Sam Lister, Health Editor
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A group of children with severe peanut allergies have had their conditions successfully treated, allowing them to eat nuts without suffering any reaction for the first time.
The success of the preliminary clinical trial, conducted by Addenbrooke's Hospital in Cambridge, shows the possibilty of modifying an allergy by desensitising the sufferer. Scientists say that the development brings them one step closer to curing nut allergies.
Researchers gave small daily doses of peanut flour to children with severe peanut allergy to help them to build tolerance to the nuts over a six-month period. By the end of the trial, the children could eat up to 12 nuts a day without suffering a life-threatening reaction in the form of anaphylaxis.
Peanut allergy is increasingly common, affecting an estimated 2 per cent of British schoolchildren. Reactions can range from itching, rashes and swelling to breathing difficulties caused by a narrowing of the airways, and severe asthma.
It is the most common serious allergic reaction but, unlike other childhood food allergies, it rarely recedes over time.
Pamela Ewan, a consultant allergist and lead researcher, said that the trial offered hope for sufferers. “Until now there has been no treatment that has modified the disease,” she told The Times. “There has only been effective management of the problems.
“We do not like to talk of cures, but that is what we are aiming for. If you can switch off the allergy, you can claim you have cured the person.”
Andrew Clark, a consultant in paediatric allergy who worked on the trial, said that further studies were planned into different types of nuts, as well as other foods, including kiwi fruit.
In the study, published in the journal Allergy, four children were given daily doses of peanut flour, starting with 5mg mixed into yoghurt. Over six months the dose was increased every two weeks until the children could tolerate 800mg of the protein. This was 160 times the starting dose and equivalent to five peanuts.
A larger study by Addenbrooke's, involving 20 children aged 7 to 17, is showing similar results. A total of 12 patients have completed treatment and none has shown signs of reaction to peanuts. Some of them were showing tolerance reaching 12 peanuts a day. The original four children are keeping up their tolerance with a “maintenance” dose of five peanuts a day.
Mr Clark said: “If they were to stop there is some evidence that tolerance would be lost and they may have a reaction.”
He said that the children's tolerance levels would be monitored and future studies would assess whether the dose could be given as a daily pill.
After three or four years, the body may have adjusted and there could be a more “permanent cure” to the allergy, he said.
“Every time people with a peanut allergy eat something, they're frightened that it might kill them. Our motivation was to find a treatment that would change that and give them the confidence to eat what they like.
“All of these children say it has improved their quality of life and they've lost that fear of having an acute reaction if they accidentally eat a peanut.”
Mr Clark warned families not to try to replicate the study at home. Previous trials in the 1990s, which used injections rather than oral doses, produced serious side-effects. The Addenbrooke's study was sponsored by the Evelyn Trust, a Cambridge charity supporting medical research.
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