A Phase 3 interventional study of AR101 in Peanut Allergy, sponsored by Aimmune Therapeutics, Inc.. Completed at 65 sites in 9 countries. Open to participants aged 4 Years to 55 Years. Per ClinicalTrials.gov, last updated 2022-03-17.
Sponsored by Aimmune Therapeutics, Inc. · Phase 3, Interventional, and Treatment
The purpose of this study is to demonstrate the safety, tolerability, and efficacy of AR101 through oral immunotherapy (OIT) in peanut-allergic children and adults who have completed the ARC003 study.
This is an international, multicenter, open-label, 2-arm follow-on study of the safety, tolerability, and efficacy of AR101 in peanut-allergic individuals who have completed the ARC003 study. This study will explore alternative dosing regimens during extended maintenance with AR101.
166 studies on the registry are indexed under Peanut Hypersensitivity; 27 are open to participants now.
This study's enrollment of 388 is above the median of 50 across 127 interventional studies indexed under Peanut Hypersensitivity.
Browse Peanut Hypersensitivity studies →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.
Key Inclusion Criteria:
Key Exclusion Criteria:
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.
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.
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.
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.
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.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Subjects who complete the placebo arm of ARC003 and consent to enroll in ARC004 (Group-1) will cross over to active treatment with AR101 using the same dosing regimen used in ARC003 in open-label fashion. Group 1 subjects may also be assigned to cohorts which test the gradual lengthening of dosing intervals. Following the completion of their longest tested dosing interval, Group 1 subjects will undergo an exit double-blinded placebo-controlled food challenge (DBPCFC).
Biological: AR101
Subjects who successfully complete the active arm of ARC003 and consent to enroll in ARC004 (Group-2) will consecutively enter treatment with AR101 in one of three cohorts which will test alternate dosing intervals. There will be a DBPCFC at the completion of the subject's longest tested dosing interval.
Biological: AR101
Drug pages: Panobacumab · Iclaprim, (r)-
AR101 powder provided in capsules \& sachets
Percentage of Subjects Ages 4-17 With Treatment-related Adverse Events (TEAE)
Percentage of subjects ages 4-17 with at-least 1 TEAE, including serious adverse events, during the overall study period. The percentage of subjects reporting at least 1 TEAE by maximum reported severity is also presented using the 5-point CTCAE severity grading scale. All safety evaluations were conducted using the safety population (all subjects who received at least 1 dose of AR101 during ARC004), age 4-17 years. Safety data are presented for group 1 (former placebo) and Group 2 data are divided into columns for cohort 1 (QD), cohort 2 (overall), cohort 3A (QD), and cohorts 3B and 3C (overall).
Time frame: Up to 126 weeks
Percentage of Subjects Ages 4-17 Responding to Each Challenge Dose at Exit DBPCFC (Double-blind, Placebo-controlled Food Challenge)
The percentage of subjects who tolerated each the of 300 mg, 600 mg, 1000 mg, or 2000 mg challenge doses with no more than mild symptoms at exit DBPCFC. Analyses based on DBPCFCs used the completer population (age 4-17 years).
Time frame: Up to 126 weeks
| Milestone | Group 1 (Placebo Crossovers) | Group 2: Cohort 1 (Active Rollovers) | Group 2: Cohort 2 (Active Rollovers) | Group 2: Cohort 3A (Active Rollovers) | Group 2: Cohort 3B (Active Rollovers) | Group 2: Cohort 3C (Active Rollovers) |
|---|---|---|---|---|---|---|
| Started | 113 | 120 | 50 | 35 | 34 | 36 |
| Adverse event | 12 | 4 | 1 | 1 | 3 | 5 |
| Physician decision | 1 | 0 | 1 | 0 | 0 | 0 |
| Withdrawal by subject | 32 | 7 | 7 | 3 | 6 | 2 |
| Lost to follow-up | 0 | 1 | 0 | 0 | 0 | 1 |
| Sponsor decision | 4 | 0 | 1 | 1 | 0 | 4 |
| Protocol deviation | 0 | 0 | 0 | 0 | 1 | 0 |
| Other reasons | 2 | 1 | 1 | 1 | 2 | 3 |
| Completed | 62 | 107 | 39 | 29 | 22 | 21 |
| Not completed | 51 | 13 | 11 | 6 | 12 | 15 |
Percentage of subjects ages 4-17 with at-least 1 TEAE, including serious adverse events, during the overall study period. The percentage of subjects reporting at least 1 TEAE by maximum reported severity is also presented using the 5-point CTCAE severity grading scale. All safety evaluations were conducted using the safety population (all subjects who received at least 1 dose of AR101 during ARC004), age 4-17 years. Safety data are presented for group 1 (former placebo) and Group 2 data are divided into columns for cohort 1 (QD), cohort 2 (overall), cohort 3A (QD), and cohorts 3B and 3C (overall).
| Participants | Group 1 (Overall) | Group 2: Cohort 1 (QD) | Group 2: Cohort 2 (Overall) | Group 2: Cohort 3A (QD) | Group 2: Cohort 3B (Overall) | Group 2: Cohort 3C (Overall) |
|---|---|---|---|---|---|---|
| All AEs | 98 | 90 | 36 | 27 | 28 | 33 |
| SAEs | 0 | 1 | 0 | 0 | 1 | 1 |
| Grade 1: Mild | 37 | 58 | 22 | 15 | 13 | 12 |
| Grade 2: Moderate | 58 | 29 | 14 | 12 | 15 | 18 |
| Grade 3: Severe | 3 | 3 | 0 | 0 | 0 | 3 |
| Grade 4: Life-Threatening | 0 | 0 | 0 | 0 | 0 | 0 |
| Grade 5: Death | 0 | 0 | 0 | 0 | 0 | 0 |
The percentage of subjects who tolerated each the of 300 mg, 600 mg, 1000 mg, or 2000 mg challenge doses with no more than mild symptoms at exit DBPCFC. Analyses based on DBPCFCs used the completer population (age 4-17 years).
| Percent of participants | Group 1 (Placebo Crossovers) | Group 2: Cohort 1 (Active Rollovers) | Group 2: Cohort 2 (Active Rollovers) | Group 2: Cohort 3A (Active Rollovers) | Group 2: Cohort 3B (Active Rollovers) | Group 2: Cohort 3C (Active Rollovers) |
|---|---|---|---|---|---|---|
| Percentage (and 95% CI) tolerating 300 mg | 98.6 (92.5 to 100) | 98.1 (93.2 to 99.8) | 94.7 (82.3 to 99.4) | 100.0 (86.8 to 100.0) | 81.8 (59.7 to 94.8) | 90.5 (69.6 to 98.8) |
| Percentage (and 95% CI) tolerating 600 mg | 86.1 (75.9 to 93.1) | 89.3 (81.7 to 94.5) | 71.1 (54.1 to 84.6) | 96.2 (80.4 to 99.9) | 77.3 (54.6 to 92.2) | 76.2 (52.8 to 91.8) |
| Percentage (and 95% CI) tolerating 1000 mg | 72.2 (60.4 to 82.1) | 80.6 (71.6 to 87.7) | 57.9 (40.8 to 73.7) | 96.2 (80.4 to 99.99) | 68.2 (45.1 to 86.1) | 66.7 (43.0 to 85.4) |
| Percentage (and 95% CI) tolerating 2000 mg | 51.4 (39.3 to 63.3) | 48.5 (38.6 to 58.6) | 36.8 (21.8 to 54.0) | 80.8 (60.6 to 93.4) | 45.5 (24.4 to 67.8) | 42.9 (21.8 to 66.0) |
Collected over 28 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Group 1 (Age 4-17 Overall) | 0/100 (0%) | 0/100 (0%) | 98/100 (98%) |
| Group 2: Cohort 1 (Age 4-17 QD) | 0/109 (0%) | 1/109 (0.9%) | 90/109 (82.6%) |
| Group 2: Cohort 2 (Age 4-17 Overall) | 0/46 (0%) | 0/46 (0%) | 36/46 (78.3%) |
| Group 2: Cohort 3A (Age 4-17 QD) | 0/31 (0%) | 0/31 (0%) | 27/31 (87.1%) |
| Group 2: Cohort 3B (Age 4-17 Overall) | 0/31 (0%) | 1/31 (3.2%) | 28/31 (90.3%) |
| Group 2: Cohort 3C (Age 4-17 Overall) | 0/34 (0%) | 1/34 (2.9%) | 33/34 (97.1%) |
| Group 1 (Age 18-55 Overall) | 0/11 (0%) | 0/11 (0%) | 10/11 (90.9%) |
| Group 2: Cohort 1 (Age 18-55 QD) | 0/8 (0%) | 1/8 (12.5%) | 6/8 (75%) |
| Group 2: Cohort 2 (Age 18-55 Overall) | 0/2 (0%) | 0/2 (0%) | 1/2 (50%) |
| Group 2: Cohort 3A (Age 18-55 QD) | 0/4 (0%) | 0/4 (0%) | 2/4 (50%) |
| Group 2: Cohort 3B (Age 18-55 Overall) | 0/3 (0%) | 0/3 (0%) | 2/3 (66.7%) |
| Group 2: Cohort 3C (Age 18-55 Overall) | 0/2 (0%) | 0/2 (0%) | 2/2 (100%) |
| Event | Group 1 (Age 4-17 Overall) | Group 2: Cohort 1 (Age 4-17 QD) | Group 2: Cohort 2 (Age 4-17 Overall) | Group 2: Cohort 3A (Age 4-17 QD) | Group 2: Cohort 3B (Age 4-17 Overall) | Group 2: Cohort 3C (Age 4-17 Overall) | Group 1 (Age 18-55 Overall) | Group 2: Cohort 1 (Age 18-55 QD) | Group 2: Cohort 2 (Age 18-55 Overall) | Group 2: Cohort 3A (Age 18-55 QD) | Group 2: Cohort 3B (Age 18-55 Overall) | Group 2: Cohort 3C (Age 18-55 Overall) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Intestinal perforationGastrointestinal disorders | 0/100 | 0/109 | 0/46 | 0/31 | 0/31 | 0/34 | 0/11 | 1/8 | 0/2 | 0/4 | 0/3 | 0/2 |
| Abdominal painGastrointestinal disorders | 0/100 | 0/109 | 0/46 | 0/31 | 1/31 | 0/34 | 0/11 | 0/8 | 0/2 | 0/4 | 0/3 | 0/2 |
| Humerus fractureInjury, poisoning and procedural complications | 0/100 | 0/109 | 0/46 | 0/31 | 0/31 | 1/34 | 0/11 | 0/8 | 0/2 | 0/4 | 0/3 | 0/2 |
| Streptococcal infectionInfections and infestations | 0/100 | 1/109 | 0/46 | 0/31 | 0/31 | 0/34 | 0/11 | 0/8 | 0/2 | 0/4 | 0/3 | 0/2 |
| DehydrationMetabolism and nutrition disorders | 0/100 | 1/109 | 0/46 | 0/31 | 0/31 | 0/34 | 0/11 | 0/8 | 0/2 | 0/4 | 0/3 | 0/2 |
| Event | Group 1 (Age 4-17 Overall) | Group 2: Cohort 1 (Age 4-17 QD) | Group 2: Cohort 2 (Age 4-17 Overall) | Group 2: Cohort 3A (Age 4-17 QD) | Group 2: Cohort 3B (Age 4-17 Overall) | Group 2: Cohort 3C (Age 4-17 Overall) | Group 1 (Age 18-55 Overall) | Group 2: Cohort 1 (Age 18-55 QD) | Group 2: Cohort 2 (Age 18-55 Overall) | Group 2: Cohort 3A (Age 18-55 QD) | Group 2: Cohort 3B (Age 18-55 Overall) | Group 2: Cohort 3C (Age 18-55 Overall) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HeadacheNervous system disorders | 27/100 | 12/109 | 12/46 | 8/31 | 5/31 | 14/34 | 1/11 | 1/8 | 0/2 | 1/4 | 0/3 | 2/2 |
| Throat irritationRespiratory, thoracic and mediastinal disorders | 32/100 | 15/109 | 9/46 | 5/31 | 5/31 | 9/34 | 7/11 | 0/8 | 0/2 | 0/4 | 1/3 | 0/2 |
| Abdominal pain upperGastrointestinal disorders | 31/100 | 9/109 | 6/46 | 5/31 | 6/31 | 4/34 | 6/11 | 0/8 | 0/2 | 1/4 | 0/3 | 0/2 |
| NauseaGastrointestinal disorders | 33/100 | 9/109 | 9/46 | 5/31 | 5/31 | 5/34 | 6/11 | 0/8 | 1/2 | 1/4 | 1/3 | 0/2 |
| RhinorrhoeaRespiratory, thoracic and mediastinal disorders | 28/100 | 7/109 | 2/46 | 3/31 | 4/31 | 7/34 | 6/11 | 0/8 | 0/2 | 1/4 | 0/3 | 0/2 |
| Eye pruritusEye disorders | 8/100 | 5/109 | 4/46 | 1/31 | 3/31 | 6/34 | 2/11 | 0/8 | 0/2 | 0/4 | 0/3 | 1/2 |
| Abdominal painGastrointestinal disorders | 38/100 | 11/109 | 7/46 | 5/31 | 7/31 | 16/34 | 5/11 | 0/8 | 1/2 | 0/4 | 0/3 | 0/2 |
| Paraesthesia oralGastrointestinal disorders | 6/100 | 0/109 | 2/46 | 2/31 | 2/31 | 4/34 | 3/11 | 0/8 | 1/2 | 0/4 | 0/3 | 0/2 |
| NasopharyngitisInfections and infestations | 16/100 | 5/109 | 5/46 | 5/31 | 5/31 | 9/34 | 3/11 | 0/8 | 0/2 | 1/4 | 0/3 | 1/2 |
| Upper respiratory tract infectionInfections and infestations | 23/100 | 20/109 | 6/46 | 3/31 | 5/31 | 7/34 | 5/11 | 4/8 | 0/2 | 0/4 | 1/3 | 0/2 |
A total of 388 subjects were enrolled. However, only 381 received any amount of treatment and were included in the Safety population, which includes all subjects who received at least one dose of open-label study treatment in any cohort.
| Age, Customized(Participants) | Group 1 (Placebo Crossovers) | Group 2: Cohort 1 (Active Rollovers) | Group 2: Cohort 2 (Active Rollovers) | Group 2: Cohort 3A (Active Rollovers) | Group 2: Cohort 3B (Active Rollovers) | Group 2: Cohort 3C (Active Rollovers) | Total |
|---|---|---|---|---|---|---|---|
| Age 18-55 years | 11 | 8 | 2 | 4 | 3 | 2 | 30 |
| Age 4-17 years | 100 | 109 | 46 | 31 | 31 | 34 | 351 |
| Sex: Female, Male(Participants) | Group 1 (Placebo Crossovers) | Group 2: Cohort 1 (Active Rollovers) | Group 2: Cohort 2 (Active Rollovers) | Group 2: Cohort 3A (Active Rollovers) | Group 2: Cohort 3B (Active Rollovers) | Group 2: Cohort 3C (Active Rollovers) | Total |
|---|---|---|---|---|---|---|---|
| Female | 39 | 55 | 22 | 16 | 13 | 17 | 162 |
| Male | 72 | 62 | 26 | 19 | 21 | 19 | 219 |
| Ethnicity (NIH/OMB)(Participants) | Group 1 (Placebo Crossovers) | Group 2: Cohort 1 (Active Rollovers) | Group 2: Cohort 2 (Active Rollovers) | Group 2: Cohort 3A (Active Rollovers) | Group 2: Cohort 3B (Active Rollovers) | Group 2: Cohort 3C (Active Rollovers) | Total |
|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 13 | 9 | 3 | 4 | 1 | 1 | 31 |
| Not Hispanic or Latino | 98 | 108 | 45 | 31 | 33 | 35 | 350 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Group 1 (Placebo Crossovers) | Group 2: Cohort 1 (Active Rollovers) | Group 2: Cohort 2 (Active Rollovers) | Group 2: Cohort 3A (Active Rollovers) | Group 2: Cohort 3B (Active Rollovers) | Group 2: Cohort 3C (Active Rollovers) | Total |
|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 1 | 0 | 1 |
| Asian | 7 | 14 | 7 | 3 | 1 | 3 | 35 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Black or African American | 3 | 3 | 1 | 0 | 0 | 0 | 7 |
| White | 86 | 92 | 33 | 28 | 30 | 28 | 297 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 15 | 8 | 7 | 4 | 2 | 4 | 40 |
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Studies of the drugs tested here: Panobacumab · Iclaprim, (r)-
Aimmune Therapeutics, Inc.