Effect of Oral Diamine Oxidase on Symptoms Induced by Histamine Oral Challenge
Double-Blind, Placebo-Controlled, Crossover Trial to Evaluate the Effect of Diamine Oxidase (DAO) on the Response to Oral Histamine Challenge
The goal of this clinical trial is to learn whether oral diamine oxidase (DAO) can lower symptoms caused by an oral histamine challenge in adults with self-reported food-related histamine symptoms who demonstrate responsiveness to histamine challenge during screening.
Study Overview
Status
Intervention / Treatment
Detailed Description
Histamine intolerance is characterized by the occurrence of symptoms after ingestion of histamine-containing foods and may be associated with reduced degradation of dietary histamine by the enzyme diamine oxidase (DAO). Previous studies have suggested potential benefits of oral DAO supplementation; however, additional controlled clinical studies are needed using standardized histamine challenge procedures and predefined symptom assessments.
This study is a randomized, double-blind, placebo-controlled, crossover trial conducted in healthy adult volunteers who demonstrate a predefined response to histamine provocation are randomized into the treatment phase.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Carlos de Lecea, MD
- Phone Number: +34 609 02 53 61
- Email: cdelecea@biotexia.com
Study Contact Backup
- Name: Alejandra Gadea, PhD
- Email: agadea@biotexia.com
Study Locations
-
-
Barcelona
-
Barcelona, Barcelona, Spain, 08041
- Recruiting
- Centre d'Investigació del Medicament (CIM-IR Sant Pau)
-
Contact:
- Pol Molina, PharmD
- Phone Number: +34 93 553 78 55
- Email: pmolinap@santpau.cat
-
-
Spain
-
Barcelona, Spain, Spain, 08041
- Recruiting
- Hospital de la Santa Creu i Sant Pau
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adults aged 18 to 65 years.
- History of symptoms after consumption of foods potentially rich in histamine.
- Clinically stable and suitable for oral histamine challenge testing.
- Ability and willingness to provide informed consent.
- Willingness to comply with study procedures and restrictions.
- No clinically relevant medical history.
- No clinically significant findings during screening assessments.
- Positive response to histamine challenge during screening, according to predefined protocol criteria.
Exclusion Criteria:
- Food allergy, celiac disease, peptic ulcer disease, or esophagitis.
- Acute infection.
- Pregnancy or breastfeeding.
- History of anaphylaxis or severe reactions to histamine.
- Known intolerance to diamine oxidase.
- Severe chronic diseases or medical conditions that may increase risk.
- Excessive alcohol consumption.
- Positive drug or alcohol screening.
- Use of medications that may interfere with histamine or DAO activity.
- Severe reaction during screening histamine challenge.
- Any condition that, in the investigator's opinion, may compromise participant safety or study conduct.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
Placebo |
Matching placebo capsule administered before a standardized oral histamine challenge in a randomized, double-blind, crossover study. |
|
Experimental: DAO
|
Oral diamine oxidase (DAO) dietary supplement administered before a standardized oral histamine challenge in a randomized, double-blind, crossover study. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall symptom burden following oral histamine challenge
Time Frame: 0 to 4 hours after histamine challenge
|
Overall symptom burden is assessed using a study-specific symptom rating scale covering three domains: gastrointestinal, cutaneous/mucosal, and headache/neurovegetative symptoms. Each domain is rated from 0 (no symptoms) to 10 (maximum imaginable symptom intensity), resulting in a total score ranging from 0 to 30, with higher scores indicating greater symptom burden. The primary outcome is the area under the curve (AUC) of the total symptom score over the first 4 hours following the histamine challenge. |
0 to 4 hours after histamine challenge
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- DAOH-26
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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