Introducing cow's milk to children with suspected allergies
Official title: Evaluation of the Outcome of Clinical or Home Introduction of Milk in Children with Non-IgE-mediated Cow's Milk Allergy (ENIGMA Trial)
Run by Martini Hospital Groningen · NCT05785299 · Data updated 2026-11-12
This study is testing whether introducing cow's milk to babies suspected of having a milk allergy at home or in the hospital works better to see if they can safely tolerate it.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 1 Month to 18 Months |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | Martini Hospital Groningen Academic / other |
| Locations | 1 site (Groningen) |
| Status | Recruiting |
| Started | October 9, 2023 |
| Main results expected | June 1, 2026 |
| Study ends | June 1, 2026 |
| Registry record updated | November 25, 2024 |
| Trial ID | NCT05785299 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are infants up to eighteen months old who are suspected of having a cow's milk allergy based on their medical history.
✕Probably not a fit
Patients who are older than eighteen months or have confirmed sensitization to cow's milk will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to determine whether introducing cow's milk in a hospital setting or at home is more effective for infants suspected of having non-IgE-mediated cow's milk allergy. Participants will be randomly assigned to either a double-blind placebo-controlled food challenge (DBPCFC) in the hospital or a gradual home introduction of cow's milk. The study will assess the outcomes of both methods to see if they can safely identify children who can tolerate cow's milk without developing symptoms. The goal is to improve the diagnostic process for cow's milk allergy in infants.
Why it matters
Potential benefit: If successful, this study could provide a safer and more convenient method for diagnosing cow's milk allergy in infants.
How similar studies have gone: While there is limited data on similar approaches, the study aims to address a significant gap in the diagnosis of non-IgE-mediated cow's milk allergy, making it a novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * maximum age of eighteen months; * suspected to be allergic for cow's milk (based on medical history); Exclusion Criteria: * children older than the age of eighteen months; * sensitised for cow's milk (i.e. SPT \>3mm (in combination with positive control ≥3mm) or specific IgE \>0.35 kU/L) * patient suffers from acute (i.e. within one hour after cow's milk had been eaten) and moderate-severe IgE-mediated symptoms after ingestion of cow's milk * patient suffers from symptoms according to the FPIES criteria after ingestion of cow's milk * patient uses beta blockers and/or prednisolone; * patient suffers from uncontrolled respiratory symptoms or severe eczema or a chronic condition because of which the patients cannot be included as judged by the treating physician; * parents are unable to adequately report the occurrence of possible symptoms (e.g. insufficient language proficiency).
Where it's running
-
Martini Hospital
Groningen, Netherlands Recruiting
Study contacts
- Principal investigator: Kamps, MD, PhD — Martini Ziekenhuis Groningen
- Study coordinator: Kamps, MD,PhD
- Email: a.kamps@mzh.nl
- Phone: 31505246900
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.