Heated milk ladder could speed up allergy tolerance in kids
NCT ID NCT06380673
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether gradually introducing cow's milk in less-heated forms over 12 months helps children with milk allergy develop full tolerance faster than just eating well-cooked milk. About 90 children aged 1-18 who already tolerate heated milk will be split into groups: one follows a stepwise plan (shorter cooking times or a milk ladder), another sticks with only well-cooked milk, and a third group of healthy kids serves as a control. The goal is to see if the stepwise approach leads to more children being able to drink regular milk safely after a year.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- heated cow's milk
- What this could lead to
- If it works, this could help children with cow's milk allergy develop full tolerance in about a year instead of several years, improving quality of life and reducing accidental reactions.
- What could go wrong
- This is an early-stage study with only 90 participants, so results may not apply to all children. There is a risk of allergic reactions during the stepwise introduction, and the approach may not work for everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 90 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2024
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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1 year to 18 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Children (1-18y) had or have a clinical diagnosis of IgE mediated cow's milk allergy based on positive history as well as skin prick testing and/or specific IgE detection by CAPtest in an allergy clinic. * Children are at least 12 months old before introduction of heated cow's milk is considered. * Children did not suffer from grade 4 anaphylaxis due to cow's milk-ingestion at presentation. * Children have specific IgE levels to Bos d 8 below 1.2 kU/mL and/or children passed 20' cooked cow's milk provocation test executed on clinical judgement. Exclusion Criteria: * Children had grade 4 anaphylaxis due to cow's milk ingestion. * Children are younger than 12 months old at the moment of passing 20' cooked cow's milk OFC. * Parents are not able or not willing to adhere to a specific cow's milk protein-containing diet on a regular basis at home. * Multiple food allergy, not compatible with any of the choices in the Flemish Milk Ladder. * Parents and/or children are not willing to give IC/assent.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
5 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AZ Maria Middelares
RECRUITINGGhent, Belgium
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AZ Sint-Jan
RECRUITINGBruges, Belgium
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Imelda Hospital Bonheiden
RECRUITINGBonheiden, Belgium
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Jessa Hospital
RECRUITINGHasselt, Belgium
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UZ Leuven Gasthuisberg
RECRUITINGLeuven, Belgium
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Other studies related to the condition(s) this trial covers.
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- Does a nutrition expert team ease the burden on mothers of kids with food allergies?
- Goat milk ladder may offer a new route to milk tolerance in allergic children
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