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Allergy and ImmunologyESCAPENCT06260956

Expecting Mother's Study of Consumption or Avoidance of Peanut and Egg

A study testing Consumption and Avoidance in people with Allergy and Immunology and Peanut and Nut Allergy, run by University of Rochester at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Peanut allergy is the most common cause of fatal and near-fatal food-allergic reactions and egg allergy is among the two most common causes of food-induced anaphylaxis. The proposed research will explore the development of sensitization to these food(s) in infants based on maternal consumption or avoidance during… Read more about this study

Who is it for?
Ages 1 day and older, women onlyHealthy volunteers can take part
What is being tested?
Consumption and Avoidance
Could I receive a placebo?
No, everyone receives an active treatment
How many people
500 participants
Where
1 siteUnited States
Study dates
1 Aug 2025to Sep 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

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 1 day and older
  • Women only
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • o Subject must be able to understand and provide informed consent.
  • Mothers will be English-speaking adults, 18 years or older. (Spanish speaking adults may be included after consent document is translated and Spanish speaking study representatives are available to conduct and answer questions during informed consent process and for study follow up.)
  • Maternal consent must be provided for infants.
  • Pregnant women from the time pregnancy is confirmed until 27 weeks of gestation.
  • Self-reported at time of enrollment:
  • no chronic inflammatory conditions that require long-term systemic immunosuppressive medications in first or second trimester
Show all 12Show fewer
  • carrying a fetus with a first-degree relative (i.e., mother, father, full sibling) with any self-reported or physician-diagnosed allergic disease (asthma, allergic rhinitis, atopic dermatitis, or food allergy).
  • Intend to give their infant their own breast milk for more than 3 months.
  • Can confidently say they have eaten PN and egg and have tolerated consumption with no food allergy reactions.
  • Willing to be randomized to consumption or avoidance diet.
  • Uncomplicated pregnancy (no gestational diabetes, no preeclampsia, no hyperemesis gravidarum), self-reported at time of enrollment.
  • Infants will be minimum age, 1 day (birth), through 365 days (12 months).

Who cannot join

  • Inability or unwillingness of subject to give written informed consent or comply with study protocol.
  • Known history of renal/liver/cardiac insufficiency in the mother or infant.
  • Pregnant women with PN or egg allergy.
  • Pregnant women who refuse to eat PN (or peanut products) and/or eggs.
  • Physician diagnosed immunodeficiency in the mother or infant.
  • Current, diagnosed, mental illness or current, diagnosed, or self-reported, drug or alcohol abuse that, in the opinion of the investigator, would interfere with the subject's ability to comply with study requirements.
  • Past or current medical problems or findings from medical history that are not listed above, which, in the opinion of the investigator, may pose additional risks to the mother or infant from participation in the study, may interfere with the subject's ability to comply with study requirements or that may impact the quality or interpretation of the data obtained from the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • University of Rochester

    Rochester, New York, 14642

    Kirsi Jarvinen-Seppo, MD, PhD

    Recruiting

Other trials in United States

About this study

Peanut allergy is the most common cause of fatal and near-fatal food-allergic reactions and egg allergy is among the two most common causes of food-induced anaphylaxis. The proposed research will explore the development of sensitization to these food(s) in infants based on maternal consumption or avoidance during pregnancy and breastfeeding.

Read the detailed description

The goals of this study include defining the role of egg and peanut consumption or avoidance during pregnancy and via human milk in food sensitization and identifying the underlying biological mechanisms leading to sensitization or tolerance. The study population will include 500 mother/infant dyads who plan to exclusively feed breastmilk to healthy infants. We expect approximately 25% will be recruited locally and the rest from across the United States. This is a national, parallel, two arm, one-to-one allocation, single blinded, randomized controlled trial. Each arm of the study defines maternal diet from 27 weeks gestation through their baby's fourth month with some consuming peanut and egg and some avoiding these foods.

Being tested
Consumption, Avoidance
Medical subject headings
Hypersensitivity, Nut and Peanut Hypersensitivity, Egg Hypersensitivity, Peanut Hypersensitivity

What participants receive

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

  • ConsumptionBehavioural

    Subjects consume peanut and egg from 27 weeks of pregnancy through the first 4 months feeding breastmilk to their infant.

  • AvoidanceBehavioural

    Subjects avoid eating peanut and egg from 27 weeks of pregnancy through the first 4 months feeding breastmilk to their infant.

Study groups in NCT06260956
Study groupRoleWhat they receive
Arm 1 ConsumptionActive comparatorSubjects must consume peanuts and peanut products and egg and egg products.
Receives: Behavioral: Consumption
Arm 2 AvoidanceActive comparatorSubjects must avoid eating peanuts and peanut products and egg and egg products.
Receives: Behavioral: Avoidance

What is being measured

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

  1. Egg or peanut sensitization

    Determine the proportion of high-risk infants who have developed egg or peanut sensitization at four months (prior to introduction of these foods to the infant).

    Measured: four months

Secondary outcomes (4)
  1. Peanut and egg specific IgG and IgG4

    Levels of infant peanut and egg specific IgG and IgG4

    Measured: four months

  2. Antibodies in maternal blood

    Quantify egg- and PN-specific IgG and IgG4 antibody concentrations in maternal blood measured during pregnancy and at four months.

    Measured: four months

  3. Egg allergy

    Questionnaire for parents to report any signs of egg allergy in their child.

    Measured: 12 months

  4. Egg and peanut specific IgE

    Measure levels of infant egg- and peanut-specific IgE.

    Measured: four months

Timeline

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

  1. First posted15 Feb 2024
  2. Study start1 Aug 2025
  3. Primary completionJun 2028 (estimated)
  4. Study completionSep 2029 (estimated)

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 N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
National, parallel, two arm (one-to-one allocation), single blinded, randomized controlled trial.
Masking
Triple blind
Who is masked
Care provider, Investigator, Outcomes assessor
Enrolment
500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06260956
Sponsor's protocol ID
U01-ROC-001
Other IDs
1U01AI173032
Acronym
ESCAPE
Status last verified
Oct 2026
First submitted
7 Feb 2024
Last updated
8 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Per NIH policy

Questions about this trial

What is this clinical trial studying?

A study testing Consumption and Avoidance in people with Allergy and Immunology and Peanut and Nut Allergy, run by University of Rochester at 1 site in United States.

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 12 inclusion and 7 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: looking for participants now, as of the sponsor's last update on 8 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Allison W Leadley, MPH (585-275-4640, allison_leadley@urmc.rochester.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Egg or peanut sensitization (time frame: four months). 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 8 Oct 2026; AzTrials last refreshed its copy on 7 Nov 2026.

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