PALISADE Follow-on Study (ARC004)

NCT ID: NCT02993107

Last Updated: 2022-03-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

388 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-29

Study Completion Date

2019-05-31

Brief Summary

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The purpose of this study is to demonstrate the safety, tolerability, and efficacy of AR101 through oral immunotherapy (OIT) in peanut-allergic children and adults who have completed the ARC003 study.

Detailed Description

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This is an international, multicenter, open-label, 2-arm follow-on study of the safety, tolerability, and efficacy of AR101 in peanut-allergic individuals who have completed the ARC003 study. This study will explore alternative dosing regimens during extended maintenance with AR101.

Conditions

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Peanut Allergy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group 1 (Placebo Crossovers)

Subjects who complete the placebo arm of ARC003 and consent to enroll in ARC004 (Group-1) will cross over to active treatment with AR101 using the same dosing regimen used in ARC003 in open-label fashion. Group 1 subjects may also be assigned to cohorts which test the gradual lengthening of dosing intervals. Following the completion of their longest tested dosing interval, Group 1 subjects will undergo an exit double-blinded placebo-controlled food challenge (DBPCFC).

Group Type OTHER

AR101

Intervention Type BIOLOGICAL

AR101 powder provided in capsules \& sachets

Group 2 (Active Rollovers)

Subjects who successfully complete the active arm of ARC003 and consent to enroll in ARC004 (Group-2) will consecutively enter treatment with AR101 in one of three cohorts which will test alternate dosing intervals. There will be a DBPCFC at the completion of the subject's longest tested dosing interval.

Group Type OTHER

AR101

Intervention Type BIOLOGICAL

AR101 powder provided in capsules \& sachets

Interventions

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AR101

AR101 powder provided in capsules \& sachets

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Completion of the ARC003 study
* Written informed consent and/or assent from subjects/guardians as appropriate
* Use of effective birth control by sexually active female subjects of child-bearing potential

Exclusion Criteria

* Early discontinuation from the ARC003 study
* (Group 2 only) Failure to tolerate ≥ 443 mg cumulative of peanut protein with no or mild symptoms in the ARC003 study Exit DBPCFC
* Any other condition that, in the opinion of the Investigator, precludes participation for reasons of safety
Minimum Eligible Age

4 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aimmune Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Director of Regulatory Affairs

Role: STUDY_DIRECTOR

Aimmune Regulatory Affairs

Locations

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Banner University of Arizona Medical Center

Tucson, Arizona, United States

Site Status

Arkansas Children's Hospital

Little Rock, Arkansas, United States

Site Status

Allergy & Asthma Associates of Southern California

Mission Viejo, California, United States

Site Status

Sean N. Parker Center for Allergy Research at Stanford University Packard-El Camino Hospital

Mountain View, California, United States

Site Status

Peninsula Research Associates, Inc.

Rolling Hills Estates, California, United States

Site Status

Allergy & Asthma Medical Group and Research Center, APC

San Diego, California, United States

Site Status

Rady Children's Hospital, San Diego

San Diego, California, United States

Site Status

University of California, San Francisco

San Francisco, California, United States

Site Status

UCLA Medical Center, Santa Monica

Santa Monica, California, United States

Site Status

Children's Hospital Colorado

Aurora, Colorado, United States

Site Status

Colorado Allergy & Asthma Centers, P.C.

Centennial, Colorado, United States

Site Status

National Jewish Health

Denver, Colorado, United States

Site Status

Children's National Medical Center

Washington D.C., District of Columbia, United States

Site Status

Sarasota Clinical Research

Sarasota, Florida, United States

Site Status

University of South Florida Asthma, Allergy, and Immunology Clinical Research Unit

Tampa, Florida, United States

Site Status

Atlanta Allergy & Asthma Clinic, PA

Marietta, Georgia, United States

Site Status

Idaho Allergy and Research, dba Idaho Research

Eagle, Idaho, United States

Site Status

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Site Status

Comer Children's Hospital

Chicago, Illinois, United States

Site Status

Sneeze, Wheeze, & Itch Associates, LLC

Normal, Illinois, United States

Site Status

IU North Riley Children's Specialist

Carmel, Indiana, United States

Site Status

Chesapeake Clinical Research, Inc.

Baltimore, Maryland, United States

Site Status

Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Boston Children's Hospital, Div. of Allergy & Immunology

Boston, Massachusetts, United States

Site Status

Michigan Medicine, Michigan Clinical Research Unit

Ann Arbor, Michigan, United States

Site Status

Clinical Research Institute, Inc.

Plymouth, Minnesota, United States

Site Status

Children's Mercy on Broadway

Kansas City, Missouri, United States

Site Status

Nebraska Medical Research Institute Inc.

Bellevue, Nebraska, United States

Site Status

Atlantic Research Center, LLC

Ocean City, New Jersey, United States

Site Status

Icahn School of Medicine at Mount Sinai, Clinical Research Unit

New York, New York, United States

Site Status

University of North Carolina at Chapel Hill, Clinical & Translational Research Center (CTRC)

Chapel Hill, North Carolina, United States

Site Status

Clinical Research of Charlotte

Charlotte, North Carolina, United States

Site Status

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Baker Allergy, Asthma & Dermatology

Portland, Oregon, United States

Site Status

The Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Children's Hospital of Pittsburgh of UPMC

Pittsburgh, Pennsylvania, United States

Site Status

National Allergy and Asthma Research, LLC

Charleston, South Carolina, United States

Site Status

Le Bonheur Children's Hospital - Outpatient Building

Memphis, Tennessee, United States

Site Status

'Specially for Children Allergy, Asthma and Immunology Clinic

Austin, Texas, United States

Site Status

Children's Health

Dallas, Texas, United States

Site Status

Western Sky Medical Research

El Paso, Texas, United States

Site Status

Texas Children's Hospital, Baylor College of Medicine

Houston, Texas, United States

Site Status

Central Texas Health Research

New Braunfels, Texas, United States

Site Status

Sylvana Research Associates

San Antonio, Texas, United States

Site Status

Benaroya Research Inst. at Virginia Mason; Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Asthma Inc Clinical Research Center

Seattle, Washington, United States

Site Status

Triple A Lab

Hamilton, Ontario, Canada

Site Status

Cheema Research Inc.

Mississauga, Ontario, Canada

Site Status

Ottawa Allergy Research Corp

Ottawa, Ontario, Canada

Site Status

Gordon Sussman Clinical Research, Inc.

Toronto, Ontario, Canada

Site Status

Montreal Children's Hospital

Montreal, Quebec, Canada

Site Status

Charité Universitaetsmedizin Berlin

Berlin, , Germany

Site Status

University of Frankfurt

Frankfurt am Main, , Germany

Site Status

Cork University Hospital

Cork, , Ireland

Site Status

Azienda Ospedaliera di Padova

Padua, , Italy

Site Status

Beatrix Children's Hospital, University Medical Center Groningen

Groningen, , Netherlands

Site Status

University Medical Center Groningen

Groningen, , Netherlands

Site Status

Hospital Gregorio Marañón

Madrid, , Spain

Site Status

H. Infantil Universitario Niño Jesús

Madrid, , Spain

Site Status

Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Sachsska Children and Youth Hospital

Stockholm, , Sweden

Site Status

Guy & St Thomas' NHS foundation Trust

London, , United Kingdom

Site Status

Central Manchester University Hospitals, NHS Foundation Trust

Manchester, , United Kingdom

Site Status

Central Manchester University Hospitals, NHS Foundation Trust

Manchester, , United Kingdom

Site Status

Countries

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United States Canada Germany Ireland Italy Netherlands Spain Sweden United Kingdom

References

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Blumchen K, Kleinheinz A, Klimek L, Beyer K, Anagnostou A, Vogelberg C, Butovas S, Ryan R, Norval D, Zeitler S, Du Toit G. Post hoc analysis examining symptom severity reduction and symptom absence during food challenges in individuals who underwent oral immunotherapy for peanut allergy: results from three trials. Allergy Asthma Clin Immunol. 2023 Mar 13;19(1):21. doi: 10.1186/s13223-023-00757-8.

Reference Type DERIVED
PMID: 36915184 (View on PubMed)

Nilsson C, Scurlock AM, Dellon ES, Brostoff JM, Pham T, Ryan R, Brown KR, Adelman DC, Aceves SS. Onset of eosinophilic esophagitis during a clinical trial program of oral immunotherapy for peanut allergy. J Allergy Clin Immunol Pract. 2021 Dec;9(12):4496-4501. doi: 10.1016/j.jaip.2021.07.048. Epub 2021 Aug 11. No abstract available.

Reference Type DERIVED
PMID: 34389504 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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ARC004

Identifier Type: -

Identifier Source: org_study_id

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