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临床试验/NCT05069831
NCT05069831已完成1 期

JAK Inhibition in Food Allergy

Icahn School of Medicine at Mount Sinai1 个研究点 分布在 1 个国家目标入组 71 人开始时间: 2022年5月16日最近更新:
适应症
干预措施

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

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

Active Comparator

This arm will receive 200mg of the study drug

干预措施: Abrocitinib (Drug)

Abrocitinib 100mg

Active Comparator

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

申办方类型
Other
责任方
Principal Investigator
主要研究者

Scott Sicherer

Professor, Pediatrics

Icahn School of Medicine at Mount Sinai

研究点 (1)

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