• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Stepwise oral food challenge using standardized challenge foods.

Research Project

Project/Area Number 16K00899
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Eating habits
Research InstitutionClinical Research Center for Allergy and Rheumatology, National Hospital Organization, Sagamihara National Hospital

Principal Investigator

YANAGIDA NORIYUKI  独立行政法人国立病院機構(相模原病院臨床研究センター), 小児科, 医長 (40436150)

Co-Investigator(Kenkyū-buntansha) 海老澤 元宏  独立行政法人国立病院機構(相模原病院臨床研究センター), アレルギー性疾患研究部, 部長 (30338876)
佐藤 さくら  独立行政法人国立病院機構(相模原病院臨床研究センター), 病因・病態研究室, 室長 (90398272)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywordsアレルギー / 食物アレルギー / 食物経口負荷試験 / 小児 / 負荷試験 / 食物 / 鶏卵アレルギー / アナフィラキシー / 食品
Outline of Final Research Achievements

Research objectives: (1) Establishment of a standardized and safer oral food challenge method and (2) Analysis of multicenter oral food challenge results to elucidate risk factors for positive and severe reactions.
Outcome (1) Multicenter study of egg and milk oral food challenges: We were able to clarify the safety of oral food challenges using standard challenge foods, and we were able to clarify various evidence, such as risk factors for severe reactions, through publication.
Outcome (2) Standardization and application of challenge foods: regarding the standardization of challenge foods, commertial products were launched for medical institutions since 2019 (Tamakona, Kobe).

Academic Significance and Societal Importance of the Research Achievements

本研究は粉末状の容易に準備可能な定型負荷食を用いた標準化された負荷試験方法を用い、多施設で負荷試験を行なった結果を検討した。
この研究により、①標準化されたより安全な負荷試験方法の確立することができ、②多施設での負荷試験結果から陽性、重症反応に対するリスク因子を明らかにできた。
本研究で用いた標準的負荷試験食は医療機関向けに発売が開始された。本研究成果を踏まえて、小児アレルギー学会研究助成により、新規の他施設研究を開始することができた。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (23 results)

All 2020 2019 2018 2017 2016

All Journal Article (16 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 16 results,  Open Access: 12 results) Presentation (7 results) (of which Invited: 1 results)

  • [Journal Article] Regular intake of cow’s milk with oral immunotherapy improves statures of children with milk allergies2020

    • Author(s)
      Emura Shigehito、Yanagida Noriyuki、Sato Sakura、Nagakura Ken-ichi、Asaumi Tomoyuki、Okada Yu、Koike Yumi、Ogura Kiyotake、Iikura Katsuhito、Ebisawa Motohiro
    • Journal Title

      World Allergy Organization Journal

      Volume: 13 Issue: 3 Pages: 100108-100108

    • DOI

      10.1016/j.waojou.2020.100108

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Component-resolved diagnostics can be useful for identifying hazelnut allergy in Japanese children2020

    • Author(s)
      Inoue Yoko、Sato Sakura、Takahashi Kyohei、Yanagida Noriyuki、Yamamoto Hitoshi、Shimizu Naoki、Ebisawa Motohiro
    • Journal Title

      Allergology International

      Volume: 69 Issue: 2 Pages: 239-245

    • DOI

      10.1016/j.alit.2019.10.001

    • NAID

      130007833062

    • ISSN
      1323-8930, 1440-1592
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Long-term prognosis after wheat oral immunotherapy2020

    • Author(s)
      Makita Eishi、Yanagida Noriyuki、Sato Sakura、Asaumi Tomoyuki、Ebisawa Motohiro
    • Journal Title

      The Journal of Allergy and Clinical Immunology: In Practice

      Volume: 8 Issue: 1 Pages: 371-374.e5

    • DOI

      10.1016/j.jaip.2019.08.047

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] IgE-specific Pru p 4 negatively predicts systemic allergy reaction to peach among Japanese children2019

    • Author(s)
      Asaumi Tomoyuki、Sato Sakura、Yanagida Noriyuki、Takahashi Kyohei、Mori Yuji、Okazaki Fumiko、Kondo Yasuto、Ebisawa Motohiro
    • Journal Title

      Allergology International

      Volume: 68 Issue: 4 Pages: 546-548

    • DOI

      10.1016/j.alit.2019.05.005

    • NAID

      130007733092

    • ISSN
      1323-8930, 1440-1592
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Accidental ingestion of food allergens: A nationwide survey of Japanese nursery schools2019

    • Author(s)
      Yanagida Noriyuki、Ebisawa Motohiro、Katsunuma Toshio、Yoshizawa Jyoji
    • Journal Title

      Pediatric Allergy and Immunology

      Volume: 30 Issue: 7 Pages: 773-776

    • DOI

      10.1111/pai.13095

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Long-term outcomes after sustained unresponsiveness in patients who underwent oral immunotherapy for egg, cow's milk, or wheat allergy2019

    • Author(s)
      Manabe Tetsuharu、Sato Sakura、Yanagida Noriyuki、Hayashi Noriko、Nishino Makoto、Takahashi Kyohei、Nagakura Ken-ichi、Asaumi Tomoyuki、Ogura Kiyotake、Ebisawa Motohiro
    • Journal Title

      Allergology International

      Volume: 68 Issue: 4 Pages: 527-528

    • DOI

      10.1016/j.alit.2019.02.012

    • NAID

      130007733148

    • ISSN
      1323-8930, 1440-1592
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Ses i 1-specific IgE and sesame oral food challenge results2019

    • Author(s)
      Yanagida Noriyuki、Ejiri Yuki、Takeishi Daisuke、Sato Sakura、Maruyama Nobuyuki、Takahashi Kyohei、Nagakura Ken-ichi、Ogura Kiyotake、Asaumi Tomoyuki、Ebisawa Motohiro
    • Journal Title

      The Journal of Allergy and Clinical Immunology: In Practice

      Volume: 7 Issue: 6 Pages: 2084-2086.e4

    • DOI

      10.1016/j.jaip.2019.02.022

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Stepwise single-dose oral egg challenge: a multicenter prospective study2019

    • Author(s)
      Yanagida Noriyuki、Sato Sakura、Takahashi Kyohei、Ohtani Kiyotaka、Emura Shigehito、Shibukawa Yasuko、Murano Akiko、Komata Takatsugu、Ishida Wako、Fujita Hidetoshi、Asaumi Tomoyuki、Nagakura Ken-ichi、Ogura Kiyotake、Ebisawa Motohiro
    • Journal Title

      The Journal of Allergy and Clinical Immunology: In Practice

      Volume: 7 Issue: 2 Pages: 716-718.e6

    • DOI

      10.1016/j.jaip.2018.11.020

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Oral food challenge using different target doses and time intervals between doses2018

    • Author(s)
      Yanagida Noriyuki、Sato Sakura、Nagakura Ken-ichi、Asaumi Tomoyuki、Ebisawa Motohiro
    • Journal Title

      Current Opinion in Allergy and Clinical Immunology

      Volume: 18 Issue: 3 Pages: 222-227

    • DOI

      10.1097/aci.0000000000000444

    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Specific IgE for Fag e 3 Predicts Oral Buckwheat Food Challenge Test Results and Anaphylaxis: A Pilot Study2018

    • Author(s)
      Yanagida Noriyuki、Sato Sakura、Maruyama Nobuyuki、Takahashi Kyohei、Nagakura Ken-ichi、Ogura Kiyotake、Asaumi Tomoyuki、Ebisawa Motohiro
    • Journal Title

      International Archives of Allergy and Immunology

      Volume: 176 Issue: 1 Pages: 8-14

    • DOI

      10.1159/000487135

    • NAID

      120006463739

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Increasing specific immunoglobulin E levels correlate with the risk of anaphylaxis during an oral food challenge2018

    • Author(s)
      Yanagida Noriyuki、Sato Sakura、Takahashi Kyohei、Nagakura Ken-ichi、Asaumi Tomoyuki、Ogura Kiyotake、Ebisawa Motohiro
    • Journal Title

      Pediatric Allergy and Immunology

      Volume: 29 Issue: 4 Pages: 417-424

    • DOI

      10.1111/pai.12896

    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A three-level stepwise oral food challenge for egg, milk, and wheat allergy2018

    • Author(s)
      Yanagida Noriyuki、Minoura Takanori、Kitaoka Setsuko、Ebisawa Motohiro
    • Journal Title

      The Journal of Allergy and Clinical Immunology: In Practice

      Volume: 6 Issue: 2 Pages: 658-660.e10

    • DOI

      10.1016/j.jaip.2017.06.029

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Risk Factors for Severe Reactions during Double-Blind Placebo-Controlled Food Challenges.2017

    • Author(s)
      Yanagida N., Sato S., Asaumi T., Ogura K., Ebisawa M.
    • Journal Title

      Int Arch Allergy Immunol.

      Volume: 172 Issue: 3 Pages: 173-82

    • DOI

      10.1159/000458724

    • Related Report
      2017 Research-status Report 2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Safety and feasibility of heated egg yolk challenge for children with egg allergies.2017

    • Author(s)
      Yanagida N., Sato S., Asaumi T., Ogura K., Borres M. P., Ebisawa M.
    • Journal Title

      Pediatr Allergy Immunol.

      Volume: - Issue: 4 Pages: 348-354

    • DOI

      10.1111/pai.12705

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Reactions of Buckwheat-Hypersensitive Patients during Oral Food Challenge Are Rare, but Often Anaphylactic.2017

    • Author(s)
      Yanagida N., Sato S., Takahashi K., Nagakura K. I., Ogura K., Asaumi T., Ebisawa M.
    • Journal Title

      Int Arch Allergy Immunol.

      Volume: 172 Issue: 2 Pages: 116-22

    • DOI

      10.1159/000456008

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 小児食物アレルギーに対する魚介類同日複数品目の食物経口負荷試験2017

    • Author(s)
      柳田 紀之, 箕浦 貴則, 貴田岡 節子
    • Journal Title

      医療

      Volume: 71 Pages: 5-10

    • NAID

      40021067973

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] 鶏卵の食物経口負荷試験の分割方法の検討2018

    • Author(s)
      糸永 宇慧(国立病院機構相模原病院 小児科), 浅海 智之, 房安 直子, 西野 誠, 高橋 亨平, 竹井 真理, 永倉 顕一, 小倉 聖剛, 柳田 紀之, 佐藤 さくら, 海老澤 元宏
    • Organizer
      日本小児アレルギー学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 加熱全卵粉末(加熱鶏卵1/32個相当)経口負荷試験による患者の層別化2018

    • Author(s)
      水戸守 真寿(国立病院機構相模原病院 小児科), 西野 誠, 高橋 亨平, 永倉 顕一, 浅海 智之, 小倉 聖剛, 柳田 紀之, 佐藤 さくら, 海老澤 元宏
    • Organizer
      日本小児アレルギー学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 食物アレルギーガイドライン2016改訂に関する最新情報 食物経口負荷試験の変更点2016

    • Author(s)
      柳田 紀之, 佐藤 さくら, 海老澤 元宏
    • Organizer
      第53回日本小児アレルギー学会学術集会
    • Place of Presentation
      群馬県前橋市
    • Year and Date
      2016-10-08
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 牛乳25ml相当の加熱牛乳粉末負荷試験の検討2016

    • Author(s)
      堀口 悠人, 永倉 顕一, 柳田 紀之, 房安 直子, 江尻 勇樹, 谷口 裕章, 竹井 真理, 山本 幹太, 西野 誠, 高橋 享平, 浅海 智之, 小倉 聖剛, 真部 哲治, 佐藤 さくら, 海老澤 元宏
    • Organizer
      第53回日本小児アレルギー学会学術集会
    • Place of Presentation
      群馬県前橋市
    • Year and Date
      2016-10-08
    • Related Report
      2016 Research-status Report
  • [Presentation] 加熱全卵1/8個摂取可能な児が1/2個へ増量できる条件の検討2016

    • Author(s)
      牧田 英士, 浅海 智之, 房安 直子, 江尻 勇樹, 谷口 裕章, 竹井 真理, 山本 幹太, 西野 誠, 高橋 亨平, 永倉 顕一, 小倉 聖剛, 真部 哲治, 柳田 紀之, 佐藤 さくら, 海老澤 元宏
    • Organizer
      第53回日本小児アレルギー学会学術集会
    • Place of Presentation
      群馬県前橋市
    • Year and Date
      2016-10-08
    • Related Report
      2016 Research-status Report
  • [Presentation] 鶏卵経口負荷試験陽性例におけるステロイド内服の効果2016

    • Author(s)
      高橋 亨平, 柳田 紀之, 浅海 智之, 永倉 顕一, 真部 哲治, 小倉 聖剛, 佐藤 さくら, 海老澤 元宏
    • Organizer
      第53回日本小児アレルギー学会学術集会
    • Place of Presentation
      群馬県前橋市
    • Year and Date
      2016-10-08
    • Related Report
      2016 Research-status Report
  • [Presentation] ピーナッツの即時歴の存在は食物経口負荷試験での症状誘発の可能性を高くする2016

    • Author(s)
      房安 直子, 浅海 智之, 江尻 勇樹, 谷口 裕章, 竹井 真理, 山本 幹太, 西野 誠, 高橋 亨平, 永倉 顕一, 小倉 聖剛, 真部 哲治, 柳田 紀之, 佐藤 さくら, 海老澤 元宏
    • Organizer
      第53回日本小児アレルギー学会学術集会
    • Place of Presentation
      群馬県前橋市
    • Year and Date
      2016-10-08
    • Related Report
      2016 Research-status Report

URL: 

Published: 2016-04-21   Modified: 2021-02-19  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi