ClinicalTrials.gg
Active, not recruitingNCT06481280MERLINUpdated Jan 7, 2025

Evaluation of Tolerance, Efficacy and Safety of an Hydrolyzed Formula in Infants With IgE/Non-IgE Mediated CMA.

An interventional study of Test Formula and Placebo Formula in Cow's Milk Allergy, sponsored by United Pharmaceuticals. Active, not recruiting at 2 sites in 2 countries. Open to participants aged 1 Month to 24 Months. Per ClinicalTrials.gov, last updated 2025-01-07.

Sponsored by United Pharmaceuticals · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by Jan 2026, 10 months ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
1 Month to 24 Months
Sex
All
01

Study summary

The aim of this interventional study is to assess the hypoallergenicity of a new formula in infants having a cow milk allergy (CMA), whatever the type of CMA, meaning in both IgE-mediated and non-IgE-mediated CMA patients.

This will be tested through a double-blind placebo controlled food challenge (DBPCFC) taking place over 2 or 3 separate days, in hospital.

If the child tolerates the tested formula during the DBPCFC, he will be fed with the test formula during the second study phase. There will be monthly visit and parents will be asked to fill in diaries.

Read the detailed description

Briefly, on two separate days, the placebo formula and the TEHCF will be introduced at increasing doses under medical supervision, and appearance of allergic symptoms will be witnessed and recorded if any. The week after, and more particularly the 72 hours after each food challenge day, child's parents will be instructed to report to the investigator any delayed reaction that may occur. In case the TEHCF induces an allergic reaction, the child's participation will be ended. Otherwise, the child will enter the second study part, lasting 4 months and during which the usual formula taken by the child will be totally replaced by the TEHCF.

02

Conditions studied

  • Cow's Milk Allergy

Keywords

  • CMA (Cow's Milk Allergy)
  • DBPCFC (Double-Blind Placebo-Controlled Food Challenge)
  • FA (Food Allergy)
  • IgE (Immunoglobulin E)
  • OFC (Oral Food Challenge)
03

In context

Milk Hypersensitivity

147 studies on the registry are indexed under Milk Hypersensitivity; 26 are open to participants now.

This study's planned enrollment of 70 is close to the median of 68 across 95 interventional studies indexed under Milk Hypersensitivity.

Browse Milk Hypersensitivity studies →

Lead sponsor

United Pharmaceuticals is the lead sponsor of 13 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
1 Month to 24 Months
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • between 1 and 24 months old
  • having a CMA proven in the last 3 months prior to inclusion
  • free of clinical allergic symptoms for at least one week (i.e., successfully fed an elimination diet)
  • whose parent(s)/legal guardian(s) signed the form.

Main Exclusion Criteria:

  • Children mainly (\>1 breastfeeding/day) or exclusively breastfed, with maternal willingness to continue breast-feeding
  • Children with a mean formula intake lower than 250 ml/day
  • Children with past anaphylactic reaction(s)
  • Children with chronic (non acute) FPIES

    -- Children presenting with any situation which, according to the investigator, may interfere with the study participation, or lead to a particular risk for the subject,

  • Children already participating in another clinical trial
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
70 participants (estimated)

Study arms

  • Experimental
    Test Formula

    Infants will receive an extensively hydrolyzed formula during the double-blind placebo-controlled food challenge (DBPCFC) and will continue on this formula during the open-label feeding phase if they tolerate it.

    Dietary Supplement: Test Formula · Dietary Supplement: Placebo Formula

  • Placebo comparator
    Placebo Formula

    Infants will receive a placebo formula (=their previous formula) during the DBPCFC to compare against the test formula.

    Dietary Supplement: Test Formula · Dietary Supplement: Placebo Formula

Interventions

  • Dietary supplementTest Formula

    Infants will receive an extensively hydrolyzed formula during the double-blind placebo-controlled food challenge (DBPCFC) and will continue on this formula during the open-label feeding phase if they tolerate it.

  • Dietary supplementPlacebo Formula

    Infants will receive a placebo formula during the DBPCFC to compare against the test formula.

06

What researchers measure

Primary outcomes

  1. Hypoallergenicity of the formula

    the percentage of children tolerating the formula during the double blind placebo controlled food challenge

    Time frame: 7 days

Secondary outcomes

  1. Cow's Milk Related Symptom Score (CoMiSS™)

    The Cow's Milk Related Symptom Score (CoMiSS™) will be evaluated globally and each of its subscore. CoMiSS ranges from 0 to 33 (worst outcome).

    Time frame: At each visit : day7, day 30, day 60, day 90 and day 120

  2. Atopic dermatitis severity - SCORing Atopic Dermatitis (SCORAD) Index

    Atopic dermatitis is assessed using the SCORing Atopic Dermatitis (SCORAD) Index. The score ranges from 0 to 103 (most severe state) and is used to determine the stages of severity of AD.

    Time frame: At each visit : day7, day 30, day 60, day 90 and day 120

  3. Gastrointestinal CMA symptoms

    the other Gastrointestinal CMA symptoms (not described by the COMISS) will be reported (such as acute diarrhea, constipation...)

    Time frame: At each visit : day7, day 30, day 60, day 90 and day 120

  4. Cutaneous CMA symptoms

    Others Cutaneous CMA symptoms besides those evaluated in the CoMISS and the SCORAD will be described

    Time frame: At each visit : day7, day 30, day 60, day 90 and day 120

  5. Sleep characteristics

    This measures focuses on evaluating the quality and duration of sleep in children consuming the test.

    Time frame: At each visit : day7, day 30, day 60, day 90 and day 120

  6. Weight

    Weight will be expressed in kg and in z scores according to the World Health Organization (WHO) Child Growth Standards.

    Time frame: At each monthly visit day 30, day 60, day 90 and day 120

  7. Height

    Height will be expressed in cm and in z scores according to the WHO Child Growth Standards.

    Time frame: At each monthly visit day 30, day 60, day 90 and day 120

  8. Head circumference

    Head circumference will be expressed in cm and in z scores according to the WHO Child Growth Standards.

    Time frame: At each monthly visit day 30, day 60, day 90 and day 120

  9. BMI

    BMI will be expressed in value and z scores according to the WHO Child Growth Standards.

    Time frame: At each monthly visit day 30, day 60, day 90 and day 120

  10. Adverse event

    Any untoward medical reaction occuring from the signatture of the consent until the end of the participant's participation

    Time frame: During the whole study duration

  11. Compliance

    It will be assessed through the volume of formula consumed

    Time frame: At each visit : day7, day 30, day 60, day 90 and day 120

  12. Parents' satisfaction

    Satisfaction regarding the effect of the study formula on regurgitations, stool consistency, digestive comfort, and the acceptability of the formula by the child will be evaluated by using a 5-level satisfaction scale (very satisfied/satisfied/unsatisfied/very unsatisfied / without opinion)

    Time frame: At each visit : day7, day 30, day 60, day 90 and day 120

  13. Investigator's satisfaction

    paediatrician's satisfaction with the effect of the study formula on the child) will be assessed by using a 4-level satisfaction scale (very satisfied/satisfied/unsatisfied/very unsatisfied).

    Time frame: At each visit : day7, day 30, day 60, day 90 and day 120

  14. Digestive tolerance

    Digestive tolerance of the formula will be assessed by monitoring stool frequency and consistency, regurgitations, abdominal pain/painful flatus/ bloating, crying time, irritability time.

    Time frame: At each visit : day7, day 30, day 60, day 90 and day 120

07

Study locations

2 sites
  • Private practice Elena BRADATAN
    Namur, Begium 5000, Belgium
  • University Hospital - Umberto I Sapienza
    Roma, 00161, Italy
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 Jan 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06481280
Lead sponsor
United Pharmaceuticals
Collaborators
Slb Pharma
Responsible party
Sponsor
First posted
Jul 1, 2024
Start date
Aug 14, 2024
Primary completion
Jan 2026 (estimated)
Completion
Jun 2026 (estimated)
Last update
Jan 7, 2025

Study contacts

Salvatore OLIVA, MD, PhD
principal investigator · University Hospital - Umberto I

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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