Phase I Trial to Evaluate VLP Peanut in Healthy and Peanut Allergic Subjects (PROTECT)
A Phase I Clinical Trial to Evaluate the Safety and Tolerability of VLP Peanut in Healthy Subjects and Subjects With Peanut Allergy and to Explore Preliminary Signals of Its Efficacy (PROTECT)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Pieter-Jan De Kam, PhD
- Phone Number: +44 (0) 1903844700
- Email: Pieter-Jan.DeKam@AllergyTherapeutics.com
Study Locations
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Arizona
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Tucson, Arizona, United States, 85724
- University of Arizona
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Florida
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Tampa, Florida, United States, 33613
- University of South Florida
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Kansas
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Kansas City, Kansas, United States, 66160
- University of Kansas Medical Center
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
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Missouri
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St Louis, Missouri, United States, 63141
- Washington University School of Medicine
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New York
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New York, New York, United States, 10029
- Icahn School of Medicine at Mount Sinai
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic Foundation
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Texas
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Houston, Texas, United States, 77008
- Trio Clinical Trials, LLC.
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Wisconsin
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Madison, Wisconsin, United States, 53792-9988
- University of Wisconsin School of Medicine and Public Health Asthma, Allergy, and Pulmonary Clinical Research
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Part A Main Inclusion Criteria:
- Capable of giving signed informed consent.
- Subject who has a signed and dated Informed Consent Form (ICF).
- Subject must be 18 to 50 years inclusive, at the time of signing the ICF.
- Male or female.
- Female subjects who are not of childbearing potential (or females of childbearing potential who agree to comply with the contraceptive requirements of the clinical trial protocol).
- Good general health, as determined by the Investigator.
A positive SPT to histamine.
The following additional inclusion criteria are only applicable to the healthy subjects in Group A1:
- Healthy subjects (non-atopic) with no clinically significant co-morbidity (including broncho-reactive airway disease like asthma, current allergic rhinitis, etc.).
- Subjects with no history of allergy or intolerance to peanut or any other food and who consume peanuts with no effect.
- Subjects with lack of sensitivity to peanut allergen confirmed by SPT using whole peanut extract.
- Peanut specific immunoglobulin E (IgE) <0.35 kU/L.
- Ara h 2 specific IgE <0.35 kU/L.
Subjects with negative basophil activation test (BAT).
The following additional inclusion criteria are only applicable to the subjects with PA in Group A2:
- Clinical history of physician diagnosed PA.
- Peanut allergen sensitivity confirmed by SPT and IgE.
- Subjects who currently adhere to a strict peanut-free diet and who agree to continue this for the duration of the clinical trial.
- Subjects who are able to handle and correctly use an adrenaline auto-injector.
Part B Main Inclusion Criteria:
- Capable of giving signed informed consent.
- Subject who has a signed and dated ICF.
- Subjects aged 18 to 50 years of age inclusive, at the time of signing the ICF.
- Male or female.
- Female subjects who are not of childbearing potential (or females of childbearing potential who agree to comply with the contraceptive requirements of the clinical trial protocol).
- Clinical history of physician diagnosed PA.
- Peanut allergen sensitivity confirmed by positive SPT and Ara h 2 specific IgE ≥1.0 kU/L
- Subjects with positive BAT.
- Subjects who currently adhere to a strict peanut-free diet and who agree to continue this for the duration of the clinical trial.
- Good general health, as determined by the Investigator.
- Subjects who are able to handle and correctly use an adrenaline auto-injector.
Main Exclusion Criteria Part A and B:
- Pregnant or lactating subject.
- Presence of any medical condition that may reduce the ability to survive a serious allergic reaction.
- Subjects with atopic dermatitis with >25% skin surface involvement.
- For subjects with PA, presence of severe, poorly controlled or uncontrolled asthma.
- History of severe or life-threatening anaphylactic reactions to peanut resulting in neurological compromise or requiring mechanical ventilation.
- History of severe or life-threatening anaphylactic reactions to foods (excluding peanuts), insect venom, exercise, drugs, or idiopathic causes, resulting in neurological compromise or requiring mechanical ventilation or deemed severe as per Investigator assessment.
- Unable to receive epinephrine therapy or at greater risk of developing adverse reactions after epinephrine administration as assessed by the site Investigator.
- Clinical history of drug or alcohol abuse, which, in the Investigator's opinion, could interfere with the subject's ability to participate in the clinical trial.
- Participation in a clinical research trial with any investigational drug/placebo within 3 months of screening (Visit 1) or concomitantly with this clinical trial.
- Personal, financial or other dependent relationship (e.g., employee or immediate relative) with the clinical trial site, Sponsor, Sponsor's representative, or another individual who has access to the clinical trial protocol.
- Vulnerable subjects or those in judicial or governmental detention, detainment or imprisonment in a public institution.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Part A - Group A1
4 parallel cohorts (1-4) of adult healthy subjects.
Each cohort will receive 6 ascending subcutaneous administrations of VLP Peanut.
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solution for subcutaneous administration
solution for Skin-prick testing
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Experimental: Part A - Group A2
Adult peanut allergic subjects, will undergo skin prick tests with ascending concentrations of VLP Peanut.
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solution for subcutaneous administration
solution for Skin-prick testing
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Experimental: Part B - Cohorts 1-4
4 parallel cohorts (1-4) of peanut allergic subjects.
Each cohort will receive 6 ascending subcutaneous administrations of VLP Peanut.
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solution for subcutaneous administration
solution for Skin-prick testing
solution for subcutaneous administration
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Number and severity of Adverse Events (AEs) (including local and systemic AEs).
Time Frame: Group A1: 18 weeks; Part B: 64 weeks (Part B). Group A2: 3 days.
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Group A1: 18 weeks; Part B: 64 weeks (Part B). Group A2: 3 days.
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Number of subjects discontinuing prematurely from treatment due to AEs
Time Frame: Group A1: 11 weeks Part B: 15 weeks
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Group A1: 11 weeks Part B: 15 weeks
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Incidence of fatigue (tiredness)
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Frequency of fatigue (tiredness)
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Incidence of headache
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Frequency of headache
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Incidence of muscle pain
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Frequency of muscle pain
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Incidence of cough
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Frequency of cough
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Incidence of sore throat
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Frequency of sore throat
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Incidence of runny nose
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Frequency of runny nose
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Incidence of chills
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Frequency of chills
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Incidence of fever (i.e. body temperature equal or above 38ºC (100.4ºF))
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Frequency of fever (i.e. body temperature equal or above 38ºC (100.4ºF))
Time Frame: Group A1: 14 weeks Part B: 16 weeks
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Part of solicited pre-specified influenza like symptoms in healthy and peanut allergic subjects.
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Group A1: 14 weeks Part B: 16 weeks
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Wheal sizes after SPT in subjects with PA (Part A only)
Time Frame: 15-20 minutes after skin pricking
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wheal diameter (longest diameter)
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15-20 minutes after skin pricking
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Respiratory and Cardiovascular System Alterations as assessed by brief physical examination
Time Frame: On each dosing day - Group A1/Group part B: pre-dose and 30+/-10 minutes post dose; Group A2: pre-skin pricking and 1 hour post-skin pricking
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Assessment of the respiratory and cardiovascular systems through palpation, auscultation and percussion that are performed by physician to identify any potential abnormalities
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On each dosing day - Group A1/Group part B: pre-dose and 30+/-10 minutes post dose; Group A2: pre-skin pricking and 1 hour post-skin pricking
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Alterations in the lung function
Time Frame: Group A1 and Group Part B: On each dosing day pre-dose and 30 to 60 minutes post-dose; Group A2: pre skin pricking and 1 hour post skin pricking
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Spirometry test.
Alteration is considered when values obtained are: Forced expiratory volume in one second (FEV1) <80% of predicted with a FEV1/Forced vital capacity (FVC) ratio <75%.
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Group A1 and Group Part B: On each dosing day pre-dose and 30 to 60 minutes post-dose; Group A2: pre skin pricking and 1 hour post skin pricking
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Alterations in urine pH
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Urinalysis Dip-stick: pH
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in urinalysis (protein)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Dip-stick: protein
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in urinalysis (glucose)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Dip-stick: glucose
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in urinalysis (ketones)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Dip-stick: ketones
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in urinalysis (urobilinogen)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Dip-stick: urobilinogen
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in urinalysis (bilirubin)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Dip-stick: bilirubin
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in urinalysis (nitrite)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Dip-stick: nitrite
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Urinalysis (blood)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Dip-stick: blood
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Urinalysis (leukocytes)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Dip-stick: leukocytes
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (Glucose)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: Glucose
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (Sodium)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: sodium
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (Uric Acid)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: uric acid
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (Urea)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: urea
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (potassium)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: potassium.
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (Calcium)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: calcium.
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (Creatinine)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: creatinine.
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (chloride)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: chloride
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (total protein)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: total protein
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (phosphorus)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: phosphorus
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (cholesterol)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: cholesterol
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (albumin)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: albumin
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (total bilirubin)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: total bilirubin
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
|
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Alterations in Serum Chemistry (alkaline phosphatase)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: alkaline phosphatase
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (lactate dehydrogenase)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: lactate dehydrogenase (LDH)
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (aspartate aminotransferase)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: aspartate aminotransferase (AST).
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (Alanine aminotransferase)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: Alanine aminotransferase (ALT)
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (gamma-glutamyl transferase)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: gamma-glutamyl transferase (GGT)
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Serum Chemistry (C-reactive protein)
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Detection of the levels of: C-reactive protein (CRP).
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in hemoglobin levels
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Hematology, analysis Hemoglobin levels
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in the hematocrit
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Hematology, analysis of the hematocrit
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in Red Blood Cells (RBC) levels
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Hematology, analysis of total RBC and RBC indices
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Alterations in White Blood Cells (WBC) levels
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Hematology: total WBC and differentials
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Platelet counts alterations
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Hematology: platelet count
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Serum/Urine Pregnancy Test
Time Frame: Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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In all females of childbearing potential.
Serum test at V1 and Urine test at subsequent visits.
Confirmatory serum pregnancy test to be conducted if urine test is positive.
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Group A1: 18 weeks; Group A2: 2-5 days; Part B: 16 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Pieter-Jan De Kam, PhD, Allergy Therapeutics
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- VLP-Peanut101
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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