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A 52-week Study of Remibrutinib in IgE-mediated Food Allergy

RecruitingPhase 3

A 52-week Multicenter, Randomized, Double-blind, Placebo-controlled Study to Assess Efficacy and Safety of Remibrutinib (LOU064) in Adult and Adolescent Participants With IgE-mediated Food Allergy

Who can join

Ages 12 to 65 · All sexes

Full eligibility criteria
Inclusion Criteria:

* Signed informed consent and/or assent (where applicable) must be obtained prior to study participation. Participant (and parent/legal guardian for adolescents) must be able to understand and provide informed consent and assent, as applicable. If a minor participant providing assent reaches the age of legal majority (as defined by local law), he/she must be re-consented (ICF) at the next study visit.
* Male or female participants who are 12 to 65 years of age, inclusive, at the time of signing informed consent/assent.
* Positive allergen-specific (peanut, milk, or egg), IgE (≥ 0.35 kUA/L) at Screening Visit 1.
* Positive Skin Prick Testing (SPT) for peanut, milk, or egg at Screening Visit 1. This is defined as the average diameter (longest diameter and mid-point orthogonal diameter) ≥ 4 mm wheal compared to the negative control.
* A positive DBPCFC at baseline (Screening Visit 2), defined as the occurrence of dose-limiting symptoms at a single dose:

  * ≤ 100 mg of peanut allergen protein
  * ≤ 300 mg for milk or egg allergen protein
* Participants must be able and willing to participate in the DBPCFC and must be willing to continue avoiding exposure to peanut, milk (cooked and uncooked), or egg (cooked and uncooked) and any other foods that they are allergic to throughout this study.

Exclusion Criteria:

* Previous use of remibrutinib or other Bruton Tyrosine Kinase (BTK) inhibitors.
* History of hypersensitivity to study drug or its excipients or to drugs of similar chemical classes.
* Hypersensitivity or intolerance to any of the matrix components used within the material for the DBPCFC.
* Any occurrence of dose-limiting symptoms against placebo allergen at baseline DBPCFC (Screening Visit Part 1 and/or Part 2).
* Medical examination, medical conditions or laboratory findings that, in the opinion of the investigator, renders the participant unsuitable for the study.

Other protocol-defined inclusion/exclusion criteria may apply.

About the study

The purpose of this Phase III study is to evaluate the clinical efficacy and safety of remibrutinib in participants with peanut, or cow's milk ("milk", cooked and uncooked) or hen's egg ("egg", cooked and uncooked) immunoglobulin E (IgE)- mediated allergy in comparison to placebo.

What is being tested

Sponsor: Novartis Pharmaceuticals · Participants: 576 · Started: Aug 27, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07768371

Locations in the U.S.

AlabamaAllervie Clinical Research, Birmingham
ArizonaMedical Resch of Arizona-Div of Allergy Asthma and Immunology, Scottsdale
ArkansasArkansas Childrens Hosp Rsch Inst, Little Rock
CaliforniaCalifornia Allergy and Asthma Medical Group, Los Angeles
GeorgiaChildrens Healthcare Of Atlanta, Atlanta
IllinoisSneeze Wheeze Itch Asso LLC, Normal
Asthma and Allergy Center of Chicago S C, River Forest
MarylandInstitute for Asthma and Allergy PC, Chevy Chase
MichiganRespiratory Medicine Research Institute of Michigan, Ypsilanti
New JerseyWeiss Medical, Riverdale
New YorkNorthwell Health, New York
Montefiore Health System, The Bronx
South CarolinaNational Allergy and Asthma Research LLS, North Charleston
TexasWestern Sky Medical Research, El Paso

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.