Published date: February 29, 2024
LITTLE ROCK, AR. (Feb. 29, 2024) – A groundbreaking clinical trial sponsored and funded by the National Institutes of Health (NIH) and conducted in part at Arkansas Children's Hospital (ACH) unveiled a pioneering treatment helping children and adults with potentially life-threatening food allergies better tolerate peanut, milk, egg, wheat and tree nuts.
The Phase 3 OUtMATCH study is published this week in The New England Journal of Medicine, a week after the Food and Drug Administration issued approval for omalizumab to treat multiple food allergies. It is considered the first and only medicine for children and adults with one or more food allergies.
Dr. Stacie Jones, who treats allergy patients at ACH, serves as the principal investigator at Arkansas Children’s Research Institute (ACRI), one of 10 sites in the U.S. conducting the OUtMATCH study through the Consortium for Food Allergy Research. She is also a professor of Pediatric Allergy and Immunology in the University of Arkansas for Medical Science (UAMS) College of Medicine. Dr. Amy Scurlock, a scientist at ACRI and a professor of Pediatric Allergy and Immunology at UAMS, also co-authored the study.
“We estimate that 40% of the millions of people in the United States who cope with food allergies are allergic to multiple foods,” Jones said. “This treatment will have a tremendous impact on their quality of life. It will mean they live with less fear of an allergic reaction. This heralds an era of hope and possibility as we move toward more solutions for patients and families living with food allergy.”
The study examined 177 children and adolescents, as well as three adults, as they took injections every two to four weeks over four to five months. All the patients were allergic to peanuts and at least two other foods.
The study found that omalizumab, a monoclonal antibody, reduces allergic reactions in children and adolescents if they accidentally eat a food to which they are allergic despite efforts to avoid it. Nearly 67% of study participants who received omalizumab could eat the equivalent of 2.5 peanuts without a moderate or severe allergic reaction, compared to less than 7% of those who received a placebo. The researchers observed similar outcomes for study participants allergic to milk, egg, walnut, wheat, cashew and hazelnut.
Genentech, a member of the Roche Group, and Novartis Pharmaceuticals Corporation collaborate to develop and co-promote omalizumab, marketed as Xolair, and supply it for the OUtMATCH trial.
On Feb. 16, the FDA approved omalizumab for the reduction of allergic reactions, including anaphylaxis, that may occur with accidental exposure to one or more foods in adult and pediatric patients aged 1 year and older with IgE-mediated food allergy. Omalizumab is not approved for the emergency treatment of allergic reactions, including anaphylaxis. People taking omalizumab for food allergies should continue to avoid all foods they are allergic to (commonly referred to as “food allergen avoidance”).
Omalizumab was previously FDA-approved and prescribed at Arkansas Children’s for asthma and chronic hives. This treatment will be available for qualifying food allergy patients immediately.
This marks the second drug approved by the FDA to help people with food allergies studied by the Arkansas Children’s Food Allergy Program and their collaborators. The NIH Consortium for Food Allergy Research (CoFAR) was formed in 2005 with the Arkansas Children’s Food Allergy Program being an inaugural member. Palforzia, also studied in a clinical trial at ACH, was approved by the FDA in 2020.
“The Consortium for Food Allergy Research allows us to draw on the expertise of food allergy centers across the nation, and we partner to produce transformative outcomes for patients and families as quickly as we can,” Jones said. “The study participants in Arkansas and across the other nine sites are the reason we can move these treatments forward and see the immediate impact of collaborative research.”
The National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, is the regulatory sponsor of the OUtMATCH trial. NIAID funds the ongoing trial with additional support from and collaboration with Genentech, a member of the Roche Group, and Novartis Pharmaceuticals Corporation.
The National Center for Advancing Translational Sciences (NCATS), also part of NIH, supports some of the staff, space and services used to conduct the trial.
The research described in this press release was funded by NIAID and NCATS under award numbers UM2AI130836, UM1AI130838, UL1TR003098, UM1TR004408, UM1AI130570, UM1AI130839, UM1AI130936, UL1TR002535, UM1TR004399, UL1TR001878, UM1AI130781, and UL1TR002378.
The content of this press release is solely the responsibility of Arkansas Children’s and does not necessarily represent the official views of the National Institutes of Health.
ABOUT ARKANSAS CHILDREN’S
Arkansas Children's is the only healthcare system in the state solely dedicated to caring for Arkansas' more than 700,000 children. The private, non-profit organization includes two pediatric hospitals, a pediatric research institute and USDA nutrition center, a philanthropic foundation, a nursery alliance, statewide clinics, and many education and outreach programs — all focused on fulfilling a promise to define and deliver unprecedented child health. Arkansas Children’s Hospital (ACH) is a 336-bed, Magnet-recognized facility in Little Rock operating the state’s only Level I pediatric trauma center; the state's only burn center; the state's only Level IV neonatal intensive care unit; the state's only pediatric intensive care unit; the state’s only pediatric surgery program with Level 1 verification from the American College of Surgeons (ACS); the state’s only magnetoencephalography (MEG) system for neurosurgical planning and cutting-edge research; and the state's only nationally recognized pediatric transport program. Arkansas Children’s is nationally ranked by U.S. News & World Report in seven pediatric subspecialties (2023—2024): Cancer, Cardiology & Heart Surgery, Diabetes & Endocrinology, Nephrology, Orthopedics, Pulmonology & Lung Surgery and Urology. Arkansas Children’s Northwest (ACNW), the first and only pediatric hospital in the northwest Arkansas region, is a level IV pediatric trauma center. ACNW operates a 24-bed inpatient unit; a surgical unit with five operating rooms; outpatient clinics offering over 20 subspecialties; diagnostic services; imaging capabilities; occupational therapy services; and northwest Arkansas' only pediatric emergency department, equipped with 30 exam rooms. Generous philanthropic and volunteer engagement has sustained Arkansas Children's since it began as an orphanage in 1912, and today ensures the system can deliver on its promise of unprecedented child health. To learn more, visit archildrens.org.
ABOUT UAMS
UAMS is the state's only health sciences university, with colleges of Medicine, Nursing, Pharmacy, Health Professions and Public Health; a graduate school; a hospital; a main campus in Little Rock; a Northwest Arkansas regional campus in Fayetteville; a statewide network of regional campuses; and seven institutes: the Winthrop P. Rockefeller Cancer Institute, Jackson T. Stephens Spine & Neurosciences Institute, Harvey & Bernice Jones Eye Institute, Psychiatric Research Institute, Donald W. Reynolds Institute on Aging, Translational Research Institute and Institute for Digital Health & Innovation. UAMS includes UAMS Health, a statewide health system that encompasses all of UAMS' clinical enterprise. UAMS is the only adult Level 1 trauma center in the state. UAMS has 3,275 students, 890 medical residents and fellows, and five dental residents. It is the state's largest public employer, with more than 12,000 employees, including 1,200 physicians who provide care to patients at UAMS, its regional campuses, Arkansas Children's, the VA Medical Center and Baptist Health. Visit www.uams.edu or www.uamshealth.com. Find us on Facebook, X (formerly Twitter), YouTube or Instagram.
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