Protocol design and synopsis: Omalizumab as Monotherapy and as Adjunct Therapy to Multiallergen OIT in Children and Adults with Food Allergy (OUtMATCH).

Abstract

Background:

Food allergy is common and causes substantial morbidity and even mortality. Safe and effective treatments for food allergy would therefore be highly desirable, especially for individuals with multiple food allergies.

Objectives:

Our aim was to describe a phase 3 study on treatment of patients with multiple food allergies with omalizumab.

Methods:

The study was developed as a collaboration between the Consortium for Food Allergy Research, the National Institute of Allergy and Infectious Diseases, and 2 industry sponsors (Genentech and Novartis).

Results:

The study is currently under way, enrolling participants from age 1 year to age 55 years who are allergic to peanut and at least 2 other foods (including milk, egg, wheat, cashew, hazelnut, and walnut). The study is designed to address 3 major questions. First, stage 1 will study the potential value of omalizumab for the treatment of patients with peanut allergy and at least 2 other common food allergens. Second, stage 2 will directly compare treatment of patients with multifood allergies using omalizumab as monotherapy versus treatment with omalizumab-facilitated multiallergen oral immunotherapy in which omalizumab is used as an adjunctive treatment. Third, stage 3 will address the longer-term outcomes following these treatment approaches, including the introduction of dietary forms of the study foods to induce or maintain desensitization.

Conclusions:

This phase 3 study will provide important information on the potential of omalizumab to treat patients with multiple food allergies.

• Authors: Robert A Wood, R Sharon Chinthrajah, Amanda K Rudman Spergel, Denise C Babineau, Scott H Sicherer, Edwin H Kim, Wayne G Shreffler, Stacie M Jones, Donald Y M Leung, Brian P Vickery, J Andrew Bird, Jonathan M Spergel, Michael Kulis, Ahmar Iqbal, Derrick Kaufman, Dale T Umetsu, Monica Ligueros-Saylan, Alkaz Uddin, Robert B Fogel, Stephanie Lussier, Kim Mudd, Julian Poyser, Martin MacPhee, Maria Veri, Wendy Davidson, Sanaz Hamrah, Andrew Long, Alkis Togias, OUtMATCH study team
• Journal: The journal of allergy and clinical immunology. Global (J Allergy Clin Immunol Glob) Vol. 1 Issue 4 Pg. 225-232 (Nov 2022) ISSN: 2772-8293 [Electronic] United States
• PMID: 37779534 (Publication Type: Journal Article)
• Copyright: © 2022 Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology.