Evidence map›Paper›PMID 25925398›Full record

Trial reportTrials2015

Peanut oral immunotherapy in adolescents: study protocol for a randomized controlled trial.

Elodie Michaud, Bertrand Evrard, Bruno Pereira, Emmanuelle Rochette, Lise Bernard, Paul-Olivier Rouzaire, Nelly Gourdon-Dubois, Etienne Merlin, Jean-Luc Fauquert

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02046083 (Peanut Oral Induction Tolerance in Peanut's Allergic Teenagers), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02046083 phase2 / phase3completednot on this map

Peanut Oral Induction Tolerance in Peanut's Allergic Teenagers

TypeinterventionalSponsorUniversity Hospital, Clermont-FerrandRan2013 to 2018Enrolled60ConditionsPeanut AllergyArmsarachid, Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Elodie MichaudCHU Clermont-Ferrand, Pole pédiatrique, Unité d'allergologie de l'enfant, CHU Estaing, 1 Place Lucie et Raymond Aubrac, F-63003, Clermont-Ferrand, France. emichaud@chu-clermontferrand.fr.
Bertrand EvrardCHU Clermont-Ferrand, Département d'immunobiologie, CHU Estaing, 1 Place Lucie et Raymond Aubrac, F-63003, Clermont-Ferrand, France. bevrard@chu-clermontferrand.fr.
Bruno PereiraCHU Clermont-Ferrand, Unité de Biostatistiques, Direction de la Recherche Clinique (DRCI), 58 rue Montalembert, F-63003, Clermont-Ferrand, France. bpereira@chu-clermontferrand.fr.
Emmanuelle RochetteINSERM, CIC 1405, CHU, F-63003, Clermont-Ferrand, France. e_rochette@chu-clermontferrand.fr.
Lise BernardCHU Clermont-Ferrand, Département de Pharmacie, 58 rue Montalembert, F-63003, Clermont-Ferrand, France. l_bernard@chu-clermontferrand.fr.
Paul-Olivier RouzaireCHU Clermont-Ferrand, Département d'immunobiologie, CHU Estaing, 1 Place Lucie et Raymond Aubrac, F-63003, Clermont-Ferrand, France. porouzaire@chu-clermontferrand.fr.
Nelly Gourdon-DuboisINSERM, CIC 1405, CHU, F-63003, Clermont-Ferrand, France. ngourdondubois@chu-clermontferrand.fr.
Etienne MerlinINSERM, CIC 1405, CHU, F-63003, Clermont-Ferrand, France. e_merlin@chu-clermontferrand.fr.
Jean-Luc FauquertCHU Clermont-Ferrand, Pole pédiatrique, Unité d'allergologie de l'enfant, CHU Estaing, 1 Place Lucie et Raymond Aubrac, F-63003, Clermont-Ferrand, France. jlfauquert@chu-clermontferrand.fr.
Centre Hospitalier Universitaire de Clermont-Ferrand · FRInstitut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeanut allergy is an increasingly common health problem. Current treatment guidelines are based on strict avoidance. However, in the last few years, oral immunotherapy protocols have shown promising results yielding increased tolerance to peanut in allergic children. Adolescence is particularly at risk. METHODS/

designWe have designed a randomized, double-blind, placebo-controlled, multicenter study to investigate the efficacy and safety of peanut oral escalating immunotherapy in a 12- to 18-year-old population with proved allergy to peanut. Patients are selected when the threshold of peanut intake is over 100 mg and 2 cumulated g on the first double-blind, placebo-controlled oral food challenge (DBPCOFC). During the build-up placebo-controlled blinded phase, doses containing peanut or placebo will be administered by gradual up-dosing from 10 mg to 2 g with 2-weekly increments. After this first randomized phase, the desensitized participants will continue to intake native peanut in an unblinded process during 13 or 37 weeks following a second randomization. Adverse events are picked up and managed throughout the entire protocol. The main endpoint is the percentage of patients with negative DBPCOFC at the threshold of 2 g of cumulative peanut at the end of the build-up phase of 24 weeks. Secondary endpoints include: (1) desensitization 6 weeks and 6 months after the end of the maintenance phase; (2) adverse effects during the build-up phase; (3) immunological profile confirming peanut desensitization. Immunologic assays will be carried out at every DBPCOFC and at the middle of the build-up phase to evaluate the peanut immunologic profile modifications. DISCUSSION: This double-blind, placebo-controlled study will be, to our knowledge, the first evaluation of a peanut oral immunotherapy protocol in teenagers in the purpose to reduce severe reactions after unexpected intake and to improve quality of life.

trial registrationClinicalTrial.gov: NCT02046083 (23 January 2014).

Indexed as

ArachisNutsAdministration, OralAdolescentAllergensChildClinical ProtocolsDesensitization, ImmunologicDouble-Blind MethodFemaleFranceHumansMalePeanut HypersensitivityResearch DesignSkin TestsAllergens

Identifiers

PMID25925398
PMCPMC4430989
OpenAlexW2069841688

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.