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RecruitingNCT06771791ELIOUpdated May 26, 2026

Evaluation of the Efficacy of Oral Immunotherapy With Raw Apple in Patients Allergic to Birch Pollen and Apple: Prospective, Multicenter, Comparative Phase III Study

A Phase 3 interventional study of oral provocation test in Allergies, sponsored by University Hospital, Strasbourg, France. Recruiting at 4 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-26.

Sponsored by University Hospital, Strasbourg, France · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2025; still recruiting 1 year 10 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Apple-birch pollen-food allergy syndrome is particularly common in Northern and Central Europe (70% of patients allergic to birch pollen), and classically induces an oral syndrome that impairs patients' quality of life. Current treatment is based on food avoidance. However, evidence of the efficacy of this treatment is limited (small numbers, lack of validation with a control group, absence of double-blind evaluation of the primary endpoint in a challenge test against placebo). The aim of oral immunotherapy with raw apple is to improve the management of allergic patients by enabling them to acquire tolerance to raw apple and other rosacea.

02

Conditions studied

  • Allergies

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Keywords

  • allergy
  • oral immunotherapy
03

In context

Hypersensitivity

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

This study's planned enrollment of 110 is above the median of 73 across 691 interventional studies indexed under Hypersensitivity.

Browse Hypersensitivity studies →

Lead sponsor

University Hospital, Strasbourg, France is the lead sponsor of 999 studies on the registry; 358 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Patient with allergic rhinitis to birch pollen.
  • Patient with an oral syndrome within 15 minutes of consuming at least one of the first 3 doses of raw apple in the V0 or V1 raw apple oral challenge test.
  • Evidence of sensitization to PR10 proteins in birch pollen and apple: positive prick tests to birch pollen and raw Golden apple and/or positive Bet v 1 and Mal d 1 specific IgE assays.
  • Subject affiliated to a social health insurance scheme
  • Subject able to understand the aims and risks of the research and to give dated and signed
  • For women of childbearing age: negative urine pregnancy test at inclusion visit

Exclusion criteria

Exclusion Criteria:

  • Severe or uncontrolled asthma
  • Severe obstructive syndrome
  • Active neoplastic disease
  • Active disease
  • Eosinophilic esophagitis or other active eosinophilic gastrointestinal pathologies
  • History of bariatric surgery
  • History of anaphylaxis to apples
  • Allergy to cooked apples
  • to anti-histamines, corticoids, salbutamol, adrenaline
  • Other contraindication to an oral challenge test
  • Allergy to placebo ingredients
  • Presence of oral syndrome during consumption of placebo in the first oral challenge test
  • Allergenic immunotherapy to birch pollen in progress or completed less than 5 years ago
  • Current treatment with anti-IgE, anti-IL4/13, anti-IL5 or anti-TSLP biotherapy.
  • Impossibility of giving the subject informed information
  • Subject under court protection
  • Subject under guardianship or curatorship
  • Pregnancy
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.

Informed consent

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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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
110 participants (estimated)

Study arms

  • Experimental
    oral immunotherapy

    oral immunotherapy with raw apple during 9 month

    Other: oral provocation test

  • Placebo comparator
    eviction

    avoidance of raw apples for 9 months

    Other: oral provocation test

Interventions

  • Otheroral provocation test

    Progressively increasing doses of peeled fresh Golden apple or placebo will be consumed by the patient (4g, 12g, 40g, 120g) with a time interval of 20 minutes between each dose.

06

What researchers measure

Primary outcomes

  1. Efficacy of oral immunotherapy to raw apple on the reduction of oral raw apple syndrome

    To evaluate the efficacy of oral immunotherapy to raw apple on the reduction of oral raw apple syndrome after 9 months of oral immunotherapy. A reduction in oral syndrome after 9 months of oral immunotherapy with raw apple is defined as: absence of oral syndrome on the 9-month raw apple OPT when consuming a dose of raw apple 3 times greater than the dose of raw apple triggering oral syndrome on the initial raw apple oral challenge.

    Time frame: 9 month

07

Study locations

2 of 4 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

Started Jan 2025 (actual). Primary completion is estimated for May 2027, 27 months after the start.

Of 42 phase 3 interventional studies under Hypersensitivity, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 34. This study's planned 27 months is above that.

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

Registered
Jan 7, 2025
First posted
Jan 13, 2025
StartActual
Jan 8, 2025
Primary completionEst.
May 5, 2027
CompletionEst.
May 5, 2027
Last update
May 26, 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 May 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06771791
Responsible party
Sponsor
First posted
Jan 13, 2025
Start date
Jan 8, 2025
Primary completion
May 5, 2027 (estimated)
Completion
May 5, 2027 (estimated)
Last update
May 26, 2026

Study contacts

Anays PIOTIN, Dr
Contact
anays.piotin@chru-strasbourg.fr
+33 03.69.55.00.49

Oversight

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

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