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Peanut AllergyPhase 1/2NCT05440643

Peanut Sublingual Immunotherapy (SLIT)-Tablet for Treatment of Peanut Allergy

A Phase 1/2 study testing Peanut SLIT-tablet in people with Peanut Allergy, run by ALK-Abelló A/S at 42 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This clinical research study investigates the safety, tolerability and efficacy of a peanut SLIT-tablet in adults, adolescents, and children with peanut allergy. Read more about this study

Who is it for?
Ages 4 to 65 years
Conditions the study is for
Peanut Allergy
What is being tested?
Peanut SLIT-tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
209 participants
Where
42 sitesin 2 countries
Study dates
7 Sep 2022to 5 Apr 2026
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 4 to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Subjects are eligible to be included in the trial only if all the following criteria apply:
  • Part 1: Male or female aged 12 through 65 years (inclusive) on the day of enrollment Part 2: Male or female aged 4 through 65 years (inclusive) on the day of enrollment Part 3: Male or female aged 4 through 65 years (inclusive) on the day of randomization
  • Documented clinical history of an IgE-mediated allergic reaction towards peanut- containing food
  • Peanut-specific serum IgE ≥ 0.7 kU/L at screening measured at central laboratory
  • Skin prick test to peanut ≥ 5 mm at screening
  • Cohorts 1-8: Experience dose-limiting symptoms at the 10 mg, 30 mg or 100 mg challenge dose of peanut protein on screening DBPCFC Cohorts 9-10: Experience dose-limiting symptoms at the 1 mg or 3 mg challenge dose of peanut protein on the screening DBPCFC Part 3: Experience dose-limiting symptoms at the 3 mg, 10 mg, 30 mg or 100 mg challenge dose of peanut protein on screening DBPCFC

Who cannot join

  • Subjects are excluded from the trial if any of the following criteria apply:
  • Diagnosis or history of eosinophilic esophagitis
  • Uncontrolled asthma as defined by the Asthma Control Test questionnaire with a score of 19 or below at enrollment (subjects with a diagnosis of asthma only)
  • All subjects ≥ 5 years old with FEV1 or PEFR < 70% of predicted value at enrollment Subjects 4 years old with a history of recurrent wheeze requiring inhaled corticosteroids for 2 consecutive weeks or more within 3 months prior to enrollment
  • Up-dosing with any allergy immunotherapy product. Maintenance dose of any subcutaneous immunotherapy product other than peanut is allowed
  • History of peanut oral immunotherapy within the last 12 months prior to visit 1
Show all 27Show fewer
  • Chronic or acute oral inflammation at enrollment
  • History of cardiovascular disease, including uncontrolled or inadequately controlled hypertension
  • Currently using any prohibited medication on the list of prohibited medication
  • Part 1 and 2: Allergic symptoms in reaction to the placebo part of the screening DBPCFC Part 3: Dose-limiting allergic symptoms in reaction to the placebo part of the screening DBPCFC
  • History of severe or life-threatening episode of anaphylaxis or anaphylactic shock within 60 days of the screening DBPCFC
  • Part 1 and 2: Asthma according to below criteria:
  • Severe asthma as per the current GINA guidelines
  • Uncontrolled or poorly controlled asthma as per the current GINA guidelines
  • Asthma that requires more than a daily dose above 800 µg of inhaled budesonide (or clinically comparable inhaled corticosteroids)
  • History of 2 or more systemic corticosteroid courses within 6 months of screening
  • Prior intubation/mechanical ventilation for asthma
  • Emergency room visit or hospitalization for asthma in the 12 months prior to screening
  • Any history of a life-threatening asthma attack
  • Part 3: Asthma fulfilling the below criteria:
  • History of 2 or more systemic corticosteroid courses within 6 months of screening
  • Prior intubation/mechanical ventilation for asthma
  • Emergency room visit or hospitalization for asthma in the 12 months prior to screening
  • Any history of a life-threatening asthma attack
  • (US only) Severe asthma as per the current GINA guidelines
  • (US only) Uncontrolled or poorly controlled asthma as per the current GINA guidelines
  • (US only) Asthma that requires more than a daily maintenance dose above 800 μg of inhaled budesonide (or clinically comparable inhaled corticosteroids)

Trial locations and contacts

42 sites in 2 countries.

42 sites in 2 countries

United States33 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Center for Advance Pediatrics

    Atlanta, Georgia, 30329

  • Children's Hospital Colorado

    Aurora, Colorado, 80045

  • Johns Hopkins University School of Medicine

    Baltimore, Maryland, 21287-0005

  • Boston Food Allergy Center

    Boston, Massachusetts, 02111

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • University of North Carolina

    Chapel Hill, North Carolina, 27599

  • Ann Robert H. Lurie Childrens Hospital of Chicago

    Chicago, Illinois, 60611-2605

  • Rush University

    Chicago, Illinois, 60612

  • Aventiv research, Inc

    Columbus, Ohio, 43212

  • The University of Texas Southwestern Medical Center

    Dallas, Texas, 75390

  • Western Sky Medical Research

    El Paso, Texas, 79903

  • Northwell Health

    Great Neck, New York, 11021

  • Quality Research of South Florida

    Hialeah, Florida, 33016

  • Baylor College of Medicine (BCM) Texas Children's Hospital Pediatrics and Immunology

    Houston, Texas, 77030

  • Velocity Clinical Research - Lafayette

    Lafayette, Louisiana, 70508

  • Arkansas Children's Hospital

    Little Rock, Arkansas, 72202

  • Children's Hospital of Los Angeles - USC School of Medicine

    Los Angeles, California, 90027

  • UCLA - Pediatrics

    Los Angeles, California, 90095

  • Family Allergy Asthma Research Institute

    Louisville, Kentucky, 40215-1176

  • NYU Langone Health - Fink Children's Ambulatory Care Center

    New York, New York, 10016

  • Icahn School of Medicine at Mt. Sinai, Pediatric Allergy, Kravis Children Hospital

    New York, New York, 10029

  • Sneeze, Wheeze, & Itch Associates, LLC

    Normal, Illinois, 61761

  • Allergy Partners of NJ

    Ocean City, New Jersey, 07712

  • Stanford University - Lucile Packard Children's Hospital

    Palo Alto, California, 94304

  • Children's Hospital of Philadephia

    Philadelphia, Pennsylvania, 19104

  • Children's Hospital of Pittsburg of UPMC - Immunology and Rheumatology

    Pittsburgh, Pennsylvania, 15224

  • Peninsula Research Associates (PRA)

    Rolling Hills Estates, California, 90274

  • Eastern Virginia Medical School - Children's Hospital

    San Diego, California, 92123

  • MOORE-PH Dermatology - Clinical Research

    Tampa, Florida, 33609

  • USF Asthma Allergy and Immunology Clinical Research Unit

    Tampa, Florida, 33609

  • Allergy & Asthma Clinical Research

    Walnut Creek, California, 94598

  • Asthma, Allergy and Sinus Center

    White Marsh, Maryland, 21162

Other trials in United States

Canada9 sites
  • Halton Pediatric Allergy

    Burlington, Ontario, L7L 6W6

  • Hamilton Allergy

    Hamilton, Ontario

  • McGill University Health Centre (MUHC) - Research Institute (RI-MUHC)

    Montreal, Quebec, H3H 2R9

  • CHU-Saint-Justine

    Montreal, Quebec, H3T 1C5

  • Ottawa Allergy Research Corporation

    Ottawa, Ontario, K1H 1E4

  • Clinique Specialisee en Allergie de la Capitale

    Québec, G1V 4W2

  • The Hospital for Sick Children, Toronto

    Toronto, Ontario, M5G 1E8

  • BC Children's Hospital

    Vancouver, British Colombia, V5H 3V4

  • The Children's Hospital Foundation of Manitoba

    Winnipeg, Manitoba, R3A 1M3

Other trials in Canada

About this study

Official title: A Phase I/II Trial in 3 Parts Assessing the Safety, Tolerability, and Efficacy of a Once-daily Peanut Sublingual Immunotherapy (SLIT) Tablet in Adults, Adolescents, and Children With Peanut Allergy

This clinical research study investigates the safety, tolerability and efficacy of a peanut SLIT-tablet in adults, adolescents, and children with peanut allergy.

Read the detailed description

This is a phase I/II, dose-escalation, multi-site trial including subjects with peanut allergy confirmed by screening double-blind, placebo-controlled food challenge. The trial is conducted in 3 parts; part 1 will determine the entry dose of the up-dosing regimen (UDR) in adults and adolescents; part 2 will characterize the tolerability of the up-dosing regimen in adults, adolescents and children; part 3 will evaluate the efficacy of 2 maintenance doses of the SLIT-tablet primarily in adolescents and children; a small number of adults may also be included.

Peanut SLIT tablets administered as 9 doses covering a 4000-fold increase in dose will be used in the study.

In part 1, subjects will receive a peanut SLIT-tablet with one of five doses once daily for 2 weeks.

In part 2, subjects will receive a series of increasing doses of the peanut SLIT-tablet, where each dose is taken once daily for 2 weeks. The entry dose for the up-dosing regimen will be determined from part 1.

In part 3, subjects will be randomized into 3 treatment groups (UDR and Maintenance A, UDR and Maintenance B, Placebo UDR and Placebo). Subjects will receive a series of increasing doses of the peanut SLIT-tablet , where each dose is taken once daily for 2 weeks, followed by Maintenance A or B once daily for 24 weeks; or the corresponding Placebo.

The trial will consist of up to 10 cohorts (part 1 is cohort 1-5; part 2 is cohort 6-10) and 3 treatment groups in part 3.

Conditions
Peanut Allergy
Being tested
Peanut SLIT-tablet, Placebo
Keywords
Peanut allergy, Children, Adolescent, Adult
Medical subject headings
Peanut Hypersensitivity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Peanut SLIT-tabletBiological

    Peanut extract

  • PlaceboOther

    Placebo

Study groups in NCT05440643
Study groupRoleWhat they receive
Part 1: Cohort 1ExperimentalAdults and adolescents - peanut SLIT-tablet once daily for 2 weeks
Receives: Biological: Peanut SLIT-tablet
Part 1: Cohort 2ExperimentalAdults and adolescents - peanut SLIT-tablet once daily for 2 weeks
Receives: Biological: Peanut SLIT-tablet
Part 1: Cohort 3ExperimentalAdults and adolescents - peanut SLIT-tablet once daily for 2 weeks
Receives: Biological: Peanut SLIT-tablet
Part 1: Cohort 4ExperimentalAdults and adolescents - peanut SLIT-tablet once daily for 2 weeks
Receives: Biological: Peanut SLIT-tablet
Part 1: Cohort 5ExperimentalAdults and adolescents - peanut SLIT-tablet once daily for 2 weeks
Receives: Biological: Peanut SLIT-tablet
Part 2: Cohort 6ExperimentalAdults - UDR with once daily peanut SLIT-tablet
Receives: Biological: Peanut SLIT-tablet
Part 2: Cohort 7ExperimentalAdolescents - UDR with once daily peanut SLIT-tablet
Receives: Biological: Peanut SLIT-tablet
Part 2: Cohort 8ExperimentalChildren - UDR with once daily peanut SLIT-tablet
Receives: Biological: Peanut SLIT-tablet
Part 2: Cohort 9ExperimentalHighly sensitized Adults/Adolescents - UDR with once daily peanut SLIT-tablet
Receives: Biological: Peanut SLIT-tablet
Part 2: Cohort 10ExperimentalHighly sensitized Children - UDR with once daily peanut SLIT-tablet
Receives: Biological: Peanut SLIT-tablet
Part 3: Maintenance AExperimentalUDR A + maintenance dose A
Receives: Biological: Peanut SLIT-tablet
Part 3: Maintenance BExperimentalUDR B + maintenance dose B
Receives: Biological: Peanut SLIT-tablet
Part 3: PlaceboPlacebo comparatorPlacebo UDR + placebo maintenance
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1 and 2: Dose tolerability response rate

    The dose tolerability response rate is defined as the percentage of subjects who experience at most moderate local application site reactions after the last peanut SLIT-tablet intake of the dose step. Local application site reactions are treatment-related adverse events occurring in close proximity to the application site of the SLIT-tablet with a temporal relationship to tablet administration.

    Measured: 2 weeks per dose

  2. Part 3: TD-600 response rate

    The TD (tolerated dose)-600 response rate is defined as the percentage of subjects able to consume 600 mg (1044 mg cumulative) peanut protein without dose-limiting symptoms at the exit double-blind placebo-controlled food challenge (DBPCFC) after 24 weeks of maintenance treatment. Subjects that do not complete the exit DBPCFC are classified as non-responders.

    Measured: After 24 weeks of maintenance treatment, up to 48 weeks.

Secondary outcomes (7)
  1. Part 1, 2 and 3: Treatment-emergent adverse events

    An adverse event is any untoward medical occurrence in a clinical trial subject and which does not necessarily have a causal relationship with the administered investigational medicinal product (IMP). A treatment-emergent adverse event has a start date on or after the time of first IMP intake and no later than 7 days after the last IMP intake.

    Measured: Part 1 and 2: 2 weeks per dose; Part 3: from first IMP intake to 7 days after last IMP intake, up to 48 weeks.

  2. Part 3: TD-300 response rate

    The TD-300 response rate is defined as the percentage of subjects able to consume 300 mg (444 mg cumulative) peanut protein without dose-limiting symptoms at the exit DBPCFC after 24 weeks of maintenance treatment. Subjects that do not complete the exit DBPCFC are classified as non-responders.

    Measured: After 24 weeks of maintenance treatment, up to 48 weeks.

  3. Part 3: TD-1000 response rate

    The TD-1000 response rate is defined as the percentage of subjects able to consume 1000 mg (2044 mg cumulative) peanut protein without dose-limiting symptoms at the exit DBPCFC after 24 weeks of maintenance treatment. Subjects that do not complete the exit DBPCFC are classified as non-responders.

    Measured: After 24 weeks of maintenance treatment, up to 48 weeks.

  4. Part 3: TD-2000 response rate

    The TD-2000 response rate is defined as the percentage of subjects able to consume 2000 mg (4044 mg cumulative) peanut protein without dose-limiting symptoms at the exit DBPCFC after 24 weeks of maintenance treatment. Subjects that do not complete the exit DBPCFC are classified as non-responders.

    Measured: After 24 weeks of maintenance treatment, up to 48 weeks.

  5. Part 3: Maximum tolerated dose of peanut protein during DBPCFC

    The highest single challenge dose of peanut protein that a subject can consume without experiencing dose-limiting symptoms during the DBPCFC.

    Measured: At screening, 1 - 3 weeks, and after 24 weeks of maintenance treatment, up to 48 weeks.

  6. Part 3: Maximum severity of symptoms at each challenge dose of peanut protein during DBPCFC

    The highest severity of any symptom experienced at any challenge dose during the DBPCFC. Possible values are 0=none, 1=mild, 2=moderate or 3=severe.

    Measured: At screening, 1 - 3 weeks, and after 24 weeks of maintenance treatment, up to 48 weeks.

  7. Part 3: Response rate - use of epinephrine as rescue medication during exit DBPCFC

    The response rate is defined as the percentage of subjects that receive epinephrine as rescue medication during the exit DBPCFC.

    Measured: After 24 weeks of maintenance treatment, up to 48 weeks.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Jul 2022
  2. Study start7 Sep 2022
  3. Primary completion10 Mar 2026
  4. Study completion5 Apr 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Part 1 and 2 is sequential Part 3 is parallel
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
209 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05440643
Sponsor's protocol ID
PT-01
Status last verified
May 2026
First submitted
17 Jun 2022
Last updated
11 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Peanut SLIT-tablet in people with Peanut Allergy, run by ALK-Abelló A/S at 42 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 27 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part 1 and 2: Dose tolerability response rate (time frame: 2 weeks per dose). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 May 2026.

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