ClinicalTrials.gg
RecruitingNCT06976775compITOUpdated Feb 18, 2026

Comparison Between a Rush and a Conventional Oral Immunotherapy Protocol to Treat Cow's Milk and Hen´s Egg Allergy. CompITO Study

A Phase 2/3 interventional study of "Rush" regimen and "Conventional" regimen in Food Allergy in Children, Milk Allergy and Egg Allergy, sponsored by Pablo Rodríguez del Rio. Recruiting at 1 site in Spain. Open to participants aged 6 Years to 16 Years. Per ClinicalTrials.gov, last updated 2026-02-18.

Sponsored by Pablo Rodríguez del Rio · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Phase
Phase 2/3
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
6 Years to 16 Years
Sex
All
01

Study summary

This study investigates the efficacy and safety of two different OIT schemes to treat milk and egg allergic children

Read the detailed description

Food immunotherapy, especially oral immunotherapy (OIT), is now a standard treatment option for patients allergic to cow´s milk, hen´s egg or peanuts. While peanut OIT has drawn considerable attention from the scientific community, milk and hen´s egg OIT still remain as the most common immunotherapy administered in daily routine. Optimization of these treatments is a priority to offer to a wider number of candidates a more efficient and safe way of treatment.

A Phase II/III randomized clinical trial enrolling a total of 40 patients with non-severe food allergies (20 cow's milk allergic children and 20 hen's egg allergic children) to assess the safety and efficacy of a rush/rapid versus a conventional OIT protocol.

Schemes are comparable in terms of the number of doses, the relative increment between doses and the final amount of protein, with one exception: the "rush" regimen includes several doses given the same day over the first week of treatment while in the "conventional" regimen Induction Phase is based upon single doses given every 2 weeks.

There are two different parts in the study, during Induction Phase (Part 1, 1 week up to 7 months), participants in both groups will receive incremental doses of milk/egg, depending on their allergy, until they tolerate 6600 mg or 4680mg of milk or egg protein respectively. The occurrence of adverse events in both groups will result in dose adjustments and delay in completion Induction Phase. During Maintenance Phase (Part 2), patients will ingest the same dose (daily for milk and every 48h for egg) until the end of study, that will last for a total duration of 7 months.

The study features a dual primary outcome. Safety and efficacy variables are primary outcomes, and parents and patient-reported food allergy-related quality of life (HRQoL) are secondary outcomes, as well as burden of treatment and immunological changes. Molecular changes underlying OIT will be studied, and biomarkers of safety and efficacy will be sought

02

Conditions studied

  • Food Allergy in Children
  • Milk Allergy
  • Egg Allergy

Keywords

  • Food immunotherapy
  • Allergy
  • Milk
  • Egg
  • Oral immunotherapy
  • Anaphylaxis
  • Mast cell activation test
  • Saliva
  • Blood
  • IgE
  • Food allergy
  • Sensitization
  • Children
  • Pediatric
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 40 is below the median of 68 across 95 interventional studies indexed under Milk Hypersensitivity.

Browse Milk Hypersensitivity studies →

Lead sponsor

This is the only study on the registry with Pablo Rodríguez del Rio as lead sponsor.

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

04

Who can participate

Ages eligible
6 Years to 16 Years
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

  • Patients 6 to 16 years old
  • sIgE levels to milk 0.35 to 35kUA/L for milk allergic subjects and egg 0.35 to 35kUA/L for egg allergic subjects
  • Entry DBPCFC discrete milk eliciting dose (ED)≥ 22.2mg of milk protein and discrete egg ED≥18.5mg of egg protein, that are the population-based reference values for the ED20
  • Having a mild to moderate food allergy severity per DEFASE score (\<13 points)

Exclusion criteria

Exclusion Criteria:

  • sIgE levels to milk >35kUA/L for milk allergic subjects and egg > 35kUA/L for milk allergic subjects
  • Entry DBPCFC discrete milk ED\<22.2mg of milk protein or discrete egg ED\<18.5mg of egg protein
  • Entry DBPCFC discrete ED for milk>2112mg of milk protein (cumulative amount of 4193,7mg of milk protein) and egg discrete ED>1560mg of egg protein (cumulative amount of 3110.8mg of egg protein)
  • Having severe food allergy per DEFASE score (≥13 points)
  • Other exclusion criteria: uncontrolled asthma, \<70%, severe atopic dermatitis, Eosinophilic Esophagitis, non-IgE mediated allergy, having started SCIT 3 months before, or SLIT one week before. Pregnancy
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.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Rush protocol

    Milk and egg allergic children undergoing OIT following a Rush regimen

    Biological: "Rush" regimen

  • Active comparator
    Conventional protocol

    Milk and egg allergic children undergoing OIT following a Conventional regimen

    Biological: "Conventional" regimen

Interventions

  • Biological"Rush" regimen

    The "rush" regimen consists of the administration of several incremental doses daily, every day, over the first week of the Induction Phase (Part 1)

  • Biological"Conventional" regimen

    The "conventional" regimen consists of the administration of only one incremental dose every 2 weeks, throughout all the Induction Phase (Part 1)

06

What researchers measure

Primary outcomes

  1. Number of adverse events with an oFASS5 severity ≥2 occurred until Induction Phase (Part 1) completion at the hospital setting per subject in both groups, rush vs conventional

    Time frame: Throughout the Induction Phase (Part 1), 1 week up to 7 months

  2. Proportion of subjects completing the Induction Phase (Part 1) in both groups (rush vs conventional) at the end of study (7 months of treatment)

    Time frame: End of study (7 months of treatment)

Secondary outcomes

  1. Number of adverse events with an oFASS5 severity ≥2 reported until Induction Phase (Part 1) completion at home and hospital setting per subject in both groups, rush vs conventional

    Time frame: Throughout the Induction Phase (Part 1), 1 week up to 7 months

  2. Number of anaphylaxis events reported until Induction Phase (Part 1) completion at home and hospital setting per subject in both groups, rush vs conventional

    Time frame: Throughout the Induction Phase (Part 1), 1 week up to 7 months

  3. Comparison of the median threshold change between baseline double blind placebo-controlled food challenge (DBPCFC) and maximum tolerated dose (mg of protein) between rush and conventional protocol subjects at the end of the study (7 months of treatment)

    Time frame: End of study (7 months of treatment)

  4. Comparison of the median number of days needed in both groups, rush vs conventional, to complete the Induction Phase (Part 1) in subjects accomplishing this outcome

    Time frame: Throughout the Induction Phase (Part 1), 1 week up to 7 months

  5. Comparison of the median Food Allergy Quality of Life Questionnaire, Parental Form (FAQLQ-PF) score change in patients undergoing rush vs conventional protocols between baseline and end of study (7 months of treatment).

    FAQLQ-PF values range from 0 to 6, with higher scores representing more QoL impairment

    Time frame: End of study (7 months of treatment)

  6. Comparison of the median burden of treatment score in patients undergoing rush vs conventional protocols at the end of study (7 months of treatment)

    Burden of treatment evaluation will be carried out applying a new tool in current development, where values range from 0 to 6, and with higher scores representing a more burdensome treatment

    Time frame: End of study (7 months of treatment)

  7. Comparison of the median sIgE levels (kU/L) to milk or egg proteins in patients undergoing rush vs conventional protocols at baseline and at end of study (7 months of treatment)

    Time frame: End of study (7 months of treatment)

  8. Comparison of the median SPT (mm) wheal size to milk or egg proteins in patients undergoing rush vs conventional protocols at baseline and at end of study (7 months of treatment)

    Time frame: End of study (7 months of treatment)

  9. Comparison of the median sIgG4 (mg/L) levels to milk or egg proteins in patients undergoing rush vs conventional protocols at baseline and at end of study (7 months of treatment)

    Time frame: End of study (7 months of treatment)

07

Study locations

1 of 1 sites recruiting
  • Hospital Infantil Universitario Niño Jesús. Avenida de Menéndez Pelayo, número 65
    Madrid, 28009, Spain
    Recruiting
    • Dr. Pablo Rodríguez del Río · Contactprrio@yahoo.es · +34915035900
08

References and documents

Publications

  • Eusebio-Cartagena I, Jimenez-Saiz R, Esteban V, Nunez-Borque E, Ruiz-Sanchez A, Escudero C, Sanchez-Garcia S, Trujillo J, Dunn-Galvin A, Ibanez-Sandin MDP, Rodriguez Del Rio P. Comparison Between a Rush and a Conventional Oral Immunotherapy Protocol to Treat Cow's Milk and Hen's Egg Allergy. CompITO Study Methodology. Clin Exp Allergy. 2026 Apr;56(4):421-423. doi: 10.1111/cea.70168. Epub 2025 Oct 30. No abstract available. PubMed 41168926 ↗

Individual participant data

Plan to share: No

09

Updates

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

Registry details

Key details

Study ID
NCT06976775
Lead sponsor
Pablo Rodríguez del Rio
Responsible party
Pablo Rodríguez del Rio (Sponsor-Investigator, Fundación de Investigación Biomédica - Hospital Universitario de La Princesa) — Sponsor-investigator
First posted
May 16, 2025
Start date
Jun 3, 2025
Primary completion
Apr 30, 2027 (estimated)
Completion
Apr 30, 2027 (estimated)
Last update
Feb 18, 2026

Study contacts

Dr. Pablo Rodríguez del Río
Contact
prrio@yahoo.es
+34915035900
Dr. Pablo Rodriguez del Río, MD, PhD
principal investigator · Hospital Infantil Niño Jesús, Instituto de Investigación La Princesa

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