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 type | Interventional |
|---|---|
| Ages | 1 Year to 18 Years |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Universitaire Ziekenhuizen KU Leuven Academic / other |
| Locations | 5 sites (Bonheiden and 4 other locations) |
| Status | Recruiting |
| Started | April 22, 2024 |
| Main results expected | December 30, 2028 |
| Study ends | December 30, 2029 |
| Registry record updated | May 8, 2026 |
| Trial ID | NCT06380673 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
- Principal investigator: Jasmine Leus, MD — Maria Middelares Hospital, Gent
- Study coordinator: Dominique MA Bullens, Prof. MD
- Email: dominique.bullens@kuleuven.be
- Phone: +32016343801
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Assessing milk ladders for children with cow's milk protein allergy
This study is testing two different milk ladder plans to see which one helps young children with a cow's milk allergy tolerate milk better.
-
Introducing cow's milk to children with suspected allergies
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.
-
Oral Food Challenge After Starting Omalizumab in Food Allergy
This trial tests whether omalizumab begins to help with food allergy within 2 to 4 weeks after starting treatment in people with a confirmed food allergy.
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Remibrutinib for IgE-mediated peanut, milk, and egg allergy
This study tests whether remibrutinib can help people with peanut, milk, or egg allergies by comparing it to placebo over 52 weeks.
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Early Introduction of Allergenic Foods in Infants With Extra Support
This study tests whether giving families educational materials alone or with extra in-person or live-stream support helps parents introduce known allergenic foods to their infants earlier.
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EmoTIChealth: a serious game to strengthen emotional skills in teens with and without chronic conditions
This project will try a digital serious game for 12–16-year-olds to boost socioemotional skills and offer tailored support for teens with asthma, food allergy, type 1 diabetes, or allergic rhinitis.
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.