ClinicalTrials.gg
RecruitingNCT07117669Updated Apr 24, 2026

Study of ENP-501 in Peanut-Allergic and Non-Allergic Participants

A Phase 1/2 interventional study of ENP-501 and Placebo in Peanut Allergy, sponsored by N-Fold, LLC. Recruiting at 1 site in United States. Open to participants aged 14 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-24.

Sponsored by N-Fold, LLC · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2025; still recruiting 10 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
14 Years to 50 Years
Sex
All
01

Study summary

This is a Phase 1/2 study to evaluate the safety and clinical activity of ENP-501 in non-peanut allergic (NPA) healthy participants and participants with an established peanut allergy (PA)

02

Conditions studied

  • Peanut Allergy

Keywords

  • Peanut Hypersensitivity
03

In context

Peanut Hypersensitivity

166 studies on the registry are indexed under Peanut Hypersensitivity; 27 are open to participants now.

This study's planned enrollment of 68 is above the median of 50 across 127 interventional studies indexed under Peanut Hypersensitivity.

Browse Peanut Hypersensitivity studies →

Lead sponsor

This is the only study on the registry with N-Fold, LLC as lead sponsor.

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

04

Who can participate

Ages eligible
14 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

Part 1:

  • 14-50 years of age (inclusive)
  • Otherwise medically healthy and able to participate in the study
  • Able to perform spirometry testing in accordance with the American Thoracic Society (ATS) guidelines (2019)
  • All women of , agree to either abstain from sexual activity or agree to use an adequate method of for the duration of the study and for 30 days after the last dose of product
  • Signed and dated written from the participant and/or parent or guardian
  • Signed and dated assent from participant under 18 in accordance with local IRB regulations
  • Willing and able to avoid peanut and peanut contaminants for the duration of the trial

Part 1 Cohort 1 only (NPA Participants)

  • No known clinical history of peanut allergy with regular exposure to peanuts in daily life, i.e ingests peanuts without symptoms
  • Negative Skin Prick Test (SPT) (wheal diameter of \<3 mm) to peanut

Part 1 Cohort 2 only (PA Participants)

  • A documented clinical history of peanut allergy, which includes the development of symptoms (e.g., urticaria, flushing, rhinorrhea and sneezing, throat tightness or hoarseness, wheezing, vomiting) verified by a physician
  • At least two of the three following requirements:

    1. Positive Skin Prick Test (SPT) (wheal diameter of ≥ 8 mm) to peanut
    2. An elevated serum peanut specific IgE level ≥ 7 kUA/L (ImmunoCAP®)
    3. An Ara-h2 IgE level of ≥ 2 kUA/L (ImmunoCAP®)

Part 2:

  • 14 to 50 years of age (inclusive)
  • A documented clinical history of peanut allergy, which includes the development of symptoms (e.g., urticaria, flushing, rhinorrhea and sneezing, throat tightness or hoarseness, wheezing, vomiting) verified by a physician
  • At least two of the three following requirements at screening:

    1. Positive SPT (wheal diameter of ≥ 3 mm) to peanut
    2. Serum peanut-specific IgE level ≥ 0.7 kUA/L (ImmunoCAP®)
    3. An Ara-h2 IgE level of ≥ 0.5 kUA/L (ImmunoCAP®) within 1 year of enrollment
  • Participant must be willing and able to complete a DBPCFC at screening and EOT (24-hours after last dose) and experience dose-limiting symptoms at or before the 300 mg challenge dose of peanut protein during a Double Blind, Placebo Controlled Food Challenge (DBPCFC) conducted in accordance with Practical Issues in Allergology, Joint United States/European Union Initiative (PRACTALL) guidelines
  • Otherwise medically healthy and able to participate in the study
  • Able to perform spirometry testing in accordance with the ATS guidelines (2019)
  • All women of child-bearing potential, agree to either abstain from sexual activity or agree to use an adequate method of contraception for the duration of the study and for 30 days after the last dose of investigational product
  • Signed and dated written informed consent from the participant and/or parent or guardian
  • Signed and dated assent from participant under 18 in accordance with local IRB regulations
  • Willing and able to avoid peanut and peanut contaminants for the duration of the trial

Exclusion criteria

Exclusion Criteria:

  • History of severe anaphylactic event requiring mechanical ventilation or use of intravenous (IV) vasopressor drugs
  • screening (ECG) abnormality or corrected >/= 450 msec at Screening
  • value \< 80% predicted at Screening
  • Any hospitalization in the past year for asthma, >1 course of oral for asthma in the past 6 months, or any emergency room visit in the past 6 months for asthma
  • Poorly controlled atopic dermatitis
  • Eosinophilic gastrointestinal disease
  • Use of oral or IV corticosteroids within 30 days of Screening
  • Use of tricyclic antidepressants within 6 months of Screening
  • Inability to discontinue antihistamines for at least 5 half-lives before skin testing
  • Use of omalizumab or other immunomodulatory therapy (not including corticosteroids) or biologic therapy within one year of Screening
  • Use of any food allergen-specific or other non-traditional form of allergen immunotherapy within one year of Screening
  • Use of drugs within 30 days of Screening
  • Use of ß-blockers (oral)
  • Evidence of clinically significant neurologic, cardiac, pulmonary, hepatic, rheumatologic, , or renal disease by history, physical examination, and/or laboratory studies including urinalysis
  • Pregnant or breast-feeding (if female)
  • Behavioral, cognitive, or psychiatric disease that in the opinion of the Investigator affects the ability of the participant to understand and cooperate with the study protocol
  • Known allergy to inactive ingredients of product (active or placebo)
  • Participation in another interventional clinical trial within 30 days of Screening or within 5 half-lives of the other IP
  • Residing at the same address as another participant in this or any peanut immunotherapy study
Terms in these criteria, in plain language(11)

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.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
68 participants (estimated)

Study arms

  • Experimental
    ENP-501

    Drug: ENP-501

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugENP-501

    * Part 1: Participants will receive buccal administrations of ENP-501 daily for 6-14 weeks * Part 2: Participants will receive buccal administrations of ENP-501 daily for 52 weeks following achieving the 2000 µg target dose

  • DrugPlacebo

    * Part 1: Participants will receive buccal administrations of placebo daily for 6-14 weeks * Part 2: Participants will receive buccal administrations of placebo daily for 52 weeks following achieving the 2000 µg target dose

06

What researchers measure

Primary outcomes

  1. Number of Participants with Treatment-Emergent Adverse Events (TEAEs) as Assessed by NCI CTCAE v 5.0 in Part 1

    Time frame: Up to 22 Weeks

  2. Number of Participants with Treatment-Emergent Serious Adverse Events (TESAEs) as Assessed by NCI CTCAE v 5.0 in Part 1

    Time frame: Up to 22 Weeks

  3. Number of Participants with Dose Limiting Toxicities (DLTs) as Assessed by NCI CTCAE v 5.0 in Part 1

    Time frame: Up to 22 Weeks

  4. Number of Participants with Systemic Reactions as Assessed by NCI CTCAE v 5.0 in Part 1

    Time frame: Up to 22 Weeks

  5. Number of Participants with changes in Clinical Laboratory Values in Part 1

    Time frame: Up to 22 Weeks

  6. Number of Participants with changes in Physical Examination in Part 1

    Time frame: Up to 22 Weeks

  7. Number of Participants with changes in Vital Signs in Part 1

    Time frame: Up to 22 Weeks

  8. Proportion of Participants Tolerating ≥1043 mg Cumulative Peanut Protein Without Dose-Limiting Symptoms at End of Treatment (EOT) Visit Double-Blind Placebo-Controlled Food Challenge (DBPCFC) Compared to Placebo in Part 2

    Time frame: Up to 72 Weeks

Secondary outcomes

  1. Number of Participants Able to Tolerate 2000 µg Dose of ENP-501 Without Experiencing Dose-Limiting Toxicity (DLT) in Part 1

    Time frame: Up to 22 Weeks

  2. Change in Total IgE Levels in Part 1

    Time frame: Screening and Week 22 (EOS)

  3. Change in Ara h 1-Specific IgE Levels in Part 1

    Time frame: Screening and Week 22 (EOS)

  4. Change in Ara h 2-Specific IgE Levels in Part 1

    Time frame: Screening and Week 22 (EOS)

  5. Change in Ara h 3-Specific IgE Levels in Part 1

    Time frame: Screening and Week 22 (EOS)

  6. Change in Ara h 1-Specific IgG4 Levels in Part 1

    Time frame: Screening and Week 22 (EOS)

  7. Change in Ara h 2-Specific IgG4 Levels in Part 1

    Time frame: Screening and Week 22 (EOS)

  8. Change in Ara h 3-Specific IgG4 Levels in Part 1

    Time frame: Screening and Week 22 (EOS)

  9. Change in Wheal Diameter on Skin Prick Test (SPT) to Peanut in Part 1

    Time frame: Screening and Week 22 (EOS)

  10. Proportion of Participants Tolerating at Least 443 mg Cumulative Dose of Peanut Protein Without Dose-Limiting Symptoms at EOT Visit DBPCFC Compared to Placebo in Part 2

    Time frame: Up to 72 Weeks

  11. Proportion of Participants Tolerating at Least 2043 mg Cumulative Dose of Peanut Protein Without Dose-Limiting Symptoms at EOT Visit DBPCFC Compared to Placebo in Part 2

    Time frame: Up to 72 Weeks

  12. Proportion of Participants Tolerating 4043 mg Cumulative Dose of Peanut Protein Without Dose-Limiting Symptoms at EOT Visit DBPCFC Compared to Placebo in Part 2

    Time frame: Up to 72 Weeks

  13. Maximum Severity of Symptoms Occurring at Each Challenge Dose of Peanut Protein During the Exit DBPCFC in Part 2

    Time frame: Up to 72 Weeks

  14. Number of Participants Able to Tolerate the 2000 µg Dose of ENP-501 in Part 2

    Time frame: Up to 72 Weeks

  15. Change in Total IgE Levels in Part 2

    Time frame: Screening and Week 72 (EOS)

  16. Change in Ara h 1-Specific IgE Levels in Part 2

    Time frame: Screening and Week 72 (EOS)

  17. Change in Ara h 2-Specific IgE Levels in Part 2

    Time frame: Screening and Week 72 (EOS)

  18. Change in Ara h 3-Specific IgE Levels in Part 2

    Time frame: Screening and Week 72 (EOS)

  19. Change in Ara h 1-Specific IgG4 Levels in Part 2

    Time frame: Screening and Week 72 (EOS)

  20. Change in Ara h 2-Specific IgG4 Levels in Part 2

    Time frame: Screening and Week 72 (EOS)

  21. Change in Ara h 3-Specific IgG4 Levels in Part 2

    Time frame: Screening and Week 72 (EOS)

  22. Change in Wheal Diameter on Skin Prick Test (SPT) to Peanut in Part 2

    Time frame: Screening and Week 72 (EOS)

  23. Number of Participants with Treatment-Emergent Adverse Events (TEAEs) as Assessed by NCI CTCAE v 5.0 in Part 2

    Time frame: Up to 72 Weeks

  24. Number of Participants with Treatment-Emergent Serious Adverse Events (TESAEs) as Assessed by NCI CTCAE v 5.0 in Part 2

    Time frame: Up to 72 Weeks

  25. Number of Participants with TEAEs leading to discontinuation as Assessed by NCI CTCAE v 5.0 in Part 2

    Time frame: Up to 72 Weeks

  26. Number of Participants with Systemic Reactions as Assessed by NCI CTCAE v 5.0 in Part 2

    Time frame: Up to 72 Weeks

  27. Number of Participants with changes in Clinical Laboratory Values in Part 2

    Time frame: Up to 72 Weeks

  28. Number of Participants with changes in Physical Examination in Part 2

    Time frame: Up to 72 Weeks

  29. Number of Participants with changes in Vital Signs in Part 2

    Time frame: Up to 72 Weeks

07

Study locations

1 of 1 sites recruiting
  • Research Site 001
    Aurora, Colorado 80045, United States
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07117669
Lead sponsor
N-Fold, LLC
Collaborators
CBCC Global Research
Responsible party
Sponsor
First posted
Aug 12, 2025
Start date
Dec 16, 2025
Primary completion
Nov 2028 (estimated)
Completion
Nov 2028 (estimated)
Last update
Apr 24, 2026

Study contacts

Balraj Sangha
Contact
balraj.sangha@cbcc.global
+1 (661) 322-2206

Oversight

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

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