ClinicalTrials.gg
RecruitingNCT05407012TRANS-FOODSUpdated May 6, 2024

TRANS-FOODS: Preventing Peanut Allergy Through Improved Understanding of the Transcutaneous Sensitisation Route, Novel Food Processing and Skin Care Adaptations

An interventional study of Application of the barrier enhancing preparation. in Allergy;Food, Food Allergy Peanut and Pathways and Sources of Exposure, sponsored by King's College London. Recruiting at 1 site in United Kingdom. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-05-06.

Primary conditionPeanut HypersensitivityRegistry: Food HypersensitivityReclassifiedWhy we changed it
Registry
Food Hypersensitivity — the first condition term the registry derived for this study.
ClinicalTrials.gg
Peanut Hypersensitivity
Why
  1. The study's listed conditions name Peanut Hypersensitivity, a narrower term within Food Hypersensitivity.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by King's College London · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by May 2025, 1 year 5 months ago, but the record still lists the study as recruiting.
  • Started Apr 2024; still recruiting 2 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This project aims to study the immune responses to peanut allergen in those with a skin barrier defect with and without skin massage, specifically it aims to:

  1. Establish if peanut allergen components can pass into human skin through regular massage using the peanut protein-containing extract.
  2. Clarify whether this effect is amplified in those with an impaired skin barrier (AD and dry skin vs healthy controls).
  3. Assess whether peanut protein components can be detected in interstitial skin fluid (ISF) using a suction device.
  4. Test whether peanut protein components present in ISF are able to induce activation of basophils in blood of peanut allergic donors.
  5. Assess whether the transcutaneous uptake of peanut protein can be reduced by the prior use of a barrier enhancing cream.
Read the detailed description

The study aims to understand how peanut processing methods and peanut co-administration with oils, as is standard during the industrial processing of peanuts, influences the development of peanut allergy through the skin.

Cutaneous exposure of allergens is a crucial, but hitherto under explored route of food sensitisation, that if understood could lead to the development of translatable strategies to prevent food allergy. Food processors require a greater understanding of how allergen exposure cause allergy so that they can adapt their processing methods to counteract these exposure processes. Furthermore, this proposed research aligns with on-going efforts across Europe to address the increasing problems associated with food allergy but it is unique in that it focuses on cutaneous allergen exposure, which is a field in desperate need of more systematic study.

The assembled team of investigators (from the UK, Germany and France) joined by a peanut industry partner (Levantine) and patient and consumer representatives will aim to address the following hypotheses:

Understanding the mechanisms by which:

  • Peanut proteins pass into the skin via the appendages to trigger an immune response.
  • Skin stretching that occurs during massage opens up the skin appendages allowing more peanut protein into the skin and leads to dendritic cell activation and induction of T helper 2 cell response.
  • Co-administration of peanut proteins and an oil to the skin increases allergenicity.
  • Skin barrier impairment and inflammation (AD) increases allergenicity.

Test novel approaches to peanut allergy prevention whereby:

  • Modifications in peanut processing can reduce allergen exposure via the skin.
  • Meticulous hand hygiene reduces skin contamination with peanut protein.
  • Application of a barrier enhancing cream can strengthen the skin barrier, in particular in those with atopic dermatitis, and reduce the risk of transcutaneous sensitisation further.
02

Conditions studied

  • Allergy;Food
  • Food Allergy Peanut
  • Pathways and Sources of Exposure

Browse trials for

Keywords

  • Allergy
  • Food safety
  • Public health
  • Dermatology
  • Food manufacture
03

In context

Peanut Hypersensitivity Reclassified

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

This study's planned enrollment of 120 is above the median of 50 across 127 interventional studies indexed under Peanut Hypersensitivity.

Browse Peanut Hypersensitivity studies →

Lead sponsor

King's College London is the lead sponsor of 520 studies on the registry; 126 are open to participants now.

Compared within Peanut Hypersensitivity, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Food Hypersensitivity. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Adult healthy volunteers (50% of the cohort), and adults with dry skin and AD (fulfilling the refined Hanifin and Rajka criteria, 50% of the cohort).
  • Willingness to apply the study intervention and to not use any other topical preparations over theforearms during the study period.

Exclusion criteria

Exclusion Criteria:

  • History of peanut allergy.
  • Positive skin prick test to peanut (>0 mm).
  • No regular consumption of peanut products.
  • Widespread AD, in particular if this involves the test sites of the forearms.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Intervention of the barrier enhancing preparation

    Dry skin or atopic dermatitis or healthy skin; application of the peanut protein extract +/- massage after extract application.

    Other: Application of the barrier enhancing preparation.

  • No intervention
    Absence of the barrier enhancing preparation

    Dry skin or atopic dermatitis or healthy skin; application of the peanut protein extract +/- massage after extract application.

Interventions

  • OtherApplication of the barrier enhancing preparation.

    Application of the barrier enhancing preparation around 30 minutes before application of the peanut protein extract +/- massage after extract application;

06

What researchers measure

Primary outcomes

  1. Detection of peanut protein components (μg of the proteins per cm² of skin) in retrieved interstitial fluid.

    Detection of peanut protein components (μg of the proteins per cm² of skin) in retrieved interstitial fluid.

    Time frame: 8 weeks

  2. Activation of blood basophil from peanut allergic donors (measured as %CD63-positive basophils) by peanut proteins present in interstitial fluid.

    Activation of blood basophil from peanut allergic donors (measured as %CD63-positive basophils) by peanut proteins present in interstitial fluid.

    Time frame: 8 weeks

Secondary outcomes

  1. Detection of inflammatory cytokine markers (IL-4, IL-13, IL-33 and TSLP) in interstitial fluid.

    Detection of inflammatory cytokine markers (IL-4, IL-13, IL-33 and TSLP) in interstitial fluid.

    Time frame: 8 weeks

  2. Raised transepidermal water loss.

    Raised transepidermal water loss.

    Time frame: 8 weeks

Other outcomes

  1. Assess skin barrier function measures (skin surface pH).

    Assess skin barrier function measures (skin surface pH).

    Time frame: 8 weeks

07

Study locations

1 of 1 sites recruiting
  • Unit for Population-Based Dermatology Research
    London, SE1 7EH, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05407012
Responsible party
Sponsor
First posted
Jun 7, 2022
Start date
Apr 5, 2024
Primary completion
May 31, 2025 (estimated)
Completion
May 31, 2025 (estimated)
Last update
May 6, 2024

Study contacts

Stuart Jones
Contact
stuart.jones@kcl.ac.uk
0207 848 4506
Carsten Flohr
principal investigator · King's College London

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion