Evidence map›Paper›PMID 26896232›Full record

Trial reportThe Journal of allergy and clinical immunology2016

Enquiring About Tolerance (EAT) study: Feasibility of an early allergenic food introduction regimen.

Michael R Perkin, Kirsty Logan, Tom Marrs, Suzana Radulovic, Joanna Craven, Carsten Flohr, Gideon Lack, EAT Study Team

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of allergy and clinical immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07321522 (Early Introduction and Sustained Ingestion), which is not on this map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 pooled it
14.8field-weighted citation impact, top 1% 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.

NCT07321522 narecruitingnot on this mapstarted 2026, after this paper: background citation

Early Introduction and Sustained Ingestion (EISI) Using Two Educational Opportunities - A Pilot Study

TypeinterventionalSponsorStanford UniversityRan2026 to 2028Enrolled92ConditionsFood AllergyArmsEducation and Opportunities on Early Introduction, Clinician Supervised Feeding of Known Allergenic Food
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 207 citations in OpenAlex.

  1. Pooled it
  2. Early additional food and fluids for healthy breastfed full-term infants.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. A randomized trial of the acceptability of a daily multi-allergen food supplement for infants.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
    Trial
  8. Trial
  9. Trial
  10. Trial
  11. Review
  12. Review
  13. Article
  14. Review
  15. Early Walnut Powder Introduction for Prevention of Walnut Sensitisation in High-Risk Infants With Eczema: An Open-Label, Randomised, Non-Inferiority Trial.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Article
  16. A retrospective cohort study of supervised and home baked and/or neat hen's egg challenge for pediatric IgE hen's egg allergy.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  17. Review
  18. Review
  19. Eating away at food allergy.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Review
  20. Observational

18 more citing papers are in PubMed but not listed here.

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

8 authors at 1 institution in 1 country.

Michael R PerkinPopulation Health Research Institute, St George's, University of London, London, United Kingdom; Department Paediatric Allergy, Division of Asthma, Allergy and Lung Biology, King's College London, London, United Kingdom.
Kirsty LoganDepartment Paediatric Allergy, Division of Asthma, Allergy and Lung Biology, King's College London, London, United Kingdom.
Tom MarrsDepartment Paediatric Allergy, Division of Asthma, Allergy and Lung Biology, King's College London, London, United Kingdom.
Suzana RadulovicDepartment Paediatric Allergy, Division of Asthma, Allergy and Lung Biology, King's College London, London, United Kingdom.
Joanna CravenDepartment Paediatric Allergy, Division of Asthma, Allergy and Lung Biology, King's College London, London, United Kingdom.
Carsten FlohrDepartment Paediatric Allergy, Division of Asthma, Allergy and Lung Biology, King's College London, London, United Kingdom; St John's Institute of Dermatology, Guy' and St Thomas' Hospital NHS Foundation Trust, London, United Kingdom.
Gideon LackDepartment Paediatric Allergy, Division of Asthma, Allergy and Lung Biology, King's College London, London, United Kingdom. Electronic address: gideon.lack@kcl.ac.uk.
EAT Study Team
King's College London · GB

Funding

Medical Research Council MC_G1001205Medical Research Council MC_PC_15020Wellcome Trust
6 · The paper itself

Abstract

backgroundThe influence of early exposure to allergenic foods on the subsequent development of food allergy remains uncertain.

objectiveWe sought to determine the feasibility of the early introduction of multiple allergenic foods to exclusively breast-fed infants from 3 months of age and the effect on breastfeeding performance.

methodsWe performed a randomized controlled trial. The early introduction group (EIG) continued breastfeeding with sequential introduction of 6 allergenic foods: cow's milk, peanut, hard-boiled hen's egg, sesame, whitefish (cod), and wheat; the standard introduction group followed the UK infant feeding recommendations of exclusive breastfeeding for around 6 months with no introduction of allergenic foods before 6 months of age.

resultsOne thousand three hundred three infants were enrolled. By 5 months of age, the median frequency of consumption of all 6 foods was 2 to 3 times per week for every food in the EIG and no consumption for every food in the standard introduction group (P < .001 for every comparison). By 6 months of age, nonintroduction of the allergenic foods in the EIG was less than 5% for each of the 6 foods. Achievement of the stringent per-protocol consumption target for the EIG proved more difficult (42% of evaluable EIG participants). Breastfeeding rates in both groups significantly exceeded UK government data for equivalent mothers (P < .001 at 6 and at 9 months of age).

conclusionEarly introduction, before 6 months of age, of at least some amount of multiple allergenic foods appears achievable and did not affect breastfeeding. This has important implications for the evaluation of food allergy prevention strategies.

Indexed as

Food HypersensitivityAge FactorsAllergensAnimalsArachisBreast FeedingFemaleGadus morhuaHumansImmune ToleranceInfantMaleMilkOvumSesamumShellfishAllergensallergensbreastfeedingdietFood allergyinfancy

Identifiers

PMID26896232
PMCPMC4852987
OpenAlexW2287797495

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.