Evidence map›Paper›PMID 39673452›Full record

Trial reportAllergy2025

Efficacy and Safety of Dupilumab in Children With Peanut Allergy: A Multicenter, Open-Label, Phase II Study.

Sayantani B Sindher, Kari C Nadeau, R Sharon Chinthrajah, Jeffrey G Leflein, Philippe Bégin, Jason A Ohayon, Punita Ponda, Erik Wambre, Jinzhong Liu, Faisal A Khokhar and 11 more

Registry-linked trialAbstract readMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03793608 (A Study to Evaluate the Efficacy and Safety of Dupilumab Monotherapy in Pediatric Patients With Peanut Allergy), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03793608 phase2completednot on this map

A Study to Evaluate the Efficacy and Safety of Dupilumab Monotherapy in Pediatric Patients With Peanut Allergy

TypeinterventionalSponsorRegeneron PharmaceuticalsRan2019 to 2021Enrolled25ConditionsPeanut AllergyArmsDupilumab
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Emerging Paediatric Uses of Dupilumab Beyond Approvals.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Review
  4. Update on biologic and small molecules treatments in pediatric allergic diseases.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Food allergy clinical course in children and adolescents treated with dupilumab for atopic dermatitis.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025
    Article
  13. Recent Advances in Oral Immunotherapy for Food Allergies.Clinical reviews in allergy & immunology · 2025
    Review
  14. Using Biologics in the Prevention of Anaphylaxis.Current allergy and asthma reports · 2025
    Review
  15. Review
  16. The Expanding Role of Omalizumab: From Food Allergy to Drug Desensitization.International journal of molecular sciences · 2025
    Review
  17. Review
  18. New insights into the mechanisms of childhood food allergies.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Review
  19. Article
  20. 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

21 authors.

Sayantani B SindherSean N. Parker Center for Allergy and Asthma Research at Stanford University, Stanford, California, USA.ORCID 0000-0003-0387-2800
Kari C NadeauHarvard School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0002-2146-2955
R Sharon ChinthrajahSean N. Parker Center for Allergy and Asthma Research at Stanford University, Stanford, California, USA.ORCID 0000-0003-2467-4256
Jeffrey G LefleinAllergy & Immunology Association of Michigan, Ypsilanti, Michigan, USA.
Philippe BéginCentre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada.
Jason A OhayonDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Punita PondaDivision of Allergy and Immunology, Children's Hospital at Montefiore, Bronx, New York, USA.
Erik WambreTranslational Research Program, Benaroya Research Institute at Virginia Mason, Seattle, Washington, USA.ORCID 0000-0002-3628-0011
Jinzhong LiuRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Faisal A KhokharRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Bolanle AkinladeRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Jennifer MaloneyRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Jamie M OrengoRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.ORCID 0000-0002-2695-6508
Jennifer D HamiltonRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.ORCID 0000-0003-1236-5245
Mohamed A KamalRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Andrea T HooperRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.
Naimish PatelSanofi, Cambridge, Massachusetts, USA.
Kiran PatelSanofi, Cambridge, Massachusetts, USA.
Elizabeth LawsSanofi, Bridgewater, New Jersey, USA.
Leda P MannentSanofi, Chilly-Mazarin, France.
Allen R RadinRegeneron Pharmaceuticals Inc., Tarrytown, New York, USA.

Funding

Sanofi and Regeneron Pharmaceuticals Inc.
6 · The paper itself

Abstract

backgroundPeanut allergy is a potentially life-threatening food allergy in children. This study explored whether dupilumab, a human monoclonal immunoglobulin (Ig)G4 antibody that blocks the activity of interleukin (IL)-4/IL-13, improved safety and desensitization to peanut exposure in children with peanut allergy.

methodsA Phase II, 24-week, multicenter, single-arm, open-label, proof-of-concept study was conducted in the USA and Canada (NCT03793608). Children/adolescents with peanut allergy received subcutaneous dupilumab 300 mg (≥ 60 kg) or 200 mg (≥ 20 to < 60 kg) every 2 weeks. The primary endpoint was the proportion of participants who passed a double-blind placebo-controlled food challenge (DBPCFC) with ≥ 444 mg (cumulative) of peanut protein at week 24. Secondary endpoints included safety measures (Consortium of Food Allergy Research grading system) and change from baseline in peanut-specific (ps)-IgG4, total IgE, and ps-IgE.

resultsTwenty-four participants enrolled and received dupilumab: 75.0% were male, 79.2% were white, mean (standard deviation) age was 11.7 (3.3) years. Most (95.8%) participants had not received allergen immunotherapy. Two participants (8.3%) achieved the primary endpoint and passed the DBPCFC at week 24. Fifteen participants (62.5%) reported 66 treatment-emergent adverse events, all being mild or in moderate intensity. At the week 24 DBPCFC, 8 participants (33.3%) had a grade 2 allergic reaction (no grade 3 or above); 10 (41.7%) used adrenaline as a rescue medication. Dupilumab treatment resulted in a median reduction of total and ps-IgE of -54% and -49%, respectively, and a 0% change in ps-IgG4.

conclusionsDupilumab monotherapy treatment for 24 weeks did not improve desensitization to peanut exposure after food challenge.

Indexed as

Anti-Allergic AgentsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedPeanut HypersensitivityAdolescentChildChild, PreschoolDesensitization, ImmunologicFemaleHumansImmunoglobulin EImmunoglobulin GMaleTreatment OutcomeAnti-Allergic AgentsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizeddupilumabImmunoglobulin EImmunoglobulin Gallergyallergy treatmentbiologicsdupilumabfood allergyimmune desensitizationpeanut

Identifiers

PMID39673452
PMCPMC11724241

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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.