Can a Toothpaste Help Protect Adults Allergic to Peanuts?

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Nov. 16, 2023 – A brand new toothpaste is displaying promise as a remedy to assist adults who’re allergic to peanuts tolerate rising quantities of peanut protein.

The investigational toothpaste is labeled INT301 and it met its security targets in an early randomized, placebo-controlled trial.

Thirty-two adults, ages 18-55, who have been allergic to peanuts, have been enrolled within the 4-month trial. The individuals have been randomly positioned into teams that acquired both rising quantities of the peanut protein within the toothpaste to check how a lot they may tolerate safely or a placebo toothpaste that had no peanut proteins. The toothpaste was squeezed from a metered dispenser to regulate the quantity. 

Neither the individual giving the individuals the toothpaste, nor the affected person knew which type of toothpaste they obtained, to assist eradicate potential bias. 

“INT301 demonstrated security throughout all remedy teams,” mentioned the research’s lead writer, William Berger, MD, an allergist and marketing consultant for Intrommune, a biotechnology firm based mostly in New York Metropolis, which developed the toothpaste.

The toothpaste is a type of oral immunotherapy and it exposes the physique to an allergen in tiny however rising quantities over time to construct tolerance in case an individual is by accident uncovered to peanuts. In contrast to another oral immunotherapies, this one targets cells not slightly below the tongue, however in lots of components of the mouth with the best potential for allergy desensitization, Berger mentioned.

Berger offered the findings of the OMEGA (Oral Mucosal Escalation Aim Evaluation) trial Nov. 11 on the American School of Allergy, Bronchial asthma and Immunology Annual Assembly in Anaheim, CA.

All Tolerated the Highest Dose

All individuals within the remedy arm persistently tolerated the very best dose. As well as, there have been no average or extreme negative effects, Berger mentioned.

The primary response for many who obtained the remedy toothpaste was delicate itching contained in the mouth that could possibly be eradicated with antihistamines.

Trial regulators had requested the investigators to observe for any dental negative effects and Berger mentioned the toothpaste didn’t trigger well being within the enamel or mouth.

Early Indicators it’s Efficient

This early research was primarily a security trial, however the investigators additionally discovered indicators with blood assessments that the toothpaste works to assist desensitize adults to peanut protein. Effectiveness might be explored additional in a future trial.

Kristin Sokol, MD, MPH, an allergist/immunologist with Schreiber Allergy in Rockville, MD, mentioned, “As of now, the one choices we’ve for meals allergy remedy and administration are to inform our sufferers to fully keep away from a meals and carry epinephrine for his or her complete lives,” one other oral immunotherapy. 

Oral immunotherapy is time consuming, and there are substantial logistic issues. This toothpaste provides a better choice that households can match into their each day schedules, she mentioned.

“I am all the time searching for choices like that,” Sokol mentioned. “Clearly there are extra research that should be carried out. I actually like the protection knowledge on this. The zero incidence of anaphylaxis is de facto necessary.”

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