Follow-up of the VIPES Study to Evaluate Efficacy and Safety of Viaskin Peanut in Adults and Children

Exclusion Criteria

• •Severe reaction during the DBPCFC at Month 12 in the VIPES study, defined as need for intubation, hypotension persisting after epinephrine administration, and/or the need for more than two doses of epinephrine.
• •Pregnancy or lactation.
• •Females of childbearing potential planning a pregnancy in the coming 2 to 3 years.
• •Subjects who became allergic to chocolate or who do not want to consume the chocolate study challenge vehicle anymore.
• •Subjects who developed hypersensitivity to excipients of the Viaskin patches or of the food challenge formula used during the VIPES study.
• •Inability to discontinue short-acting antihistamines for three days or long-acting antihistamines for five to seven days (depending on half-life) prior to skin prick testing or food challenges.
• •Subjects with asthma that has evolved and now fulfills any of the criteria defined as follows:
• •* uncontrolled persistent asthma by National Asthma Education and Prevention Program Asthma guidelines (2007) or by Global Initiative for Asthma (2011) or being treated with combination therapy of medium dose inhaled corticosteroid with a long acting inhaled β2-agonists.
• •* at least two systemic corticosteroid courses for asthma in the past year or one oral corticosteroid course for asthma in the past three months.
• •* prior intubation for asthma in the past year.
• •Subjects receiving β-blocking agents, angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, calcium channel blockers or tricyclic antidepressant therapy.
• •Subjects receiving or planning to receive anti-tumor necrosis factor drugs or anti-IgE drugs (such as omalizumab) or any biologic immunomodulatory therapy.
• •Subjects receiving or planning to receive any type of immunotherapy to any food (e.g. oral immunotherapy, sublingual immunotherapy, specific oral tolerance induction) during their participation in the study.
• •Subjects receiving or planning to receive any aeroallergen immunotherapy during their participation in the study.
• •Allergy or known history of reaction to Tegaderm® with no possibilities to use an alternative dressing approved by the sponsor.
• •Subjects suffering from generalized dermatologic disease (e.g. severe atopic dermatitis, uncontrolled generalized eczema, ichthyosis vulgaris) with no intact zones to apply the patches.
• •Any new disorder in which epinephrine is contraindicated such as coronary artery disease, uncontrolled hypertension, or serious ventricular arrhythmias.
• •A history of non compliance in the VIPES study. Non compliance is defined as subjects not applying the patch at all for 60 days or more (this can be either consecutive or intermittent non-application of the patches) during the whole VIPES study duration
• •Participation in another clinical intervention study in the past year, other than the VIPES study.
• •Subjects on any experimental drugs in the past year, other than those used in the VIPES study.