provided in CapsulesTotal
Hispanic or Latino000
Not Hispanic or Latino292655
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)AR101 Powder Provided in CapsulesPlacebo Powder Provided in CapsulesTotal
American Indian or Alaska Native011
Asian112
Native Hawaiian or Other Pacific Islander000
Black or African American123
White262046
More than one race000
Unknown or Not Reported123
08

Study locations

8 sites
  • Arkansas Children's Hospital
    Little Rock, Arkansas 72202, United States
  • UC San Diego
    San Diego, California 92123, United States
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
  • Mount Sinai Medical Center
    New York, New York 10029, United States
  • University of North Carolina
    Chapel Hill, North Carolina 27599, United States
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
  • The Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Children's Medical Center Dallas
    Dallas, Texas 75235, United States
09

References and documents

Publications

  • Nilsson C, Scurlock AM, Dellon ES, Brostoff JM, Pham T, Ryan R, Brown KR, Adelman DC, Aceves SS. Onset of eosinophilic esophagitis during a clinical trial program of oral immunotherapy for peanut allergy. J Allergy Clin Immunol Pract. 2021 Dec;9(12):4496-4501. doi: 10.1016/j.jaip.2021.07.048. Epub 2021 Aug 11. No abstract available. PubMed 34389504 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 30, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01987817
Lead sponsor
Aimmune Therapeutics, Inc.
Responsible party
Sponsor
First posted
Nov 19, 2013
Start date
Feb 6, 2014
Primary completion
Jan 7, 2015
Completion
Jan 7, 2015
Results posted
Nov 2, 2021
Last update
Nov 30, 2021

Study contacts

Director of Regulatory Affairs
study chair · Aimmune Therapeutics, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Panobacumab · Iclaprim, (r)-

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