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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04984876
Registration number
NCT04984876
Ethics application status
Date submitted
29/07/2021
Date registered
2/08/2021
Titles & IDs
Public title
Efficacy and Safety of QGE031 (Ligelizumab) in Patients With Peanut Allergy
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Scientific title
A 52 Week, Multi-center, Randomized, Double-blind Placebo-controlled Study to Assess the Clinical Efficacy and Safety of Ligelizumab (QGE031) in Decreasing the Sensitivity to Peanuts in Patients With Peanut Allergy
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Secondary ID [1]
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2020-005339-56
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Secondary ID [2]
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CQGE031G12301
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Allergy, Peanut
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Condition category
Condition code
Inflammatory and Immune System
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Allergies
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ligelizumab
Treatment: Drugs - Placebo
Experimental: ligelizumab 240 mg - ligelizumab 240 mg subcutaneous injection for 52 weeks
Experimental: ligelizumab 120 mg - ligelizumab 120 mg subcutaneous injection for 52 weeks
Experimental: Placebo 8 weeks and ligelizumab 120 mg - Placebo subcutaneous injection for first 8 weeks and ligelizumab 120 mg subcutaneous injection for 44 weeks
Experimental: Placebo 16 weeks and ligelizumab 120 mg/240 mg - Placebo subcutaneous injection for first 16 weeks and ligelizumab 120 mg OR 240 mg subcutaneous injection for 36 weeks
Experimental: Placebo 8 weeks and ligelizumab 240 mg - Placebo subcutaneous injection for first 8 weeks and ligelizumab 240 mg subcutaneous injection for 44 weeks
Treatment: Drugs: ligelizumab
Subcutaneous injection once every 4 weeks
Treatment: Drugs: Placebo
Subcutaneous injection once every 4 weeks
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Proportion of participants who can tolerate a single dose of = 600 mg (1044 mg cumulative tolerated dose) of peanut protein without dose-limiting symptoms at Week 12
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Assessment method [1]
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Responder status is defined as tolerating a single dose of = 600 mg (1044 mg cumulative tolerated dose) of peanut protein without dose-limiting symptoms during the double blind placebo controlled food challenge (DBPCFC) conducted at Week 12
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Timepoint [1]
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Week 12
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Secondary outcome [1]
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Proportion of participants who can tolerate a single dose of = 1000 mg (2044 mg cumulative tolerated dose) of peanut protein without dose-limiting symptoms at Week 12
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Assessment method [1]
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Responder status is defined as tolerating a single dose of = 1000 mg (2044 mg cumulative tolerated dose) of peanut protein without dose-limiting symptoms during the DBPCFC conducted at Week 12
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Timepoint [1]
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Week 12
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Secondary outcome [2]
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Proportion of participants who can tolerate a single dose of 3000 mg (5044 mg cumulative tolerated dose) of peanut protein without dose-limiting symptoms at Week 12
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Assessment method [2]
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Responder status is defined as tolerating a single dose of 3000 mg (5044 mg cumulative tolerated dose) of peanut protein without dose-limiting symptoms during the DBPCFC conducted at Week 12
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Timepoint [2]
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Week 12
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Secondary outcome [3]
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Maximum severity of symptoms occurring at any challenge dose of peanut protein up to and including 1000 mg at Week 12
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Assessment method [3]
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Maximum severity of symptoms will be assessed during the DBPCFC conducted at Week 12. Symptom severity will be categorized as 4 levels: None, Mild, Moderate, Severe
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Timepoint [3]
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Week 12
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Secondary outcome [4]
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Proportion of participants who can tolerate a single dose of = 1000 mg (2044 mg cumulative tolerated dose) of peanut protein without dose-limiting symptoms at Week 52
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Assessment method [4]
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Responder status is defined as tolerating a single dose of = 1000 mg (2044 mg cumulative tolerated dose) of peanut protein without dose-limiting symptoms during DBPCFC conducted at Week 52
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Timepoint [4]
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Week 52
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Secondary outcome [5]
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Change in maximum tolerated dose (MTD) of peanut protein without dose-limiting symptoms during the DBPCFC at Week 52 compared to Week 12
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Assessment method [5]
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Change in MTD of peanut protein without dose-limiting symptoms at Week 52 compared to Week 12. Dose-limiting symptoms indicate a true allergic reaction occurring during administration of a single dose of peanut protein at the DBPCFC that should preclude the administration of any further doses in the view of the investigator.
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Timepoint [5]
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Week 12 and Week 52
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Secondary outcome [6]
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Change from baseline in peanut-specific IgE at Week 12, Week 16 and Week 52
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Assessment method [6]
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Change from baseline of serum levels of peanut-specific immunoglobulin E (IgE)
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Timepoint [6]
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Baseline, Week 12, 16 and 52
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Secondary outcome [7]
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Change from baseline in peanut-specific IgG4 at Week 12, Week 16 and 52
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Assessment method [7]
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Change from baseline of serum levels of peanut-specific immunoglobulin G4 (IgG4)
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Timepoint [7]
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Baseline, Week 12, 16 and 52
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Secondary outcome [8]
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Change from baseline in SPT mean wheal diameters at Week 16, Week 56 and Week 68
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Assessment method [8]
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Change from baseline (screening) in skin prick test (SPT) mean wheal diameters.
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Timepoint [8]
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Baseline, Week 16, 56 and 68
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Secondary outcome [9]
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Change from baseline in total and domain scores in the FAQLQ by age and responder (subject and/or caregiver)
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Assessment method [9]
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The impact of ligelizumab on the health-related quality of life (HRQoL) of participants with a food allergy will be assessed by Food Allergy Quality of Life Questionnaire (FAQLQ)
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Timepoint [9]
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Baseline, Week 12 and 56
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Secondary outcome [10]
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Change from baseline in total and domain scores in the FAIM by age and responder (subject and/or caregiver)
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Assessment method [10]
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The impact of ligelizumab on the health-related quality of life (HRQoL) of participants with a food allergy will be assessed by Food Allergy Independent Measure (FAIM).
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Timepoint [10]
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Baseline, Week 12 and 56
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Secondary outcome [11]
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Change from baseline in total and domain scores in the SF-36v2 by age and responder (subject and/or caregiver)
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Assessment method [11]
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The impact of ligelizumab on the health-related quality of life (HRQoL) of participants with a food allergy will be assessed by a Medical Outcomes Study 36-Item Short Form Version 2 (SF-36v2).
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Timepoint [11]
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Baseline, Week 12 and 56
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Eligibility
Key inclusion criteria
* Male or female participants who are = 6 and = 55 years of age at the time of signing informed consent/assent.
* Documented medical history of allergy to peanuts or peanut-containing foods.
* Positive peanut-specific immunoglobulin E (peanut sIgE), = 0.35 kUA/L at Screening visit 1 (Screening 1).
* Positive skin prick test (SPT) for peanut allergen at Screening 1 defined as an average diameter (Longest diameter and mid-point orthogonal diameter) = 4 mm wheal compared to saline control.
* A positive peanut DBPCFC at baseline (Screening Visit 2, Part 1 and Part 2 DBPCFC) defined as the occurrence of dose-limiting symptoms at a single dose = 100 mg of peanut protein. Eligibility to proceed with the DBPCFC requires fulfillment of all other eligibility criteria.
* Participants must weigh = 20 kg at Screening 1.
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Minimum age
6
Years
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Maximum age
55
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Total IgE >2000 IU/mL at Screening 1.
* History of severe or life-threatening hypersensitivity event needing an ICU admission or intubation within 60 days prior to baseline DBPCFC (Screening visit 2).
* Participants with uncontrolled asthma (according to GINA guidelines, GINA 2020) who meet any of the following criteria:
* FEV1 <80% of subject's predicted normal value at Screening visit 1
* One hospitalization for asthma within 12 months prior to Screening visit 1
Other protocol-defined inclusion/exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
7/12/2021
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
27/11/2023
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Sample size
Target
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Accrual to date
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Final
211
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Recruitment in Australia
Recruitment state(s)
QLD,VIC,WA
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Recruitment hospital [1]
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Novartis Investigative Site - Brisbane
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Recruitment hospital [2]
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Novartis Investigative Site - Parkville
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Recruitment hospital [3]
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Novartis Investigative Site - Nedlands
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Recruitment postcode(s) [1]
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4101 - Brisbane
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Recruitment postcode(s) [2]
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3052 - Parkville
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Recruitment postcode(s) [3]
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6009 - Nedlands
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Alabama
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United States of America
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State/province [2]
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Arizona
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Country [3]
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United States of America
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Arkansas
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United States of America
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California
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Country [5]
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United States of America
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Colorado
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Florida
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Georgia
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Illinois
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Indiana
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Kentucky
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United States of America
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Maryland
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Massachusetts
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Michigan
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New York
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North Carolina
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Ontario
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Canada
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Quebec
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Denmark
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Odense
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France
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Angers Cedex 1
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France
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Lille
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France
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Toulouse
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France
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Vandoeuvre Les Nancy
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Germany
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Berlin
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Germany
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Dresden
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Germany
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Frankfurt
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Italy
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PD
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Japan
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Kanagawa
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Japan
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Tokyo
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Netherlands
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Utrecht
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Barcelona
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Spain
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Catalunya
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Spain
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Madrid
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Novartis Pharmaceuticals
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a 52-week, Phase 3 multi-center, randomized, double-blind and placebo-controlled study to assess the safety and clinical efficacy of two dosing regimens of ligelizumab (240 mg and 120 mg) subcutaneous injection every 4 weeks (SCq4w) in participants with a medically confirmed diagnosis of IgE-mediated peanut allergy.
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Trial website
https://clinicaltrials.gov/study/NCT04984876
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Novartis Pharmaceuticals
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Address
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Novartis Pharmaceuticals
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04984876