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A Phase 1 Study of the Safety and Feasibility of Up-titration With INT301 in Adults With Sensitivity to Peanut.

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ClinicalTrials.gov Identifier: NCT04603300
Recruitment Status : Recruiting
First Posted : October 26, 2020
Last Update Posted : August 24, 2021
Sponsor:
Information provided by (Responsible Party):
Intrommune Therapeutics

Brief Summary:
This is a phase 1, single-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.

Condition or disease Intervention/treatment Phase
Peanut Allergy Drug: INT301 Drug: Placebo Phase 1

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 32 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Masking Description: Double blind is controlled by IWRS
Primary Purpose: Treatment
Official Title: A Randomized Placebo-Controlled Phase 1 Study of the Safety and Feasibility of Up-titration With INT301 in Adults With Sensitivity to Peanut.
Actual Study Start Date : May 15, 2021
Estimated Primary Completion Date : October 31, 2021
Estimated Study Completion Date : December 15, 2021

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Allergy

Arm Intervention/treatment
Active Comparator: Active treatment
INT301 dosing as determined by cohort assignment
Drug: INT301
INT301 is an allergy immunotherapy delivered in the form of a fully functional toothpaste

Placebo Comparator: Placebo
Placebo as determined by cohort assignment
Drug: Placebo
Fully functional toothpaste containing no immunotherapy agents




Primary Outcome Measures :
  1. To evaluate the safety of INT301 compared to placebo in adult peanut allergic participants as measured by dose escalation during study. [ Time Frame: Eight weeks ]
    Percentage of participants able to consistently tolerate the protocol-specified highest dose; Incidence of systemic and non-systemic adverse reactions.


Secondary Outcome Measures :
  1. To evaluate pharmacologic requirements as interventions for peanut allergic participants experiencing adverse events on INT301. [ Time Frame: 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.


Other Outcome Measures:
  1. To explore changes in peanut-specific IgG4 and IgE levels in participants (exploratory outcome). [ Time Frame: Eight weeks ]
    Change from baseline of peanut-specific IgG4 and IgE in study subjects (exploratory outcome)



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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 >.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

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 ClinicalTrials.gov identifier (NCT number): NCT04603300


Contacts
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Contact: Erick B Berglund, PhD 646.895.0741 eberglund@intrommune.com
Contact: Michael Nelson, JD mnelson@intrommune.com

Locations
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United States, New Jersey
Hudson-Essex Allergy Recruiting
Belleville, New Jersey, United States, 07109
Contact: Jose Flores    201-320-7677    jflores@circuitclinical.com   
Weiss Medical Recruiting
Riverdale, New Jersey, United States, 07457
Contact: Jose Flores    201-320-7677    jflores@circuitclinical.com   
Sub-Investigator: Sheenal Patel, MD         
Sponsors and Collaborators
Intrommune Therapeutics
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Responsible Party: Intrommune Therapeutics
ClinicalTrials.gov Identifier: NCT04603300    
Other Study ID Numbers: INT301-101
First Posted: October 26, 2020    Key Record Dates
Last Update Posted: August 24, 2021
Last Verified: March 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: Yes
Keywords provided by Intrommune Therapeutics:
Peanut allergy
Food allergy
Desensitization
Allergy Immunotherapy
OMIT
OIT
EPIT
SLIT
Oral Mucosal Immunotherapy
Additional relevant MeSH terms:
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Hypersensitivity
Peanut Hypersensitivity
Immune System Diseases
Nut and Peanut Hypersensitivity
Food Hypersensitivity
Hypersensitivity, Immediate