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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05741476
Registration number
NCT05741476
Ethics application status
Date submitted
14/02/2023
Date registered
23/02/2023
Date last updated
14/06/2024
Titles & IDs
Public title
Safety and Efficacy Study of Viaskin Peanut in Peanut-allergic Children 4-7 Years of Age
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Scientific title
A Phase 3, Double-blind, Placebo-controlled, Randomized Study to Assess the Efficacy and Safety of Epicutaneous Immunotherapy With DBV712 250 µg in 4-7-year-old Children With Peanut Allergy (VITESSE)
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Secondary ID [1]
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EU CTIS
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Secondary ID [2]
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V712-306 (VITESSE)
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Universal Trial Number (UTN)
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Trial acronym
VITESSE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Allergy, Peanut
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Condition category
Condition code
Inflammatory and Immune System
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Allergies
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - DBV712
Other interventions - Placebo
Treatment: Drugs - DBV712
Experimental: DBPC Treatment Period: DBV712 250 mcg - Participants will apply DBV712 250 mcg, epicutaneous system (or patch), daily for a period of 12 months. At Month 12, a post-treatment peanut DBPCFC will be performed, with a starting dose of 3 mg peanut protein with escalation to the highest dose of 1,000 mg peanut protein according to the following schedule: 3, 10, 30, 100, 300, 600, and 1,000 mg (2,043 mg cumulative dose).
Placebo comparator: DBPC Treatment Period: Placebo - Participants will apply DBV712 matching placebo epicutaneous system (or patch), daily for a period of 12 months. At Month 12, a post-treatment peanut DBPCFC will be performed, with a starting dose of 3 mg peanut protein with escalation to the highest dose of 1,000 mg peanut protein according to the following schedule: 3, 10, 30, 100, 300, 600, and 1,000 mg (2,043 mg cumulative dose).
Experimental: Open Label Extension Period: DBV712 250 mcg - Participants will apply DBV712 250 mcg, epicutaneous system (or patch), daily for a period of 2 additional years if they were randomized DBV712 250 mcg or for 3 years if they were randomized placebo. After 12 months of open-label treatment with DBV712 250 mcg, (i.e., at the end of Month 24), participants will undergo a peanut DBPCFC according to the following schedule: 3, 10, 30, 100, 300, 600, 1000, and 2000 mg (4043 mg cumulative dose). Participants who were randomized to placebo will also undergo an additional peanut DBPCFC after 24 months of open-label treatment with DBV712 250 mcg, (i.e., at the end of Month 36).
Treatment: Drugs: DBV712
DBV712 250 mcg epicutaneous system.
Other interventions: Placebo
DBV712 matching placebo epicutaneous system.
Treatment: Drugs: DBV712
DBV712 250 mcg epicutaneous system.
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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DBPC Treatment Period: Percentage of Treatment Responders in the DBV712 250 mcg Group Compared to Placebo Group
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Assessment method [1]
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A participant is defined as a treatment responder if: The initial ED was =30 mg peanut protein and the ED is = 300 mg peanut protein at the post-treatment DBPCFC at Month 12; OR the initial ED was \> 30 mg peanut protein and the ED is =600 mg peanut protein at the post-treatment DBPCFC at Month 12. Percentage of treatment responders in the DBV712 250 mcg group compared to the placebo group after 12 months of treatment in the target population will be reported.
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Timepoint [1]
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At Month 12
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Secondary outcome [1]
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DBPC Treatment Period: Cumulative Reactive Dose (CRD) of Peanut Protein
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Assessment method [1]
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The Peanut Protein CRD is defined as the sum of all peanut protein doses taken by the participant during the DBPCFC (including the ED and any partial dose given before the reaction).
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Timepoint [1]
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At Month 12
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Secondary outcome [2]
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DBPC Treatment Period: Eliciting Dose (ED) of Peanut Protein
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Assessment method [2]
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Timepoint [2]
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At Month 12
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Secondary outcome [3]
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DBPC Treatment Period: Percentage of Participants with an Eliciting Dose (ED) =600 mg and =1,000 mg Peanut Protein at Month 12
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Assessment method [3]
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Timepoint [3]
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At Month 12
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Secondary outcome [4]
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DBPC Treatment Period: Number of Participants by Maximum Severity of Allergic Reaction During the Peanut Oral Food Challenge
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Assessment method [4]
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The maximum severity of allergic reaction will be assessed according to Consortium of Food Allergy Research (CoFAR) Grading Scale Version 3.0. The scale is Grade 1 (Mild) through 5, the higher the grade, the more severe the allergic reaction.
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Timepoint [4]
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Baseline up to Month 12
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Eligibility
Key inclusion criteria
Key
* Aged 4 through 7 years at Visit 1 (screening).
* Physician-diagnosed peanut allergy or children with a well-documented medical history of IgE-mediated reactions after ingestion of peanut and currently following a strict peanut-free diet.
* Peanut-specific IgE of >0.7 kilo allergy unit per liter (kUA/L) and a positive peanut SPT with the largest wheal diameter of =6 millimeter (mm) at Visit 1.
* An ED of =100 mg peanut protein at screening DBPCFC.
Participants may enter the Open-label Extension Period if they meet all of the following inclusion criteria:
* Signed ICF by the participant's parent(s)/caregiver(s). This consent should be signed after completion of the procedures in the randomized, DBPC Treatment Period, and before any procedure in Open-label Extension Period begins.
* Participants who perform the peanut DBPCFC at the end of Month 12 and have =80% compliance with investigational medicinal product (IMP).
* Parent(s)/caregiver(s) and participants willing to comply with all study requirements during the participant's participation in the study.
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Minimum age
4
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Maximum age
7
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Severe generalized dermatologic disease involving the application area (interscapular region)
* Uncontrolled persistent asthma.
* Past or current immunotherapy for peanut allergy, including oral immunotherapy (OIT).
* Current immunotherapy for any allergen (including food allergy, allergic rhinitis and/or insect allergy), or treatment with any monoclonal antibody or biologic immunomodulatory therapy within 6 months prior to Visit 1.
Participants may not enter the Open-label Extension Period if they meet any of the following exclusion criteria:
* Participants who develop a severe anaphylactic reaction during the DBPCFC at the end of Month 12 with the event requiring tracheal intubation or leading to a cardiac arrest and/or to coma. Participants with other reported cases of severe anaphylaxis will be considered eligible to participate in the Open-label Extension Period, at the judgement of the Investigator.
* Any clinically significant disease which in the judgment of the Investigator may preclude safe participation or strict compliance with the protocol procedures.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
21/02/2023
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Date of last participant enrolment
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Date of last data collection
Anticipated
1/05/2029
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Actual
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Sample size
Target
600
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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DBV Investigative Site - Adelaide
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5006 - Adelaide
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6009 - Nedlands
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3052 - Parkville
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3121 - Richmond
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4101 - South Brisbane
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2145 - Westmead
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Recruitment outside Australia
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Funding & Sponsors
Primary sponsor type
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Name
DBV Technologies
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Ethics approval
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Summary
Brief summary
The primary purpose of this study is to assess the efficacy and safety of daily DBV712 250 micrograms (mcg) to induce desensitization to peanut in peanut-allergic children 4-7 years of age over a 12-month double-blind, placebo-controlled (DBPC) Treatment Period.
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Trial website
https://clinicaltrials.gov/study/NCT05741476
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Contacts
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DBV Technologies
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908-679-5200
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05741476
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