Contact Allergy to Rubber Accelerators - a Clinical Study

NCT ID: NCT06042309

Last Updated: 2025-01-17

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

COMPLETED

Clinical Phase

NA

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-05

Study Completion Date

2024-12-20

Brief Summary

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This study will investigate what concentrations of the most common thiurams and carbamates that elicit allergic contact dermatitis under patch test and what concentrations of the rubber accelerators that elicit allergic contact dermatitis by repeated exposures under simulated use conditions. Further, it will investigate whether a damaged skin barrier as caused by wet work increase the severity of the allergic contact dermatitis.

The participants will be assigned to either the SLS (sodium lauryl sulfate)-group or non SLS-group. For the participants of the SLS-group, one volar forearm will be randomized to be pre-irritated with a soap i.e. detergent: sodium lauryl sulfate (SLS) for 24 hours to simulate wet work. The participants of the non SLS-group will not be pre-irritated with SLS.

Following this, the participants' volar forearms will be exposed to thiurams or carbamates and a control solution every night for 7 nights to simulate the repeated exposure to rubber gloves with accelerators. The skin reactions will be read cf. current international guidelines and further quantified using laser Doppler flowmetry.

During the study, all participants will be patch tested on the upper back with rubber accelerators to investigate their current degree of sensitization and the dose-response relationships.

Detailed Description

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Conditions

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Contact Allergy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

The participants are assigned to either the SLS-group or NON-SLS-group.
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors
The forearm randomized to SLS and the order in which the different concentrations of thiurams and carbamates and the control solution are applied to the skin, will be blinded for the reader of the skin reactions and the latter also for the participant.

Study Groups

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NON-SLS, Allergic participants

Participants allergic to thiurams or carbamates assigned to the NON-SLS group.

Group Type EXPERIMENTAL

Rubber accelerators and control chamber/solution for NON-SLS group

Intervention Type OTHER

Repeated exposure to rubber accelerators and control chamber/solution on arms. Three different concentrations of rubber accelerators and one control chamber/solution will be applied on the arms.

Patch test on back

Intervention Type OTHER

Patch test on the back with thiurams or carbamates in different concentrations and a control chamber/solution

NON-SLS, Control participants

Participants not allergic to thiurams or carbamates assigned to the NON-SLS group.

Group Type EXPERIMENTAL

Rubber accelerators and control chamber/solution for NON-SLS group

Intervention Type OTHER

Repeated exposure to rubber accelerators and control chamber/solution on arms. Three different concentrations of rubber accelerators and one control chamber/solution will be applied on the arms.

Patch test on back

Intervention Type OTHER

Patch test on the back with thiurams or carbamates in different concentrations and a control chamber/solution

SLS, Allergic participants

Participants allergic to thiurams or carbamates assigned to the SLS group.

Group Type EXPERIMENTAL

SLS

Intervention Type OTHER

Exposure to SLS on a randomized arm

Rubber accelerators and control chamber/solution for SLS group

Intervention Type OTHER

Repeated exposure to rubber accelerators and control chamber/solution on arms. Two different concentrations of rubber accelerators and one control chamber/solution will be applied on both arms.

Patch test on back

Intervention Type OTHER

Patch test on the back with thiurams or carbamates in different concentrations and a control chamber/solution

SLS, Control participants

Participants not allergic to thiurams or carbamates assigned to the SLS group.

Group Type EXPERIMENTAL

SLS

Intervention Type OTHER

Exposure to SLS on a randomized arm

Rubber accelerators and control chamber/solution for SLS group

Intervention Type OTHER

Repeated exposure to rubber accelerators and control chamber/solution on arms. Two different concentrations of rubber accelerators and one control chamber/solution will be applied on both arms.

Patch test on back

Intervention Type OTHER

Patch test on the back with thiurams or carbamates in different concentrations and a control chamber/solution

Interventions

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Rubber accelerators and control chamber/solution for NON-SLS group

Repeated exposure to rubber accelerators and control chamber/solution on arms. Three different concentrations of rubber accelerators and one control chamber/solution will be applied on the arms.

Intervention Type OTHER

SLS

Exposure to SLS on a randomized arm

Intervention Type OTHER

Rubber accelerators and control chamber/solution for SLS group

Repeated exposure to rubber accelerators and control chamber/solution on arms. Two different concentrations of rubber accelerators and one control chamber/solution will be applied on both arms.

Intervention Type OTHER

Patch test on back

Patch test on the back with thiurams or carbamates in different concentrations and a control chamber/solution

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults ≥18 years old
* Sensitized to thiurams, carbamates or both.
* Received written and oral information about the study.
* Signed written consent form


* adults ≥18 years old
* Received written and oral information about the study.
* Signed written consent form

Exclusion Criteria

* Dermatitis on back or arms
* Tattoos or significant scar tissue on exposure areas
* Pregnancy
* Breast feeding
* Recently given birth
* Treatment with systemic immunomodulators within the last 4 weeks
* Treatment with local immunomodulators on arms or back within the last 4 weeks
* Excessive ultraviolet light on arms or back within the last 4 weeks

Healthy Controls:


* Sensitized to thiurams, carbamates or both.
* Occupational or domestical use of rubber gloves.
* History of atopic dermatitis or contact dermatitis
* Dermatitis on back or arms
* Tattoos or significant scar tissue on exposure areas
* Pregnancy
* Breast feeding
* Recently given birth
* Treatment with systemic immunomodulators within the last 4 weeks
* Treatment with local immunomodulators on arms or back within the last 4 weeks
* Excessive ultraviolet light on arms or back within the last 4 weeks
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Allergy Research Center, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Department of Dermatology, Gentofte Hospital, Videncenter For Allergi

Hellerup, , Denmark

Site Status

Department of Dermatology and Allergy, Odense University Hospital (OUH)

Odense, , Denmark

Site Status

Countries

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Denmark

References

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Kursawe Larsen C, Johansen JD, Zachariae C, Svedman C, Bergendorff O, Mortz CG, Schwensen JFB. Thresholds for Contact Allergy to a Rubber Accelerator: TETD-Determined by Serial Dilution Patch Testing and a Simulated Glove-Use Model. Contact Dermatitis. 2025 Aug;93(2):138-147. doi: 10.1111/cod.14817. Epub 2025 May 16.

Reference Type DERIVED
PMID: 40375756 (View on PubMed)

Other Identifiers

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H-22058515

Identifier Type: -

Identifier Source: org_study_id

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