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Peanut AllergyPhase 3NCT03292484

Longer-term Study of AR101 in Subjects Who Participated in a Prior AR101 Study (ARC008)

A Phase 3 study testing AR101 in people with Peanut Allergy, run by Aimmune Therapeutics, Inc. at 93 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 assess AR101's safety, tolerability and efficacy over an extended dosing period. Read more about this study

Who is it for?
Ages 1 year to 55 years
Conditions the study is for
Peanut Allergy
What is being tested?
AR101
Could I receive a placebo?
No, everyone receives an active treatment
How many people
911 participants
Where
93 sitesin 10 countries
Study dates
2 Nov 2017to 27 Apr 2023
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 1 year to 55 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Prior participation in an Aimmune AR101 clinical study or any future clinical study that identifies ARC008 as a follow-on study option in the protocol
  • Written informed consent and/or assent from subjects/guardians as appropriate
  • Use of effective birth control by sexually active female subjects of childbearing potential

Who cannot join

  • Did not complete a minimum of 3 months of AR101 maintenance therapy if the subject was assigned to AR101 in the parent study
  • Currently receiving or received within 5 years prior to Screening any type of peanut or other food allergen immunotherapy, except AR101 or unless allowed in the parent study, and except during the follow-up observation period in this study
  • Discontinued early from the parent study

Trial locations and contacts

93 sites in 10 countries.

93 sites in 10 countries

United States65 sites
  • Univ. of Michigan Health System, Div. of Allergy and Clinical Immunology

    Ann Arbor, Michigan, 48106

  • Children's Healthcare of Atlanta

    Atlanta, Georgia, 30329

  • Children's Hospital Colorado

    Aurora, Colorado, 80045

  • 'Specially for Children Allergy, Asthma and Immunology Clinic

    Austin, Texas, 78723

  • Specially for Children Allergy, Asthma and Immunology Clinic

    Austin, Texas, 78723

  • Chesapeake Clinical Research, Inc.

    Baltimore, Maryland, 21236

  • Johns Hopkins Hospital, Pediatric Clinical Research Unit

    Baltimore, Maryland, 21287

  • Alabama Allergy and Asthma Center

    Birmingham, Alabama, 35209

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Boston Children's Hospital

    Boston, Massachusetts, 02115

  • Riley Children's Specialists

    Carmel, Indiana, 46032

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

    Chapel Hill, North Carolina, 27599

  • Clinical Research of Charlotte

    Charlotte, North Carolina, 28277

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

    Chicago, Illinois, 60611-2605

  • The University of Chicago Medicine, Comer Children's Hospital

    Chicago, Illinois, 60637

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • Bernstein Clinical Research Center, LLC

    Cincinnati, Ohio, 45231

  • Columbia Asthma & Allergy Clinic

    Clackamas, Oregon, 97015

  • Asthma & Allergy Associates

    Colorado Springs, Colorado, 80907

  • Children's Health

    Dallas, Texas, 75235

  • National Jewish Health

    Denver, Colorado, 80206

  • Colorado Allergy & Asthma Centers, P.C.

    Denver, Colorado, 80230

  • Idaho Allergy and Research

    Eagle, Idaho, 83616

  • Western Sky Medical Research

    El Paso, Texas, 79903

  • Deaconess Clinic, Inc.

    Evansville, Indiana, 47713

  • Northwell Health System

    Great Neck, New York, 11021

  • Texas Children's Hospital, Baylor College of Medicine

    Houston, Texas, 77030

  • Children's Mercy on Broadway

    Kansas City, Missouri, 64111

  • Sher Allergy Specialists - Center for Cough

    Largo, Florida, 33778

  • Arkansas Children's Hospital

    Little Rock, Arkansas, 72202

  • Jonathan Corren, M.D., Inc.

    Los Angeles, California, 90025

  • Children's Hospital Los Angeles, Division of Clinical Immunology and Allergy

    Los Angeles, California, 90027

  • Family Allergy & Asthma Research Institute

    Louisville, Kentucky, 40215

  • Atlanta Allergy & Asthma Clinic

    Marietta, Georgia, 30060

  • Le Bonheur Children's Hospital, Outpatient Bldg.

    Memphis, Tennessee, 38105

  • Allergy & Asthma Associates of Southern California

    Mission Viejo, California, 92691

  • Sean N. Parker Center for Allergy and Asthma Research LPCH El Camino Hospital

    Mountain View, California, 94040

  • Central Texas Health Research

    New Braunfels, Texas, 78130

  • Jaffe Food Allergy Institute Icahn School of Medicine at Mount Sinai

    New York, New York, 10029

  • Sneeze, Wheeze, & Itch Associates

    Normal, Illinois, 61761

  • National Allergy and Asthma Research, LLC

    North Charleston, South Carolina, 29420

  • Allergy Associates of the Palm Beaches

    North Palm Beach, Florida, 33408

  • Atlantic Research Center

    Ocean City, New Jersey, 07712

  • Oklahoma Institute of Allergy and Asthma Clinical Research

    Oklahoma City, Oklahoma, 73131

  • Stanford University

    Palo Alto, California, 94305

  • The Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Children's Hospital of Pittsburgh of UPMC

    Pittsburgh, Pennsylvania, 15224

  • Clinical Research Institute Inc.

    Plymouth, Minnesota, 55441

  • Baker Allergy, Asthma and Dermatology

    Portland, Oregon, 97223

  • Univ. of Rochester Medical Center, Golisano Children's Hosp.

    Rochester, New York, 14642

  • Peninsula Research Associates

    Rolling Hills Estates, California, 90274

  • Allergy & Asthma Medical Group and Research Center

    San Diego, California, 92123

  • Rady Children's Hospital, Div. of Allergy & Immunology

    San Diego, California, 92123

  • UCSF, Benioff Children's Hospital - Allergy and Immunology

    San Francisco, California, 95148

  • Allergy & Asthma Associates of Santa Clara Valley Research Center

    San Jose, California, 95117

  • UCLA Medical Center, Santa Monica

    Santa Monica, California, 90404

  • Sarasota Clinical Research

    Sarasota, Florida, 34239

  • Medical Research of Arizona, Allergy, Asthma & Immunology Associates

    Scottsdale, Arizona, 85251

  • Virginia Mason Medical Center

    Seattle, Washington, 98101

  • ASTHMA, Inc. Clinical Research Center

    Seattle, Washington, 98115-2024

  • Princeton Center for Clinical Research

    Skillman, New Jersey, 08558

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

    Tampa, Florida, 33613

  • Banner Univ. of Arizona Medical Center

    Tucson, Arizona, 85724

  • Bay Area Allergy

    Walnut Creek, California, 94598

  • Children's National Health System

    Washington D.C., District of Columbia, 20010

Other trials in United States

United Kingdom8 sites
  • James Paget University Hospital

    Gorleston-on-Sea, Norfolk, NR31 6LA

  • Leicester Royal infirmary

    Leicester, Leicestershire, LE1 5WW

  • Guy & St Thomas' NHS Foundation Trust, Children Allergies Department

    London, SE1 7EH

  • St Mary's Hospital - Paediatric Research Unit

    London, W2 1NY

  • Children's Clinical Research Facility, Royal Manchester Children's Hospital

    Manchester, M13 9WL

  • Sheffield Children's Hospital

    Sheffield, S10 2TH

  • University Hospitals Southampton Foundation NHS Trust

    Southampton, SO16 6YD

  • Central Manchester University Hospitals

    Wythenshawe, M23 9LT

Other trials in United Kingdom

Canada5 sites
  • McMaster University Medical Center

    Hamilton, Ontario, L8N 3Z5

  • Triple A Lab

    Hamilton, Ontario, L8S 1G5

  • Cheema Research Inc.

    Mississauga, Ontario, L5A 3V4

  • Ottawa Allergy Research Corp

    Ottawa, Ontario, K1G 6C6

  • Gordon Sussman Clinical Research

    Toronto, Ontario, M4V 1R2

Other trials in Canada

France4 sites
  • Unité de dermatologie Pédiatrique, Hôpital Pellegrin-Enfants

    Bordeaux, Cedex, 33076

  • Hopital Saint Vincent de Paul- Service d'Allergologie

    Lille, Cedex, 59020

  • Jeanne de Flandre Hospital -Paediatric Allergy and Pulmonology Center

    Lille, Cedex, 59037

  • Service d'Allergologie Nouvel Hôpital Civil Hôpitaux Univesitaires de Strasbourg

    Strasbourg, Cedex, 67091

Other trials in France

Spain3 sites
  • Hospital General Universitario Gregorio Marañón

    Madrid, 28007

  • H. Infantil Universitario Niño Jesús, Servicio de Alergia

    Madrid, 28009

  • Madrid Hospital Clinico San Carlos, Servicio de Alergia

    Madrid, 28040

Other trials in Spain

Germany2 sites
  • Charité Universitaetsmedizin Berlin

    Berlin, 13353

  • University of Frankfurt

    Frankfurt, 60590

Other trials in Germany

Ireland2 sites
  • Cork University Hospital, UCC Department of Paediatrics and Child Health

    Cork, T12 DC4A

  • National Children's Research Centre, Our Lady's Children's Hospital Crumlin

    Dublin, D12 V004

Other trials in Ireland

Netherlands2 sites
  • Beatrix Children's Hospital, University Medical Center Groningen

    Groningen, 9700 RB

  • University Medical Center Groningen

    Groningen, 9713 GZ

Other trials in Netherlands

Italy1 site
  • Azienda Ospedaliera di Padova

    Padova, Province Of Padua, 35128

Other trials in Italy

Sweden1 site
  • Sachsska Children and Youth Hospital

    Stockholm, 118 83

Other trials in Sweden

About this study

Official title: A Multicenter, Open-Label, Longer-Term Study of AR101 Characterized Oral Desensitization Immunotherapy in Subjects Who Participated in a Prior AR101 Study

The purpose of this study is to assess AR101's safety, tolerability and efficacy over an extended dosing period.

Read the detailed description

This study is enrolling participants by invitation only. This is an open-label, international, longer-term extension study for eligible subjects who have participated in one of the Aimmune AR101 clinical studies.

Conditions
Peanut Allergy
Being tested
AR101
Keywords
AR101, Characterized Peanut Allergen, OIT (oral immunotherapy), Peanut Allergy, Allergy, Peanut-Allergic Children, Peanut-Allergic Adults, Desensitization, CPNA (Characterized Peanut Allergen)
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.

  • AR101Biological

    AR101

Study groups in NCT03292484
Study groupRoleWhat they receive
AR101ExperimentalEligible participants who participated in a prior AR101 study received or continued initial dose escalation, up-dosing, and maintenance of AR101 at 300 milligrams (mg) per day until discontinuation criteria was met (maximum exposure: 4.8 years).
Receives: Biological: AR101

What is being measured

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

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)

    An AE was any untoward medical occurrence in humans, whether or not considered related to the investigational product (IP), that occurred during the conduct of a clinical study. A SAE was any event that resulted in any of the following: death, life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, congenital abnormality or birth defect, or important medical event that did not result in one of the above outcomes, but jeopardized the health of the study participant or required medical or surgical intervention to prevent one of the outcomes listed above. TEAEs were defined as those AEs with onset after the first dose of AR101 in ARC008 and no more than 30 days after the last dose of study drug.

    Measured: From first dose of study drug through 30 days after last dose of study drug, up to 59 months

  2. Number of Participants With Premature Discontinuation of AR101 Dosing Due to TEAEs

    An AE was any untoward medical occurrence in humans, whether or not considered related to the IP, that occurred during the conduct of a clinical study. TEAEs were defined as those AEs with onset after the first dose of AR101 in ARC008 and no more than 30 days after the last dose of study drug.

    Measured: From first dose of study drug through 30 days after last dose of study drug, up to 59 months

  3. Number of Participants With Premature Discontinuation of AR101 Dosing Due to Chronic/Recurrent Gastrointestinal TEAEs

    An AE was any untoward medical occurrence in humans, whether or not considered related to the IP, that occurred during the conduct of a clinical study. TEAEs were defined as those AEs with onset after the first dose of AR101 in ARC008 and no more than 30 days after the last dose of study drug. Gastrointestinal (GI) AEs, typically chronic/recurrent GI AEs, that resulted in prolonged interruption of dosing are reported.

    Measured: From first dose of study drug through 30 days after last dose of study drug, up to 59 months

  4. Number of Participants With TEAEs That Led to a Change in Treatment Regimen

    An AE was any untoward medical occurrence in humans, whether or not considered related to the IP, that occurred during the conduct of a clinical study. TEAEs were defined as those AEs with onset after the first dose of AR101 in ARC008 and no more than 30 days after the last dose of study drug. Number of participants with TEAEs requiring dose interruption and dose reduction of study treatment are reported.

    Measured: From first dose of study drug through 30 days after last dose of study drug, up to 59 months

  5. Number of Participants With TEAEs That Led to Early Withdrawal

    An AE was any untoward medical occurrence in humans, whether or not considered related to the IP, that occurred during the conduct of a clinical study. TEAEs were defined as those AEs with onset after the first dose of AR101 in ARC008 and no more than 30 days after the last dose of study drug.

    Measured: From first dose of study drug through 30 days after last dose of study drug, up to 59 months

  6. Number of Participants Who Experienced a Treatment-emergent Anaphylactic Reaction

    Anaphylaxis was defined by a number of signs and symptoms that occurred alone or in combination within minutes up to a few hours after exposure to a provoking agent. Treatment-emergent anaphylactic reactions included anaphylactic reactions that occurred after first dose of AR101 in ARC008 through 30 days after last dose of study product but excluding anaphylactic reactions that occurred during or related to a food challenge.

    Measured: From first dose of study drug through 30 days after last dose of study drug, up to 59 months

  7. Number of Participants With Use of Epinephrine as a Rescue Medication

    Rescue medications were any medication used to treat individual acute allergic reactions during ARC008 and were according to recognized standards of care for allergy practice.

    Measured: From first dose of study drug through 30 days after last dose of study drug, up to 59 months

  8. Number of Participants Who Experienced Accidental or Non-accidental Food Allergy Episodes

    An accidental food allergen exposure was any known or suspected exposure to a food to which the participant was allergic, including peanut, whether or not it resulted in an AE. A non-accidental food allergen exposure was an intentional exposure to a food to which the participant was allergic, including peanut, whether or not it resulted in an AE. Treatment-emergent food allergy episodes included food allergy episodes that occurred after first dose of AR101 in ARC008 through 30 days after last dose of study product but excluding food allergy episodes that occurred during or related to a food challenge.

    Measured: From first dose of study drug through 30 days after last dose of study drug, up to 59 months

  9. Number of Participants With TEAEs Following Accidental or Non-accidental Exposure to Peanut and Other Allergenic Foods

    An accidental food allergen exposure was any known or suspected exposure to a food to which the participant was allergic, including peanut, whether or not it resulted in an AE. A non-accidental food allergen exposure was an intentional exposure to a food to which the participant was allergic, including peanut, whether or not it resulted in an AE. An AE was any untoward medical occurrence in humans, whether or not considered related to the IP, that occurred during the conduct of a clinical study. Treatment-emergent food allergy episodes included food allergy episodes that occurred after first dose of AR101 in ARC008 through 30 days after last dose of study product but excluding food allergy episodes that occurred during or related to a food challenge.

    Measured: From first dose of study drug through 30 days after last dose of study drug, up to 59 months

  10. Number of Participants With Eosinophilic Esophagitis (EoE)

    EoE was diagnosed by biopsy/endoscopy.

    Measured: From first dose of study drug through 30 days after last dose of study drug, up to 59 months

Secondary outcomes (3)
  1. Percentage of Participants Tolerating Each Challenge Dose in the Open-label Food Challenge (OLFC) and the Double-blind, Placebo-Controlled Food Challenge (DBPCFC)

    During the OLFC, single doses (300, 600, 1000, and 2000 mg) of peanut protein were conditionally tested using a food challenge mixture administered sequentially at 20- to 30-minute intervals. During the DBPCFC, single doses (3, 10, 30, 100, 300, 600, 1000, and 2000 mg) of peanut protein and placebo were conditionally tested using a food challenge mixture administered sequentially at 20- to 30-minute intervals up to a single highest challenge dose of 2000 mg.

    Measured: OLFC: At Month 12 and yearly thereafter, up to 58 months; DBPCFC: End of treatment (Month 58)

  2. Maximum Tolerated Challenge Dose at Each Food Challenge

    The maximum tolerated challenge dose for a food challenge was defined as the maximum single dose of peanut protein resulting in no more than mild symptoms and assessed by the investigator to have been tolerated (i.e., the participant did not experience any dose-limiting symptoms). During the OLFC, single doses (300, 600, 1000, and 2000 mg) of peanut protein were conditionally tested using a food challenge mixture administered sequentially at 20- to 30-minute intervals. During the DBPCFC, single doses (3, 10, 30, 100, 300, 600, 1000, and 2000 mg) of peanut protein and placebo were conditionally tested using a food challenge mixture administered sequentially at 20- to 30-minute intervals up to a single highest challenge dose of 2000 mg.

    Measured: OLFC: At Month 12 and yearly thereafter, up to 58 months; DBPCFC: End of treatment (Month 58)

  3. Number of Participants With Use of Epinephrine as a Rescue Medication During the Food Challenges

    Rescue medications were any medication used to treat individual acute allergic reactions during ARC008 and were according to recognized standards of care for allergy practice. During the OLFC, single doses (300, 600, 1000, and 2000 mg) of peanut protein were conditionally tested using a food challenge mixture administered sequentially at 20- to 30-minute intervals. During the DBPCFC, single doses (3, 10, 30, 100, 300, 600, 1000, and 2000 mg) of peanut protein and placebo were conditionally tested using a food challenge mixture administered sequentially at 20- to 30-minute intervals up to a single highest challenge dose of 2000 mg.

    Measured: OLFC: At Month 12 and yearly thereafter, up to 58 months; DBPCFC: End of treatment (Month 58)

Timeline

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

  1. First posted25 Sep 2017
  2. Study start2 Nov 2017
  3. Primary completion27 Apr 2023
  4. Study completion27 Apr 2023

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
911 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03292484
Sponsor's protocol ID
ARC008
Status last verified
Nov 2024
First submitted
21 Sep 2017
Last updated
19 Dec 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing AR101 in people with Peanut Allergy, run by Aimmune Therapeutics, Inc. at 93 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 3 inclusion and 3 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 19 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 93 sites in United States, United Kingdom, Canada, France, Spain 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. 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 19 Dec 2024). 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?

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) (time frame: From first dose of study drug through 30 days after last dose of study drug, up to 59 months). The study lists 10 primary outcomes in all. 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 NCT03292484, which also lists 2 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 19 Dec 2024.

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