Allergic Disease Onset Prevention Study

NCT ID: NCT05003804

Last Updated: 2025-11-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

283 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-01

Study Completion Date

2025-10-21

Brief Summary

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This is a Phase 1b/2, randomized, double-blind, multi-center study to evaluate the safety, tolerability, and preliminary clinical efficacy of STMC-103H in neonates and infants at risk for developing allergic disease (Type 1 hypersensitivity). Subjects will be enrolled in a three-part sequential approach. Participants in the safety-run portion of the study (Part A1: 1 year to \<6 years of age and A2: 1 month to \<12 months of age) will receive 28 days of treatment with STMC-103H or placebo, followed by 28 days of follow-up. A Data and Safety Monitoring Committee (DSMC) will review safety data after all patients in each part complete 28 days of therapy prior to enrolling the next part. After A2, Part B will enroll 224 patients for 336 days of treatment with STMC-103H or placebo, followed by 336 days of follow-up. Stool, blood, and optional samples will be collected in Parts A2 and part B. Primary safety endpoints are frequency, type and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs), as well as findings on physical exams, vitals, and safety laboratories. The primary efficacy endpoint is incidence of physician-diagnosed atopic dermatitis at day 336.

Detailed Description

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Conditions

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Atopic Dermatitis Type 1 Hypersensitivity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be enrolled in a three-part sequential approach (Parts A1, A2, and B). Part A will enroll at risk participants of 1 year to less than 6 years of age; after safety review, Part A2 will enroll at risk participants of 1 month to less than 12 months of age; and after safety review, Part B will enroll at -risk participants between 0 and 14 days of life.
Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Double-blind, placebo-controlled

Study Groups

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STMC-103H Part A1

Once daily dosing with one capsule of STMC-103H mixed with milk, formula, or a milk product for 28 days

Group Type EXPERIMENTAL

STMC-103H

Intervention Type BIOLOGICAL

STMC-103H is a live biotherapeutic product (LBP) containing a consortium of intestinal bacteria

Placebo Part A1

Once daily dosing with one capsule of placebo mixed with milk, formula, or a milk product for 28 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Powder containing excipients found in STMC-103H: magnesium stearate, mannitol and silicon dioxide.

STMC-102H Part A2

Once daily dosing with one capsule of STMC-103H mixed with milk, formula, or a milk product for 28 days

Group Type EXPERIMENTAL

STMC-103H

Intervention Type BIOLOGICAL

STMC-103H is a live biotherapeutic product (LBP) containing a consortium of intestinal bacteria

Placebo Part A2

Once daily dosing with one capsule of placebo mixed with milk, formula or a milk product for 28 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Powder containing excipients found in STMC-103H: magnesium stearate, mannitol and silicon dioxide.

STMC-103H Part B

Once daily dosing with one capsule of STMC-103H mixed with breastmilk, formula or a milk product for 336 days

Group Type EXPERIMENTAL

STMC-103H

Intervention Type BIOLOGICAL

STMC-103H is a live biotherapeutic product (LBP) containing a consortium of intestinal bacteria

Placebo Part B

Once daily dosing with one capsule of placebo mixed with breastmilk, formula or a milk product for 336 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Powder containing excipients found in STMC-103H: magnesium stearate, mannitol and silicon dioxide.

Interventions

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STMC-103H

STMC-103H is a live biotherapeutic product (LBP) containing a consortium of intestinal bacteria

Intervention Type BIOLOGICAL

Placebo

Powder containing excipients found in STMC-103H: magnesium stearate, mannitol and silicon dioxide.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* All Parts (A1, A2, B)

1. Subject's parent(s)/legal representative(s) providing consent must be 18 years or older
2. Biological mother and/or biological father and/or full sibling(s), have a history of asthma, atopic dermatitis, food allergy, or allergic rhinitis as determined by the screening questionnaire
3. Subject's parent(s)/legal representative(s) (if appropriate according to local laws) is/are willing and able to give informed consent for participation in the study
4. Subject's parent(s)/legal representative(s) (if appropriate according to local laws) is/are willing and able, in the PI's opinion, to comply with all study requirements

Part A1 Only


5 (A1). Subject is between 1 year and \< 6 years old at the time of enrollment

Part A2 Only


5 (A2). Subject is between 28 days and \< 12 months of life at the time of enrollment 6 (A2). Subject's parent(s)/legal representative(s) do not plan to give probiotics (including infant formula that contain probiotics) to the subject during the trial

Part B Only


5 (B). Subject is ≤ 14 days of life at the time of enrollment. Sites should make every effort to enroll newborns as soon as possible after birth.

6 (B). Subject has a birthweight ≥ 2.5 kg and ≤ 4.5 kg 7 (B). Subject's parent(s)/legal representative(s) do not plan to give probiotics (including infant formula that contain probiotics) to the subject from the time of birth to the end of the trial.

Exclusion Criteria

* All Parts (A1, A2, B)

1. Subject's twin (or higher order multiple) is enrolled in STMC-103H-102
2. Subject has any congenital abnormalities or condition, significant disease, illness, physical exam finding, or disorder that, in the opinion of the PI, may put the subject at safety risk or is likely to hinder feeding or affect metabolism that may influence the results of the study. (Neonatal hyperbilirubinemia (jaundice), including jaundice that requires phototherapy, should not be considered exclusionary).
3. Subject is acutely ill or on systemic antibiotics at the time of enrollment
4. Subject is participating in another interventional clinical study involving investigational medication, formula, probiotic, or prebiotic use within 30 days (or five half-lives, whichever is longer) of this study
5. Subject has evidence of immune deficiency/immune compromise in the judgment of the investigator

Part B Only


6 (B). Subject was born at \< 35 weeks' gestation 7 (B). Biological maternal medical condition during the pregnancy that, in the opinion of the PI, may put the subject at risk because of participation in the study. (Maternal antibiotics during the time of delivery should not be considered exclusionary.)
Minimum Eligible Age

0 Days

Maximum Eligible Age

14 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Siolta Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Arizona Health Sciences

Tucson, Arizona, United States

Site Status

Arkansas Children's Research Institute

Little Rock, Arkansas, United States

Site Status

UCLA Health

Los Angeles, California, United States

Site Status

Rady Children's Hospital - San Diego

San Diego, California, United States

Site Status

UCSF Benioff Children's Hospital

San Francisco, California, United States

Site Status

Children's Hospital Colorado

Aurora, Colorado, United States

Site Status

Children's Healthcare of Atlanta

Atlanta, Georgia, United States

Site Status

Lurie Children's Hospital

Chicago, Illinois, United States

Site Status

University of Chicago Medicine

Chicago, Illinois, United States

Site Status

Riley Children's Health at University of Indiana

Indianapolis, Indiana, United States

Site Status

Johns Hopkins University School of Medicine

Baltimore, MD, Maryland, United States

Site Status

Boston Children's Hospital

Boston, Massachusetts, United States

Site Status

University of Michigan Health

Ann Arbor, Michigan, United States

Site Status

Northwell Healthcare

Great Neck, New York, United States

Site Status

NYU Langone Fink Children's

New York, New York, United States

Site Status

Mt. Sinai Jaffe Allergy Institute

New York, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

Cincinnati Children's Hospital

Cincinnati, Ohio, United States

Site Status

Tribe Clinical Research

Greenville, South Carolina, United States

Site Status

Coastal Pediatrics Research

Summerville, South Carolina, United States

Site Status

Dell Medical School at UT Austin

Austin, Texas, United States

Site Status

UT Southwestern/Children's Health

Dallas, Texas, United States

Site Status

Seattle Allergy and Asthma Research Institute

Seattle, Washington, United States

Site Status

Univ. of Wisconsin-Madison/Jackson Research Group

Madison, Wisconsin, United States

Site Status

The Children's Hospital at Westmead

Westmead, New South Wales, Australia

Site Status

Queensland Children's Hospital

South Brisbane, Queensland, Australia

Site Status

The Women's and Children's Hospital

Adelaide, South Australia, Australia

Site Status

Monash Children's Hospital

Clayton, Victoria, Australia

Site Status

Murdoch Children's Research Institute

Parkville, Victoria, Australia

Site Status

Fiona Stanley Hospital

Murdoch, Western Australia, Australia

Site Status

Centro de Neumologia Pediatrica

Caguas, Puerto Rico, Puerto Rico

Site Status

Countries

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United States Australia Puerto Rico

Other Identifiers

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STMC-103H-102

Identifier Type: -

Identifier Source: org_study_id

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