ClinicalTrials.gg
Active, not recruitingNCT04222491Updated Apr 9, 2026

Food Oral Immunotherapy for Peanut Allergy

An observational study in Peanut Allergy, sponsored by Massachusetts General Hospital. Active, not recruiting at 1 site in United States. Open to participants aged 6 Months to 65 Years. Per ClinicalTrials.gov, last updated 2026-04-09.

Sponsored by Massachusetts General Hospital · Observational

Study type
Observational
Enrollment
500
Ages
6 Months to 65 Years
Sex
All
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Study summary

This is an open label observational single center study of clinical food oral immunotherapy outcomes with biomarker samples and participant and/or caregiver-completed questionnaires in participants between 6 months and 65 years of age with IgE-mediated peanut allergy undergoing food oral immunotherapy.

Read the detailed description

In this research study the investigators want to learn more about the experience of participants with peanut allergy and their caregivers undergoing food oral immunotherapy (OIT) for peanut allergy. Food oral immunotherapy (OIT) is a treatment for individuals with a food allergy to reduce the body's allergic response to the food allergen, resulting in fewer symptoms. The treatment is also called desensitization. An individual becomes desensitized to the food allergen by ingesting small amounts of the food that are slowly increased. Over time, this helps the body's immune system become used to the food so that it no longer causes an allergic reaction. By desensitizing to peanut, it may lower the risk of life-threatening allergic reactions and cause a decreased sensitivity to peanut. The investigators specifically want to learn more about the effects of food OIT on quality of life and other outcomes important to participants with peanut allergy and their caregivers and to ultimately develop tests to predict who may respond favorably to food OIT.

02

Conditions studied

  • Peanut Allergy

Keywords

  • food allergy
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In context

Peanut Hypersensitivity

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

This study's planned enrollment of 500 is above the median of 220 across 30 observational studies indexed under Peanut Hypersensitivity.

Browse Peanut Hypersensitivity studies →

Lead sponsor

Massachusetts General Hospital is the lead sponsor of 2,586 studies on the registry; 447 are open to participants now.

Of its 222 completed or terminated interventional studies of FDA-regulated products, 168 (76%) have results posted.

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

04

Who can participate

Ages eligible
6 Months to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Pediatric and adult individuals with food allergy as specified in the eligibility criteria.

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

  • Individuals between 6 months and 65 years of age with a diagnosis of immunoglobulin E (IgE)-mediated peanut allergy and their caregivers; a diagnosis of IgE-mediated peanut allergy is defined by: (1) documented history of peanut allergy or determined to be allergic by oral food challenge; (2) evidence of peanut-specific IgE by either: positive skin prick test to peanut allergen (reaction wheal at least 3 mm larger than saline control) or serum peanut-specific IgE > 0.34 kilo-unit/liter (kU/L) or international unit/milliliter (IU/mL) at screening visit
  • Referral by Massachusetts General Hospital (MGH) allergist for food oral immunotherapy
  • Willing to sign or whose caregiver is willing to sign the informed consent (age appropriate)
  • Willing to sign the assent form, if age appropriate

Exclusion criteria

Exclusion Criteria:

  • History of severe or life-threatening episode of anaphylaxis or anaphylactic shock within 60 days of screening
  • Severe or poorly controlled asthma
  • Diagnosis of other severe or complicating medical problems, including or chronic immune inflammatory conditions or gastrointestinal inflammatory conditions, such as inflammatory bowel diseases and eosinophilic gastrointestinal disorders
  • Current use of beta blocker medication(s)
  • Inability to cooperate with and/or perform oral food challenge procedures
  • Females who are pregnant, planning to become pregnant, or breastfeeding
  • Investigator determination of safety concern for any reason
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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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Study design

Enrollment
500 participants (estimated)
Patient registry
No

Groups and cohorts

  • active peanut OIT

    active peanut oral immunotherapy

    Drug: Peanut oral immunotherapy

Interventions

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What researchers measure

Primary outcomes

  1. The proportion of participants who tolerate the maintenance dose of 300 mg peanut protein with no symptoms within two years of starting OIT

    Feasibility analysis as assessed by the proportion of participants who tolerate the maintenance dose in a dichotomous manner

    Time frame: 2 years

Secondary outcomes

  1. Change in quality of life scores from baseline to end of treatment

    Change in quality of life scores from baseline assessment to end of treatment assessment using the Food Allergy Quality of Life Questionnaire (FAQLQ) total score. The FAQLQ total and domain scores range from 1-7 where 1 was the best possible score (i.e. fewest problems or better health related quality of life) and with the total score being the average of the domain scores. The domains include Emotional Impact, Social and Dietary Restrictions, and Food Anxiety.

    Time frame: 4 years

  2. Change in peanut specific serum immunoglobulin E (IgE) from baseline to end of treatment

    Change in peanut specific serum immunoglobulin E (IgE) \[in kilo-units per liter (kU/L) or international units per milliliter (IU/mL)\] from baseline to end of treatment

    Time frame: 4 years

  3. Change in skin prick test reactivity to peanut extract from baseline to end of treatment

    Change in skin prick test wheal diameter measurement in millimeters to peanut extract from baseline to end of treatment

    Time frame: 4 years

  4. The proportion of participants who tolerate a cumulative dose of 5000 mg peanut protein on oral food challenge without treatment after 12 months on maintenance dose

    Desensitization to peanut as assessed by cumulative tolerated dose

    Time frame: 4 years

  5. Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

    Safety analysis as assessed by patient-reported or observed allergic symptoms that will be analyzed and tabulated

    Time frame: 4 years

07

Study locations

1 site
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2020 (actual). Primary completion is estimated for Dec 2026, 78 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 6, 2020
First posted
Jan 10, 2020
StartActual
Jun 25, 2020
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Apr 9, 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 Apr 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04222491
Responsible party
Wayne G. Shreffler, MD, PhD (Principal Investigator, Massachusetts General Hospital) — Principal investigator
First posted
Jan 10, 2020
Start date
Jun 25, 2020
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Apr 9, 2026

Study contacts

Wayne G Shreffler, MD, PhD
principal investigator · Massachusetts General Hospital

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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