ClinicalTrials.gg
CompletedNCT06316414OSAFAUpdated Mar 18, 2024

Omalizumab in Severe Asthmatics With Food Allergy

An observational study in Food; Allergy, Anaphylactic Shock and Asthma in Children, sponsored by Bambino Gesù Hospital and Research Institute. Completed at 1 site in Italy. Open to participants aged 6 Years to 18 Years. Per ClinicalTrials.gov, last updated 2024-03-18.

Sponsored by Bambino Gesù Hospital and Research Institute · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
65
Ages
6 Years to 18 Years
Sex
All
01

Study summary

A prospective assessment of the impact of Omalizumab in terms of efficacy, safety, and quality of life (FA-QoL) in patients with moderate/severe asthma and history of anaphylaxis to peanut, tree nuts, fish, egg, milk, and/or wheat. Evaluation of the trend of total and specific IgE during Omalizumab treatment.

Read the detailed description

Children (6-18 yrs) with severe asthma eligible for treatment with Omalizumab and reporting food anaphylaxis to be assessed for their concomitant food allergy.

At T0:

  • oral food challenges (OFCs) to establish the threshold of reaction to the culprit food(s);
  • number and severity of food-allergic reactions in the previous 12 months recorded
  • Asthma Control Test
  • Food Allergy-Quality of Life (FA-QoL) questionnaire
  • total IgE
  • specific IgE for the culprit foods

At T1 - four months after starting Omalizumab treatment:

  • OFCs to the previously positive foods with evaluation of the threshold of reaction
  • number and severity of food-allergic reactions in the previous 4 months recorded
  • Asthma Control Test
  • Food Allergy-Quality of Life (FA-QoL) questionnaire
  • total IgE
  • specific IgE for the culprit foods

At T2 - eight months after starting Omalizumab treatment:

  • OFCs to the previously positive foods with evaluation of the threshold of reaction
  • number and severity of food-allergic reactions in the previous 4 months recorded
  • Asthma Control Test
  • Food Allergy-Quality of Life (FA-QoL) questionnaire
  • total IgE
  • specific IgE for the culprit foods

At T1 - twelve months after starting Omalizumab treatment:

  • OFCs to the previously positive foods with evaluation of the threshold of reaction
  • number and severity of food-allergic reactions in the previous 4 months recorded
  • Asthma Control Test
  • Food Allergy-Quality of Life (FA-QoL) questionnaire
  • total IgE
  • specific IgE for the culprit foods
02

Conditions studied

  • Food; Allergy, Anaphylactic Shock
  • Asthma in Children
03

In context

Hypersensitivity

1,055 studies on the registry are indexed under Hypersensitivity; 149 are open to participants now.

This study's enrollment of 65 is below the median of 166 across 327 observational studies indexed under Hypersensitivity.

Browse Hypersensitivity studies →

Lead sponsor

Bambino Gesù Hospital and Research Institute is the lead sponsor of 54 studies on the registry; 10 are open to participants now.

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

04

Who can participate

Ages eligible
6 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

  • Children with severe asthma eligible for treatment with Omalizumab consecutively enrolled at the Bambino Gesu Pediatrica Hospital IRCCS in Rome
  • ACT \< 20
  • Food allergy as described
  • History of food-induced anaphylaxis
  • positive OFCs with milk, baked milk, egg, baked egg, wheat, peanut, hazelnut, codfish.

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

  • Age 6 - 18 years
  • Severe persistent allergic asthma according to the GINA guidelines
  • Sensitized to a perennial aeroallergen, as witnessed by positive skin test and/or in vitro reactivity
  • Symptoms inadequately controlled with inhaled + another medication, as witnessed by an ACT ≤ 19
  • On treatment with high dose inhaled corticosteroids + another medication. Threshold dose for inhaled corticosteroids set at 400 mcg/day budesonide (or equivalent doses) for children \< 12 years, at 800 mcg/day for older patients.
  • Immediate food allergy with anaphylactic symptoms within 1hr. of ingestion of milk, egg, wheat, peanut, hazelnut, and/or codfish.
  • Total IgE \< 70 and >1,500 kU/L at baseline
  • Sensitivity to food allergen documented by a positive skin prick test result and/or allergen-specific IgE level, with 0.35 kU/L as a lower limit of eligibility
  • Positive OFC within the past 12 months, with minimal or no reactions to the placebo challenge.
  • Trained on the proper use of epinephrine
  • In case of female subjects of , negative human chorionic gonadotropin blood sample for pregnancy testing
  • No known to oral immunotherapy with food protein or Omalizumab
  • Parent/legal guardian written

Exclusion criteria

Exclusion Criteria:

  • Total IgE at screening > 70 or ≤ 2,500 kUI/L
  • allergy to food(s) not investigated in this study
  • Immune deficiency
  • Previous reaction to Omalizumab
  • Previous organ transplantation
  • Use of monoclonal antibodies in the previous 6 months
  • Subjects with gastrointestinal or gastroesophageal disease, chronic infections, scleroderma, hepatic and gallbladder disease, chronic non-allergic pulmonary disease.
  • Subjects who have received an experimental drug in the last 30 days prior to admission into this study or who plan to use an experimental drug during the study
  • Pregnant or breast-feeding females.
  • Subjects with food protein induced enterocolitis syndrome (FPIES)
  • Subjects is on a build-up phase of standard subcutaneous immunotherapy for inhalant allergens (may be enrolled on maintenance dose)
  • Inability to discontinue antihistamines for 5 half-lives prior to routine study tests (OFC)
  • Subjects with weight-IgE combination yielding a dose requirement greater than 600 mg according to the EMA schedule for Omalizumab
  • Systemic oral, IM, or IV for indications other than asthma for more than 3 weeks in the past 6 months.
Terms in these criteria, in plain language(4)

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
65 participants (actual)
Patient registry
No

Groups and cohorts

  • Severe asthmatics with history of food anaphylaxis

    Omalizumab will be administered i.m. with doses ranging from 150 mg every 28 days to 600 mg every 14 days, according to EMA dosing range table.

    Biological: Omalizumab

Interventions

  • BiologicalOmalizumab

    Administration of Omalizumab at the doses indicated for asthma in the EMA information leaflet.

06

What researchers measure

Primary outcomes

  1. Milligram tolerated food allergen (gms) of raw and baked milk, raw and baked egg, hazelnut, peanut, wheat, and/or fish at T1.

    Threshold of reactivity assessed as No Observed Adverse Events Level (NOAEL) to each of the analysed food

    Time frame: Four months (T1)

Secondary outcomes

  1. Proportion of negative OFCs at T1

    Percentage of OFC tolerated until the last dose of food.

    Time frame: Four months (T1)

  2. NOAEL for raw and baked milk, raw and baked egg, hazelnut, peanut, wheat, and/or fish at T2.

    Change in the NOAEL at the third OFC to the foods who did not pass the OFC at T1

    Time frame: Eight months (T2)

  3. NOAEL for raw and baked milk, raw and baked egg, hazelnut, peanut, wheat, and/or fish at T3.

    Change in the NOAEL at the fourth OFC to the foods who did not pass the OFC at T2

    Time frame: Twelve months (T3)

  4. Change in number of anaphylactic events

    Number of episodes of anaphylaxis in the 6 - 12 months preceding T0 compared with those 6 - 12 months after the first dose of Omalizumab

    Time frame: Twelve months (T3)

  5. Rate of severity of anaphylactic events

    Severity of episodes of anaphylaxis in the 6 - 12 months preceding T0 compared with those 6 - 12 months after the first dose of Omalizumab; PRACTALL score: 1 - mild, 2 - moderate, 3 - severe.

    Time frame: Twelve months (T3)

  6. Asthma Control Test (ACT)

    Change from baseline in ACT score: 5 worse, 25 better outcome

    Time frame: Twelve months (T3)

  7. Quality of Life score

    Change from baseline in age-appropriate FA-QoL score: 0, better; 84, worse outcome

    Time frame: Four (T1), eight (T2), twelve (T3) months

  8. Total IgE

    Change from baseline in total IgE

    Time frame: Four (T1), eight (T2), twelve (T3) months

  9. Specific IgE for milk, egg, hazelnut, peanut, wheat, and/or fish

    Change from baseline in sIgE;

    Time frame: Four (T1), eight (T2), twelve (T3) months

07

Study locations

1 site
  • Pediatric Hospital Bambino Gesù IRCCS - Allergy Dpt
    Roma, 00145, Italy
08

References and documents

Publications

  • Fiocchi A, Artesani MC, Riccardi C, Mennini M, Pecora V, Fierro V, Calandrelli V, Dahdah L, Valluzzi RL. Impact of Omalizumab on Food Allergy in Patients Treated for Asthma: A Real-Life Study. J Allergy Clin Immunol Pract. 2019 Jul-Aug;7(6):1901-1909.e5. doi: 10.1016/j.jaip.2019.01.023. Epub 2019 Feb 20. PubMed 30797778 ↗

Individual participant data

Plan to share: Yes — Anonymized Individual Participating Data will be made available to researchers upon reasonable request.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data requests can be submitted starting 9 months after article publication and the data will be made accessible for up to 24 months. Extensions will be considered on a case-by-case basis.

Access criteria: Access to trial IPD can be requested by qualified researchers engaging in independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a Data Sharing Agreement (DSA). For more information or to submit a request, please contact alexfioc@gmail.com

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 18, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06316414
Lead sponsor
Bambino Gesù Hospital and Research Institute
Responsible party
Sponsor
First posted
Mar 18, 2024
Start date
Jan 1, 2018
Primary completion
Mar 31, 2023
Completion
Mar 31, 2023
Last update
Mar 18, 2024

Oversight

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

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This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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