Title

Oral Desensitization to Peanut in Peanut-Allergic Children and Adults Using Characterized Peanut Allergen OIT
Phase 2 Oral Desensitization to Peanut in Peanut-Allergic Children and Adults Using Characterized Peanut Allergen Oral Immunotherapy
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    ar101 ...
  • Study Participants

    56
This is a multi-center, randomized, double-blind placebo controlled study of efficacy and safety of characterized peanut oral immunotherapy in peanut allergic individuals.
This is a multicenter, randomized, double-blind placebo controlled study of efficacy and safety of characterized peanut OIT in peanut allergic individuals. All eligible subjects will receive an escalating dose of CPNA or placebo. Approximately 50 subjects will be randomized 1:1 to peanut OIT or placebo.
Study Started
Feb 06
2014
Primary Completion
Jan 07
2015
Study Completion
Jan 07
2015
Results Posted
Nov 02
2021
Last Update
Nov 30
2021

Biological AR101 powder provided in capsules

Study product formulated to contain peanut protein at different dosage strengths for use as defined in the protocol

Biological Placebo powder provided in capsules

Study product formulated to contain only inactive ingredients for use as defined in the protocol

AR101 powder provided in capsules Experimental

Study product provided as peanut protein in pull-apart capsules

Placebo powder provided in capsules Placebo Comparator

Placebo formulation in pull-apart capsules containing only inactive ingredients

Criteria

Key Inclusion Criteria:

Ages 4 through 26 years, inclusive
Clinical history of allergy to peanuts or peanut-containing foods
Serum IgE to peanut >0.35 kU/L (determined by UniCAP within the past 12 months) and/or a SPT to peanut >3 mm compared to control
Experience dose-limiting symptoms at or before the 100mg dose of peanut protein (measured as 200 mg of peanut flour) on abbreviated screening OFC conducted via PRACTALL guidelines
Use of birth control by females of child-bearing potential

Key Exclusion Criteria:

History of Cardiovascular disease
History of frequent or repeated, severe or life-threatening episodes of anaphylactic shock
History of other chronic disease
History of eosinophilic gastrointestinal disease
Severe asthma
Mild or moderate asthma if uncontrolled
Use of omalizumab within the past 6 months or current use of other non-traditional forms of allergen immunotherapy
Use of beta-blockers(oral), angiotensin-converting enzyme (ACE)
Pregnancy, lactation
Having the same place of residence as another study subject
Participation in an interventional clinical trial 30 days prior to randomization

Summary

AR101 Powder Provided in Capsules

Placebo Powder Provided in Capsules

All Events

Event Type Organ System Event Term AR101 Powder Provided in Capsules Placebo Powder Provided in Capsules

The Percentage of Subjects Who Tolerate at Least 300 mg (443 mg Cumulative) of Peanut Protein With no More Than Mild Symptoms at the Exit DBPCFC

The primary endpoint was the percentage of subjects who achieved desensitization, as determined by tolerating at least 300 mg (443 mg cumulative) of peanut protein at the Exit Double Blind Placebo Controlled Food Challenge (DBPCFC) with no more than mild symptoms (i.e., desensitization responders)

AR101 Powder Provided in Capsules

Placebo Powder Provided in Capsules

Change From Baseline in Maximum Tolerated Dose of Peanut Protein at the Exit DBPCFC

The change in maximum tolerated dose of peanut protein from baseline (screening) to the Exit Double-Blind, Placebo-Controlled Food Challenge

AR101 Powder Provided in Capsules

1.254
Change from baseline in MTD (log10 mg) (Least Squares Mean)
95% Confidence Interval: 0.984 to 1.523

Placebo Powder Provided in Capsules

0.341
Change from baseline in MTD (log10 mg) (Least Squares Mean)
95% Confidence Interval: 0.057 to 0.626

Number of Participants by Maximum Dose Achieved With no or Mild Symptoms at Exit DBPCFC

AR101 Powder Provided in Capsules

0.3 mg

100 mg

10 mg

300 mg

30 mg

3 mg

600 mg

Placebo Powder Provided in Capsules

0.3 mg

100 mg

10 mg

300 mg

30 mg

3 mg

600 mg

Changes in Peanut-Specific IgE From Baseline to Exit DBPCFC

AR101 Powder Provided in Capsules

Peanut-Specific IgE, Baseline

32.571
kUA/L (Geometric Mean)
95% Confidence Interval: 18.626 to 56.957

Peanut-Specific IgE, Exit

36.889
kUA/L (Geometric Mean)
95% Confidence Interval: 21.258 to 64.015

Relative Change From Baseline of Peanut-Specific IgGE

1.231
kUA/L (Geometric Mean)
95% Confidence Interval: 1.027 to 1.475

Placebo Powder Provided in Capsules

Peanut-Specific IgE, Baseline

53.839
kUA/L (Geometric Mean)
95% Confidence Interval: 34.952 to 82.934

Peanut-Specific IgE, Exit

57.06
kUA/L (Geometric Mean)
95% Confidence Interval: 37.186 to 87.557

Relative Change From Baseline of Peanut-Specific IgGE

1.06
kUA/L (Geometric Mean)
95% Confidence Interval: 1.001 to 1.122

Changes in Peanut-Specific IgG4 From Baseline to Exit DBPCFC

AR101 Powder Provided in Capsules

Peanut-Specific IgG4, Baseline

0.734
μg/mL (Geometric Mean)
95% Confidence Interval: 0.487 to 1.107

Peanut-Specific IgG4, Exit

3.609
μg/mL (Geometric Mean)
95% Confidence Interval: 2.074 to 6.281

Relative Change From Baseline of Peanut-Specific IgG4

5.068
μg/mL (Geometric Mean)
95% Confidence Interval: 3.64 to 7.055

Placebo Powder Provided in Capsules

Peanut-Specific IgG4, Baseline

0.51
μg/mL (Geometric Mean)
95% Confidence Interval: 0.344 to 0.757

Peanut-Specific IgG4, Exit

0.54
μg/mL (Geometric Mean)
95% Confidence Interval: 0.377 to 0.775

Relative Change From Baseline of Peanut-Specific IgG4

1.066
μg/mL (Geometric Mean)
95% Confidence Interval: 0.905 to 1.255

Change in Skin Prick Test (SPT) Mean Peanut Wheal Diameter Results From Baseline

AR101 Powder Provided in Capsules

Change in Peanut Wheel from Baseline (mm)

-7.0
millimeter (Mean)
95% Confidence Interval: -9.9 to -4.1

Peanut Wheal, Baseline (mm)

14.1
millimeter (Mean)
95% Confidence Interval: 11.6 to 16.7

Peanut Wheal, Exit (mm)

7.1
millimeter (Mean)
95% Confidence Interval: 5.7 to 8.6

Placebo Powder Provided in Capsules

Change in Peanut Wheel from Baseline (mm)

-1.8
millimeter (Mean)
95% Confidence Interval: -4.8 to -1.1

Peanut Wheal, Baseline (mm)

13.7
millimeter (Mean)
95% Confidence Interval: 11.4 to 16.0

Peanut Wheal, Exit (mm)

11.8
millimeter (Mean)
95% Confidence Interval: 9.3 to 14.4

Total

55
Participants

Age, Continuous

8.0
years (Median)
Full Range: 4.0 to 21.0

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Sex: Female, Male

Overall Study

AR101 Powder Provided in Capsules

Placebo Powder Provided in Capsules

Drop/Withdrawal Reasons

AR101 Powder Provided in Capsules

Placebo Powder Provided in Capsules