Penicillin Allergy Testing in STD Clinics

NCT ID: NCT04620746

Last Updated: 2023-09-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

284 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-01

Study Completion Date

2022-12-31

Brief Summary

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Demonstration project to implement penicillin allergy testing in STD outpatients using a questionnaire and pen allergy testing

Detailed Description

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all subjects receive risk questionnaire For subjects without high risk responses, randomized to direct oral challenge or PCN skin testing followed by oral challenge

Conditions

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Penicillin Allergy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Skin Testing Arm

These subjects with reported PCN allergy and reported low risk responses will receive skin testing followed by oral challenge

Group Type ACTIVE_COMPARATOR

Penicillin Major Determinant (PrePen) Skin Testing

Intervention Type DRUG

Skin testing followed by oral challenge with amoxicillin 250 mg single dose

Direct Oral challenge

Intervention Type DRUG

Direct oral challenge with test dose of amoxicillin 25mg followed by amoxicillin 250mg single dose

Direct Oral Challenge

These subjects with reported PCN allergy and low risk responses will bypass skin testing and have direct oral challenge with amoxicillin

Group Type ACTIVE_COMPARATOR

Direct Oral challenge

Intervention Type DRUG

Direct oral challenge with test dose of amoxicillin 25mg followed by amoxicillin 250mg single dose

Interventions

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Penicillin Major Determinant (PrePen) Skin Testing

Skin testing followed by oral challenge with amoxicillin 250 mg single dose

Intervention Type DRUG

Direct Oral challenge

Direct oral challenge with test dose of amoxicillin 25mg followed by amoxicillin 250mg single dose

Intervention Type DRUG

Other Intervention Names

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Penicillin G Minor Determinant Skin Testing

Eligibility Criteria

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Inclusion Criteria

* Prior history of PCN allergy

Exclusion Criteria

* No immunodeficiency or contraindication to skin testing
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Indiana University School of Medicine

OTHER

Sponsor Role collaborator

Wake Forest University Health Sciences

OTHER

Sponsor Role collaborator

Louisiana State University Health Sciences Center in New Orleans

OTHER

Sponsor Role collaborator

University of Washington

OTHER

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jonathan M Zenilman

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Louisiana State University

New Orleans, Louisiana, United States

Site Status

University of Washington-Harborview Medical Center

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Lillis RA, Barbee LA, McNeil CJ, Newman L, Fortenberry JD, Alvarez-Arango S, Zenilman JM. Randomized Multicenter Trial for the Validation of an Easy-to-Administer Algorithm to Define Penicillin Allergy Status in Sexually Transmitted Infection Clinic Outpatients. Clin Infect Dis. 2024 May 15;78(5):1131-1139. doi: 10.1093/cid/ciae064.

Reference Type DERIVED
PMID: 38325290 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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HHSN272201300012I/HHSN27200015

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

IRB00220384

Identifier Type: -

Identifier Source: org_study_id

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