Conference Coverage

Novel oral immunotherapy increased peanut tolerance in children, adults


 

FROM AAAAI/WAO JOINT CONGRESS 2018

Children and adults with peanut allergy who received a novel oral immunotherapy were able to tolerate higher doses of peanut protein, compared with those receiving placebo, according to research results.

Stacie M. Jones, MD, of the University of Arkansas and Arkansas Children’s Hospital, Little Rock, presented the late-breaking results from the pivotal PALISADE trial at the joint congress of the American Academy of Allergy, Asthma, and Immunology and the World Asthma Organization, in which Dr. Jones and her colleagues sought to examine the safety and efficacy of the novel oral immunotherapy AR101 for patients with peanut allergy.

peanuts copyright mates/Fotolia.com
They enrolled 551 patients aged 4-49 years (average age, 11.3 years) who reacted to 100 mg or less of peanut protein at the time of screening in double-blind, placebo-controlled food challenges. Patients who were randomly assigned to receive AR101 received initial escalation phases and up-dosing phases before they eventually received a maintenance dose of 300 mg/day for approximately 6 months.

At 12 months, 67% of patients who received AR101 tolerated 600 mg or more of peanut protein, compared with 4% of control patients (P less than .00001). The tolerance benefit for AR101 appeared to continue when the researchers evaluated 1,000 mg of peanut protein. A dose of 1,000 mg or more was tolerated by 50% of patients in the AR101 group, compared with 2.4% of patients in the control group (P less than .00001).

Pages

Recommended Reading

Peanut is most prevalent culprit in anaphylaxis PICU admits
MDedge Pediatrics
Flu activity continues to decline
MDedge Pediatrics
Unassigned school epinephrine used more than assigned injectors
MDedge Pediatrics
Swamp coolers not linked to dust mite sensitization in atopic children
MDedge Pediatrics
New approaches needed for food allergies in minority children
MDedge Pediatrics
MDedge Daily News: Could gut bacteria trigger autoimmune diseases?
MDedge Pediatrics
FDA proposes lower nicotine levels in cigarettes
MDedge Pediatrics
Switch to mepolizumab safe in eosinophilic asthma
MDedge Pediatrics
FDA wants data on role of flavored tobacco products in youth initiation
MDedge Pediatrics
MDedge Daily News: Stem cells may reverse premature menopause
MDedge Pediatrics