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Metal Panel Allergen Patch Test Study

Primary Purpose

Atopic Dermatitis Eczema

Status
Recruiting
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Metal Panel T.R.U.E. Test
Sponsored by
Allerderm
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Atopic Dermatitis Eczema

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. 18 years of age or older.
  2. Past positive patch test result within the past 10 years to one of the metal allergens (other than nickel or gold), being tested on this study or strong suspicion of metal contact allergy based on results of the Qualification Questionnaire, part 2 Type of Metal Exposure.
  3. Unable to become pregnant or willing to use an acceptable method of contraception to prevent pregnancy if female of childbearing potential,

    • Inability to become pregnant would include all male subjects and female subjects who are postmenopausal for at least 1 year, or surgically sterile- have had a hysterectomy, bilateral ovariectomy, uterine ablation or bilateral tubal ligation.
    • Acceptable methods of contraception include: 1) systemic birth control (i.e., oral contraceptives, skin patch, vaginal ring, implant, injection, or intrauterine device (IUD), which contains either a hormone or copper); 2) double barrier method (i.e., diaphragm, cervical cap, sponge, condom with spermicide); 3) IUD; 4) vasectomized partner; or 5) abstinence from sexual intercourse. Subject must agree to use acceptable contraception for the duration of the entire study.
  4. Understands and signs the approved Informed Consent form which is consistent with all institutional, local and national regulations.

Exclusion Criteria:

  1. Breastfeeding or pregnant (as determined by urine pregnancy test) or intending to become pregnant during the course of the study. Breastfeeding may be resumed upon completion of the study.
  2. Topical treatment with corticosteroids or other immunosuppressive agents on or near the test area 14 days prior to inclusion through the end of the subject's participation in the study.
  3. Systemic treatment with corticosteroids (equivalent to > 10 mg prednisone) or other immunosuppressive agents 14 days prior to inclusion through the end of the subject's participation in the study. Inhaled treatments and steroidal nose or eye drops are permitted.
  4. Treatment with ultraviolet (UV) light (including tanning) during the 3 weeks prior to inclusion through the end of the subject's participation in the study.
  5. Acute dermatitis outbreak or dermatitis on or near the test area on the back.
  6. Known or suspected infection of the skin, joints or other site(s) associated with metal exposure
  7. Condition such as; fibromyalgia, chronic fatigue, depression, cognitive impairment, flu-like symptoms, diarrhea and/or headache without at least one of the symptoms related to metal exposure listed in Section 6.6.
  8. Condition such as; psoriasis, dermatitis herpetiformis, mycosis fungoides or cutaneous T-cell lymphoma that may confound the evaluation of allergic contact dermatitis.
  9. Inability to comply with patch test study requirements including multiple return visits and activity restrictions (e.g., protecting test panels from excess moisture due to showering or vigorous activity).
  10. Participation in a clinical trial of an investigational drug, treatment or device during this study or 3 weeks prior to inclusion in this study.
  11. An opinion of the Investigator that deems the potential subject to be non-compliant, unable to return for study visits or complete the study as detailed in the protocol.

Sites / Locations

  • DS ResearchRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Positive reactions, Concordance with reference allergen

Arm Description

All subjects will be patch tested with 11 experimental and 11 reference allergens. Rates of positive reactions will be evaluated using Cohen's kappa calculation.

Outcomes

Primary Outcome Measures

Number of participants with positive, negative, irritant or doubtful patch test responses and concordance between hydrogel and petrolatum allergens
Number of patch test responses will be recorded, concordance between hydrogel and petrolatum allergens will be measured

Secondary Outcome Measures

Evaluation of panel adhesion at visit 2 prior to panel removal
Number of subjects with excellent, good, poor or detached adhesion at panel removal
Evaluation of subject reported itching associated with test panels at visit 2 following panel removal
Number of subjects with no (none) weak, moderate or strong itching associated with test panels following panel removal
Evaluation of subject reported burning associated with test panels at visit 2 following panel removal.
Number of subjects with no (none) weak, moderate or strong burning associated with test panels following panel removal
Evaluation of tape irritation
Number of subjects with no (none) irritant or allergic tape irritation. Tape irritation is assessed at all visits. Investigator makes overall determination on day 21.
Evaluation of chip irritation
Number of subjects with no (none) irritant or allergic chip irritation. Chip irritation is assessed at all visits. Investigator makes overall determination on day 21.

Full Information

First Posted
July 30, 2020
Last Updated
February 10, 2023
Sponsor
Allerderm
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1. Study Identification

Unique Protocol Identification Number
NCT04500834
Brief Title
Metal Panel Allergen Patch Test Study
Official Title
Clinical Evaluation of Metal Panel Allergens: Safety and Efficacy Study
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 7, 2022 (Actual)
Primary Completion Date
March 31, 2025 (Anticipated)
Study Completion Date
March 31, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Allerderm

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Metal allergen patch test study.
Detailed Description
A single application of an investigational patch test panel containing 11 hydrogel metal allergens and a corresponding patch test panel containing 11 petrolatum metal allergens will be applied to the upper back of human subjects to test diagnostic efficacy and safety. Patch test panels will be removed after being worn for approximately 48 hours. Study will require 6 visits over the course of 21 days; patch application, patch removal and 4 patch test site evaluation visits at days 4, 7, 14 and 21.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis Eczema

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Model Description
All subjects will be tested with 11 experimental metal allergens and corresponding metal allergens prepared in petrolatum
Masking
None (Open Label)
Allocation
N/A
Enrollment
200 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Positive reactions, Concordance with reference allergen
Arm Type
Experimental
Arm Description
All subjects will be patch tested with 11 experimental and 11 reference allergens. Rates of positive reactions will be evaluated using Cohen's kappa calculation.
Intervention Type
Biological
Intervention Name(s)
Metal Panel T.R.U.E. Test
Intervention Description
Diagnostic patch test
Primary Outcome Measure Information:
Title
Number of participants with positive, negative, irritant or doubtful patch test responses and concordance between hydrogel and petrolatum allergens
Description
Number of patch test responses will be recorded, concordance between hydrogel and petrolatum allergens will be measured
Time Frame
Days 3-21
Secondary Outcome Measure Information:
Title
Evaluation of panel adhesion at visit 2 prior to panel removal
Description
Number of subjects with excellent, good, poor or detached adhesion at panel removal
Time Frame
Day 2
Title
Evaluation of subject reported itching associated with test panels at visit 2 following panel removal
Description
Number of subjects with no (none) weak, moderate or strong itching associated with test panels following panel removal
Time Frame
Day 2
Title
Evaluation of subject reported burning associated with test panels at visit 2 following panel removal.
Description
Number of subjects with no (none) weak, moderate or strong burning associated with test panels following panel removal
Time Frame
Day 2
Title
Evaluation of tape irritation
Description
Number of subjects with no (none) irritant or allergic tape irritation. Tape irritation is assessed at all visits. Investigator makes overall determination on day 21.
Time Frame
Day 21
Title
Evaluation of chip irritation
Description
Number of subjects with no (none) irritant or allergic chip irritation. Chip irritation is assessed at all visits. Investigator makes overall determination on day 21.
Time Frame
Day 21

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years of age or older. Past positive patch test result within the past 10 years to one of the metal allergens (other than nickel or gold), being tested on this study or strong suspicion of metal contact allergy based on results of the Qualification Questionnaire, part 2 Type of Metal Exposure. Unable to become pregnant or willing to use an acceptable method of contraception to prevent pregnancy if female of childbearing potential, Inability to become pregnant would include all male subjects and female subjects who are postmenopausal for at least 1 year, or surgically sterile- have had a hysterectomy, bilateral ovariectomy, uterine ablation or bilateral tubal ligation. Acceptable methods of contraception include: 1) systemic birth control (i.e., oral contraceptives, skin patch, vaginal ring, implant, injection, or intrauterine device (IUD), which contains either a hormone or copper); 2) double barrier method (i.e., diaphragm, cervical cap, sponge, condom with spermicide); 3) IUD; 4) vasectomized partner; or 5) abstinence from sexual intercourse. Subject must agree to use acceptable contraception for the duration of the entire study. Understands and signs the approved Informed Consent form which is consistent with all institutional, local and national regulations. Exclusion Criteria: Breastfeeding or pregnant (as determined by urine pregnancy test) or intending to become pregnant during the course of the study. Breastfeeding may be resumed upon completion of the study. Topical treatment with corticosteroids or other immunosuppressive agents on or near the test area 14 days prior to inclusion through the end of the subject's participation in the study. Systemic treatment with corticosteroids (equivalent to > 10 mg prednisone) or other immunosuppressive agents 14 days prior to inclusion through the end of the subject's participation in the study. Inhaled treatments and steroidal nose or eye drops are permitted. Treatment with ultraviolet (UV) light (including tanning) during the 3 weeks prior to inclusion through the end of the subject's participation in the study. Acute dermatitis outbreak or dermatitis on or near the test area on the back. Known or suspected infection of the skin, joints or other site(s) associated with metal exposure Condition such as; fibromyalgia, chronic fatigue, depression, cognitive impairment, flu-like symptoms, diarrhea and/or headache without at least one of the symptoms related to metal exposure listed in Section 6.6. Condition such as; psoriasis, dermatitis herpetiformis, mycosis fungoides or cutaneous T-cell lymphoma that may confound the evaluation of allergic contact dermatitis. Inability to comply with patch test study requirements including multiple return visits and activity restrictions (e.g., protecting test panels from excess moisture due to showering or vigorous activity). Participation in a clinical trial of an investigational drug, treatment or device during this study or 3 weeks prior to inclusion in this study. An opinion of the Investigator that deems the potential subject to be non-compliant, unable to return for study visits or complete the study as detailed in the protocol.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Kathryn Shannon
Phone
602-225-0595
Email
kshannon@smarthealth.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Curt Hamann, M.D.
Organizational Affiliation
Allerderm (dba SmartPractice)
Official's Role
Study Director
Facility Information:
Facility Name
DS Research
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40241
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Haley Jordon
Phone
502-585-9708
Ext
158
Email
hjordon@dsrtrials.com
First Name & Middle Initial & Last Name & Degree
Joseph Fowler, MD

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
There is no plan to share individual participant data with other researchers.

Learn more about this trial

Metal Panel Allergen Patch Test Study

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