A Phase 3 interventional study of Part A Viaskin Peanut 250 mcg and Part A Viaskin Peanut 100 mcg in Peanut Allergy, sponsored by DBV Technologies. Completed at 51 sites in 8 countries. Open to participants aged 1 Year to 3 Years. Per ClinicalTrials.gov, last updated 2024-12-16.
Sponsored by DBV Technologies · Phase 3, Interventional, and Treatment
The study aims to assess the safety and efficacy of Viaskin Peanut to induce desensitization to peanut in peanut-allergic children 1 to 3 years of age after a 12-month treatment by EPicutaneous ImmunoTherapy (EPIT).
The study comprised of two parts:
166 studies on the registry are indexed under Peanut Hypersensitivity; 27 are open to participants now.
This study's enrollment of 414 is above the median of 50 across 127 interventional studies indexed under Peanut Hypersensitivity.
Browse Peanut Hypersensitivity studies →DBV Technologies is the lead sponsor of 16 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
Key Inclusion Criteria:
Key Exclusion Criteria:
Biological: Part A Viaskin Peanut 250 mcg
Biological: Part A Viaskin Peanut 100 mcg
Biological: Part A Placebo
Biological: Part B Viaskin Peanut 250 mcg
Biological: Part B Placebo
Viaskin Peanut 250 mcg, once daily
Viaskin Peanut 100 mcg, once daily
Placebo patch, once daily
Viaskin Peanut 250 mcg, once daily
Placebo patch, once daily
Percentage of Treatment Responders at Month 12
A participant was defined as a treatment responder if the initial eliciting dose (ED) was \> 10 milligram (mg) peanut protein and the ED was ≥1000 mg peanut protein at the post-treatment double-blind placebo-controlled food challenge (DBPCFC) at Month 12 OR the initial ED at baseline was ≤10 mg peanut protein and the ED was ≥300 mg peanut protein at the post-treatment DBPCFC at Month 12.
Time frame: Month 12
Cumulative Reactive Dose (CRD) of Peanut Protein at Month 12 Using Analysis of Covariance (ANCOVA) Model
The peanut protein CRD was defined as the sum of all peanut protein doses taken by the participant during the DBPCFC, calculated as follows: If the ED reported by the investigator in the electronic case report form (eCRF) is missing, then the CRD is missing; If the ED reported by the investigator in the eCRF was not missing then the CRD was calculated as the sum of all doses given, including also the partial doses. The CRD in each treatment group at Month 12 was compared using ANCOVA model.
Time frame: Month 12
Change From Baseline in CRD of Peanut Protein to Month 12
The peanut protein CRD was defined as the sum of all peanut protein doses taken by the participant during the DBPCFC, calculated as follows: If the ED reported by the investigator in the eCRF is missing, then the CRD is missing; If the ED reported by the investigator in the eCRF was not missing then the CRD was calculated as the sum of all doses given, including also the partial doses.
Time frame: Baseline (Day 1) and Month 12
ED of Peanut Protein at Month 12 Using ANCOVA Model
The peanut protein ED was the individual dose of peanut protein administered to participants during the food challenge procedure, which triggered objective allergic reactions, leading to stopping the challenge. The ED in each treatment group at Month 12 was compared using ANCOVA model.
Time frame: Month 12
Change From Baseline in ED of Peanut Protein to Month 12
The peanut protein ED was the individual dose of peanut protein administered to participants during the food challenge procedure, which triggered objective allergic reactions, leading to stopping the challenge.
Time frame: Baseline (Day 1) and Month 12
Percentage of Participants With Severity of Objective Symptoms at Baseline and Month 12 During Double-Blind Placebo-Controlled Food Challenge
The objective symptoms collected during the DBPCFC included skin (erythematous rash, pruritus, urticaria/angioedema, rash), upper respiratory (sneezing/itching, nasal congestion, rhinorrhea, laryngeal), lower respiratory (wheezing), gastrointestinal (diarrhea, vomiting, cardiovascular), and eyes (conjunctivitis, any other objective symptoms), with the exception of erythematous rash (recorded as Yes/No), each symptom was graded as: 0=" absent",1=" mild", 2=" moderate" or 3=" severe". For erythematous rash, the percent area involved was collected. Percentages were calculated based on the number of participants in each time point. Subjective abdominal pain (when graded 2 or 3) was also considered for this analysis.
Time frame: Baseline (Day 1) and Month 12
This Phase III was conducted in participants aged 1 to 3 years with peanut-allergy at 51 centers in Australia, Canada, Europe, and the United States of America. The entire duration of study was approximately 62 weeks (6-week: screening period; 12-month treatment period; and 4-week follow-up period).
| Milestone | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo |
|---|---|---|---|---|---|
| Started | 244 | 118 | 21 | 20 | 10 |
| Completed | 208 | 99 | 17 | 16 | 9 |
| Not completed | 36 | 19 | 4 | 4 | 1 |
| Withdrew: Adverse event | 8 | 0 | 1 | 0 | 0 |
| Withdrew: Lost to follow-up | 2 | 1 | 0 | 0 | 0 |
| Withdrew: Physician decision | 1 | 2 | 0 | 0 | 0 |
| Withdrew: Non-compliance with study drug | 2 | 0 | 0 | 0 | 0 |
| Withdrew: Participant withdrawal by parent or caregiver | 18 | 13 | 2 | 1 | 0 |
| Withdrew: Participant did not want to complete oral food challenge | 5 | 2 | 1 | 3 | 1 |
| Withdrew: Protocol violation | 0 | 1 | 0 | 0 | 0 |
A participant was defined as a treatment responder if the initial eliciting dose (ED) was \> 10 milligram (mg) peanut protein and the ED was ≥1000 mg peanut protein at the post-treatment double-blind placebo-controlled food challenge (DBPCFC) at Month 12 OR the initial ED at baseline was ≤10 mg peanut protein and the ED was ≥300 mg peanut protein at the post-treatment DBPCFC at Month 12.
| Percentage of participants | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo |
|---|---|---|---|---|---|
| Percentage of Treatment Responders at Month 12 | 67.0 (60.93 to 73.01) | 33.5 (24.84 to 42.24) | 52.4 (29.8 to 74.3) | 70.0 (45.7 to 88.1) | 60.0 (26.2 to 74.3) |
The peanut protein CRD was defined as the sum of all peanut protein doses taken by the participant during the DBPCFC, calculated as follows: If the ED reported by the investigator in the electronic case report form (eCRF) is missing, then the CRD is missing; If the ED reported by the investigator in the eCRF was not missing then the CRD was calculated as the sum of all doses given, including also the partial doses. The CRD in each treatment group at Month 12 was compared using ANCOVA model.
| milligram (mg) | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo |
|---|---|---|---|---|---|
| Cumulative Reactive Dose (CRD) of Peanut Protein at Month 12 Using Analysis of Covariance (ANCOVA) Model | 1010.31 (842.18 to 1212.01) | 322.57 (248.37 to 418.94) | 788.74 (220.20 to 2825.24) | 1155.90 (367.53 to 3635.38) | 1153.47 (474.34 to 2804.91) |
The peanut protein CRD was defined as the sum of all peanut protein doses taken by the participant during the DBPCFC, calculated as follows: If the ED reported by the investigator in the eCRF is missing, then the CRD is missing; If the ED reported by the investigator in the eCRF was not missing then the CRD was calculated as the sum of all doses given, including also the partial doses.
| mg | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo |
|---|---|---|---|---|---|
| Change From Baseline in CRD of Peanut Protein to Month 12 | 1300.0 (140.0 to 3000.0) | 0.0 (0.0 to 1000.0) | 540.0 (0.0 to 2930.0) | 1250.0 (2.5 to 3000.0) | 1000.0 (300.0 to 2560.0) |
The peanut protein ED was the individual dose of peanut protein administered to participants during the food challenge procedure, which triggered objective allergic reactions, leading to stopping the challenge. The ED in each treatment group at Month 12 was compared using ANCOVA model.
| mg | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo |
|---|---|---|---|---|---|
| ED of Peanut Protein at Month 12 Using ANCOVA Model | 659.36 (553.84 to 784.99) | 223.12 (173.40 to 287.09) | 526.31 (151.15 to 1832.58) | 730.38 (254.17 to 2098.83) | 760.60 (325.34 to 1778.17) |
The peanut protein ED was the individual dose of peanut protein administered to participants during the food challenge procedure, which triggered objective allergic reactions, leading to stopping the challenge.
| mg | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo |
|---|---|---|---|---|---|
| Change From Baseline in ED of Peanut Protein to Month 12 | 900.0 (90.0 to 1700.0) | 0.0 (0.0 to 700.0) | 700.0 (0.0 to 1700.0) | 700.0 (0.0 to 1700.0) | 700.0 (200.0 to 1700.0) |
The objective symptoms collected during the DBPCFC included skin (erythematous rash, pruritus, urticaria/angioedema, rash), upper respiratory (sneezing/itching, nasal congestion, rhinorrhea, laryngeal), lower respiratory (wheezing), gastrointestinal (diarrhea, vomiting, cardiovascular), and eyes (conjunctivitis, any other objective symptoms), with the exception of erythematous rash (recorded as Yes/No), each symptom was graded as: 0=" absent",1=" mild", 2=" moderate" or 3=" severe". For erythematous rash, the percent area involved was collected. Percentages were calculated based on the number of participants in each time point. Subjective abdominal pain (when graded 2 or 3) was also considered for this analysis.
| Percentage of participants | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo |
|---|---|---|---|---|---|
| Baseline: Absent | 0 | 0 | — | — | — |
| Baseline: Mild | 7.0 | 7.6 | — | — | — |
| Baseline: Moderate | 68.4 | 67.8 | — | — | — |
| Baseline: Severe | 24.6 | 24.6 | — | — | — |
| Month 12: Absent | 16.0 | 6.1 | — | — | — |
| Month 12: Mild | 20.5 | 14.3 | — | — | — |
| Month 12: Moderate | 51.0 | 51.0 | — | — | — |
| Month 12: Severe | 12.5 | 28.6 | — | — | — |
Collected over The TEAEs were collected from Day 1 up to Month 12. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Part B Viaskin Peanut 250 mcg | 0/244 (0%) | 21/244 (8.6%) | 244/244 (100%) |
| Part B Placebo | 0/118 (0%) | 3/118 (2.5%) | 117/118 (99.2%) |
| Part A Viaskin Peanut 250 mcg | 0/21 (0%) | 0/21 (0%) | 21/21 (100%) |
| Part A Viaskin Peanut 100 mcg | 0/20 (0%) | 0/20 (0%) | 20/20 (100%) |
| Part A Placebo | 0/10 (0%) | 0/10 (0%) | 10/10 (100%) |
| Event | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo |
|---|---|---|---|---|---|
| WheezingRespiratory, thoracic and mediastinal disorders | 6/244 | 1/118 | 0/21 | 0/20 | 0/10 |
| Anaphylactic Reaction To FoodImmune system disorders | 0/244 | 2/118 | 0/21 | 0/20 | 0/10 |
| Bronchial HyperreactivityRespiratory, thoracic and mediastinal disorders | 2/244 | 0/118 | 0/21 | 0/20 | 0/10 |
| Medication ErrorInjury, poisoning and procedural complications | 2/244 | 0/118 | 0/21 | 0/20 | 0/10 |
| BronchitisInfections and infestations | 1/244 | 0/118 | 0/21 | 0/20 | 0/10 |
| Gastroenteritis ViralInfections and infestations | 1/244 | 0/118 | 0/21 | 0/20 | 0/10 |
| Metapneumovirus InfectionInfections and infestations | 1/244 | 0/118 | 0/21 | 0/20 | 0/10 |
| Periorbital CellulitisInfections and infestations | 1/244 | 0/118 | 0/21 | 0/20 | 0/10 |
| Respiratory Syncytial Virus BronchiolitisInfections and infestations | 1/244 | 0/118 | 0/21 | 0/20 | 0/10 |
| Respiratory Syncytial Virus InfectionInfections and infestations | 1/244 | 0/118 | 0/21 | 0/20 | 0/10 |
| Event | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo |
|---|---|---|---|---|---|
| Application Site ErythemaGeneral disorders | 239/244 | 107/118 | 18/21 | 14/20 | 6/10 |
| Application Site PruritusGeneral disorders | 231/244 | 72/118 | 13/21 | 11/20 | 1/10 |
| Application Site SwellingGeneral disorders | 177/244 | 46/118 | 7/21 | 2/20 | 2/10 |
| Upper Respiratory Tract InfectionInfections and infestations | 103/244 | 43/118 | 13/21 | 7/20 | 2/10 |
| UrticariaSkin and subcutaneous tissue disorders | 85/244 | 44/118 | 4/21 | 4/20 | 5/10 |
| PyrexiaGeneral disorders | 84/244 | 50/118 | 5/21 | 6/20 | 2/10 |
| VomitingGastrointestinal disorders | 56/244 | 21/118 | 7/21 | 4/20 | 1/10 |
| EczemaSkin and subcutaneous tissue disorders | 59/244 | 30/118 | 7/21 | 6/20 | 2/10 |
| CoughRespiratory, thoracic and mediastinal disorders | 48/244 | 24/118 | 3/21 | 6/20 | 2/10 |
| Application Site UrticariaGeneral disorders | 68/244 | 3/118 | 2/21 | 3/20 | 0/10 |
The Full Analysis Set (FAS) comprised of all participants who were randomized in the study.
| Age, Categorical(Participants) | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo | Total |
|---|---|---|---|---|---|---|
| <=18 years | 244 | 118 | 21 | 20 | 10 | 413 |
| Between 18 and 65 years | 0 | 0 | 0 | 0 | 0 | 0 |
| >=65 years | 0 | 0 | 0 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo | Total |
|---|---|---|---|---|---|---|
| Female | 79 | 34 | 8 | 5 | 4 | 130 |
| Male | 165 | 84 | 13 | 15 | 6 | 283 |
| Race/Ethnicity, Customized(Participants) | Part B Viaskin Peanut 250 mcg | Part B Placebo | Part A Viaskin Peanut 250 mcg | Part A Viaskin Peanut 100 mcg | Part A Placebo | Total |
|---|---|---|---|---|---|---|
| White | 159 | 70 | 15 | 17 | 7 | 268 |
| Black or African American | 1 | 1 | 0 | 0 | 0 | 2 |
| Asian | 41 | 24 | 1 | 2 | 1 | 69 |
| Other | 35 | 17 | 5 | 1 | 2 | 60 |
| Not collected | 8 | 6 | 0 | 0 | 0 | 14 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
Ran from Jul 2017 to primary completion in Aug 2019, 24 months.
Results were first posted in Dec 2024, 5 years 3 months after primary completion.
Of 15 phase 3 interventional studies under Peanut Hypersensitivity, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 42. This study's 24 months is below that.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.
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