Clinical trial Recruiting at 5 sites Interventional Ages 1 Year to 18

Introducing heated cow's milk to help children with milk allergies develop tolerance

Official title: Stepwise Heat-Denaturated Protein Introduction for Tolerance Induction in Food Allergy

Run by Universitaire Ziekenhuizen KU Leuven · NCT06380673 · Data updated 2026-11-12

This study is testing if slowly introducing less heated cow's milk to children with milk allergies can help them develop a tolerance faster and improve their quality of life.

Quick facts

Study typeInterventional
Ages1 Year to 18 Years
SexAll
Enrollment90 (estimated)
SponsorUniversitaire Ziekenhuizen KU Leuven
Academic / other
Locations5 sites (Bonheiden and 4 other locations)
StatusRecruiting
StartedApril 22, 2024
Main results expectedDecember 30, 2028
Study endsDecember 30, 2029
Registry record updatedMay 8, 2026
Trial IDNCT06380673 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children aged 1-18 years with a clinical diagnosis of IgE mediated cow's milk allergy who have passed a specific oral food challenge.

Probably not a fit

Patients who have experienced grade 4 anaphylaxis due to cow's milk ingestion or those with multiple food allergies incompatible with the study protocol may 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 interventional study focuses on children with cow's milk allergy who have developed tolerance to extensively heated cow's milk. The aim is to validate a protocol for gradually introducing less heated cow's milk proteins over 12 months to accelerate the development of complete tolerance. Participants will undergo oral food challenges and have their immunological responses monitored through blood tests. The study will assess the effectiveness of this approach in reducing the time to achieve full tolerance and improving the quality of life for both children and their families.

Why it matters

Potential benefit: If successful, this approach could significantly reduce the time it takes for children with cow's milk allergies to achieve complete tolerance, thereby improving their quality of life and reducing the risk of anaphylaxis.

How similar studies have gone: Previous studies have shown success with similar approaches for other food allergies, such as hen's egg allergy, indicating potential for this method in cow's milk allergy.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Children (1-18y) had or have a clinical diagnosis of IgE mediated cow's milk allergy based on positive history as well as skin prick testing and/or specific IgE detection by CAPtest in an allergy clinic.
* Children are at least 12 months old before introduction of heated cow's milk is considered.
* Children did not suffer from grade 4 anaphylaxis due to cow's milk-ingestion at presentation.
* Children have specific IgE levels to Bos d 8 below 1.2 kU/mL and/or children passed 20' cooked cow's milk provocation test executed on clinical judgement.

Exclusion Criteria:

* Children had grade 4 anaphylaxis due to cow's milk ingestion.
* Children are younger than 12 months old at the moment of passing 20' cooked cow's milk OFC.
* Parents are not able or not willing to adhere to a specific cow's milk protein-containing diet on a regular basis at home.
* Multiple food allergy, not compatible with any of the choices in the Flemish Milk Ladder.
* Parents and/or children are not willing to give IC/assent.

Where it's running

  • Imelda Hospital Bonheiden
    Bonheiden, Belgium
    Recruiting
  • AZ Sint-Jan
    Bruges, Belgium
    Recruiting
  • AZ Maria Middelares
    Ghent, Belgium
    Recruiting
  • Jessa Hospital
    Hasselt, Belgium
    Recruiting
  • UZ Leuven Gasthuisberg
    Leuven, Belgium
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.