Ignite Creation Date:
2024-10-26 @ 3:41 PM
Last Modification Date:
2024-10-26 @ 3:41 PM
Study NCT ID:
NCT06614244
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-09-02
Brief Title:
Oral Immunotherapy for Food Protein Induced Enterocolitis Syndrome
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Randomized Multicenter Trial of Oral Immunotherapy for Food Protein Induced Enterocolitis Syndrome
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
DOPAxSEA
Brief Summary:
Food Protein Induced Enterocolitis Syndrome FPIES is a food allergy characterized by clinical manifestations of varying severity that can be very rarely severe to the point of leading to shock Acute FPIES is nowaday the most common presentation of the disease It is characterized by repeated projectile vomiting usually arising between 1 and 4 hours after ingestion of the culprit food accompanied by pallor hypotonia and lethargy with complete resolution of the aforementioned symptoms almost always within a few hours Dietary management of FPIES currently involves avoiding allergens offering complementary foods to encourage normal growth and providing families with individualized feeding plans The elimination diet does not promote healing it only prevents adverse reactions from culprit food ingestion Recovery ie tolerance to the culprit food is achieved spontaneously over time However for some children tolerance does not occur These patients suffer from persistent FPIES For these patients oral immunotherapy OIT is not yet planned and randomized and controlled studies are needed to demonstrate its efficacy and safety The primary objective of the study will be to verify with a multicenter prospective randomized study stratified for the main 4 offending foods in Italy cows milk hens egg fish and cereals open-label and with an adequate sample size the efficacy and safety of an OIT procedure in children affected by acute persistent FPIES The comparison will be made between a population of children affected by acute persistent FPIES subjected to OIT for the offending food DOPA group and a population of children affected by acute persistent FPIES subjected to the traditional measure ie the elimination diet for the offending food Diet group
Efficacy will be measured through
Comparison of the percentages of children who have increased their reactivity threshold even to the point of no adverse reactions to the offending food following the intake of a normal dose for their age in the two populations during treatment
Comparison of the percentages of children who have reached tolerance towards the culprit food in the two populations
Safety will be measured through
- Comparison of the percentages of children who have presented adverse reactions following the ingestion accidental in the Diet group and expected in the DOPA group of the culprit food after enrollment in the study
The definitions of desensitization and tolerance are taken from the EAACI 2018 guidelines on immunotherapy for IgE-mediated AA In particular desensitization corresponds to the absence of adverse reactions following the ingestion of the culprit food in quantities up to a normal dose for age during oral immunotherapy This is a reversible or partially reversible clinical response that depends on continued exposure to the allergen If the administration of the allergen is interrupted the previous level of clinical reactivity may return Tolerance corresponds to the absence of adverse reactions following the ingestion of the culprit food despite a period of absence of exposure
Efficacy will be measured through
Comparison of the percentages of children who have increased their reactivity threshold even to the point of no adverse reactions to the offending food following the intake of a normal dose for their age in the two populations during treatment
Comparison of the percentages of children who have reached tolerance towards the culprit food in the two populations
Safety will be measured through
- Comparison of the percentages of children who have presented adverse reactions following the ingestion accidental in the Diet group and expected in the DOPA group of the culprit food after enrollment in the study
The definitions of desensitization and tolerance are taken from the EAACI 2018 guidelines on immunotherapy for IgE-mediated AA In particular desensitization corresponds to the absence of adverse reactions following the ingestion of the culprit food in quantities up to a normal dose for age during oral immunotherapy This is a reversible or partially reversible clinical response that depends on continued exposure to the allergen If the administration of the allergen is interrupted the previous level of clinical reactivity may return Tolerance corresponds to the absence of adverse reactions following the ingestion of the culprit food despite a period of absence of exposure
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None