Status:

NOT_YET_RECRUITING

Sustained Unresponsiveness (SU) to Cashew Nut Protein Following Oral Allergen-Specific Immunotherapy

Lead Sponsor:

Medical University of Warsaw

Conditions:

Food Allergy in Children

Eligibility:

All Genders

4-17 years

Phase:

NA

Brief Summary

This study is a long-term follow-up of participants from the randomized controlled trial (RCT) "Efficacy of Cashew Nut Protein Immunotherapy: A Protocol of a Single-Center Randomized Controlled Trial ...

Detailed Description

Oral immunotherapy (OIT) is currently recognized as the most effective disease-modifying intervention for IgE-mediated food allergies. The therapeutic objectives of OIT encompass two distinct immunolo...

Eligibility Criteria

Inclusion

  • Cashew nut allergy confirmed prior to the initiation of immunotherapy
  • Completion of the first phase of the study, including achievement of the maintenance dose (1200 mg of cashew nut protein) during immunotherapy
  • Provision of informed consent for participation in the study
  • Adequate cooperation from the patient and/or their legal guardians

Exclusion

  • Severe asthma
  • Poorly controlled mild-to-moderate asthma, defined as:
  • FEV1 \< 80% (below the 5th percentile),
  • FEV1/FVC ratio \< 75% (below the 5th percentile),
  • Hospitalization due to asthma exacerbation within the past 12 months
  • Oral, sublingual, or subcutaneous immunotherapy for other allergens during the first year/season of therapy
  • Eosinophilic gastrointestinal disorders
  • Severe, recurrent episodes of anaphylaxis within the last 6 months
  • Chronic illnesses requiring ongoing treatment, including:
  • Cardiac conditions
  • Epilepsy
  • Metabolic disorders
  • Diabetes mellitus
  • Use of the following medications:
  • Daily oral corticosteroid therapy \>1 month within the past 12 months
  • At least two courses of oral corticosteroids (minimum duration of 7 days each) in the past 12 months
  • One course of oral corticosteroids (minimum 7 days) within the past 3 months
  • Biologic therapies
  • Treatment with β-blockers, ACE inhibitors, or calcium channel blockers
  • Pregnancy
  • Lack of informed consent for participation
  • Lack of cooperation from the patient

Key Trial Info

Start Date :

September 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2029

Estimated Enrollment :

39 Patients enrolled

Trial Details

Trial ID

NCT07158619

Start Date

September 1 2025

End Date

May 1 2029

Last Update

September 8 2025

Active Locations (1)

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Medical University of Warsaw

Warsaw, Masovian Voivodeship, Poland, 02-091