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RecruitingNCT06035328Updated May 9, 2025

Comparison Efficacy Between Two Different Frequency of Maintenance Dose Oral Immunotherapy

An interventional study of Wheat (Four times per week) in Wheat Hypersensitivity and Immunotherapy, sponsored by Mahidol University. Recruiting at 1 site in Thailand. Open to participants aged 5 Years to 18 Years. Per ClinicalTrials.gov, last updated 2025-05-09.

Sponsored by Mahidol University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2023; still recruiting 3 years 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
5 Years to 18 Years
Sex
All
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Study summary

Oral immunotherapy(OIT) is effective in desensitized food allergy. OIT protocols are not standardized, and a wide heterogeneity exists in the literature . So the purpose of our study is to compare short term unresponsiveness rate between once daily dose and four times/week dose during one year maintenance phase of wheat OIT

Read the detailed description

All subject in this study were patients with history of IgE mediated wheat allergy and positive OFC test. All of them received wheat OIT and reached target maintenance dose of wheat OIT.

The primary outcome was to compare short term unresponsiveness rate between once daily dose and four times/week dose during one year maintenance phase of wheat OIT. Other outcomes were collected during the projected such as blood and skin examination for immunologic parameter, changing in Body weight, WA, WH and BMI, compliance, adverse reactions, rates of medication used during OIT and quality of life

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Conditions studied

  • Wheat Hypersensitivity
  • Immunotherapy

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Keywords

  • Wheat Hypersensitivity
  • Immunotherapy
  • Short term unresponsiveness
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In context

Hypersensitivity

1,916 studies on the registry are indexed under Hypersensitivity; 265 are open to participants now.

This study's planned enrollment of 64 is above the median of 57 across 1,384 interventional studies indexed under Hypersensitivity.

Browse Hypersensitivity studies →

Lead sponsor

Mahidol University is the lead sponsor of 730 studies on the registry; 118 are open to participants now.

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

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Who can participate

Ages eligible
5 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 5-18 years old
  • Children aged 5-18 years with history of IgE mediated wheat allergy and positive OFC test
  • Reach target maintenance dose of wheat OIT and ongoing to maintenance phase of wheat OIT

Exclusion criteria

Exclusion Criteria:

  • Patient with low dose OIT protocol
  • Patients with uncontrolled atopic dermatitis, uncontrolled asthma, or any chronic disease;
  • Patients who had been treated with some other immunotherapy (eg, SLIT, another OIT) or biologic therapy (eg, Omalizumab)
  • Patients with a developmental problem or mental disorder
  • Active eosinophilic gastrointestinal disease in the past 2 years
  • Use of b-blockers (oral), angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, or calcium-channel blockers
  • Pregnancy or lactation
  • Patient who could not visit clinic as protocol
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Study design

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

Study arms

  • Experimental
    Four per week

    Case wheat allergy that on four times/week dose during one year maintenance phase of wheat OIT

    Other: Wheat (Four times per week)

  • No intervention
    Once daily

    Case wheat allergy that on once daily dose during one year maintenance phase of wheat OIT

Interventions

  • OtherWheat (Four times per week)

    Case wheat allergy that on four times/week dose during one year maintenance phase of wheat OIT

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What researchers measure

Primary outcomes

  1. Short term unresponsiveness rate

    Short term unresponsiveness rate between once daily dose and four times/week dose .during maintenance phase of wheat OIT. Short term unresponsiveness means patients who pass the oral food challenge test after stopping oral immunotherapy for a short period

    Time frame: 13 months

Secondary outcomes

  1. Specific IgE to wheat

    Specific IgE to wheat

    Time frame: 13 months

  2. Specific IgG4 to wheat

    Specific IgG4 to wheat

    Time frame: 13 months

  3. Changing in Body weight

    Changing in Body weight in kilograms

    Time frame: 13 months

  4. Compliance

    Compliance of wheat ingestion (group A: every day, groupB: 4 days/weeks). Compliance can be calculated by dividing the number of days on which wheat is actually ingested by the total number of days prescribed for wheat consumption.

    Time frame: 12 months

  5. Adverse reactions

    Adverse reaction during treatment will be recorded by using WAO systemic allergic reaction grading system

    Time frame: 13 months

  6. Quality of life by using FAQLQ-PF

    Quality of life before and after enrollment by using FAQLQ-PF

    Time frame: 13 months

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Study locations

1 of 1 sites recruiting
  • Siriraj Hospital
    Bangkoknoi, Bangkok 10700, Thailand
    • Punchama Pacharn, MD · Contact
    Recruiting
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References and documents

Publications

  • Pajno GB, Fernandez-Rivas M, Arasi S, Roberts G, Akdis CA, Alvaro-Lozano M, Beyer K, Bindslev-Jensen C, Burks W, Ebisawa M, Eigenmann P, Knol E, Nadeau KC, Poulsen LK, van Ree R, Santos AF, du Toit G, Dhami S, Nurmatov U, Boloh Y, Makela M, O'Mahony L, Papadopoulos N, Sackesen C, Agache I, Angier E, Halken S, Jutel M, Lau S, Pfaar O, Ryan D, Sturm G, Varga EM, van Wijk RG, Sheikh A, Muraro A; EAACI Allergen Immunotherapy Guidelines Group. EAACI Guidelines on allergen immunotherapy: IgE-mediated food allergy. Allergy. 2018 Apr;73(4):799-815. doi: 10.1111/all.13319. Epub 2017 Dec 5. PubMed 29205393 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 9, 2025, 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
NCT06035328
Lead sponsor
Mahidol University
Responsible party
Sponsor
First posted
Sep 13, 2023
Start date
Jul 1, 2023
Primary completion
Mar 22, 2027 (estimated)
Completion
Mar 22, 2027 (estimated)
Last update
May 9, 2025

Study contacts

Punchama Pacharn, MD
Contact
punchama@gmail.com
024197000 ext. 5670
Punchama Pacharn, MD
principal investigator · Mahidol University, Siriraj Hospital,Thailand

Oversight

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

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