TRADE Trial - Tree Nut Immunotherapy Route Development and Evaluation

Inclusion criteria

• Allergic to tree nut with baseline threshold of 444 mg protein or less and provides consent, and where applicable, assent.

Exclusion criteria

• History of anaphylaxis to tree nut severe enough to cause shock, syncope, or intubation
• Eosinophilic or other inflammatory gastrointestinal disease within the past 2 years
• Severe (GINA severity class 5) or uncontrolled asthma including exacerbation within past 6 months
• Use of biologics, other food immunotherapy or experimental treatment in past 6 months.
• Ongoing other allergic diseases severe enough to preclude discontinuing antihistamines for 7 days prior to assessment visits
• Pregnancy or significant medical condition (e.g., liver, kidney, gastrointestinal, cardiovascular, hematologic, or pulmonary disease; allergy to the oat-based placebo) which would put the participant at excessive risk for food allergic reactions as judged by local investigator