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NCT Number: NCT07197814

Evaluation of the Tolerance of a New Formula Based on Hydrolyzed Rice Proteins in Children With Cow's Milk Allergy

The goal of this clinical trial is to see if a new formula based on hydrolysed rice proteins (Rice formula) is well tolerated by infants and young children with cow's milk allergy. In case the Rice formula is well tolerated, the formula will be considered " hypoallergenic ".

The main question it aims to answer is: Does the Rice formula cause allergic reactions in infants and young children who are allergic to cow's milk? Researchers will compare during a double-blind placebo-controlled food challenge (DBPCFC) the Rice formula to a Placebo formula to see if any allergic symptom appears after feeding with the Rice formula. If children do not show any allergic symptoms during the DBPCFC, they will then be exclusively formula-fed the Rice formula for 7 days.

Participants will:

* come at the hospital twice (around 7 days apart) for the DBPCFC * then, after this procedure, be fed the Rice formula for 7 days, as a replacement for their usual infant formula

Their parents will pay attention to the appearance of any allergic symptom after each day of the DBPCFC, and during the 7-day feeding period. They will keep a diary of any adverse event in their child, the use of any concomitant treatment, and the introduction in their child's diet of any new allergenic food. In addition, during the 7-day feeding period, they will report quantities of the Rice formula consumed, data on regurgitations/vomiting if any, stool consistency/frequency/colour and their satisfaction.

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Key information

Age range

1 month–36 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Federico II, University of Naples, Department of Translational Medical Science

Naples, Italy

Location status: Recruiting

Location contact

Laura Carucci, Doctor

SUB_INVESTIGATOR

Roberto Berni Canani, Professor

CONTACT

[email protected]

0039 0817462680

Roberto Berni Canani, Professor

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Infants and young children between 1 and 36 months of age
  • Consuming at least 240 ml/day of formula
  • Gestational age ≥ 37 weeks
  • Diagnosis of IgE-mediated CMA confirmed through a DBPCFC performed within 3 months prior to the enrolment
  • Stable clinical condition and free from any symptoms possibly related to CMA for at least ≥4 weeks prior to recruitment
  • Observing a strict cow's milk proteins elimination diet for at least 4 weeks prior to study enrollment
  • Parents or legal guardians agree not to enroll infant in another interventional clinical study while participating in this study
  • Written informed consent form obtained from both parents (or legally acceptable representative [LAR], if applicable)
  • Infant's parents / LAR are of legal age of majority, must have parental authority, must understand the informed consent form and other study documents, and are willing and able to fulfill the requirements of the study protocol.
  • Signed authorization obtained from both parents or legal guardian to use and/or disclose Protected Health Information for infant from birth through the length of the study period

Exclusion criteria

  • Infant is exclusively breastfed.
  • Any chronic diseases, chromosomal or major congenital anomalies (based on medical history and/or commonly performed diagnostic criteria).
  • Major gastrointestinal disease/abnormalities (other than CMA).
  • Other food allergies
  • Eosinophilic disorders of the gastrointestinal tract.
  • Evidence of non-IgE-mediated CMA.
  • Immunodeficiency.
  • Use of drugs that may interfere with the interpretation and safety of the SPT procedure planned on Inclusion visit such as antihistamines and topical corticosteroids in the previous week, angiotensin-converting enzyme (ACE) inhibitors within the 2 days before or beta-blockers the day before as well as skin moisturizers used on the skin where solution drops will be applied.
  • Previous use of systemic immunomodulatory treatment at any time before study entry.
  • Use of systemic antibiotics or anti-mycotic drugs within 4 weeks before study entry.
  • Persistent wheeze or chronic respiratory disease.
  • Severe uncontrolled eczema.
  • Currently participating or having participated in another interventional clinical study within 4 weeks prior to enrollment.
  • Infant's parents/LAR have medical or psychiatric condition that, in the judgement of the Investigator, would make the subject inappropriate for entry into the study.

Treatment and study plan

Rice formula (New formula based on hydrolysed rice proteins)

Other

Infant formula based on hydrolysed rice proteins.

Placebo formula

Other

The placebo formula will be the formula the subject is currently successfully fed with as part of his/her diet to eliminate cow's milk proteins.

Primary outcomes

  1. Hypoallergenicity of the Rice formula

    Time frame: At the end of the 7-day open feeding period

    It will be assessed through the absence of medically confirmed allergic reaction to the study formula (Rice formula), based on assessment of clinical signs and symptoms at clinical DBPCFC testing and during the 7-day open feeding period.

Sponsors and collaborators

Lead sponsor

Health and Happiness Research Limited

Industry

Collaborators

  • Federico II University

Registry information

Official study title

Evaluation of the Hypoallergenicity of a New Formula Based on Hydrolyzed Rice Proteins in Children With IgE-mediated Cow's Milk Allergy

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Sep 29, 2025
Registry last updated
Jan 29, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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