A Study to Evaluate the Safety and Effectiveness of Dupilumab and Milk Oral Immunotherapy to Treat Patients with Cow's Milk Allergy

Overview

About this study

The purpose of this study is to assess whether dupilumab as an adjunct to milk oral immunotherapy (OIT) compared to placebo improves desensitization and safety, defined as an increase in the proportion of subjects who pass a double-blind placebocontrolled food challenge (DBPCFC) to at least 2040 mg cumulative milk protein at week 18.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

- Age 4 to 50 years (inclusive)

- Clinical history of allergy to cow's milk or milk-containing foods

- Serum IgE to milk of >4 kUA/L within the last 12 months and/or a SPT to milk ≥6 mm
compared to a negative control

- Experience clinical reaction at or before 444 mg cumulative protein dose of cow's milk
protein on Screening DBPCFC

- No clinical reaction observed during the placebo (oat) Screening DBPCFC

- Subjects with other known food allergies must agree to eliminate these other food
items from their diet so as not to confound the safety and efficacy data from the
study

- Use of effective birth control by female participants of childbearing potential

Exclusion Criteria:

- Any previous exposure to dupilumab

- Known hypersensitivity to dupilumab or any of its excipients

- Known hypersensitivity to epinephrine or any of its excipients

- Allergy to oat (placebo in DBPCFC)

- History of severe anaphylaxis to cow's milk, defined as neurological compromise or
requiring intubation

- Recent history of frequent severe, life-threatening episodes of anaphylaxis or
anaphylactic shock as defined as 3 or more episodes of anaphylaxis within the past
year

- Inability to tolerate biological (antibody) therapies

- Body weight ≤5 kg at the time of screening

- History of eosinophilic esophagitis (EoE), other eosinophilic gastrointestinal
disease, chronic, recurrent, or severe gastroesophageal reflux disease (GERD),
symptoms of dysphagia (e.g., difficulty swallowing, food "getting stuck"), or
recurrent gastrointestinal symptoms of undiagnosed etiology

- History of cardiovascular disease, including uncontrolled or inadequately controlled
hypertension

- History of a mast cell disorder

- Established diagnosis of a primary immunodeficiency disorder

- Severe asthma or mild or moderate asthma if uncontrolled or difficult to control

- Current participation or within the last 4 months in any other interventional study

- Use of medication such as beta-blockers (oral), angiotensin-converting enzyme (ACE)
inhibitors, angiotensin-receptor blockers (ARB) or calcium channel blockers

- Pregnant or breastfeeding women

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Eligibility last updated 12/7/22. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

Benjamin Wright, M.D.

Closed for enrollment

Contact information:

Karalyn Folmes Ph.D.

(480) 301-4298

Folmes.Karalyn@mayo.edu

More information

Publications

Publications are currently not available
.
CLS-20531158

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