About this trial
This is a pilot, multi-centre, randomised clinical trial evaluating the safety and feasibility of a home-based oral food challenge in adults with low-risk food allergy labels. Eligible participants are aged 18 years or older and have a self-reported food allergy with negative skin prick testing to the implicated food. Participants will be randomised to either a home-based or standard in-clinic food challenge. The primary aim is to determine the safety of home challenges, measured by the rate of immune-mediated adverse events. Secondary aims include feasibility of recruitment and delivery, protocol adherence, quality of life, and food reintroduction outcomes.
Eligibility criteria
Qualifiers
Negative (<3mm) fresh or extract skin testing to the food implicated within their allergy label
Aged greater than 18 years
Disqualifiers
Evidence of prior sensitisation to challenge food 0 Defined as previously positive skin testing or allergen specific IgEs if available
Pregnancy
Patients with poorly controlled asthma - defined as an ACQ5 scores >1 at the time of enrolment
Patients with a history of food reactions that is not-consistent with an IgE mediated process; i.e. exclusively gastrointestinal symptoms, FPIES
Trial design
Treatments tested in this trial
- Home-Based Food Challenge
- In-Clinic Food Challenge
Treatment groups
Sponsors and collaborators
Austin Health
Lead sponsor
Royal Melbourne Hospital, Australia
Collaborator