Evaluating new ways to treat tree nut allergies

TRADE Trial - Tree Nut Immunotherapy Route Development and Evaluation

Not applicable Interventional Hamilton Health Sciences Corporation · NCT05521711

This study is testing new ways to treat tree nut allergies using different methods to see if they are safer and easier for people with these allergies.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment60 (estimated)
Ages1 Year to 16 Years
SexAll
SponsorHamilton Health Sciences Corporation Academic / other
Drugs / interventionsimmunotherapy
Locations1 site (Hamilton, Ontario)
Trial IDNCT05521711 on ClinicalTrials.gov

What this trial studies

The TRADE trial focuses on assessing the efficacy and safety of sublingual immunotherapy and lower doses of oral immunotherapy for individuals with tree nut allergies. This randomized controlled trial aims to determine if these alternative methods can provide a more tolerable treatment option compared to current standards. Participants will be monitored for their allergic reactions and overall response to the treatment. The study seeks to improve the management of tree nut allergies through innovative immunotherapy approaches.

Who should consider this trial

Good fit: Ideal candidates are individuals allergic to tree nuts with a baseline threshold of 444 mg protein or less.

Not a fit: Patients with a history of severe anaphylaxis to tree nuts or other significant medical conditions may not benefit from this study.

Why it matters

Potential benefit: If successful, this trial could lead to safer and more effective treatment options for patients with tree nut allergies.

How similar studies have performed: Other studies have shown promise with immunotherapy approaches for food allergies, suggesting potential for success in this trial.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Allergic to tree nut with baseline threshold of 444 mg protein or less and provides consent, and where applicable, assent.

Exclusion Criteria:

1. History of anaphylaxis to tree nut severe enough to cause shock, syncope, or intubation
2. Eosinophilic or other inflammatory gastrointestinal disease within the past 2 years
3. Severe (GINA severity class 5) or uncontrolled asthma including exacerbation within past 6 months
4. Use of biologics, other food immunotherapy or experimental treatment in past 6 months.
5. Ongoing other allergic diseases severe enough to preclude discontinuing antihistamines for 7 days prior to assessment visits
6. Pregnancy or significant medical condition (e.g., liver, kidney, gastrointestinal, cardiovascular, hematologic, or pulmonary disease; allergy to the oat-based placebo) which would put the participant at excessive risk for food allergic reactions as judged by local investigator

Where this trial is running

Hamilton, Ontario

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Tree Nut AllergyFood AllergyImmunotherapyRandomized Controlled Trial
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.