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Clinical Evaluation of T.R.U.E. Test Allergens in Children an Adolescents

Clinical Evaluation of T.R.U.E. Test Panel 3.2 in Children and Adolescents (PREA II)

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01797562
Enrollment
116
Registered
2013-02-22
Start date
2012-12-10
Completion date
2015-09-08
Last updated
2020-08-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Allergic Contact Dermatitis

Keywords

Contact dermatitis, Eczema

Brief summary

The objective of the study was to evaluate the diagnostic performance and safety of T.R.U.E. Test allergens in pediatric subjects aged 6-17 years old. In total, 11 allergens were evaluated; 7 new allergens on panels 2.2 and 3.2 and 4 previously approved allergens for which changes were made to dose and excipient.

Detailed description

The evaluation of 7 new allergens on panels 2.2 and 3.2, Gold sodium thiosulfate, Hydrocortisone-17-butyrate, Bacitracin, Parthenolide, Methyldibromoglutaronitrile, Disperse blue 106, and Bronopol was the original objective of the study. The protocol was amended to include evaluation of 4 reformulated allergens; neomycin sulfate, potassium dichromate, ethylenediamne dihydrochloride and fragrance mix.

Interventions

DIAGNOSTIC_TESTPanels 1.3, 2.2 and 3.2 experimental allergens

Three allergen panels will be applied to the upper backs of study subjects and will be worn for 48 hours. Allergen test sites will be evaluated at 3, 4, 7(±1) and 21(±2) days post application.

Sponsors

Allerderm
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE

Intervention model description

3 T.R.U.E. Test panels were applied to the paraspinal regional of the back and were to be worn for approximately 48 hours. Post application evaluations were performed at days 3, 4, 7(+1) and 21(+2).

Eligibility

Sex/Gender
ALL
Age
6 Years to 17 Years
Healthy volunteers
No

Inclusion criteria

* Symptoms and history potentially consistent with allergic contact dermatitis * Children and adolescents 6-17 years of age, in general good health * Adolescent females 15 years of age or older (or with menarche) must consent to a urine pregnancy test; urine test results must be negative for study inclusion * Informed consent must be signed and understood by subject. If underage, informed consent must be signed and understood by parent or legal guardian, consistent with all institutional, local and national regulations

Exclusion criteria

* Topical corticosteroid treatment during the last 7 days on or near the test area. * Systemic treatment with corticosteroids or other immunosuppressives during the last 7 days. * Subjects currently receiving (or received during the previous 3 weeks) other investigational drugs, treatments or devices, or participating in another clinical study * Treatment with ultraviolet (UV) light (including tanning) during the previous 3 weeks * Acute dermatitis outbreak or dermatitis on or near the test area on the back * Subjects unable to comply with activity restrictions (e.g. protecting test panels from excess moisture due to showering or vigorous activity) * Subjects unable or unwilling to comply with multiple return visits * Female subjects 15 years of age (or with onset of menarche) and older unable to consent to a urine pregnancy test, or those with a positive pregnancy test

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresInvestigator Determination of Positive Reaction: 21 days post applicationReactions at patch test sites were evaluated:Negative: No reaction, Irritant: Discrete, patchy, follicular, or homogenous erythema with no infiltration, Doubtful: Faint macular or homogenous erythema with no infiltration, 1+: Faint macular or homogenous erythema with no infiltration, 2+: Erythema, papules, infiltration, discrete vesicles 3+: Coalescing vesicles, bullous reaction

Secondary

MeasureTime frameDescription
Number of Participants With Late or Persistent Positive Patch Test ReactionsDay 7-21Late reactions are positive reactions that initially occur at 7-21 days after application of the panels. Persistent reactions are positive reactions that persist from one visit to the next. Numbers reported only include late or persistent positive patch test reactions. Not all positive reactions are late or persistent.

Countries

United States

Participant flow

Recruitment details

Subjects will be recruited from patients visiting dermatology, allergy or similar medical practices and clinics, and who are likely to require diagnostic patch testing. Study subjects must be otherwise healthy, and fulfill entry criteria.

Pre-assignment details

Entry criteria required avoidance of systemic or topical (near the test area) corticosteroid treatment during the 7 days prior to patch application, and any treatment with UV light for 3 weeks prior to patch application.

Participants by arm

ArmCount
Positive Response Rates: 7 New and 4 Reformulated Allergens
Subjects will be patched with TRUE Test Panels 1.3, 2,2 and 3.2. Panel 1 allergens nickel sulfate (0.60 mg/cm2), potassium dichromate (0.054 mg/cm2), fragrance mix (0.050 mg/cm2) and ethylenediamine dihydrochloride (0.050 mg/cm2), Panel 2 allergen Methyldibromoglutaronitrile (0.0053 mg/cm2) and Panel 3 allergens Gold sodium thiosulfate (0.075 mg/cm2), Hydrocortisone-17-butyrate (0.020 mg/cm2), Bacitracin (0.60 mg/cm2), Parthenolide (0.0030 mg/cm2), Disperse blue 106 (0.050 mg/cm2 in PVP), 2-Bromo-2-nitropropane-1,3-diol (Bronopol) (0.25 mg/cm2) will be evaluated Panels 1.3, 2.2 and 3.2 experimental allergens: Three allergen panels will be applied to the upper backs of study subjects and will be worn for 48 hours. Allergen test sites will be evaluated at 3, 4, 7(±1) and 21(±2) days post application.
116
Total116

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyProtocol Violation5

Baseline characteristics

CharacteristicPositive Response Rates: 7 New and 4 Reformulated Allergens
Age, Continuous12.6 years
Ethnicity (NIH/OMB)
Hispanic or Latino
44 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
72 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
Race (NIH/OMB)
Asian
13 Participants
Race (NIH/OMB)
Black or African American
7 Participants
Race (NIH/OMB)
More than one race
12 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
Race (NIH/OMB)
White
78 Participants
Region of Enrollment
United States
116 participants
Sex: Female, Male
Female
80 Participants
Sex: Female, Male
Male
36 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
47 / 116
serious
Total, serious adverse events
1 / 116

Outcome results

Primary

Number of Participants With Negative, Positive, Irritant or Doubtful Reaction Scores

Reactions at patch test sites were evaluated:Negative: No reaction, Irritant: Discrete, patchy, follicular, or homogenous erythema with no infiltration, Doubtful: Faint macular or homogenous erythema with no infiltration, 1+: Faint macular or homogenous erythema with no infiltration, 2+: Erythema, papules, infiltration, discrete vesicles 3+: Coalescing vesicles, bullous reaction

Time frame: Investigator Determination of Positive Reaction: 21 days post application

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresNeomycin sulfateNegative49 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresNeomycin sulfatePositive3 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresNeomycin sulfateIrritant0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresNeomycin sulfateDoubtful1 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresNeomycin sulfateNot Tested with this Allergen58 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresPotassium dichromateNegative50 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresPotassium dichromatePositive2 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresPotassium dichromateIrritant0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresPotassium dichromateDoubtful1 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresPotassium dichromateNot Tested with this Allergen58 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresFragrance MixNegative48 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresFragrance MixPositive2 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresFragrance MixIrritant0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresFragrance MixDoubtful3 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresFragrance MixNot Tested with this Allergen58 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresEthylenediamineNegative53 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresEthylenediaminePositive0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresEthylenediamineIrritant0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresEthylenediamineDoubtful0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresEthylenediamineNot Tested with this Allergen58 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresMDBGNPositive1 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresMDBGNIrritant0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresMDBGNDoubtful3 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresMDBGNNot Tested with this Allergen0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresGoldNegative69 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresGoldPositive31 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresGoldIrritant0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresGoldDoubtful11 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresGoldNot Tested with this Allergen0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresHydrocortisonePositive2 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresHydrocortisoneDoubtful3 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresHydrocortisoneNot Tested with this Allergen0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresBacitracinNegative90 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresBacitracinDoubtful5 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresBacitracinNot Tested with this Allergen0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresParthenolideNegative97 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresParthenolidePositive7 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresParthenolideIrritant0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresParthenolideDoubtful7 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresParthenolideNot Tested with this Allergen0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresDisperse BlueNegative102 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresDisperse BluePositive4 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresDisperse BlueNot Tested with this Allergen0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresBronopolNegative89 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresBronopolPositive19 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresBronopolIrritant0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresBronopolDoubtful3 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresBronopolNot Tested with this Allergen0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresMDBGNNegative107 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresHydrocortisoneNegative106 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresHydrocortisoneIrritant0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresBacitracinPositive16 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresBacitracinIrritant0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresDisperse BlueIrritant0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Negative, Positive, Irritant or Doubtful Reaction ScoresDisperse BlueDoubtful5 Participants
Secondary

Number of Participants With Late or Persistent Positive Patch Test Reactions

Late reactions are positive reactions that initially occur at 7-21 days after application of the panels. Persistent reactions are positive reactions that persist from one visit to the next. Numbers reported only include late or persistent positive patch test reactions. Not all positive reactions are late or persistent.

Time frame: Day 7-21

Population: Per protocol population consisted of all subjects who were applied with all panels, whose panels remained in place for approximately 48 hours and returned for all visits.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsNeomycin sulfatePersistent Reactions2 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsNeomycin sulfateLate Reactions1 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsNeomycin sulfateNeither108 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsPotassium dichromatePersistent Reactions0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsPotassium dichromateLate Reactions1 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsPotassium dichromateNeither110 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsFragrance mixPersistent Reactions2 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsFragrance mixLate Reactions0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsFragrance mixNeither109 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsEthylenediaminePersistent Reactions0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsEthylenediamineLate Reactions0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsEthylenediamineNeither111 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsMDBGNPersistent Reactions0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsMDBGNLate Reactions1 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsMDBGNNeither110 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsGoldPersistent Reactions15 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsGoldLate Reactions15 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsGoldNeither81 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsHydrocortisonePersistent Reactions0 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsHydrocortisoneLate Reactions2 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsHydrocortisoneNeither109 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsBacitracinPersistent Reactions9 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsBacitracinLate Reactions7 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsBacitracinNeither95 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsParthenolidePersistent Reactions1 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsParthenolideLate Reactions6 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsParthenolideNeither104 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsDisperse BluePersistent Reactions2 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsDisperse BlueLate Reactions2 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsBronopolPersistent Reactions6 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsBronopolNeither92 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsDisperse BlueNeither107 Participants
Positive Response Rates: 7 New and 4 Reformulated AllergensNumber of Participants With Late or Persistent Positive Patch Test ReactionsBronopolLate Reactions13 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026