About this trial
The CASCADES study will investigate the safety and efficacy of sublingual immunotherapy (SLIT) for the treatment of cashew allergy in children ages 1-11 years old. Primary efficacy will be assessed after 18 months of cashew SLIT. Lab studies and an oral food challenge after 6 months of cashew SLIT will help determine how quickly cashew SLIT begins to take effect.
Eligibility criteria
Qualifiers
Age 1-11 years at enrollment
History of clinical reaction to cashew AND cashew-specific IgE >/=0.35 kUA/L AND cashew SPT >/=3 mm
OR if no prior reaction, cashew-specific IgE >/=5 kUA/L AND cashew SPT >/=3 mm
Positive Double-Blind Placebo Controlled Food Challenge (DBCPFC) to 443 mg cumulative cashew at enrollment
Disqualifiers
Inability or unwillingness of a participant and/or parent/legal guardian to give written informed consent and/or assent or comply with the study protocol
History of severe anaphylaxis to cashew defined as neurological compromise or requiring intubation/mechanical ventilation
Known oat, wheat, or glycerin allergy
Global Initiative for Asthma (GINA) 2024 criteria for uncontrolled asthma
Trial design
Treatments tested in this trial
- Cashew sublingual immunotherapy
- Placebo sublingual immunotherapy
Treatment groups
Sponsors and collaborators
University of North Carolina, Chapel Hill
Lead sponsor
Food Allergy Research & Education
Collaborator