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    Summary
    EudraCT Number:2016-004941-94
    Sponsor's Protocol Code Number:ARC004
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2020-11-05
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2016-004941-94
    A.3Full title of the trial
    PEANUT ALLERGY ORAL IMMUNOTHERAPY STUDY OF AR101 FOR DESENSITIZATION IN CHILDREN AND ADULTS (PALISADE) FOLLOW-ON STUDY
    Studio di Follow-on sull¿Immunoterapia orale per l¿allergia alle arachidi, Studio su AR101 per la desensibilizzazione in bambini e adulti (PALISADE)
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    PEANUT ALLERGY STUDY
    Studio sull'allergia alle arachidi
    A.3.2Name or abbreviated title of the trial where available
    PALISADE
    PALISADE
    A.4.1Sponsor's protocol code numberARC004
    A.5.4Other Identifiers
    Name:NANumber:NA
    A.7Trial is part of a Paediatric Investigation Plan Yes
    A.8EMA Decision number of Paediatric Investigation PlanP/275/2016
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorAIMMUNE THERAPEUTICS
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportAimmune Therapeutics, Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationAimmune Therapeutics UK Ltd
    B.5.2Functional name of contact pointRegulatory Affairs
    B.5.3 Address:
    B.5.3.1Street Address10 Eastbourne Terrace
    B.5.3.2Town/ cityLondra
    B.5.3.3Post codeW2 6LG
    B.5.3.4CountryUnited Kingdom
    B.5.4Telephone number00442039232530
    B.5.5Fax number00442072625642
    B.5.6E-maildvandenberghe@aimmune.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAR101
    D.3.2Product code [NA]
    D.3.4Pharmaceutical form Granules
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNAR101
    D.3.9.2Current sponsor codeAR101
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number300
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAR101
    D.3.2Product code [NA]
    D.3.4Pharmaceutical form Modified-release granules
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNAR101
    D.3.9.2Current sponsor codeAR101
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number0
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAR101
    D.3.2Product code [NA]
    D.3.4Pharmaceutical form Modified-release granules
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNAR101
    D.3.9.2Current sponsor codeAR101
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number1
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 4
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAR101
    D.3.2Product code [NA]
    D.3.4Pharmaceutical form Modified-release granules
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNAR101
    D.3.9.2Current sponsor codeAR101
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number10
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 5
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAR101
    D.3.2Product code [NA]
    D.3.4Pharmaceutical form Modified-release granules
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNAR101
    D.3.9.2Current sponsor codeAR101
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number20
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 6
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAR101
    D.3.2Product code [NA]
    D.3.4Pharmaceutical form Modified-release granules
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNAR101
    D.3.9.2Current sponsor codeAR101
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Peanut Allergy
    Allergia alle arachidi
    E.1.1.1Medical condition in easily understood language
    Allergy to peanuts or peanut-containing foods
    Allergia alle arachidi o a cibi contenenti arachidi
    E.1.1.2Therapeutic area Diseases [C] - Immune System Diseases [C20]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10013289
    E.1.2Term Disorders involving the immune mechanism
    E.1.2System Organ Class 100000004870
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    The primary objective of this study is to determine the safety, tolerability and efficacy of AR101 characterized oral desensitization immunotherapy using alternative maintenance dosing intervals.
    L¿obiettivo primario di questo studio ¿ determinare la sicurezza, la tollerabilit¿ e l¿efficacia di AR101 immunoterapia orale caratterizzata per la desensibilizzazione utilizzando intervalli di dosaggio di mantenimento alternativi.
    E.2.2Secondary objectives of the trial
    The secondary objectives are:
    ¿ To confirm the safety profile of AR101 as measured by the incidence of adverse events (AEs), including serious adverse events (SAEs)
    ¿ To confirm the efficacy of AR101 through reduction in clinical reactivity, measured in a double-blind, placebo-controlled food challenge
    (DBPCFC) to a cumulative dose of 4043 mg
    ¿ To evaluate subjects' quality of life (QoL) and treatment satisfaction during AR101 treatment on daily and non-daily treatment regimens
    ¿ To evaluate the long-term immunologic effects of AR101 treatment
    Gli obiettivi secondari sono:
    ¿ Confermare il profilo di sicurezza di AR101 come misurato tramite l¿incidenza degli eventi avversi (AE), compresi gli eventi avversi gravi (SAE)
    ¿ Confermare l¿efficacia di AR101 attraverso la riduzione della reattivit¿ clinica, misurata in un test di provocazione alimentare in doppio cieco controllato verso placebo (double blind placebo controlled food challenge, DBPCFC) per una dose cumulativa di 4.043 mg
    ¿ Valutare la qualit¿ della vita (QoL) dei soggetti e la soddisfazione del trattamento durante il trattamento con AR101 nei regimi di trattamento giornaliero e non giornaliero
    ¿ Valutare gli effetti immunologici a lungo termine del trattamento con AR101
    E.2.3Trial contains a sub-study Yes
    E.2.3.1Full title, date and version of each sub-study and their related objectives

    Other types of substudies
    Specify title, date and version of each substudy with relative objectives: Exploratory Biochemical and Molecular Substudy of Peanut-Allergic Children and Adults with Oral Immunotherapy-Related Gastrointestinal Symptoms in Study ARC004.
    Primary Objective:
    The primary objective is to analyze biomolecular expression patterns in saliva samples obtained longitudinally from peanut-allergic participants undergoing OIT in ARC004. These studies will target the salivary RNA transcriptome, and if necessary further validate, with molecular-, cellular-, and/or protein-based approaches, the expression profile of gene pathways that are likely relevant to intolerable GI side effects in ARC004 subjects.
    Secondary Objectives:
    The key secondary objective is to examine the relationship of the RNA expression profile to selected clinical variables from ARC004, including:
    ¿ The frequency and severity of AEs related to the gastrointestinal tract
    ¿ The frequency of dosing interruptions (reductions and/or discontinuations) directly related to GI AEs
    ¿ Peripheral blood eosinophil counts
    ¿ PEESS v2.0 scores
    ¿ Immunoglobulin levels (IgE, IgG4, and their subclasses).
    Further secondary objectives include the correlation of salivary RNA transcriptome data to histopathologic and molecular analyses of the esophagus, when available.

    Altre tipologie di sottostudi
    specificare il titolo, la data e la versione di ogni sottostudio con i relativi obiettivi: Sottostudio biochimico e molecolare esplorativo su bambini ed adulti con allergia alle arachidi e con sintomi gastrointestinali correlati all'Immunoterapia nello studio ARC004.
    Obiettivo Primario:
    Analizzare I pattern di espressione biomolecolare nei campioni di saliva ottenuti longitudinalmente dai partecipanti allergici alle arachidi in trattamento di immunoterapia orale in ARC004. Questi studi si incentreranno sugli RNA salivari trascritti, e se necessario valideranno, con approcci molecolari, cellulari e proteici, il profilo di espressione dei pathway genetici relativi ad effetti collaterali gastrointestinali intollerabili nei soggetti ARC004.
    Obiettivi secondari:
    L'obiettivo secondario chiave ¿ esaminare la relazione tra il profilo di espressione dell'RNA e le variabili cliniche selezionate da ARC004, comprese:
    ¿ La frequenza e la gravit¿ degli eventi avversi relative al tratto gastrointesinale
    ¿ La frequenza di interruzione di dose (riduzione e/o interruzione) direttamente correlata agli eventi avversi gastrointestinali
    ¿ Conta degli eosinofili nel sangue periferico
    ¿ livelli di Immunoglobuline (IgE, IgG4 e sottoclassi).
    Ulteriori obiettivi secondary includono la correlazione dei dati sui trascritti salivari di RNA con analisi istopatologiche e molecolari dell'esofago, se disponibili.
    E.3Principal inclusion criteria
    1. Completion of ARC003
    2. Written informed consent and/or assent from subjects/guardians as appropriate
    3. Use of effective birth control by female subjects of child-bearing potential
    1. Completamento di ARC003
    2. Consenso informato scritto e/o assenso da soggetti/tutori secondo necessità
    3. Uso di metodi di contraccezione efficaci da parte dei soggetti di sesso femminile in età fertile
    E.4Principal exclusion criteria
    1. Early discontinuation from ARC003
    2. Meets any longitudinally applicable ARC003 exclusion criteria
    3. Failure to tolerate =443 mg cumulative of peanut protein with no or
    mild symptoms in the ARC003 Exit DBPCFC (Group 2 only)
    4. Any other condition that, in the opinion of the Investigator, precludes
    participation for reasons of safety
    1. Interruzione anticipata di ARC003
    2. Risponde a tutti i criteri di esclusione da ARC003 longitudinalmente applicabili (Appendice 7)
    3. (Solo per il Gruppo 2) Incapacità di tollerare ¿443 mg cumulativi di proteina di arachide con sintomi lievi o assenti al DBPCFC di uscita di ARC003
    4. Qualsiasi altra condizione che, a giudizio dello sperimentatore, preclude la partecipazione per motivi di sicurezza
    E.5 End points
    E.5.1Primary end point(s)
    The primary end-point is the frequency of treatment-related adverse events, including serious adverse events, during the overall study period (from enrollment to the end of Extended Maintenance).
    L'end-point primario è la frequenza degli eventi avversi relativi al trattamento, compresi gli eventi
    avversi seri, durante tutto il periodo dello studio (dall'arruolamento alla fine del mantenimento prolungato).
    E.5.1.1Timepoint(s) of evaluation of this end point
    The overall study period (from enrolment to the end of the Extended Maintenance Period)
    Il periodo totale dello studio (dall'arruolamento alla fine del periodo di Mantenimento Prolungato)
    E.5.2Secondary end point(s)
    Secondary endpoints include:
    ¿ Frequency of anaphylaxis
    ¿ Frequency of use of epinephrine as a rescue medication
    ¿ Frequency of AEs leading to withdrawal of AR101
    ¿ Frequency of AEs in each treatment regimen leading to discontinuation
    of extended interval dosing
    ¿ Frequency of gastrointestinal adverse events of interest (GI AEIs)
    ¿ Frequency of accidental food allergen exposure
    ¿ In subjects with asthma, change in asthma control using the Asthma
    Control Test questionnaire
    ¿ Frequency of all above safety endpoints by treatment period
    ¿ The proportion of subjects in each regimen tolerating = 1043 mg
    cumulative of peanut protein during their EM Exit DBPCFC
    ¿ The proportion of subjects in each regimen who tolerate = 443 mg
    cumulative of peanut protein during their EM Exit DBPCFC
    ¿ The proportion of subjects in each regimen who tolerate 4043 mg
    cumulative of peanut protein during their EM Exit DBPCFC
    ¿ Maximum tolerated dose and change from baseline at Post-Maintenance and each EM Exit DBPCFC
    ¿ Maximum severity of symptoms at each challenge dose at Post-Maintenance and each EM Exit DBPCFC
    ¿ Frequency of use of epinephrine as a rescue medication at the Post-Maintenance and each EM Exit DBPCFC
    ¿ Change in QoL as assessed by the food allergy related quality of life questionnaire (FAQLQ) and the food allergy independent measure (FAIM) questionnaire
    ¿ Satisfaction with AR101 treatment as assessed by the Treatment Satisfaction Questionnaire for Medication Version 9 (TSMQ-9) questionnaire and additional questions
    ¿ Changes in peanut-specific serum IgE and IgG4 levels
    ¿ Changes in peanut skin prick test (SPT) wheal diameter
    Gli endpoint secondari includono:
    ¿ Frequenza di anafilassi
    ¿ Frequenza d¿uso di epinefrina come farmaco di soccorso
    ¿ Frequenza di AE che conducono all¿interruzione di AR101
    ¿ Frequenza di AE in ogni regime di trattamento che conducono alla sospensione dell¿intervallo di dosaggio esteso
    ¿ Frequenza di GI AE di interesse (GI AEI)
    ¿ Frequenza di esposizioni accidentali ad allergeni alimentari
    ¿ Nei soggetti con asma, variazioni nel controllo dell¿asma utilizzando il questionario Test di controllo dell¿asma
    ¿ Frequenza di tutti gli endpoint di sicurezza di cui sopra per periodo di trattamento
    ¿ La proporzione di soggetti in ogni regime che tollera = 1.043 mg cumulativi di proteina di arachide durante la loro DBPCFC di uscita dell¿EM
    ¿ La proporzione di soggetti in ogni regime che tollera = 443 mg cumulativi di proteina di arachide durante la loro DBPCFC di uscita dell¿EM
    ¿ La proporzione di soggetti in ogni regime che tollera 4.043 mg cumulativi di proteina di arachide durante la loro DBPCFC di uscita dell¿EM
    ¿ Dose massima tollerata e cambiamento dal basale al post-mantenimento e a ogni DBPCFC di uscita dell¿EM
    ¿ Massima gravit¿ dei sintomi a ogni dose challenge nel post-mantenimento e a ogni DBPCFC di uscita dell¿EM
    ¿ Frequenza d¿uso di epinefrina come farmaco di soccorso nel post-mantenimento e a ogni DBPCFC di uscita dell¿EM
    ¿ Cambiamento nella QoL come valutato tramite il Questionario sulla qualit¿ della vita correlata all¿allergia alimentare (FAQLQ) e il Questionario di misura indipendente dell¿allergia alimentare (FAIM)
    ¿ Soddisfazione per il trattamento con AR101 come valutato tramite il Questionario sulla soddisfazione del trattamento per la versione del farmaco 9 (TSMQ-9) e ulteriori domande
    ¿ Cambiamenti nei livelli di IgE e IgG4 arachide-specifici nel siero
    ¿ Cambiamenti nel diametro del pomfo da prick test cutaneo (SPT) per l¿arachide

    E.5.2.1Timepoint(s) of evaluation of this end point
    NA
    NA
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised No
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned Yes
    E.8.4 The trial involves multiple sites in the Member State concerned No
    E.8.4.1Number of sites anticipated in Member State concerned1
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA15
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Canada
    United States
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years3
    E.8.9.1In the Member State concerned months0
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years3
    E.8.9.2In all countries concerned by the trial months0
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 Yes
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) Yes
    F.1.1.5.1Number of subjects for this age range: 250
    F.1.1.6Adolescents (12-17 years) Yes
    F.1.1.6.1Number of subjects for this age range: 150
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 100
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state5
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 150
    F.4.2.2In the whole clinical trial 500
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    None
    Nessuno
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2017-07-17
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2017-03-23
    P. End of Trial
    P.End of Trial StatusCompleted
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