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NCT Number: NCT04603300

OMEGA Study: A Study of the Safety and Feasibility of Up-titration With INT301 in Adults With Sensitivity to Peanut

This is a phase 1, multi-center, randomized, double-blind, placebo-controlled study in adult participants with peanut allergy. Participants will be randomized in a 3:1 ratio to receive either an escalating dose of INT301 or placebo. The treatment group will be blinded to the investigator, participants, and the Intrommune study team.

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Key information

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Hudson-Essex Allergy, Belleville, New Jersey, United States

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Participant must be 18-55 years of age inclusive, at the time of signing the informed consent.

Female participants of childbearing potential or male participants with female partners of child-bearing potential must utilize highly effective birth control method(s) throughout the study and for 30 days after the final dose of study drug. Acceptable methods of contraception include: complete abstinence, male or female condoms with spermicide, oral or implanted contraceptives, or vasectomy.

For female participants of child-bearing potential: Negative serum beta human chorionic gonadotrophin (HCG) pregnancy test at screening.

Capable of giving signed informed consent as described in Appendix 1 which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

Meets at least one of the following conditions

  • Positive skin prick test (SPT) (wheal at least 3 mm greater than control) AND/OR Peanut specific IgE >0.35 kU/L
  • Convincing clinical history of allergic reaction to peanut within 1 hour of ingestion for at least 3 months prior to screening.
  • Failed an oral food challenge (OFC) of < 100mg of peanut protein at screening.
  • Participant willing and able to undergo the procedures required by the protocol, including, assessment completion, protocol compliance, and participation in the placebo dosing period(s).

Exclusion criteria

  • History of severe anaphylaxis to peanut, defined as hypoxia, hypotension, or neurologic compromise (cyanosis or oxygen saturations < 92% at any stage, hypotension, confusion, collapse, loss of consciousness, or incontinence)
  • Significant medical condition (e.g., liver, kidney, gastrointestinal, cardiovascular, hematologic, or pulmonary disease) which would make the subject unsuitable for induction of food reactions
  • Eosinophilic or other inflammatory (e.g. celiac) gastrointestinal disease
  • Psychiatric disorders that the Investigator believes will interfere with study assessments
  • Uncontrolled asthma, defined by at least one of the following conditions:
  • - FEV1 <80% of predicted, or ratio of FEV1 to forced vital capacity (FEV1/FVC) <75% of predicted, with or without controller medications.
  • - Inhaled corticosteroids (ICS) dosing of >500mcg daily fluticasone (or equivalent ICS based on NHLBI dosing chart.
  • - One hospitalization in the past year for asthma
  • - An ER visit for asthma within six months prior to screening
  • Planned dental surgery during from screening until study exit
  • Moderate or advanced periodontal disease.
  • Current pregnancy or lactating

Treatment and study plan

INT301

Drug

INT301 is an allergy immunotherapy delivered in the form of a fully functional toothpaste

Placebo

Drug

Fully functional toothpaste containing no immunotherapy agents

Primary outcomes

  1. To evaluate the safety of INT301 compared to placebo in adult peanut allergic participants as measured by dose escalation during study.

    Time frame: Forty-eight weeks

    Percentage of participants able to consistently tolerate the protocol-specified highest dose; Incidence of systemic and non-systemic adverse reactions.

Secondary outcomes

  1. To evaluate pharmacologic requirements as interventions for peanut allergic participants experiencing adverse events on INT301.

    Time frame: Forty-eight weeks

    Number of participants requiring treatment for systemic reactions related to experimental treatment or placebo; Number of adverse events requiring treatment for systemic reactions related to experimental treatment or placebo; Adherence to study treatment.

  2. To determine the maximally tolerated dose during the up-dosing phase for adults.

    Time frame: Twenty-six weeks

    Dose amount tolerated without AEs requiring discontinuation for each participant.

Other outcomes

  1. To explore changes in peanut-specific IgG4, IgA, and IgE levels in participants (exploratory outcome).

    Time frame: Forty-eight weeks

    Change from baseline of peanut-specific IgG4, IgA, and IgE in study subjects (exploratory outcome)

  2. To explore changes in patient response to oral food challenge pre-treatment and post treatment.

    Time frame: Forty-eight weeks

    Change from baseline of tolerated amount of peanut protein

Sponsors and collaborators

Lead sponsor

Intrommune Therapeutics

Industry

Registry information

Official study title

Oral Mucosal Escalation Goal Assessment (OMEGA) Study: A Randomized Placebo-Controlled Phase 1 Study of the Safety and Feasibility of Up-titration With INT301 in Adults With Sensitivity to Peanut

Important dates

Study start
2021
Primary completion
2023
Study completion
2023
First posted
Oct 26, 2020
Registry last updated
Jul 28, 2023

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

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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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