UNC Cashew Sublingual Immunotherapy

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age1-11
SponsorUniversity of North Carolina, Chapel Hill

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

45 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of North Carolina, Chapel Hill

Lead sponsor

Food Allergy Research & Education

Collaborator