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Peanut AllergyPhase 3PALISADENCT02635776

Peanut Allergy Oral Immunotherapy Study of AR101 for Desensitization in Children and Adults (PALISADE)

A Phase 3 study testing AR101 powder provided in capsules & sachets in people with Peanut Allergy, run by Aimmune Therapeutics, Inc. at 69 sites in 10 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to demonstrate the efficacy and safety of AR101 through reduction in clinical reactivity to peanut allergen in peanut-allergic children and adults. Read more about this study

Who is it for?
Ages 4 to 55 years
Conditions the study is for
Peanut Allergy
What is being tested?
AR101 powder provided in capsules & sachets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
555 participants
Where
69 sitesin 10 countries
Study dates
22 Dec 2015to 2 Jul 2018
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 55 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Age 4 through 55 years
  • Clinical history of allergy to peanuts or peanut-containing foods
  • Serum immunoglobulin E (IgE) to peanut ≥0.35 kUA/L (kilos of allergen-specific units per liter, determined by UniCAP™* within the past 12 months) and/or a skin prick test (SPT) to peanut ≥3 mm compared to control
  • Experience dose-limiting symptoms at or before the 100 mg challenge dose of peanut protein (measured as 200 mg of peanut flour) on Screening DBPCFC conducted in accordance with PRACTALL** guidelines
  • Not be residing at the same address as another subject in this or any peanut OIT study
  • UniCAP™: a laboratory system for routine diagnostic testing of allergy and tool for basic studies on allergens and antibodies
  • PRACTALL: PRACTical issues in ALLergology Joint United States/European Union Initiative

Who cannot join

  • History of cardiovascular disease, including uncontrolled or inadequately controlled hypertension
  • History of severe or life-threatening episode of anaphylaxis or anaphylactic shock within 60 days of Screening DBPCFC
  • History of chronic disease (other than asthma, atopic dermatitis, or allergic rhinitis) that is, or is at significant risk of becoming, unstable or requiring a change in chronic therapeutic regimen
  • History of eosinophilic esophagitis (EoE), other eosinophilic gastrointestinal disease, chronic, recurrent, or severe gastroesophageal reflux disease (GERD), symptoms of dysphagia or recurrent gastrointestinal symptoms of undiagnosed etiology
  • History of severe asthma (NHLBI criteria steps 5 or 6), or mild to moderate asthma (2007 NHLBI criteria steps 1-4) that is uncontrolled or difficult to control
  • History of steroid medication use
Show all 9Show fewer
  • History of a mast cell disorder, including mastocytosis, urticarial pigmentosa, and hereditary or idiopathic angioedema
  • Developing dose-limiting symptoms in reaction to the placebo part of the Screening DBPCFC
  • Having the same place of residence as another subject in the study

Trial locations and contacts

69 sites in 10 countries.

69 sites in 10 countries

United States49 sites
  • University of Michigan Health System

    Ann Arbor, Michigan, 48109

  • Children's Hospital Colorado

    Aurora, Colorado, 80045

  • Specially for Children Allergy, Asthma and Immunology Clinic

    Austin, Texas, 78723

  • Chesapeake Clinical Research, Inc.

    Baltimore, Maryland, 21236

  • John Hopkins Hospital

    Baltimore, Maryland, 21287

  • Asthma & Allergy Center, PC

    Bellevue, Nebraska, 68123

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Boston Children's Hospital

    Boston, Massachusetts, 02115

  • IU North Riley Children's Specialists

    Carmel, Indiana, 46032

  • Colorado Allergy & Asthma Centers, P.C.

    Centennial, Colorado, 80112

  • University of North Carolina at Chapel Hill, Clinical & Translational Research Center (CTRC)

    Chapel Hill, North Carolina, 27599

  • National Allergy and Asthma Research, LLC

    Charleston, South Carolina, 29407

  • Clinical Research of Charlotte

    Charlotte, North Carolina, 28277

  • Ann & Robert H. Lurie Children's Hospital of Chicago

    Chicago, Illinois, 60611

  • Comer Children's Hospital

    Chicago, Illinois, 60637

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • Allergy Partners of North Texas Research

    Dallas, Texas, 75230

  • Children's Medical Center

    Dallas, Texas, 75235

  • National Jewish Health

    Denver, Colorado, 80206

  • Idaho Allergy LLC dba Idaho Research

    Eagle, Idaho, 83616

  • Western Sky Medical Research

    El Paso, Texas, 79903

  • Texas Children's Hospital

    Houston, Texas, 77030

  • Children's Mercy on Broadway

    Kansas City, Missouri, 64111

  • Arkansas Children's Hospital

    Little Rock, Arkansas, 72202

  • Long Beach Memorial Medical Center / Miller Children's and Women's Hospital

    Long Beach, California, 90806

  • UCLA Medical Center, Santa Monica

    Los Angeles, California, 90404

  • Atlanta Allergy & Asthma Clinic, PA

    Marietta, Georgia, 30060

  • LeBonheur Children's Hospital - Outpatient Building

    Memphis, Tennessee, 38105

  • Allergy & Asthma Associates of Southern California dba Southern California Research

    Mission Viejo, California, 92691

  • Sean N. Parker Center for Allergy Research, LPCH at El Camino Hospital

    Mountain View, California, 94040

  • Icahn School of Medicine at Mount Sinai, Clinical Research Unit

    New York, New York, 10029

  • Columbia University Medical Center

    New York, New York, 10032

  • Sneeze, Wheeze & Itch Associates, LLC

    Normal, Illinois, 61761

  • Atlantic Research Center, LLC

    Ocean City, New Jersey, 07712

  • Children's Hospital of Philadelphia: Allergy / Immunology

    Philadelphia, Pennsylvania, 19104

  • Children's Hospital of Pittsburgh of UPMC

    Pittsburgh, Pennsylvania, 15224

  • Clinical Research Institute Inc.

    Plymouth, Minnesota, 55441

  • Baker Allergy Asthma & Dermatology Research Center, LLC

    Portland, Oregon, 97223

  • Peninsula Research Associates, Inc.

    Rolling Hills Estates, California, 90274

  • Sylvana Research

    San Antonio, Texas, 78229

  • Allergy & Asthma Medical Group and Research Center, A.P.C

    San Diego, California, 92123

  • Rady Children's Hospital

    San Diego, California, 92123

  • University of California, San Francisco

    San Francisco, California, 94158

  • Windom Allergy, Asthma and Sinus

    Sarasota, Florida, 34239

  • Virginia Mason Medical Center

    Seattle, Washington, 98101

  • Northwest Asthma and Allergy Center

    Seattle, Washington, 98115

  • University of South Florida Asthma, Allergy & Immunology Clinical Research Unit

    Tampa, Florida, 33613

  • Banner University of Arizona Medical Center

    Tucson, Arizona, 85724

  • Children's National Medical Center

    Washington D.C., District of Columbia, 20010

Other trials in United States

Canada5 sites
  • Ohayon

    Hamilton, Ontario, L8S 1G5

  • Cheema Research, Inc.

    Mississauga, Ontario, L5A 3V4

  • Montreal Children's Hospital

    Montreal, Quebec, H4A3J1

  • Ottawa Allergy Research Corp

    Ottawa, Ontario, K1G 6C6

  • Gordon Sussman Clinical Research, Inc.

    Toronto, Ontario, M4V 1R2

Other trials in Canada

Germany3 sites
  • Charite Universitaetsmedizin Berlin

    Berlin, 13353

  • Universitatsklinikum Frankfurt, Klinik fur Kinger und Jagendmedizin

    Frankfurt, 60590

  • Medaimun GmbH

    Frankfurt am Main, 60596

Other trials in Germany

Spain3 sites
  • Hospital General Universitario Gregorio Maranon

    Madrid, 28007

  • Hospital Infantil Universitario Nino Jesus

    Madrid, 28009

  • Hospital Clinico San Carlos

    Madrid, 28040

Other trials in Spain

United Kingdom3 sites
  • Guy and St Thomas' NHS Foundation Trust

    London, SE1 7EH

  • Central Manchester University Hospitals NHS Foundation Trust

    Manchester, M13 9WL

  • University Hospital of South Manchester NHS Foundation Trust, Respiratory and Allergy Clinical Research Facility

    Manchester, M23 9LT

Other trials in United Kingdom

Netherlands2 sites
  • Universitair medisch Centrum Groningen

    Groningen, 9713GZ

  • University Medical Center Groningen

    Groningen, 9713GZ

Other trials in Netherlands

Denmark1 site
  • Odense Universitetshospital - Department of Dermatology and Allergy Center

    Odense, DK5000

Other trials in Denmark

Ireland1 site
  • Cork University Hospital

    Cork

Other trials in Ireland

Italy1 site
  • Az. Osp. - Univ. degli Studi- Padova, UOSD- Allergie Alimentari,

    Padova, 35128

Other trials in Italy

Sweden1 site
  • Barnforskningscentrum, Sachs' Children and Youth Hospital

    Stockholm, 118 83

Other trials in Sweden

About this study

The purpose of this study is to demonstrate the efficacy and safety of AR101 through reduction in clinical reactivity to peanut allergen in peanut-allergic children and adults.

Read the detailed description

This is an international, multicenter, randomized, double-blind, placebo-controlled study of the efficacy and safety of AR101 in a characterized desensitization oral immunotherapy regimen in peanut-allergic individuals.

Conditions
Peanut Allergy
Being tested
AR101 powder provided in capsules & sachets, Placebo powder provided in capsules & sachets
Keywords
AR101 (Characterized Peanut Allergen), Characterized Peanut Allergen, CPNA (Characterized Peanut Allergen), OIT (oral immunotherapy), Oral Immunotherapy, Peanut Allergy, Allergy, Peanut-Allergic Children, Peanut-Allergic Adults, Desensitization
Medical subject headings
Peanut Hypersensitivity, Hypersensitivity

What participants receive

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

  • AR101 powder provided in capsules & sachetsBiological

    Study product formulated to contain peanut protein at different dosage strengths for use as defined in the protocol

  • Placebo powder provided in capsules & sachetsBiological

    Study product formulated to contain only inactive ingredients for use as defined in the protocol

Study groups in NCT02635776
Study groupRoleWhat they receive
AR101 powder provided in capsules & sachetsExperimentalStudy product provided as peanut protein in pull-apart capsules or sachets
Receives: Biological: AR101 powder provided in capsules & sachets
Placebo powder provided in capsules & sachetsPlacebo comparatorPlacebo formulation in pull-apart capsules or sachets containing only inactive ingredients
Receives: Biological: Placebo powder provided in capsules & sachets

What is being measured

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

  1. Percentage of Subjects Ages 4-17 Who Tolerated a Single Highest Dose of at Least 600 mg in the Exit Double-Blind, Placebo-Controlled Food Challenge (DBPCFC)

    The percentage of subjects in the ITT population who achieve desensitization as determined by tolerating specified challenge doses of peanut protein with no more than mild symptoms at the Exit Oral Food Challenge.

    Measured: 12 months

Secondary outcomes (3)
  1. Percentage of Subjects Ages 4-17 Who Tolerated a Single Highest Dose of at Least 1000 mg in the Exit Double-Blind, Placebo-Controlled Food Challenge (DBPCFC)

    The percentage of subjects in the ITT population who achieve desensitization as determined by tolerating specified challenge doses of peanut protein with no more than mild symptoms at the Exit Oral Food Challenge.

    Measured: 12 months

  2. Percentage of Subjects Ages 4-17 Who Tolerated a Single Highest Dose of at Least 300 mg in the Exit Double-Blind, Placebo-Controlled Food Challenge (DBPCFC)

    The percentage of subjects in the ITT population who achieve desensitization as determined by tolerating specified challenge doses of peanut protein with no more than mild symptoms at the Exit Oral Food Challenge.

    Measured: 12 months

  3. Percentage of Subjects Ages 4-17 by Maximum Severity of Symptoms Occurring at Any Challenge Dose of Peanut Protein During the Exit Double-Blind, Placebo-Controlled Food Challenge (DBPCFC)

    The maximum severity of symptoms on 4 levels: 0-None, 1-Mild, 2-Moderate, 3-Severe or higher (Severe, life threatening, fatal) observed in the DBPCFC at any dose (1000 mg or lower).

    Measured: 12 months

Timeline

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

  1. First posted21 Dec 2015 (estimated)
  2. Study start22 Dec 2015
  3. Primary completion21 Dec 2017
  4. Study completion2 Jul 2018

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
555 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02635776
Sponsor's protocol ID
ARC003
Acronym
PALISADE
Status last verified
Mar 2022
First submitted
17 Dec 2015
Last updated
17 Mar 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Nilsson C, Vereda A, Borres MP, Andersson M, Sodergren E, Rudengren M, Smith A, Simon RJ, Ryan R, Fernandez-Rivas M, Adelman D, Vickery BP. Exploratory immunogenicity outcomes of peanut oral immunotherapy: Findings from the PALISADE trial. Clin Transl Allergy. 2024 Jan;14(1):e12326. doi: 10.1002/clt2.12326.

    PubMed 38282192
  • Blumchen K, Kleinheinz A, Klimek L, Beyer K, Anagnostou A, Vogelberg C, Butovas S, Ryan R, Norval D, Zeitler S, Du Toit G. Post hoc analysis examining symptom severity reduction and symptom absence during food challenges in individuals who underwent oral immunotherapy for peanut allergy: results from three trials. Allergy Asthma Clin Immunol. 2023 Mar 13;19(1):21. doi: 10.1186/s13223-023-00757-8.

    PubMed 36915184
  • Nilsson C, Scurlock AM, Dellon ES, Brostoff JM, Pham T, Ryan R, Brown KR, Adelman DC, Aceves SS. Onset of eosinophilic esophagitis during a clinical trial program of oral immunotherapy for peanut allergy. J Allergy Clin Immunol Pract. 2021 Dec;9(12):4496-4501. doi: 10.1016/j.jaip.2021.07.048. Epub 2021 Aug 11. No abstract available.

    PubMed 34389504
  • Fernandez-Rivas M, Vereda A, Vickery BP, Sharma V, Nilsson C, Muraro A, Hourihane JO, DunnGalvin A, du Toit G, Blumchen K, Beyer K, Smith A, Ryan R, Adelman DC, Jones SM. Open-label follow-on study evaluating the efficacy, safety, and quality of life with extended daily oral immunotherapy in children with peanut allergy. Allergy. 2022 Mar;77(3):991-1003. doi: 10.1111/all.15027. Epub 2021 Sep 24.

    PubMed 34320250
  • PALISADE Group of Clinical Investigators; Vickery BP, Vereda A, Casale TB, Beyer K, du Toit G, Hourihane JO, Jones SM, Shreffler WG, Marcantonio A, Zawadzki R, Sher L, Carr WW, Fineman S, Greos L, Rachid R, Ibanez MD, Tilles S, Assa'ad AH, Nilsson C, Rupp N, Welch MJ, Sussman G, Chinthrajah S, Blumchen K, Sher E, Spergel JM, Leickly FE, Zielen S, Wang J, Sanders GM, Wood RA, Cheema A, Bindslev-Jensen C, Leonard S, Kachru R, Johnston DT, Hampel FC Jr, Kim EH, Anagnostou A, Pongracic JA, Ben-Shoshan M, Sharma HP, Stillerman A, Windom HH, Yang WH, Muraro A, Zubeldia JM, Sharma V, Dorsey MJ, Chong HJ, Ohayon J, Bird JA, Carr TF, Siri D, Fernandez-Rivas M, Jeong DK, Fleischer DM, Lieberman JA, Dubois AEJ, Tsoumani M, Ciaccio CE, Portnoy JM, Mansfield LE, Fritz SB, Lanser BJ, Matz J, Oude Elberink HNG, Varshney P, Dilly SG, Adelman DC, Burks AW. AR101 Oral Immunotherapy for Peanut Allergy. N Engl J Med. 2018 Nov 22;379(21):1991-2001. doi: 10.1056/NEJMoa1812856. Epub 2018 Nov 18.

    PubMed 30449234

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing AR101 powder provided in capsules & sachets in people with Peanut Allergy, run by Aimmune Therapeutics, Inc. at 69 sites in 10 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 7 inclusion and 9 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 17 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 69 sites in United States, Canada, Germany, Spain, United Kingdom and 5 more countries. 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 phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 Mar 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Percentage of Subjects Ages 4-17 Who Tolerated a Single Highest Dose of at Least 600 mg in the Exit Double-Blind, Placebo-Controlled Food Challenge (DBPCFC) (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02635776, which also lists 5 linked publications.

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 17 Mar 2022.

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