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Use of Hypoallergenic (H.A.) Cereals in Children With Diagnosed Allergy to Wheat

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01332084
Recruitment Status : Completed
First Posted : April 8, 2011
Last Update Posted : June 22, 2012
Information provided by (Responsible Party):

Brief Summary:

The investigators plan to launch a Specific Oral Tolerance Induction (SOTI) pilot study in order to assess the efficacy and the safety of hypoallergenic (H.A.) wheat cereals, for children with allergy to wheat. The study has the potential to offer a desensitization treatment option for children allergic to wheat.

The investigators hypothesize that H.A. wheat cereals have similar efficacy with less side effects than native wheat cereals.

Condition or disease Intervention/treatment Phase
Food Allergy Other: HA wheat cereals Not Applicable

Detailed Description:

In this pilot study, the investigators aim to assess the feasibility of a SOTI (Specific Oral Tolerance Induction) with hypoallergenic (H.A.) cereals in children with diagnosed IgE-Mediated allergy to wheat.

This is a multi centre, open, pilot study testing 1 product.10 children of any ethnicity aged from 1 to 12 years old with diagnosed allergy to wheat will be eligible to participate in the study. The duration of the treatment will be 6 months with a minimum of 1 month of daily consumption of the hydrolyzed wheat cereals.

Each subject will feed with a quantity of the assigned study product according to the SOTI. The SOTI will be performed at the hospital under the control of qualified doctors and nurses.

The study product is administered starting with very low dosages, which are increased stepwise every 30 minutes up to an amount equivalent to the usual daily oral intake. Thereafter, the study product corresponding to the maximum dose tolerated is given in a maintenance dose in one serve every day until the final visit during which a challenge test with wheat will be performed to assess the tolerance of whole wheat.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 9 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Assessment of the Feasibility of a SOTI With Hypoallergenic (H.A.) Cereals in Children With Diagnosed IgE-mediated Allergy to Wheat
Study Start Date : April 2011
Actual Primary Completion Date : February 2012
Actual Study Completion Date : February 2012

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Allergy

Arm Intervention/treatment
Experimental: hypoallergenic wheat cereals
HA wheat cereal used in a SOTI test
Other: HA wheat cereals
HA wheat cereals used in SOTI test and as part of desensitization plan

Primary Outcome Measures :
  1. Specific Oral Tolerance Induction (SOTI) with hypoallergenic wheat in children allergic to wheat [ Time Frame: 6 months ]

    The primary outcome is to document Clinical examination for presence or absence of immediate adverse reaction during the SOTI with evaluation of the maximum dose tolerated during the SOTI.

    Symptoms related to allergic reactions during the SOTI (if applicable)will be recorded in the CRF.

Secondary Outcome Measures :
  1. assess allergic reactions to a challenge test to wheat [ Time Frame: 6 months ]
    challenge test will be performed at the end of the treatment with HA cereals. Other blood immunological parameters will be evaluated.

Information from the National Library of Medicine

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Ages Eligible for Study:   1 Year to 12 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Infant of any ethnicity aged between 1 to 12 years old at the time of enrollment and
  • Positive Skin Prick Test (SPT) to wheat and/or Positive specific IgE to wheat and
  • Immediate positive reaction (IgE-type reaction) to wheat as shown by provocation test done a maximum 1 year before the enrollment to the study or an unambiguous history for wheat allergy as evaluated by the investigator and
  • Having obtained his/her signed legal representative's informed consent

Exclusion Criteria:

  • Child on systemic drugs (potentially affecting the allergic reactions e.g. antihistamines) according to half-life at time of enrollment or
  • Congenital illness or malformation that may affect normal growth (especially immunodeficiency) or
  • Child with uncontrolled asthma or
  • Child whose parents/caregivers cannot be expected to comply with treatment or
  • Child currently participating in another interventional clinical trial.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01332084

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Adult&Child Allergy Unit, HUG
Geneva, Switzerland, 1211
Unité d'immunologie, allergologie et rhumatologie pédiatrique Département médico-chirurgical de pédiatrie CHUV
Lausanne, Switzerland, 1011
Sponsors and Collaborators
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Principal Investigator: Roger Lauener, Prof MD Universitäts-Kinderklinik Zürich
Principal Investigator: Jacqueline Wassenberg, MD Département médico-chirurgical de pédiatrie, CHUV, Lausanne
Principal Investigator: Philippe Eigenmann, MD Adult&Child Allergy Unit, Geneva
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Responsible Party: Nestlé Identifier: NCT01332084    
Other Study ID Numbers: 09.19.INF
First Posted: April 8, 2011    Key Record Dates
Last Update Posted: June 22, 2012
Last Verified: June 2012
Keywords provided by Nestlé:
challenge test
HA wheat cereals
Additional relevant MeSH terms:
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Food Hypersensitivity
Immune System Diseases
Hypersensitivity, Immediate