About this trial
This clinical trial aims to investigate if oral immunotherapy can help children with cow's milk allergy tolerate cow's milk.
Children aged 6-18 months can take part in the trial.
Main question: What percentage of children can tolerate cow's milk after oral immunotherapy, compared with children who avoid cow's milk?
Children are assigned to these two groups by chance.
Children receiving oral immunotherapy will:
* Take a small, increasing amount of cow's milk daily for 1-1.5 years * Attend clinic or online visits each time the dose is increased * Record missed doses
All children will:
* Provide blood samples to measure allergy-related markers * Undergo an oral food challenge with cow's milk after 1-1.5 years to assess how much they can tolerate * Report allergic reactions (parent-reported) * Complete questionnaires (parent-reported) * Participate in an end-of-study telephone interview with an allergy nurse (parent-reported)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 6 to 18 months
Cow's milk allergy confirmed at an oral food challenge
Reaction threshold below 300 mg of cow's milk protein at the oral food challenge
Specific IgE to cow's milk > 0.35 kU/L
Disqualifiers
Uncontrolled asthma, eczema, rhino-conjunctivitis, urticaria, or eosinophilic esophagitis
Treatment with biologic or immunosuppressive medication
Non-Danish-speaking families
Anticipated non-adherent families
Trial design
Parallel
Treatments tested in this trial
Oral immunotherapy with cow's milk
Other interventionOral immunotherapy with cow's milk for 1-1.5 years
Treatment groups
Trial outcomes
Primary outcomes
Tolerance to cow's milk (4000 mg)
Proportion of children who tolerate a cumulative dose of 4343 mg of cow's milk protein at an oral food challenge
Secondary outcomes
Early tolerance to cow's milk (4000 mg)
Proportion of children, with a 50% or greater reduction in cow's milk-specific IgE after 1 year, who tolerate a cumulative dose of 4343 mg of cow's milk protein at an oral food challenge
Tolerance to cow's milk (1000 mg)
Proportion of children who tolerate a cumulative dose of 1343 mg of cow's milk protein at an oral food challenge
Allergic reactions
Proportion of children experiencing allergic reactions, graded by the World Allergy Organization grading system
Use of adrenaline auto-injector
Proportion of children who used an adrenaline auto-injector due to allergic reactions
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Laura Ozer Kettner
Lead sponsor
Aarhus University Hospital
Sponsor institution
Randers Regional Hospital
Collaborator
Gødstrup Hospital
Collaborator
Viborg Regional Hospital
Collaborator
Kolding Sygehus
Collaborator
This trial is not recruiting at the moment. You can still explore other options: