Efficacy and Safety of Egg Ladders in Children With IgE-Mediated Hen's Egg Protein Allergy
NCT07040111 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 94
Last updated 2025-07-01
Summary
Hen's Egg Allergy is one of the most common food allergies in early childhood. The first-line treatment is the elimination of hen's egg proteins from the child's or maternal diet.
Available data from the literature indicate that most children with hen's egg allergy acquire tolerance to hen's egg proteins with age. An assessment of tolerance acquisition to them is commonly performed using egg ladder. However, scientific evidence regarding the effectiveness and safety of the egg ladder in children with hen's egg allergy is limited. Currently, there is no standardised egg ladder protocol, and different versions of the ladder and recommend by scientific societies in various countries.
This study aims to assess the effectiveness and safety of the 4-step egg ladder (4-EL) compared to the 5-step egg ladder (5-EL) in children with IgE-mediated hen's egg allergy. This is an open-label, randomised superiority trial with two parallel arms and a 1:1 allocation ratio.
Conditions
- Food Allergy
- Egg Allergy
- Hen Egg Allergy
Interventions
- OTHER
-
oral food challenge (OFC)
oral food challenges with subsequent steps of a 4-step egg ladder (muffin \[1.5 g of hen's egg protein per portion\], pancake, hard-boiled egg, soft-boiled egg)
- OTHER
-
oral food challenge (OFC)
oral food challenges with subsequent steps of a 5-step egg ladder (muffin \[0.75 g of hen's egg protein per portion\], muffin \[1.5 g of hen's egg protein per portion\], pancake, hard-boiled egg, soft-boiled egg)
Sponsors & Collaborators
-
Medical University of Warsaw
lead OTHER
Principal Investigators
-
Hanna Szajewska, MD, Professor · Medical University of Warsaw
-
Anna Nowak-Węgrzyn, MD, Professor · Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland; New York Univeristy, Grossmann School of Medicine
-
Andrea Horvath, MD, PhD · Medical Univeristy of Warsaw
-
Joanna Jerzyńska, MD, PhD · Medical Univeristy of Lodz
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 1 Year
- Max Age
- 5 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-31
- Primary Completion
- 2028-07-31
- Completion
- 2028-11-30
Countries
- Poland
Study Locations
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