Evidence map›Paper›PMID 41067762›Full record

ArticleBMJ open2025

Nuts For Babies Study: protocol for a randomised controlled trial in Australia investigating if the risk of developing peanut and cashew nut allergies during infancy can be reduced by a high peanut and cashew nut maternal diet for the first 6 months of lactation.

Thomas R Sullivan, Vicki McWilliam, Michael O'Sullivan, Merryn Netting, Sharon Perrella, Donna Geddes, Mimi Tang, Dianne E Campbell, Kirsten P Perrett, Debra J Palmer

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Maternal characteristics associated with ovalbumin concentrations in breast milk.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Trial
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

10 authors.

Thomas R SullivanSAHMRI Women and Kids, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-6930-5406
Vicki McWilliamCentre for Food Allergy Research, Murdoch Childrens Research Institute, Parkville, Victoria, Australia.
Michael O'SullivanNational Allergy Centre of Excellence, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Merryn NettingCentre for Food Allergy Research, Murdoch Childrens Research Institute, Parkville, Victoria, Australia.
Sharon PerrellaSchool of Molecular Sciences, The University of Western Australia, Perth, Western Australia, Australia.ORCID http://orcid.org/0000-0002-7727-7767
Donna GeddesSchool of Molecular Sciences, The University of Western Australia, Perth, Western Australia, Australia.
Mimi TangCentre for Food Allergy Research, Murdoch Childrens Research Institute, Parkville, Victoria, Australia.
Dianne E CampbellCentre for Food Allergy Research, Murdoch Childrens Research Institute, Parkville, Victoria, Australia.
Kirsten P PerrettCentre for Food Allergy Research, Murdoch Childrens Research Institute, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0002-5683-996X
Debra J PalmerCentre for Food Allergy Research, Murdoch Childrens Research Institute, Parkville, Victoria, Australia debbie.palmer@telethonkids.org.au.ORCID http://orcid.org/0000-0003-2498-8343

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe predisposition to food allergy development and the induction of allergen-specific immune responses appears to be initiated early in infancy. Early exposure to food allergens, such as peanut and cashew nut, via human milk is likely important in initiating oral tolerance and reducing risk of food allergy development. This trial aims to determine if the risk of developing peanut and cashew nut allergy during infancy can be reduced by a high peanut and cashew nut maternal diet during lactation. METHODS AND ANALYSIS: This is a multisite, parallel, two-arm (1:1 allocation), single-blinded (outcome assessors, statistical analyst and investigators), randomised controlled trial. Target sample size is 4412 participants (2206 per group). Women (aged 18-50 years) with a singleton pregnancy, who are planning to breastfeed and do not have peanut and/or cashew nut allergies are eligible to participate. After obtaining written informed consent, participants are randomised to either a high peanut and cashew nut diet (at least 60 peanuts and 40 cashew nuts per week) or a low peanut and cashew nut diet (no more than 20 peanuts and 12 cashew nuts per week). Participants are asked to follow their allocated diet from birth to 6 months postnatal. Individual lactation consultant advice and support is provided as required. The study's primary outcome is food challenge proven IgE-mediated peanut and/or cashew nut allergy during infancy (0-18 months). Key secondary outcomes include infant sensitisation to peanut and/or cashew nut. Analyses will be performed on an intention-to-treat basis according to a prespecified statistical analysis plan. ETHICS AND DISSEMINATION: Ethical approval has been granted from the Western Australian Child and Adolescent Health Service Human Research Ethics Committee (approval number RGS0000006685). Trial results will be presented at scientific conferences and published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN ACTRN12624000134527).

Indexed as

AnacardiumArachisDietLactationNut HypersensitivityNutsPeanut HypersensitivityAdolescentAdultAustraliaBreast FeedingFemaleHumansInfantInfant, NewbornMiddle AgedImmunityInfantMothersNUTRITION & DIETETICSRandomized Controlled Trial

Identifiers

PMID41067762
PMCPMC12517002

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Registered trials

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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.