VE416 for Peanut Allergy

CA
WG
JG
Overseen ByJannat Gill, BDS, MPH
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called VE416 for individuals with peanut allergies. It compares different methods of using VE416, including with or without a common treatment known as peanut oral immunotherapy (PNOIT), to determine the most effective approach. The goal is to identify a safe and effective way to help manage peanut allergies. Individuals with a documented peanut allergy who can undergo an oral food challenge may be suitable candidates for this study. As a Phase 1, Phase 2 trial, the research aims to understand how the treatment works in people and to measure its effectiveness in an initial, smaller group.

Will I have to stop taking my current medications?

The trial requires that you stop using certain medications, such as beta blockers, angiotensin converting enzyme inhibitors, and monoamine oxidase inhibitors. Additionally, you should not have used systemic immunomodulatory treatments or biologics with an immune target in the past 6 months.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that VE416, when used with peanut oral immunotherapy (PNOIT), is under study for its safety and effectiveness in treating peanut allergies. In earlier studies, researchers combined VE416 with vancomycin, an antibiotic, to assess its potential in improving peanut allergy treatment.

Safety data from past research indicates that VE416 is generally well-tolerated. Some mild side effects have been reported, but no serious problems have been linked to the treatment so far. Since this trial is in the early stages, the treatment has passed initial safety checks in humans. However, researchers continue to closely monitor it to ensure safety for all participants.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about VE416 for peanut allergy because it introduces a novel approach by combining probiotics with oral immunotherapy. Unlike traditional treatments that primarily rely on gradual exposure to allergens, VE416 leverages the gut microbiome to enhance immune tolerance to peanuts. By incorporating active vancomycin and probiotic strains, this treatment aims to improve efficacy and potentially reduce the risk of allergic reactions. This innovative mechanism could offer a safer, more effective alternative for individuals with peanut allergies.

What evidence suggests that this trial's treatments could be effective for peanut allergy?

Research shows that VE416 may help treat peanut allergies. In this trial, participants will receive different combinations of VE416, vancomycin, and peanut oral immunotherapy (PNOIT) to assess their effectiveness. Studies have found that using VE416 with a small amount of PNOIT can help the body become more tolerant to peanuts. VE416 changes gut bacteria, which may help lessen allergic reactions. Early results suggest this method could effectively manage food allergies, including peanut allergies. While more research is needed, these initial findings offer promise for those with peanut allergies seeking new treatment options.13678

Who Is on the Research Team?

WG

Wayne G Shreffler, MD, PhD

Principal Investigator

Massachusetts General Hospital

Are You a Good Fit for This Trial?

This trial is for people aged 12-55 with a confirmed peanut allergy, who can swallow capsules and are not pregnant or breastfeeding. They shouldn't have immune deficiencies, severe anaphylaxis history, poorly-controlled asthma, or be on certain heart medications or other immunomodulatory treatments.

Inclusion Criteria

People of any race, gender, or ethnicity between the ages of 12 and 55 who have a medical record showing they are allergic to peanuts.
Evidence of peanut-specific IgE by either: positive skin prick test to peanut (reaction wheal at least 5 mm larger than saline control) or serum peanut-specific IgE _5 kU/L at screening visit
Ara h 2 specific IgE >0.35 kU/L at screening visit
See 3 more

Exclusion Criteria

You are unable to swallow a small-sized pill.
You have a weakened immune system from birth.
You have used other treatments that affect your immune system within the past 6 months, including allergy shots or certain medications that target the immune system.
See 11 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Phase 1b Treatment

Participants receive treatment to assess safety and treatment-related adverse events

7 weeks

Phase II Treatment

Participants receive VE416 in combination with vancomycin and peanut oral immunotherapy to evaluate the maximum tolerated dose of peanut protein

23 weeks

Post-Phase II Maintenance

Participants continue with maintenance treatment following Phase II

24 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

54 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • VE416
Trial Overview The study tests VE416 as either a pretreatment or alongside low-dose peanut oral immunotherapy (PNOIT). Participants will be randomly assigned to one of four groups: some getting the real treatment plus PNOIT and others getting placebo versions.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Active Control
Group I: vancomycin plus VE416 before PNOITExperimental Treatment1 Intervention
Group II: Vancomycin plus VE416 with PNOITExperimental Treatment1 Intervention
Group III: Placebo plus VE416 with PNOITExperimental Treatment1 Intervention
Group IV: Placebo plus placebo with PNOITActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Massachusetts General Hospital

Lead Sponsor

Trials
3,066
Recruited
13,430,000+

Vedanta Biosciences, Inc.

Industry Sponsor

Trials
7
Recruited
1,200+

Citations

NCT03936998 | VE416 for Treatment of Food AllergyThis is a single-center, randomized, double-blind trial with four arms evaluating VE416 as pretreatment or concurrent treatment in comparison to low-dose peanut ...
Feast for thought: A comprehensive review of food allergy ...As for identification of patients who react to low doses of allergen, the BAT showed 70% sensitivity, 72% specificity, and 71% accuracy. In a PA study, the BAT ...
San Mateo Clinical Trial VE416 for Treatment of Food AllergyThis is a single-center, randomized, double-blind trial with four arms evaluating VE416 as pretreatment or concurrent treatment in comparison to low-dose ...
VE416 for Treatment of Food AllergyThis is a single-center, randomized, double-blind trial with four arms evaluating VE416 as pretreatment or concurrent treatment in comparison to ...
VE-416 - Drug Targets, Indications, PatentsVE416 and Low-dose Peanut Oral Immunotherapy for Treatment of Persistent Peanut Allergy. 100 Clinical Results associated with VE-416. Login to view more data.
6.rally.massgeneralbrigham.orgrally.massgeneralbrigham.org/study/ve416
Adults and adolescents (ages 12-55) needed for a peanut ...We want to learn more about a live biotherapeutic product, VE416, with peanut oral immunotherapy to see if this will help people with peanut allergies. Why it ...
New Insights in Therapy for Food Allergy - PMCIn addition, another study (NCT03936998) is determining if VE416 in combination with vancomycin (an antibiotic) could be used as OIT in peanut allergy patients.
Vedanta Biosciences Announces First Patient Enrolled in ...The primary endpoints are safety of VE416 and amount of peanut protein tolerated during a double-blind, placebo-controlled food challenge ...
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