ClinicalTrials.gg
RecruitingNCT04462978NIGEFAUpdated Sep 2, 2026

Non-Immunoglobulin E-mediated Food Allergies in Children

An observational study in Non IgE Mediated Food Allergy, Food Protein-Induced Enteropathy and Food Protein-Induced Proctocolitis, sponsored by Federico II University. Recruiting at 1 site in Italy. Open to participants aged 1 Day to 14 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by Federico II University · Observational

From the registry’s dates

  • Started Jan 2017; still recruiting 9 years 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
150
Ages
1 Day to 14 Years
Sex
All
01

Study summary

Non-IgE-mediated gastrointestinal food allergies (non-IgE-GIFA) are an evolving web of clinical conditions characterized by subacute and/or chronic symptoms and include food protein-induced enterocolitis syndrome (FPIES), food protein-induced enteropathy (FPE), food protein-induced allergic proctocolitis (FPIAP), and food protein-induced allergic dysmotility disorders (gastroesophageal reflux disease (GERD), colic and constipation) (FPIMD).

Despite the prevalence and clinical impact of these conditions, the pathogenesis as well as the natural history and the best management of these disorders are still poorly defined. These limitations could be responsible for diagnostic delays and errors, and suboptimal clinical management. We aim to evaluate clinical features, natural course and pathophysiology of non-IgE-GIFA in the pediatric age.

02

Conditions studied

  • Non IgE Mediated Food Allergy
  • Food Protein-Induced Enteropathy
  • Food Protein-Induced Proctocolitis
  • Food Protein-Induced Enterocolitis Syndrome
  • Food Protein-induced Motility Disorders

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Keywords

  • Food allergy
  • Adverse food reactions
  • Immune tolerance
  • Atopy patch test
  • Atopic march
  • Oral food challenge
  • Food Protein-Induced Enteropathy
  • Food Protein-Induced Proctocolitis
  • Food Protein-Induced Enterocolitis Syndrome
  • Food protein-induced motility disorders
03

In context

Food Hypersensitivity

376 studies on the registry are indexed under Food Hypersensitivity; 90 are open to participants now.

This study's planned enrollment of 150 is close to the median of 151 across 120 observational studies indexed under Food Hypersensitivity.

Browse Food Hypersensitivity studies →

Lead sponsor

Federico II University is the lead sponsor of 366 studies on the registry; 61 are open to participants now.

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

04

Who can participate

Ages eligible
1 Day to 14 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

subjects consecutively observed at the Pediatric Allergy Program, at the Department of Translational Medical Science of the University of Naples Federico II, both sex, aged between 0-14 years with suggestive history of food allergy

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

  • subjects aged between 0-14 years
  • suggestive history of food allergy

Exclusion criteria

Exclusion Criteria:

  • age >14 years-
  • chronic systemic diseases,
  • ,
  • immunodeficiency,
  • infectious diseases,
  • diseases,
  • inflammatory bowel diseases,
  • celiac disease,
  • metabolic and genetic diseases,
  • cystic fibrosis,
  • chronic pulmonary diseases,
  • gastrointestinal, respiratory, urinary tract and/or cardiovascular malformations,
  • neurologic and/or neuropsychiatric disorders,
  • gastrointestinal tract eosinophilic disorders,
  • use of immunomodulating drugs, , pre-pro-synbiotics, antibiotics in the previous 4 months
Terms in these criteria, in plain language(3)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
150 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Non IgE-mediated food allergy

    Children with non IgE-mediated food allergy

    Other: Non IgE-mediated food allergy

Interventions

  • OtherNon IgE-mediated food allergy
06

What researchers measure

Primary outcomes

  1. Evaluation of clinical features and disease course of non-IgE mediated food allergies in children

    Rate of pts affected by FPIES, FPE, FPIAP, FPIMD; diagnostic delay; disease duration, rate of pts with mono vs poli food allergies; main antigens responsible for the diseases; occurrence of atopic dermatitis before food allergy onset; results of allergy screening tests; occurrence of atopic march

    Time frame: After 72 months from the study start

  2. Evaluation of clinical features of non-IgE mediated food allergies in children

    Dietary management and Nutritional status (weight and height will be combined to report BMI z-score)

    Time frame: After 72 months from the study start

Secondary outcomes

  1. Evaluation of immune mechanisms involved in the pathogenesis of non-IgE mediated food allergies in children

    Evaluation of serum levels of Th2, Th1, and Th17 cytokines

    Time frame: through study completion, an average of 2 years

  2. Evaluation of immune mechanisms involved in the pathogenesis of non-IgE mediated food allergies in children

    Evaluation of epigenetic mechanisms

    Time frame: through study completion, an average of 2 years

  3. Evaluation of immune mechanisms involved in the pathogenesis of non-IgE mediated food allergies in children

    Evaluation of immune cells phenotype

    Time frame: through study completion, an average of 2 years

  4. Evaluation of immune mechanisms involved in the pathogenesis of non-IgE mediated food allergies in children

    Evaluation of mithocondrial metabolism of human lymphocytes

    Time frame: through study completion, an average of 2 years

  5. Evaluation of gut microbiome features in children with Non-IgE-mediated food allergies

    Evaluation of gut microbiome structure and function

    Time frame: through study completion, an average of 2 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2017 to primary completion in Dec 2023, 83 months.

Of 42 non-industry observational studies under Food Hypersensitivity, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 250. This study's 83 months is above that.

Counting every sponsor, half of 43 studies reached it within 42 months; a quarter within 19 and three quarters within 250.

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

Registered
May 28, 2020
First posted
Jul 8, 2020
StartActual
Jan 1, 2017
Primary completionActual
Dec 30, 2023
CompletionEst.
Dec 28, 2027
Last update
Sep 2, 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 Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04462978
Responsible party
Roberto Berni Canani, MD, PhD (Professor of Pediatrics, Federico II University) — Principal investigator
First posted
Jul 8, 2020
Start date
Jan 1, 2017
Primary completion
Dec 30, 2023
Completion
Dec 28, 2027 (estimated)
Last update
Sep 2, 2026

Oversight

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

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