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Not yet recruitingNCT07899359INFO-DKUpdated Oct 27, 2026

Immunotherapy for Curing Toddlers With Severe Food Allergy - a Paradigm Shift From Passive to Active Treatment With Multi-allergen Oral Immunotherapy

An interventional study of OIT multiallergen powder and Placebo powder in Food Allergy in Children, sponsored by Odense University Hospital. Not yet recruiting. Open to participants aged 6 Months to 47 Months. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Odense University Hospital · Not applicable, Interventional, and Treatment

Updated Oct 27, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
6 Months to 47 Months
Sex
All
01

Study summary

The aim is to study whether a multiallergen oral immunotherapy (OIT) strategy with slow up-dosing and low treatment dose against food allergy in young children (0.5-3 years) is safe and effective, a method to cure food allergy and to prevent the development of new food allergies.

Clinical randomized controlled (1:1) blinded interventional trial (RCT) with 2 intervention arms (group A and B).

Among 80 children reacting at the multiallergen food challenge, 40 children will be randomized to receive OIT (oral immunotherapy) with multiallergen powder with a final dose of approximately 200 mg protein of each included food (egg, milk, soy, wheat, walnut, peanut, hazelnut, cashew, almond, lentils)(group A) or to receive placebo powder (gluten-free oatmeal) (group B).

A sub-analysis will be performed of the children not reacting to the baseline challenge, who will be randomized to eat a low dose of the multiallergen powder (group C) or placebo powder (gluten-free oatmeal) (group D) and no specific advice.

Read the detailed description

Today, there is no established curative treatment for food allergies, and those affected must avoid the food that triggers symptoms. The most studied method is oral immunotherapy (OIT) which have mainly been carried out on children >4 years of age. The OIT method implies that the allergic individual eats initially very low doses and gradually increasing amounts of the allergen until a maintenance dose is reached. The treatment aims to induce desensitization or tolerance to the allergen.

Intervention: The intervention substance is a powder containing a prespecified amount of 10 allergens (egg, milk, wheat, lentils, soy, walnut, peanut, hazelnut, cashew, almond), which are the most triggering allergens in children. The product is developed in cooperation with Research Institute of Sweden (RISE).

Clinical randomized controlled (1:1) blinded interventional trial (RCT) with 2 interventions arms (group A and B). A sub-analysis will be performed of the children not reacting to the baseline challenge (group C and D).

Group A: Children with food allergy (sensitization and positive baseline challenge), receiving multiallergen powder OIT, slow up-dosing until 3 teaspoons of the multiallergen powder is reached daily. Food challenge will be performed after 1 and 2 years. 2 years treatment.

Group B: Children with food allergy (sensitization and positive baseline challenge), receiving OIT with placebo (gluten-free oatmeal) followed by maintenance, in 1 year. After 1 year, children in Group B will be offered a cross-over receive 1 year of active OIT treatment. Food challenge will be performed after 1 and 2 years.

Group C and D: sensitized children with a negative baseline challenge will be randomized 1:1 for treatment with multiallergen powder or placebo powder in a lower amount, 1 teaspoon daily and can introduce food in accordance with Danish guidelines. After one year a food challenge will be performed.

Selection for group A to D: All children 0.5-3 years of age referred to H.C. Andersen Children's Hospital, Odense University Hospital due to suspected food allergy to one or more of the 10 included allergens and with a specific immunoglobulin E (IgE) >0.1 kUA/L, are eligible as possible study participants.

Inclusion groups A and B: Eighty children, group A (n=40) and group B (n=40) also need a positive baseline food challenge.

Inclusion groups C and D: Children with a negative food challenge (number is not determined)

Primary outcome: Tolerance to 900 mg protein, cumulative dose, of each of the 10 included allergens at the food challenge after one year of OIT treatment or placebo.

Secondary outcomes:

  • Tolerance to cumulative dose of 900 mg protein of each food (as above), evaluated after two years in group A and B
  • Changes in immunological markers (specific IgE, IgG, T-cell populations, plasma proteins, feces microbiota, and metabolites etc.) in relation to interventions
  • Changes in eczema and asthma status in relation to interventions
  • Changes in quality of life in relation to interventions.
02

Conditions studied

  • Food Allergy in Children

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Keywords

  • food allergy
  • OIT
  • oral immunotherapy
03

In context

Food Hypersensitivity

348 studies on the registry are indexed under Food Hypersensitivity; 90 are open to participants now.

This study's planned enrollment of 80 is above the median of 60 across 219 interventional studies indexed under Food Hypersensitivity.

Browse Food Hypersensitivity studies →

Lead sponsor

Odense University Hospital is the lead sponsor of 478 studies on the registry; 109 are open to participants now.

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

04

Who can participate

Ages eligible
6 Months to 47 Months
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

  • children referred to Hans Christian Andersen Children's Hospital with a suspicion of food allergy
  • age: 6-47 months
  • sIgE against one or more of the included 10 allergens > 0.1kU/L

Exclusion criteria

Exclusion Criteria:

  • Other serious illness
  • previous life-threatening anaphylaxis (intensive care)
  • eosinophilic gastrointestinal disease
  • severe chronic gastro-esophageal reflux disease
  • unclear recurrent GI complaints
  • low body weight \<2SD
  • participation in another intervention study if included in intervention group -severe uncontrolled asthma
  • spontaneous urticaria
  • medication with biological drugs within the past year or oral steroids
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
80 participants (estimated)

Study arms

  • Active comparator
    Group A

    Allergic children, Multiallergen OIT

    Dietary Supplement: OIT multiallergen powder

  • Placebo comparator
    Group B

    Allergic children, placebo powder

    Dietary Supplement: Placebo powder

  • Active comparator
    Group C

    Non-allergic children, low-dose multiallergen powder

    Dietary Supplement: OIT multiallergen powder

  • Placebo comparator
    Group D

    Non-allergic children, low-dose placebo powder

    Dietary Supplement: Placebo powder

Interventions

  • Dietary supplementOIT multiallergen powder

    low-dose multiallergen (10 allergens) powder

  • Dietary supplementPlacebo powder

    gluten-free oatmeal

06

What researchers measure

Primary outcomes

  1. Number of patients with tolerance to 900 mg protein at a food challenge in the clinic after 1 year in alle groups.

    The outcome of a food challenge is dichotome: tolerance to 900mg or not (= negative or positive provocation) A food challenge is a standardised procedure: Increasing amounts of protein powder is given to the child every 30 minutes until the 900 mg is reached (= tolerance) or until the child has an objective allergic reaction (=positiv food challenge). An objective allergic reaction is a clinical diagnosis. In case of an allergic reaction, the cumulative dose of ingested allergen and the observed symptoms are registered.

    Time frame: 1 year

Secondary outcomes

  1. Number of children with tolerance to 900 mg protein at a food challenge in the clinic after two years in group A and B

    The outcome of a food challenge is dichotome: tolerance to 900mg or not (= negative or positive provocation) A food challenge is a standardised procedure: Increasing amounts of protein powder is given to the child every 30 minutes until the 900 mg is reached (= tolerance) or until the child has an objective allergic reaction (=positiv food challenge). An objective allergic reaction is a clinical diagnosis. In case of an allergic reaction, the cumulative dose of ingested allergen and the observed symptoms are registered.

    Time frame: 2 years

  2. Immunological biomarkers

    Changes in immunological markers (specific IgE, IgG, T-cell populations, plasma proteins, feces microbiota, and metabolites etc.) in relation to interventions

    Time frame: 2 years

  3. comorbidities

    Number of children with eczema and asthma in all groups after 0,1 and 2 years

    Time frame: 2 years

  4. Difference in Quality of life between groups measured by a questionnaire

    In all groups, the parents will fullfill the questionnaire FAQLQ-PF after 0, 1 and 2 years to compare QoL. The hypothesis is that the intervention is associated with a higher FAQLQ-PF-score than the placebo group.

    Time frame: 2 years

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No — There is no actual plan to make de-identified individual participant data (IPD) collected in this study available to other researchers

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Jan 2027; primary completion for Dec 2032, 71 months later.

Of 83 non-industry interventional studies with no phase under Food Hypersensitivity, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 50. This study's planned 71 months is above that.

Counting every sponsor, half of 86 studies reached it within 29 months; a quarter within 13 and three quarters within 44.

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

Registered
Oct 15, 2026
First posted
Oct 27, 2026
StartEst.
Jan 1, 2027
Primary completionEst.
Dec 2032
CompletionEst.
Dec 2032
Last update
Oct 27, 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.
Registered
First appeared on the registry. No changes since
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    First appeared on the registry

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
NCT07899359
Responsible party
Josefine Gradman (MD, PhD, Principal investigator, Odense University Hospital) — Principal investigator
First posted
Oct 27, 2026
Start date
Jan 1, 2027 (estimated)
Primary completion
Dec 2032 (estimated)
Completion
Dec 2032 (estimated)
Last update
Oct 27, 2026

Study contacts

Josefine Gradman, MD, PhD
Contact
josefine.gradman@rsyd.dk
+45 24608127
Susanne Halken, MD, Professor
Contact
susanne.halken@rsyd.dk
+45 22196164

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 not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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