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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02636699
Registration number
NCT02636699
Ethics application status
Date submitted
19/11/2015
Date registered
22/12/2015
Date last updated
15/10/2021
Titles & IDs
Public title
Efficacy and Safety of Viaskin Peanut in Children With Immunoglobulin E (IgE)-Mediated Peanut Allergy
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Scientific title
A Double-blind, Placebo-controlled, Randomized Phase 3 Pivotal Trial to Assess the Efficacy and Safety of Peanut Epicutaneous Immunotherapy With Viaskin Peanut in Peanut-allergic Children
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Secondary ID [1]
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PEPITES
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Universal Trial Number (UTN)
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Trial acronym
PEPITES
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Peanut Allergy
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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: Other - Viaskin Peanut 250mcg
Treatment: Other - Placebo
Experimental: Viaskin Peanut 250mcg -
Placebo comparator: Placebo -
Treatment: Other: Viaskin Peanut 250mcg
Peanut extract cutaneous patch
Treatment: Other: Placebo
Cutaneous patch containing an inactive deposit manufactured to mimic peanut extract
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Intervention code [1]
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Treatment: Other
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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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Difference in Percentages of Treatment Responders at Month 12; Analyzed in the Overall Population
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Assessment method [1]
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The DBPCFCs to determine ED were performed at screening and Month 12, with each challenge occurring over 2 days. The participant was gradually fed increasing amounts of standardized blinded oral formulas containing either peanut protein (during 1 of the 2 days of the challenge), or without any peanut protein (during the other day of the challenge). A participant was defined as a treatment responder if:
* ED was =300 mg peanut protein at Month 12 DBPCFC (for screening ED subgroup 1), or
* ED was =1,000 mg peanut protein at Month 12 DBPCFC (for screening ED subgroup 2).
Participants with missing treatment response at Month 12 were imputed as non-responders. The percentage of treatment responders at Month 12 is presented. Analysis of the difference in response rates between treatment groups is presented in the subsequent statistical analysis table. Analysis was performed in the overall population.
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Timepoint [1]
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At Month 12
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Secondary outcome [1]
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Difference in Percentages of Treatment Responders at Month 12; Analyzed in Each Screening ED Subgroup
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Assessment method [1]
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The DBPCFCs to determine ED were performed at screening and Month 12, with each challenge occurring over 2 days. The participant was gradually fed increasing amounts of blinded oral formulas containing either peanut protein (during 1 of the 2 days of the challenge), or without any peanut protein (during the other day of the challenge). A participant was defined as a treatment responder if:
* ED was =300 mg peanut protein at Month 12 DBPCFC (for screening ED subgroup 1), or
* ED was =1,000 mg peanut protein at Month 12 DBPCFC (for screening ED subgroup 2).
Participants with missing treatment response at Month 12 were imputed as non-responders. The percentage of treatment responders at Month 12 is presented below. Analysis of the difference in response rates between treatment groups is presented in the subsequent statistical analysis table. Analysis was performed for each separate screening ED subgroup.
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Timepoint [1]
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At Month 12
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Secondary outcome [2]
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Cumulative Reactive Dose (CRD) of Peanut Protein at Baseline and Month 12
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Assessment method [2]
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The CRD was calculated as the sum of all doses given (including any repeated and partial doses). The median CRD of peanut protein at baseline and Month 12 is presented. Analysis was performed using the modified baseline observation carried forward method to impute missing data at Month 12.
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Timepoint [2]
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Baseline and Month 12
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Eligibility
Key inclusion criteria
Main
1. Male or female children aged 4 through 11 years;
2. Physician-diagnosis of peanut allergy or children with a well documented medical history of IgE-mediated symptoms after ingestion of peanut and currently following a strict peanut-free diet, but without a physician diagnosis;
3. Peanut-specific IgE level (ImmunoCAP system) >0.7 kU/L;
4. Positive peanut skin prick test (SPT) with a largest wheal diameter:
* =6 mm for children 4 through 5 years of age at Visit 1,
* =8 mm for children 6 years and above at Visit 1;
5. Positive DBPCFC at =300 mg peanut protein.
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Minimum age
4
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Maximum age
11
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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
1. History of severe anaphylaxis to peanut with any of the following symptoms: hypotension, hypoxia, neurological compromise (collapse, loss of consciousness or incontinence);
2. Generalized dermatologic disease
3. Diagnosis of mast cell disorders, including mastocytosis or uricaria pigmentosa as well as hereditary or idiopathic angioedema;
4. Diagnosis of asthma that fulfills any of the following criteria:
* Uncontrolled persistent asthma as defined by National Asthma Education and Prevention Program Asthma guidelines 2007 or by Global Initiative for Asthma guidelines 2015,
* Asthma treated with either a high daily high dose of inhaled corticosteroid or with a combination therapy of a medium or high daily dose of inhaled corticosteroid with a long acting inhaled ß2 agonist or with a combination therapy of a high daily dose of inhaled corticosteroid with a long acting inhaled ß2 agonist. Asthmatic subjects treated with a medium daily dose of inhaled corticosteroids are eligible. Intermittent asthmatic subjects who require intermittent use of inhaled corticosteroids for rescue are also eligible,
* Two or more systemic corticosteroid courses for asthma in the past year or 1 oral corticosteroid course for asthma within 3 months prior to Visit 1, or during screening period,
* Prior intubation/mechanical ventilation for asthma within 1 year prior to Visit 1, or during screening;
5. Receiving ß-blocking agents, angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, calcium channel blockers or tricyclic antidepressant therapy;
6. Received anti-tumor necrosis factor drugs or anti-IgE drugs (such as omalizumab) or any biologic immunomodulatory therapy within 1 year prior to Visit 1, during screening period or during study participation;
7. Use of systemic long-acting corticosteroids within 12 weeks prior to Visit 1 and/or use of systemic short-acting corticosteroids within 4 weeks prior to Visit 1 or during screening;
8. Prior or concomitant history of any immunotherapy to any food;
9. Receiving or planning to receive any aeroallergen immunotherapy during their participation in the study. Aeroallergen immunotherapy must be discontinued at the time of Visit 1;
10. Any disorder in which epinephrine is contraindicated such as coronary artery disease, uncontrolled hypertension, or serious ventricular arrhythmias.
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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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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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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
1/12/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
18/08/2017
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Sample size
Target
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Accrual to date
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Final
356
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Allergy Medical - Brisbane
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Princess Margaret Hospital for Children - Perth
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Recruitment hospital [3]
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Children's Hospital Westmead - Sydney
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Recruitment postcode(s) [1]
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- Brisbane
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Recruitment postcode(s) [2]
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- Perth
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Recruitment postcode(s) [3]
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- Sydney
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Recruitment outside Australia
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United States of America
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Arkansas
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California
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Colorado
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Illinois
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Massachusetts
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New York
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North Carolina
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Ohio
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Pennsylvania
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Texas
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Washington
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Canada
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British Columbia
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Canada
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Ontario
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Canada
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Quebec
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Germany
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Berlin
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Germany
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Bonn
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Germany
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Erlangen
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Ireland
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Cork
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Ireland
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Dublin
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
DBV Technologies
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The PEPITES study evaluates the efficacy and safety of Viaskin Peanut 250 µg peanut protein to induce desensitization to peanut in peanut-allergic children 4 through 11 years of age after a 12-month treatment by epicutaneous immunotherapy (EPIT).
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Trial website
https://clinicaltrials.gov/study/NCT02636699
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Trial related presentations / publications
Fleischer DM, Greenhawt M, Sussman G, Begin P, Nowak-Wegrzyn A, Petroni D, Beyer K, Brown-Whitehorn T, Hebert J, Hourihane JO, Campbell DE, Leonard S, Chinthrajah RS, Pongracic JA, Jones SM, Lange L, Chong H, Green TD, Wood R, Cheema A, Prescott SL, Smith P, Yang W, Chan ES, Byrne A, Assa'ad A, Bird JA, Kim EH, Schneider L, Davis CM, Lanser BJ, Lambert R, Shreffler W. Effect of Epicutaneous Immunotherapy vs Placebo on Reaction to Peanut Protein Ingestion Among Children With Peanut Allergy: The PEPITES Randomized Clinical Trial. JAMA. 2019 Mar 12;321(10):946-955. doi: 10.1001/jama.2019.1113. Greenhawt M, Kim EH, Campbell DE, Green TD, Lambert R, Fleischer DM. Improvements in eliciting dose across baseline sensitivities following 12 months of epicutaneous immunotherapy (EPIT) in peanut-allergic children aged 4 to 11 years. J Allergy Clin Immunol Pract. 2020 Oct;8(9):3219-3221. doi: 10.1016/j.jaip.2020.05.030. Epub 2020 Jun 2. No abstract available. Remington BC, Campbell DE, Green TD, Fleischer DM, Koppelman SJ. Post hoc analysis of epicutaneous immunotherapy for peanut allergy phase 3 results: Relevance for exposure through restaurant meals. Ann Allergy Asthma Immunol. 2021 Feb;126(2):208-209. doi: 10.1016/j.anai.2020.11.015. Epub 2020 Nov 28. No abstract available. Remington BC, Krone T, Kim EH, Bird JA, Green TD, Lack G, Fleischer DM, Koppelman SJ. Estimated risk reduction to packaged food reactions by epicutaneous immunotherapy (EPIT) for peanut allergy. Ann Allergy Asthma Immunol. 2019 Nov;123(5):488-493.e2. doi: 10.1016/j.anai.2019.08.007. Epub 2019 Aug 20.
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Public notes
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Contacts
Principal investigator
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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
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/99/NCT02636699/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/99/NCT02636699/SAP_001.pdf
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Fleischer DM, Greenhawt M, Sussman G, Begin P, Now...
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Journal
Greenhawt M, Kim EH, Campbell DE, Green TD, Lamber...
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Results are available at
https://clinicaltrials.gov/study/NCT02636699
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