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Can a Toothpaste Assist Defend Adults Allergic to Peanuts?


Nov. 16, 2023 – A brand new toothpaste is displaying promise as a therapy 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 objectives in an early randomized, placebo-controlled trial.

Thirty-two adults, ages 18-55, who had been allergic to peanuts, had been enrolled within the 4-month trial. The individuals had 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 manage the quantity. 

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

“INT301 demonstrated security throughout all therapy teams,” mentioned the examine’s lead writer, William Berger, MD, an allergist and advisor 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 chance uncovered to peanuts. Not like another oral immunotherapies, this one targets cells not just 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 Purpose 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 therapy arm constantly tolerated the very best dose. As well as, there have been no reasonable or extreme negative effects, Berger mentioned.

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

Trial regulators had requested the investigators to look at 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 examine 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 shall 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 have now for meals allergy therapy and administration are to inform our sufferers to utterly keep away from a meals and carry epinephrine for his or her total lives,” one other oral immunotherapy. 

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

“I am at all times searching for choices like that,” Sokol mentioned. “Clearly there are extra research that should be completed. I actually like the security information on this. The zero incidence of anaphylaxis is absolutely necessary.”

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