ClinicalTrials.gg
SuspendedNCT07580898SURVEYORUpdated Oct 16, 2026

Safety of MOON101 for the Treatment of Peanut Allergy

A Phase 1 interventional study of Dose A and Dose B in Peanut Allergy, sponsored by Moonlight Therapeutics, Inc.. Suspended at 5 sites in United States. Open to participants aged 4 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Moonlight Therapeutics, Inc. · Phase 1, Interventional, and Treatment

Why this study was suspended
Clinical Hold
Updated Oct 16, 2026Now SuspendedNow Active, not recruitingGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
4 Years to 55 Years
Sex
All
01

Study summary

The goal of this open-label, single escalating dose study in 3 sequential groups: adults, adolescents, and children with peanut allergy is to assess the safety of MOON101. The main question it aims to answer is:

  1. the incidence and frequency of all treatment emergent adverse events (TEAEs) from baseline through study exit.
  2. to determine the highest tolerated dose for each participant, as defined by the highest MOON101 dose level administered which did not cause a dose-limiting symptom (DLS).

The study will compare MOON101 and placebo. All participants will receive both active MOON101 (peanut allergen) and placebo (no peanut allergen).

Read the detailed description

As U44-MNLT-01 is a first-in-human study (investigating the safety of MOON101), initial enrollment will consist of peanut allergic adult participants who will receive placebo and escalating doses of MOON101 followed by enrollment of peanut allergic adolescents (aged 12-17 years) and peanut allergic children (aged 4-11 years). Prior to enrollment of each additional group, a safety review will occur.

This study is designed as an open-label, single escalating dose study in 3 sequential groups: adults, adolescents, and children with peanut allergy. A total of approximately 40 participants will be enrolled. This will be an outpatient study and participants will have a screening visit, 5 treatment visits, a follow up phone call 24 hours following each dose, one in-clinic follow-up visit (7 ± 2 days following their last dose) and a follow-up phone call (14 ± 2 days following their last dose). Three groups will be enrolled sequentially. Group 1 will be adults (n=10), Group 2 will be adolescents (n=10) and Group 3 will be children (n=20). Each group will receive up to 5 escalating doses of the investigational product (IP) as tolerated, with matching placebo at each dose level.

The independent National Institutes of Allergy and Infectious Diseases (NIAID) Data and Safety Monitoring Board (DSMB) will meet periodically at specified times throughout the trial to review safety data and make recommendations regarding the start of Group 2 and Group 3.

An initial group (Group 1) of adults (ages 18-55 years) with peanut allergy will each receive up to 5 doses of placebo and up to 5 single escalating doses of the IP as tolerated. Participants will receive placebo and MOON101 coated with 1 μg, 10 µg, 25 µg, 50 µg and 100 µg of peanut extract (PE), as tolerated, every 7 days. Each participant will receive both a placebo dose and a MOON101 dose at each treatment visit. The placebo and MOON101 will each be applied to the volar aspect of the arm (right and left arm, respectively) for 3 minutes. Following review of Group 1 safety data by the DSMB, Group 2 (adolescents with peanut allergy, ages 12-17 years) will be enrolled and will conditionally receive the same dosing regimen as Group 1. Finally, Group 3 (children with peanut allergy, ages 4-11 years) will be enrolled and will conditionally receive the same dosing regimen following confirmation of safety in Group 2 by the DSMB. Modifications to the dosing regimen may occur as recommended by the DSMB.

Each participant will be in the study for approximately 73 days, including a screening visit, up to 5 dosing visits with a 24-hour follow-up phone call after each dosing visit, 1 in-clinic follow-up visit, and a follow-up phone call.

02

Conditions studied

  • Peanut Allergy

Keywords

  • peanut allergy
  • immunotherapy
  • transdermal
  • microneedle
  • viaskin
  • palforzia
  • pediatric
  • adolescent
  • children
  • patch
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 40 is below 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 Moonlight Therapeutics, Inc. as lead sponsor.

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

04

Who can participate

Ages eligible
4 Years to 55 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

  1. Participant and/or parent/guardian must understand and provide written and assent.
  2. Aged 4 to 55 years per applicable enrolling group below of any sex/race/ethnicity at informed consent and assent (if applicable) form signature:

    1. Group 1: Adults; ages 18-55 years
    2. Group 2: Adolescents; ages 12-17 years
    3. Group 3: Children; ages 4-11 years
  3. A physician-confirmed medical history of peanut allergy within minutes to 2 hours of ingesting peanut.
  4. A peanut SPT with mean wheal diameter as defined by age.

Exclusion criteria

Exclusion Criteria:

  1. Laboratory evidence of liver or renal disease.
  2. Poorly controlled or severe asthma/wheezing
  3. Previous use of any form of peanut allergen immunotherapy within the 6 months prior to Screening.
  4. Previous use of any biologic therapies such as omalizumab, dupilumab, benralizumab, reslizumab, tezepelumab, or any other immunomodulatory or therapy (not including ) within the 6 months prior to Screening.
  5. Current use of β-blockers (oral), angiotensin-converting enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), or calcium channel blockers.
  6. Treatment with a burst of oral, intramuscular (IM), intra-articular (IA), or intravenous (IV) steroids of more than two days within 30 days of Screening.
  7. Unable to temporarily discontinue antihistamines (5 half-lives of the antihistamine) prior to SPT.
  8. Unable to discontinue topical steroids to the testing application site for 24 hours prior to testing.

Other inclusion/exclusion criteria apply.

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.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Dose A

    1ug MOON101 and Placebo stamps

    Combination Product: Dose A

  • Experimental
    Dose B

    10ug MOON101 and Placebo stamps

    Combination Product: Dose B

  • Experimental
    Dose C

    25ug MOON101 and Placebo stamps

    Combination Product: Dose C

  • Experimental
    Dose D

    50ug MOON101 and Placebo stamps

    Combination Product: Dose D

  • Experimental
    Dose E

    100ug MOON101 (two 50ug MOON101 stamps) and one Placebo stamp

    Combination Product: Dose E

  • Placebo comparator
    Placebo

    microneedle stamp with no peanut extract on it

    Combination Product: Placebo

Interventions

  • Combination productDose A

    MOON101-1 is a microneedle stamp (a square stainless steel array) coated with 1 ug of peanut extract (active drug).

  • Combination productDose B

    MOON101-10 is a microneedle stamp (a square stainless steel array) coated with 10 ug of peanut extract (active drug).

  • Combination productDose C

    MOON101-25 is a microneedle stamp (a square stainless steel array) coated with 25 ug of peanut extract (active drug).

  • Combination productDose D

    MOON101-50 is a microneedle stamp (a square stainless steel array) coated with 50 ug of peanut extract (active drug).

  • Combination productDose E

    MOON101-100 is two microneedle stamps (a square stainless steel array) coated with 50 ug of peanut extract (active drug) each. Two stamps are used to administer a 100ug dose of peanut extract in Dose E.

  • Combination productPlacebo

    MOON101-0 is a microneedle stamp (a square stainless steel array) coated with 0 ug of peanut extract (active drug). There is no peanut extract on the MOON101-0 stamp.

06

What researchers measure

Primary outcomes

  1. Treatment Emergent Adverse Events (TEAEs)

    Incidence and frequency of all TEAEs

    Time frame: baseline (Day 1) through study exit (Day 45)

Secondary outcomes

  1. TEAEs excluding application site reactions (ASRs)

    Incidence and frequency of all TEAEs, excluding application site reactions (ASRs)

    Time frame: baseline (Day 1) through study exit (Day 45)

  2. Serious Adverse Events (SAEs)

    Incidence and frequency of SAEs

    Time frame: baseline (Day 1) through study exit (Day 45)

  3. Adverse Events (AEs)

    Incidence and frequency of treatment-related or possibly related AEs

    Time frame: baseline (Day 1) through study exit (Day 45)

  4. Application Site Reactions (ASRs)

    Incidence and frequency of ASRs at 15 minutes, 1 hour and 2 hours post MOON101 administration.

    Time frame: Visit 2 (Day 1)

  5. Application Site Reactions (ASRs)

    Incidence and frequency of ASRs at 15 minutes, 1 hour and 2 hours post MOON101 administration.

    Time frame: Visit 3 (Day 8 +/-2)

  6. Application Site Reactions (ASRs)

    Incidence and frequency of ASRs at 15 minutes, 1 hour and 2 hours post MOON101 administration.

    Time frame: Visit 4 (Day 15 +/-2)

  7. Application Site Reactions (ASRs)

    Incidence and frequency of ASRs at 15 minutes, 1 hour and 2 hours post MOON101 administration.

    Time frame: Visit 5 (Day 22 +/-2)

  8. Application Site Reactions (ASRs)

    Incidence and frequency of ASRs at 15 minutes, 1 hour and 2 hours post MOON101 administration.

    Time frame: Visit 6 (Day 29 +/-2)

  9. Highest Tolerated Dose of MOON101

    Highest tolerated dose for each participant, as defined by the highest MOON101 dose level administered which did not cause a dose-limiting symptom (DLS).

    Time frame: Baseline (Day 1) through study exit (Day 45)

  10. Treatment discontinuation due to related AEs

    Number of treatment discontinuations due to related AEs

    Time frame: baseline (Day 1) through study exit (Day 45)

07

Study locations

5 sites
  • Arkansas Children's Research Institute
    Little Rock, Arkansas 72202, United States
  • Children's Healthcare of Atlanta
    Atlanta, Georgia 30329, United States
  • Dr. Vince Clinical Research
    Overland Park, Kansas 66212, United States
  • University of Michigan
    Ann Arbor, Michigan 48106, United States
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Status
Recruiting→Active, not recruiting→Suspended Clinical Hold
changed Oct 5, 2026 · changed Oct 16, 2026
Show all 2 updates
  1. Oct 16, 2026
    Active, not recruiting→Suspended
    Why stopped Clinical Hold
  2. Oct 5, 2026
    Recruiting→Active, not recruiting
    + 3 other changes: verification date, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07580898
Lead sponsor
Moonlight Therapeutics, Inc.
Responsible party
Sponsor
First posted
May 12, 2026
Start date
Jun 29, 2026
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Oct 16, 2026

Study contacts

Samir Patel, PhD
principal investigator · Moonlight Therapeutics, Inc.
Brian P Vickery, MD
study chair · Professor of Pediatrics, Emory University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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