UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000060563
Receipt number R000069259
Scientific Title Oral Food Challenge with Heat-Treated Anisakis Powder in Anisakis Allergy: A Pilot Study
Date of disclosure of the study information 2026/02/10
Last modified on 2026/02/03 13:24:20

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Basic information

Public title

Oral Food Challenge with Heat-Treated Anisakis Powder in Anisakis Allergy: A Pilot Study

Acronym

Oral Food Challenge with Heat-Treated Anisakis Powder in Anisakis Allergy: A Pilot Study

Scientific Title

Oral Food Challenge with Heat-Treated Anisakis Powder in Anisakis Allergy: A Pilot Study

Scientific Title:Acronym

Oral Food Challenge with Heat-Treated Anisakis Powder in Anisakis Allergy: A Pilot Study

Region

Japan


Condition

Condition

Anisakis allergy

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To perform an oral challenge test using heat-treated Anisakis powder and evaluate the clinical symptoms elicited by heat-treated Anisakis antigens in patients with confirmed or suspected Anisakis allergy.

Basic objectives2

Others

Basic objectives -Others

Feasibility (pilot) / assessment of elicited symptoms to heat-treated Anisakis antigen

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Presence or absence of elicited symptoms in each individual case

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Maneuver

Interventions/Control_1

Test powder: Each sachet contains a total weight of 500 mg, comprising 25 mg of heat-treated Anisakis powder and 475 mg of dextrin.
Placebo powder: Each sachet contains 500 mg of dextrin.
Both powders will be suspended or mixed in a vehicle that is easy for the participant to ingest (e.g., a milk-based beverage, yogurt, or an aqueous solution) prior to administration.

Dosing schedule: In a single-blind manner, both the test and placebo powders will be administered orally in two steps in the following order: 1/4 sachet followed by 3/4 sachet. The interval between doses will be at least 60 minutes. Considering individual hypersensitivity, it is permissible to start with a smaller dose before proceeding to the scheduled doses. If symptoms occur, dose escalation will be discontinued. Depending on the circumstances, administration of the placebo powder may be omitted. After each dose, participants will be observed for and the following will be assessed and recorded: cutaneous, respiratory, gastrointestinal, and cardiovascular symptoms. Participants will be observed for at least 2 hours after the final dose. All dosing and observation will be completed within a single day.

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Diagnosed at the Department of Allergy, Sagamihara National Hospital with immediate-type allergy to Anisakis, or suspected immediate-type Anisakis allergy.
2. Serum Anisakis-specific IgE level of 0.35 Ua/mL or higher (ImmunoCAP assay) on a blood test performed within 2 years prior to obtaining informed consent.
3. Willing to undergo an oral challenge test with heat-treated Anisakis powder at the patient's own request.
4. Aged 20 years or older.
5. Able to provide written informed consent after receiving a full explanation of the study, including its risks and benefits.
6. Judged by the attending physician to be in good general condition on the day of the challenge test.

Key exclusion criteria

1. Severe or poorly controlled asthma (e.g., a moderate or more severe exacerbation within the past month, low FEV1, etc.).
2. Serious underlying cardiovascular disease (e.g., severe arrhythmia, heart failure, recent myocardial infarction, etc.).
3. A history of extremely severe anaphylaxis such that the attending physician judges the oral challenge to be high risk.
4. Pregnant or breastfeeding women.
5. Patients who cannot discontinue medications that may interfere with anaphylaxis management, such as beta-blockers or ACE inhibitors.
6. Patients judged to have difficulty maintaining understanding of and ongoing consent for study participation due to psychiatric illness or other conditions.
7. Any other individuals deemed inappropriate for participation in this study by the treating physician.

Target sample size

5


Research contact person

Name of lead principal investigator

1st name Yuma
Middle name
Last name Fukutomi

Organization

NHO Sagamihara National Hospital

Division name

Clinical Research Center for Allergy and Rheumatology

Zip code

2520392

Address

18-1 Sakuradai Minami-ku Sagamihara Kanagawa Japan

TEL

042-742-8311

Email

fukutomi.yuma.da@mail.hosp.go.jp


Public contact

Name of contact person

1st name Yuma
Middle name
Last name Fukutomi

Organization

NHO Sagamihara National Hospital

Division name

Clinical Research Center for Allergy and Rheumatology

Zip code

2520392

Address

18-1 Sakuradai Minami-ku Sagamihara Kanagawa Japan

TEL

042-742-8311

Homepage URL


Email

fukutomi.yuma.da@mail.hosp.go.jp


Sponsor or person

Institute

NHO Sagamihara National Hospital

Institute

Department

Personal name



Funding Source

Organization

JSA WAO 2020 Memorial Research Grant Program

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

The Ethics Committee of Sagamihara National Hospital

Address

18-1, Sakuradai, Minami-ku, Sagamihara, kanagawa, Japan

Tel

042-842-8311

Email

222-rinri@mail.hosp.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

Kanagawa


Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 02 Month 10 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

Enrolling by invitation

Date of protocol fixation

2025 Year 11 Month 24 Day

Date of IRB

2025 Year 12 Month 16 Day

Anticipated trial start date

2026 Year 02 Month 01 Day

Last follow-up date

2028 Year 11 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 02 Month 03 Day

Last modified on

2026 Year 02 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069259