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VE416 for Treatment of Food Allergy

Primary Purpose

Peanut Allergy

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Vancomycin plus VE416 before PNOIT
Vancomycin plus VE416 with PNOIT
Placebo plus VE416 with PNOIT
Placebo plus placebo with PNOIT
Sponsored by
Massachusetts General Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peanut Allergy

Eligibility Criteria

12 Years - 55 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • People of all ethnic/racial/gender groups aged 12-55 years old with a documented medical history of peanut allergy.
  • Evidence of peanut-specific IgE by either: positive skin prick test to peanut (reaction wheal at least 5 mm larger than saline control) or serum peanut-specific IgE _5 kU/L at screening visit.
  • Ara h 2 specific IgE >0.35 kU/L at screening visit.
  • Willing to sign informed consent or whose parent or legal guardian is willing to sign the consent form (age appropriate).
  • Willing to sign the assent form, if age appropriate.
  • (For continuation into Phase II only) Allergic reaction requiring treatment at _ 100 mg dose of peanut protein during Entry Challenge.

Exclusion Criteria:

  • History of severe anaphylaxis as defined by hypoxia (cyanosis or SpO2 <92% during reaction), documented hypotension (documented systolic BP >30% below predicted normal for sex, height, weight or from known baseline), neurological compromise (confusion, loss of consciousness), or incontinence.
  • Severe or Moderate asthma as defined using the severity criteria of the current NHLBI Guidelines for the Diagnosis and Management of Asthma (http://www.nhlbi.nih.gov/guidelines/asthma/).
  • Poorly-controlled asthma as defined by FEV1 <80% or any of the following symptoms: nighttime awakening >2 days/week or rescue medication use >2 days / week.
  • Diagnosis of other severe or complicating medical problems, including autoimmune or chronic immune inflammatory conditions or gastrointestinal inflammatory conditions, including Celiac Disease, Inflammatory Bowel Disease and Eosinophilic Gastrointestinal Disorders
  • Inability to cooperate with and/or perform oral food challenge procedures.
  • Inability to swallow size 0 capsule
  • Primary Immune Deficiency
  • Allergy to oat confirmed by skin prick testing and history
  • Current use of beta blockers, angiotensin converting enzyme inhibitors, or monoamine oxidase inhibitors
  • Women of childbearing potential who are pregnant, planning to become pregnant, or breastfeeding
  • Hematocrit <0.36 for adult females or <0.38 for adult males Weight <23 kg
  • Use within the past 6 months of other systemic immunomodulatory treatments including allergen immunotherapy, or use of biologics with an immune target, including omalizumab.
  • Past or current medical problems or findings from physical examination or laboratory testing that are not listed above, which, in the opinion of the investigator, may pose additional risks from participation in the study, may interfere with the participant's ability to comply with study requirements or that may impact the quality or interpretation of the data obtained from the study may also exclude a participant from the study.

Sites / Locations

  • Massachusetts General HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Arm Label

vancomycin plus VE416 before PNOIT

Vancomycin plus VE416 with PNOIT

Placebo plus VE416 with PNOIT

Placebo plus placebo with PNOIT

Arm Description

active vancomycin plus VE416 before PNOIT

active vancomycin plus active VE416 with active PNOIT

placebo vancomycin plus active VE416 with active VE416

placebo vancomycin and placebo VE416 with active peanut oral immunotherapy

Outcomes

Primary Outcome Measures

Primary Endpoint- Phase 1b
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Primary Endpoint- Phase II
The geometric mean of the maximum tolerated dose (MTD) of peanut protein at DBPCFC1

Secondary Outcome Measures

Secondary Endpoint- Efficacy
The percentage of patients tolerating 600 mg (1030 mg cumulative) at DBPCFC1 without treatment
Secondary Endpoint- Safety
The occurrence of treatment related adverse events

Full Information

First Posted
April 17, 2019
Last Updated
October 17, 2023
Sponsor
Massachusetts General Hospital
Collaborators
Vedanta Biosciences, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03936998
Brief Title
VE416 for Treatment of Food Allergy
Official Title
VE416 and Low-dose Peanut Oral Immunotherapy for Treatment of Persistent Peanut Allergy
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 28, 2019 (Actual)
Primary Completion Date
November 1, 2023 (Anticipated)
Study Completion Date
January 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Massachusetts General Hospital
Collaborators
Vedanta Biosciences, Inc.

4. Oversight

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.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a single-center, randomized, double-blind trial with four arms evaluating VE416 as pretreatment or concurrent treatment in comparison to low-dose peanut oral immunotherapy (PNOIT) alone.
Detailed Description
In this research study the investigators want to learn more about an investigational medicine called VE416 in combination with vancomycin (an antibiotic) while undergoing peanut oral immunotherapy. VE416 is a combination of dormant (inactive) bacteria given in a capsule. The bacteria are reactivated once they reach participants intestines and in combination with peanut flour may help to prevent participants from getting sick (upset stomach, breathing problems, and skin problems) when participants come into contact with peanuts. The investigators are doing this research study to find out if VE416 in combination with vancomycin (an antibiotic) while undergoing peanut oral immunotherapy can help people with peanut allergy. VE416 is a consortium of commensal, or "friendly", dormant (inactive) bacteria given in a capsule. The bacteria are reactivated once they reach participants intestines. The investigators also want to find out if VE416 with peanut oral immunotherapy is safe to take without causing too many side effects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peanut Allergy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
This is a single-center, randomized, double-blind trial with four arms evaluating VE416 as pretreatment or concurrent treatment in comparison to low-dose peanut oral immunotherapy (PNOIT) alone.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
vancomycin plus VE416 before PNOIT
Arm Type
Experimental
Arm Description
active vancomycin plus VE416 before PNOIT
Arm Title
Vancomycin plus VE416 with PNOIT
Arm Type
Experimental
Arm Description
active vancomycin plus active VE416 with active PNOIT
Arm Title
Placebo plus VE416 with PNOIT
Arm Type
Experimental
Arm Description
placebo vancomycin plus active VE416 with active VE416
Arm Title
Placebo plus placebo with PNOIT
Arm Type
Active Comparator
Arm Description
placebo vancomycin and placebo VE416 with active peanut oral immunotherapy
Intervention Type
Combination Product
Intervention Name(s)
Vancomycin plus VE416 before PNOIT
Intervention Description
Vancomycin PO QD x 5 days, followed by VE416 PO QD x 6 weeks followed by PNOIT
Intervention Type
Combination Product
Intervention Name(s)
Vancomycin plus VE416 with PNOIT
Intervention Description
Placebo for vancomycin for 5 days and placebo for VE416 x 6 weeks, followed by Vancomycin PO QD x 5 days, followed by VE416 PO QD x 6 weeks with concomitant PNOIT
Intervention Type
Combination Product
Intervention Name(s)
Placebo plus VE416 with PNOIT
Intervention Description
Placebo for vancomycin for 5 days and placebo for VE416 x 6 weeks, followed by placebo for vancomycin PO QD x 5 days, followed by VE416 PO QD x 6 weeks with concomitant PNOIT
Intervention Type
Combination Product
Intervention Name(s)
Placebo plus placebo with PNOIT
Intervention Description
Placebo for vancomycin for 5 days and placebo for VE416 x 6 weeks, followed by placebo for vancomycin PO QD x 5 days, followed by placebo for VE416 PO QD x 6 weeks with concomitant PNOIT
Primary Outcome Measure Information:
Title
Primary Endpoint- Phase 1b
Description
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time Frame
7 weeks
Title
Primary Endpoint- Phase II
Description
The geometric mean of the maximum tolerated dose (MTD) of peanut protein at DBPCFC1
Time Frame
23 weeks, with 24 week Post-Phase II maintenance phase followed by a DBPCFC
Secondary Outcome Measure Information:
Title
Secondary Endpoint- Efficacy
Description
The percentage of patients tolerating 600 mg (1030 mg cumulative) at DBPCFC1 without treatment
Time Frame
54 weeks
Title
Secondary Endpoint- Safety
Description
The occurrence of treatment related adverse events
Time Frame
54 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: People of all ethnic/racial/gender groups aged 12-55 years old with a documented medical history of peanut allergy. Evidence of peanut-specific IgE by either: positive skin prick test to peanut (reaction wheal at least 5 mm larger than saline control) or serum peanut-specific IgE _5 kU/L at screening visit. Ara h 2 specific IgE >0.35 kU/L at screening visit. Willing to sign informed consent or whose parent or legal guardian is willing to sign the consent form (age appropriate). Willing to sign the assent form, if age appropriate. (For continuation into Phase II only) Allergic reaction requiring treatment at _ 100 mg dose of peanut protein during Entry Challenge. Exclusion Criteria: History of severe anaphylaxis as defined by hypoxia (cyanosis or SpO2 <92% during reaction), documented hypotension (documented systolic BP >30% below predicted normal for sex, height, weight or from known baseline), neurological compromise (confusion, loss of consciousness), or incontinence. Severe or Moderate asthma as defined using the severity criteria of the current NHLBI Guidelines for the Diagnosis and Management of Asthma (http://www.nhlbi.nih.gov/guidelines/asthma/). Poorly-controlled asthma as defined by FEV1 <80% or any of the following symptoms: nighttime awakening >2 days/week or rescue medication use >2 days / week. Diagnosis of other severe or complicating medical problems, including autoimmune or chronic immune inflammatory conditions or gastrointestinal inflammatory conditions, including Celiac Disease, Inflammatory Bowel Disease and Eosinophilic Gastrointestinal Disorders Inability to cooperate with and/or perform oral food challenge procedures. Inability to swallow size 0 capsule Primary Immune Deficiency Allergy to oat confirmed by skin prick testing and history Current use of beta blockers, angiotensin converting enzyme inhibitors, or monoamine oxidase inhibitors Women of childbearing potential who are pregnant, planning to become pregnant, or breastfeeding Hematocrit <0.36 for adult females or <0.38 for adult males Weight <23 kg Use within the past 6 months of other systemic immunomodulatory treatments including allergen immunotherapy, or use of biologics with an immune target, including omalizumab. Past or current medical problems or findings from physical examination or laboratory testing that are not listed above, which, in the opinion of the investigator, may pose additional risks from participation in the study, may interfere with the participant's ability to comply with study requirements or that may impact the quality or interpretation of the data obtained from the study may also exclude a participant from the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Wayne G Shreffler, MD, PhD
Phone
617-726-6147
Email
wshreffler@mgh.harvard.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Jannat Gill, BDS, MPH
Phone
617-643-8683
Email
jgill0@mgh.harvard.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wayne G Shreffler, MD, PhD
Organizational Affiliation
Massachusetts General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wayne G Shreffler, MD, PhD
Phone
617-643-9089
Email
WSHREFFLER@mgh.harvard.edu
First Name & Middle Initial & Last Name & Degree
Jannat Gill, MPH
Email
jgill0@mgh.harvard.edu
First Name & Middle Initial & Last Name & Degree
Wayne G Shreffler, MD, PhD
First Name & Middle Initial & Last Name & Degree
Chen Rosenberg, MD

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
33463542
Citation
Berin MC. Dysbiosis in food allergy and implications for microbial therapeutics. J Clin Invest. 2021 Jan 19;131(2):e144994. doi: 10.1172/JCI144994.
Results Reference
derived

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VE416 for Treatment of Food Allergy

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