Evaluation of the Sphingolipid Metabolite S1P as a Novel Biomarker in Food Allergy

NCT ID: NCT01776489

Last Updated: 2015-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-12-31

Study Completion Date

2017-01-31

Brief Summary

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Food allergies represent an increasing health concern in the industrialized countries and especially affect pediatric patients. In this population adverse reactions against food compounds can lead to anaphylactic reactions. Despite substantial research efforts, clinical markers predicting disease severity and symptoms are missing to date.

Recent studies have revealed that sphingolipids, especially sphingosine-1-phosphate (S1P), play an essential role in allergy. It was reported that asthmatic patients have higher S1P levels in bronchiallavage fluids after allergen challenge. First experimental studies revealed a correlation of S1P and the outcome of anaphylaxis. Furthermore, we have shown in our recent mouse study that S1P homeostasis is pivotal for food allergy induction and effector cell response. Therefore, it is the aim of the presented pilot project to evaluate whether S1P serum titers are altered in food allergic children and if the S1P levels correlate with the outcome of anaphylaxis during double blind placebo controlled food challenges (DBPCFCs).

Detailed Description

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Conditions

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Food Allergy Anaphylaxis

Keywords

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Food allergy Sphingosine-1-phosphate Biomarker Double-blind placebo-controlled food challenge Anaphylaxis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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food allergic

positive reaction during DBPCFC

No interventions assigned to this group

Non-food allergic

no reaction during DBPCFC

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients between 1-17 years who have been reported to suffer from food allergic reactions and who are subjected to DBPCFC or open provocation
* Patients who are diagnosed by elevated allergen specific IgE and/or positive skin prick testing
* Willingness to participate in the study

Exclusion Criteria

* Refusal to participate in the study
* Non-IgE-mediated food allergy
Minimum Eligible Age

12 Months

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Vienna

OTHER

Sponsor Role lead

Responsible Party

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Eva Untersmayr-Elsenhuber

Assoc. Prof., Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eva Untersmayr-Elsenhuber, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Medical University Vienna, Department of Pathophysiology and Allergy Research

Locations

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Medical University Vienna, Department of Pediatrics and Adolescent Medicine

Vienna, , Austria

Site Status RECRUITING

Countries

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Austria

Central Contacts

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Zsolt Szépfalusi, MD

Role: CONTACT

Phone: +43 1 40400

Email: [email protected]

Susanne C. Diesner, MD, PhD

Role: CONTACT

Phone: +43 1 40400

Email: [email protected]

References

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Diesner SC, Olivera A, Dillahunt S, Schultz C, Watzlawek T, Forster-Waldl E, Pollak A, Jensen-Jarolim E, Untersmayr E, Rivera J. Sphingosine-kinase 1 and 2 contribute to oral sensitization and effector phase in a mouse model of food allergy. Immunol Lett. 2012 Jan 30;141(2):210-9. doi: 10.1016/j.imlet.2011.10.006. Epub 2011 Oct 14.

Reference Type BACKGROUND
PMID: 22020265 (View on PubMed)

Olivera A, Eisner C, Kitamura Y, Dillahunt S, Allende L, Tuymetova G, Watford W, Meylan F, Diesner SC, Li L, Schnermann J, Proia RL, Rivera J. Sphingosine kinase 1 and sphingosine-1-phosphate receptor 2 are vital to recovery from anaphylactic shock in mice. J Clin Invest. 2010 May;120(5):1429-40. doi: 10.1172/JCI40659. Epub 2010 Apr 19.

Reference Type BACKGROUND
PMID: 20407207 (View on PubMed)

Olivera A, Mizugishi K, Tikhonova A, Ciaccia L, Odom S, Proia RL, Rivera J. The sphingosine kinase-sphingosine-1-phosphate axis is a determinant of mast cell function and anaphylaxis. Immunity. 2007 Mar;26(3):287-97. doi: 10.1016/j.immuni.2007.02.008. Epub 2007 Mar 8.

Reference Type BACKGROUND
PMID: 17346996 (View on PubMed)

Ammit AJ, Hastie AT, Edsall LC, Hoffman RK, Amrani Y, Krymskaya VP, Kane SA, Peters SP, Penn RB, Spiegel S, Panettieri RA Jr. Sphingosine 1-phosphate modulates human airway smooth muscle cell functions that promote inflammation and airway remodeling in asthma. FASEB J. 2001 May;15(7):1212-4. doi: 10.1096/fj.00-0742fje. No abstract available.

Reference Type BACKGROUND
PMID: 11344091 (View on PubMed)

Related Links

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Other Identifiers

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KLI 284-B00

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

119/2011

Identifier Type: -

Identifier Source: org_study_id