JAK Inhibition in Food Allergy
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 71
- 试验地点
- 1
- 主要终点
- change in skin prick test
研究概览
简要总结
This study will assess the role for an oral targeted medication, abrocitinib, as a new treatment option for food allergy patients that would avoid injections. Abrocitinib, which has successfully completed phase three trials for atopic dermatitis, could serve as a single therapy for two conditions in many patients with multiple atopic conditions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 50 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 - 50 years old
- •Participant must be able to understand and perform informed consent.
- •IgE-mediated food allergy to at least one of the following foods as defined by (regarding at least one of the foods):
- •° Foods: peanut, cashew, walnut, hazelnut, sesame, cod, and/or shrimp, history of an acute allergic reaction (urticaria, angioedema, cough, wheeze, and/or repetitive vomiting within an hour of ingestion, and history of positive skin or serum IgE test, and current strict avoidance of the food, and current possession of physician-prescribed self-injectable epinephrine, and skin test wheal 5 mm or greater average diameter
- •Current or past eczema.
- •If female of childbearing potential, must have a negative pregnancy test (serum or urine) and agree to abstinence or acceptable contraception.
- •Plan to remain in the Tri-State area during the trial for visits.
- •Must agree to avoid prolonged exposure to the sun and not to use tanning booths, sunlamps, or other ultraviolet (UV) light sources during the study.
- •If receiving concomitant medications for any reason other than AD, must be on a stable regimen, which is defined as not starting a new drug or changing dosage within 7 days or 5 half-lives (whichever is longer) prior to Day 1 and through the duration of the study.
排除标准
- •Unwilling or unable to give written informed consent or comply with protocol.
- •Unable to swallow pill.
- •Use of dupilumab within 6 weeks of enrollment.
- •Prior use or allergy to drugs related to abrocitinib (ruxolitinib, upadacitinib, etc).
- •Use of any other biologic (monoclonal antibody) medication within 12 weeks or 5 half-lives of drug, if known.
- •Allergy to any excipients within abrocitinib.
- •Use of build-up environmental immunotherapy; any food oral immunotherapy;or systemic oral, IV or IM steroids including but not limited to- prednisone, methylprednisolone, prednisolone, solumedrol, solucortef, dexamethasone in the past 4 weeks or 5 half-lives of drug, if known.
- •Use of CYP2C9 and CYP2C19 inducers (such as carbamazepine, norfluoxetine, etc.) within 5 half-lives of the inducer plus 14 days prior to the first dose of study intervention.
- •Use of CYP2C9 and CYP2C19 inhibitors within 1 week of first dose of study intervention or within 5 half-lives (if known) of the inhibitor, whichever is longer.
- •Unable to stop long-acting antihistamines within minimum wash out period required for SPTs at screening and site visits
- •History of or significant risk factor(s) for cardiovascular disease
研究组 & 干预措施
Abrocitinib 200mg
This arm will receive 200mg of the study drug
干预措施: Abrocitinib (Drug)
Abrocitinib 100mg
This arm will receive 100mg of the study drug
干预措施: Abrocitinib (Drug)
结局指标
主要结局
change in skin prick test
时间窗: baseline and after 4 months of treatment
change in skin prick test size after four months of therapy.
change in basophil activation
时间窗: baseline and after 4 months of treatment
change in basophil activation as measured by %CD63 AUC
次要结局
- change in specific immunoglobulin E (sIgE)(baseline and after 4 months of treatment)
- change in antigen-specific T-cell(baseline and after 4 months of treatment)
- change in FENO(baseline and after 4 months of treatment)
研究者
Scott Sicherer
Professor, Pediatrics
Icahn School of Medicine at Mount Sinai
