Predominant Sensitizations to Single Bee Venom Allergens as a Risk Factor for Therapy Failure

NCT ID: NCT04259359

Last Updated: 2025-12-08

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

RECRUITING

Total Enrollment

266 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-05-02

Study Completion Date

2026-03-31

Brief Summary

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Venom immunotherapy (VIT) is an established treatment for Hymenoptera venom allergy and provides long-term protection from further generalized reactions in almost all patients. However, it is still unclear why bee VIT is less effective than vespid VIT.

The preliminary data show that not only predominant Api m 10 sensitization but also other predominant sensitizations may be relevant as risk factors for treatment failure. Interestingly, all patients with a predominant Api m 10 sensitization who received bee VIT with a venom preparation with a supposed lack of Api m 10 tolerated sting challenges. Therefore, a multicenter study with a sufficient number of patients with treatment failure is urgently required, to clarify if predominant sensitization to a bee venom allergen is a risk factor for treatment failure.

If predominant sensitization is a risk factor and caused by underrepresented components in bee venom preparations used for VIT, bee venom preparations may be optimized in the future and patients would benefit from a more effective VIT.

Detailed Description

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Conditions

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Bee Venom Allergy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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patients who will be treated with bee venom immunotherapy

Insect Venom

Intervention Type DRUG

Patients will be treated with bee venom immunotherapy (protocol can be selected by patient). Blood samples are taken before starting VIT to determine specific immunoglobulin E (sIgE) Levels for bee venom components. Patients are sting challenged and the outcome will be recorded.

Interventions

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Insect Venom

Patients will be treated with bee venom immunotherapy (protocol can be selected by patient). Blood samples are taken before starting VIT to determine specific immunoglobulin E (sIgE) Levels for bee venom components. Patients are sting challenged and the outcome will be recorded.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Legally competent male and female subjects aged from 18 to 70 years with a history of a systemic anaphylactic sting reaction (≥ grade I according to the classification of Ring and Messmer) after bee stings, who will receive bee venom immunotherapy

Exclusion Criteria

* Contraindications to VIT
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Graz

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Department of Dermatology and Venerology, Medical University of Graz

Graz, , Austria

Site Status RECRUITING

Elbe Klinikum Buxtehude

Buxtehude, , Germany

Site Status RECRUITING

Hospital Universitario de Castellón

Castellon, , Spain

Site Status RECRUITING

Countries

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Austria Germany Spain

Central Contacts

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Gunter J Sturm, MD, PhD

Role: CONTACT

+4331638580318

Lisa Arzt-Gradwohl, PhD

Role: CONTACT

+4331638578039

Facility Contacts

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Gunter J Sturm, MD, PhD

Role: primary

+4331638580318

Andreas Kleinheinz

Role: primary

+49 4161 7036202

Paula Viedma Ayllon

Role: primary

+34964725000

Other Identifiers

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31-238 ex 18/19 (PREDICT)

Identifier Type: -

Identifier Source: org_study_id

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