UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057119
Receipt number R000065279
Scientific Title Non-IgE-mediated Gastrointestinal Food Allergy: A Multicenter Prospective Observational Study to Identify Subgroups and Elucidate Clinical Course and Prognosis (the NICHOLAS cohort)
Date of disclosure of the study information 2025/02/23
Last modified on 2025/02/23 14:49:13

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Basic information

Public title

Non-IgE-mediated Gastrointestinal Food Allergy: A Multicenter Prospective Observational Study to Identify Subgroups and Elucidate Clinical Course and Prognosis (the NICHOLAS cohort)

Acronym

The NICHOLAS cohort (National cohort to save lives of babies with gastrointestinal food allergy)

Scientific Title

Non-IgE-mediated Gastrointestinal Food Allergy: A Multicenter Prospective Observational Study to Identify Subgroups and Elucidate Clinical Course and Prognosis (the NICHOLAS cohort)

Scientific Title:Acronym

The NICHOLAS cohort (National cohort to save lives of babies with gastrointestinal food allergy)

Region

Japan


Condition

Condition

Non-IgE-mediated gastrointestinal food allergy

Classification by specialty

Gastroenterology Clinical immunology Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to elucidate the detailed clinical characteristics of non-IgE-mediated gastrointestinal food allergy (non-IgE-GIFA) and to collect foundational data for the development of diagnostic criteria. In particular, we aim to identify distinct subgroups within the chronic form of non-IgE-GIFA.

Basic objectives2

Others

Basic objectives -Others

Additionally, we aim to estimate the remission timing for each subgroup, assess the prevalence of comorbid allergic disorders, and investigate whether differences in risk factors for disease onset exist between acute FPIES and its chronic form.

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Data Collection Schedule:
Participants will be assessed at baseline (registration), at 6 months post-registration, at 1 year post-registration, and then annually until they reach 5 years of age (with the possibility of extension).

Primary Outcome Measures:

Parental Questionnaire: Assessment of symptoms, disease control status, treatment details, dietary intake, and the presence of any new allergic disorders.

Physician Case Report Form: Collection of clinical diagnosis (e.g., acute FPIES, chronic FPIES, FPE, FPIAP, or others), suspected trigger foods, anthropometric measurements, comorbid allergic disorders, blood test results, oral food challenge outcomes, and findings from endoscopic and pathological examinations.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

1 days-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Children who have visited one of the participating research medical institutions and, at the time of registration, were either diagnosed with or suspected of having a gastrointestinal food allergy by a physician.
2. The onset of the condition must have occurred before the child's second birthday (i.e., under 2 years of age).
3. At the time of registration, the child must be younger than 3 years of age (i.e., before their third birthday).
4. Informed consent has been obtained from the child's guardians.

Key exclusion criteria

1. Participants whose legal guardians are unable to understand Japanese.
2. Patients for whom the collaborating research physician has determined that it would be best not to participate in the study.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Ichiro
Middle name
Last name Nomura

Organization

National Center for Child Health and Development

Division name

Division of Eosinophilic Gastrointestinal Disorders

Zip code

1578535

Address

Okura 2-10-1, Setagaya-ku, Tokyo

TEL

81-3-3416-0181

Email

nomura-i@ncchd.go.jp


Public contact

Name of contact person

1st name Ichiro
Middle name
Last name Nomura

Organization

National Center for Child Health and Development

Division name

Division of Eosinophilic Gastrointestinal Disorders

Zip code

1578535

Address

Okura 2-10-1, Setagaya-ku, Tokyo

TEL

81-3-3416-0181

Homepage URL


Email

nomura-i@ncchd.go.jp


Sponsor or person

Institute

National Center for Child Health and Development

Institute

Department

Personal name

Ichiro Nomura


Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Center for Child Health and Development, Ethics Review Committee

Address

Okura 2-10-1, Setagaya-ku, Tokyo

Tel

81-3-3416-0181

Email

rinri@ncchd.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

宮城こども病院(宮城県)
国立成育医療研究センター(東京都)
順天堂大学附属病院(東京都)
昭和大学病院(東京都)
東京慈恵医科大学附属第三病院(東京都) 
東邦大学医療センター大森病院(東京都)
杏林大学病院(東京都)
東海大学附属病院(神奈川県)
あいち小児保健医療総合センター(愛知県)
国立病院機構三重病院(三重県)
大阪母子医療センター(大阪府)
広島大学附属病院(広島県)
広島赤十字原爆病院(広島県)
山口大学附属病院(山口県)
高知大学附属病院(高知県)
福岡市立こども病院 (福岡県)


Other administrative information

Date of disclosure of the study information

2025 Year 02 Month 23 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2024 Year 08 Month 21 Day

Date of IRB

2024 Year 12 Month 11 Day

Anticipated trial start date

2025 Year 02 Month 25 Day

Last follow-up date

2033 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a multicenter prospective observational study designed to investigate the clinical course of non-IgE-mediated gastrointestinal food allergy (non-IgE-GIFA) and to identify distinct subgroups within its chronic form. Participants will be assessed at baseline (registration), 6 months post-registration, 1 year post-registration, and annually until the age of 5 (with a possibility of extension). Data collection includes parental questionnaires (symptoms, disease control, treatment details, food intake, presence of new allergic diseases) and physician case report forms (clinical diagnosis, suspected causative foods, anthropometric measurements, comorbid allergic diseases, laboratory test results, oral food challenge outcomes, and endoscopic/pathological findings). Written informed consent will be obtained from all guardians. The study has been approved by the relevant institutional ethics committees


Management information

Registered date

2025 Year 02 Month 23 Day

Last modified on

2025 Year 02 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065279