
Gut microbiome therapy shows early promise for peanut allergy
A small phase 1 trial suggests oral fecal microbiota transplantation from healthy donors may increase peanut tolerance in some adults with peanut allergy (6 of 15 participants across two stages). Safety was acceptable, and mouse studies supported a gut-bacteria–driven mechanism involving RORγt+ regulatory T cells and bile acid metabolites. While encouraging, results are preliminary and not ready for clinical use; researchers aim to develop purified microbiome therapies (MTT) and conduct larger trials over the coming years. In the meantime, standard care—strict avoidance and an emergency allergy plan—remains essential.








