Actively Recruiting

Phase Not Applicable
Age: 18Years - 99Years
All Genders
NCT06268717

GI Alpha-Gal Study

Led by University of North Carolina, Chapel Hill · Updated on 2025-10-20

30

Participants Needed

1

Research Sites

137 weeks

Total Duration

On this page

Sponsors

U

University of North Carolina, Chapel Hill

Lead Sponsor

R

Revivicor, Inc

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a double-blind, crossover food challenge study using pork with and without α-gal in patients with a clinical diagnosis of gastrointestinal (GI)- α-gal allergy, and to investigate the pathophysiology underlying their symptoms.

CONDITIONS

Official Title

GI Alpha-Gal Study

Who Can Participate

Age: 18Years - 99Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • At least 18 years old
  • History of gastrointestinal alpha-gal allergy with elevated alpha-gal IgE (>0.1 U/L) and symptoms like abdominal pain, diarrhea, nausea, or vomiting within the last 5 years
  • Symptoms occurring at least once monthly for at least two months
  • Completed symptom questionnaire on frequency and severity of symptoms in the 3 months before diagnosis
  • Experienced symptom improvement on a mammalian meat-free diet for at least one month
  • Elevated alpha-gal IgE on screening if no recent positive test
  • Willing to avoid certain medications (NSAIDs, leukotriene modifiers, steroids) 14 days before challenge
  • Willing to sign informed consent
Not Eligible

You will not qualify if you...

  • Significant health conditions that increase risk from anaphylaxis treatment (e.g., heart disease, unstable angina, arrhythmias)
  • Allergy to mannitol
  • Pregnant females
  • History of chronic gastrointestinal diseases like inflammatory bowel disease, celiac disease, or chronic pancreatitis with ongoing symptoms
  • Recent diarrhea, moderate to severe abdominal pain, or vomiting within 10 days before challenge
  • History of severe allergic reaction to mammalian meat causing respiratory or cardiopulmonary symptoms
  • Unwillingness to receive intramuscular epinephrine
  • Planned use of omalizumab within 6 months
  • Planned use of systemic steroids within 28 days
  • Planned use of leukotriene modifiers within 14 days
  • Unable to stop NSAIDs 14 days before challenge
  • Contraindications for transnasal endoscopy (for those undergoing biopsy), including history of head and neck cancer, anatomical deformities, or severe anxiety

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States, 27599

Actively Recruiting

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Research Team

S

Sarah McGill, MD

CONTACT

S

Shilpa Karanjit, MPH

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

OTHER

Number of Arms

2

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