Evaluating Sucrose and Cold Oral Interventions for the Treatment of Oral Pruritus During Allergy Procedures. (FROST)
A Randomized Controlled 2×2 Factorial Study Evaluating Sucrose and Cold for the Treatment of Oral Pruritus During Allergy Procedures
This is a two-center, randomized, open-label, factorial controlled trial. This trial aims to evaluate the efficacy of exposure to sucrose and ice, alone and in combination, compared to control, in reducing oral pruritus during allergy procedures.
The population will include patients aged 8 years and older presenting with oral pruritus in the context of an oral food challenge or an oral immunotherapy dose increase at the allergy clinic.
Clinically significant oral pruritus will be defined as a pruritus intensity of ≥3/10 on the ICH NRS, and a symptom bothersome enough that the patient would normally seek treatment.
Eligible participants will be randomized to one of four groups (1:1:1:1 ratio):
- Sucrose only (3.5 g granulated sugar)
- Cold only (20 mL of ice in the form of popsicle)
- Sucrose + cold (20 mL frozen sucrose solution)
- Control (20 mL room-temperature water)
Participants will be asked to report when the pruritus has decreased to a level at which they would not normally seek treatment, as well as when it has completely resolved.
The evolution of oral pruritus will be assessed using an 11-point Numeric Rating Scale (ICH NRS). Pruritus intensity will be measured every 30 seconds during the first 5 minutes after administration of the study intervention and then every 1 minute until 15 minutes post-intervention.
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: Ginevra Lacatusu
- Telefonnummer: 2670 514-345-4931
- E-post: ginevra.lacatusu.hsj@ssss.gouv.qc.ca
Studiesteder
-
-
Quebec
-
Montreal, Quebec, Canada, H2X 0C1
- CHUM
-
Ta kontakt med:
- Philippe Bégin
- Telefonnummer: 2668 514-345-4931
- E-post: philippe.begin.med@ssss.gouv.qc.ca
-
Montreal, Quebec, Canada, H3T1C5
- Chu Sainte-Justine
-
Ta kontakt med:
- Maitena montuzet
- Telefonnummer: 117375 514-345-4931
- E-post: maitena.montuzet.hsj@ssss.gouv.qc.ca
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- Aged 8 years and older.
- Have a clinically diagnosed IgE-mediated food allergy, supported by a compatible clinical history and evidence of IgE sensitization (e.g., skin prick testing and/or serum food-specific IgE), as determined by the treating allergist.
- Undergoing an oral food challenge or initiating oral immunotherapy / undergoing an oral immunotherapy dose escalation.
- Develop oral pruritus following allergen administration with a minimum score of 3/10 on the ICH Numeric Rating Scale (ICH NRS).
- Be able to assess and report their symptoms using the ICH NRS.
- Provide informed consent to participate in the study (and assent, where applicable, in accordance with local regulations).
Exclusion Criteria:
- Any oral condition or pathology that could interfere with the perception, assessment, or interpretation of oral pruritus symptoms.
- Presence or development of systemic allergic symptoms for which epinephrine administration would be clinically indicated.
- Poorly controlled diabetes mellitus, as defined by the treating physician.
- Any condition affecting oral sensation or the ability to accurately communicate symptoms using the ICH NRS.
- Cold urticaria or significant hypersensitivity to cold.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Faktoriell oppgave
- Masking: Dobbelt
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Aktiv komparator: Sucrose only
3.5 g granulated sugar |
Sucrose only (3.5 g granulated sugar) |
|
Aktiv komparator: Cold only
20 mL of ice in the form of popsicle |
Cold only (20 mL of ice in the form of popsicle) |
|
Aktiv komparator: Sucrose and cold
20 mL frozen sucrose solution |
Sucrose + cold (20 mL frozen sucrose solution) |
|
Placebo komparator: Water
20 mL room-temperature water |
20 mL room-temperature water |
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Area under the curve (AUC) of ICH NRS scores
Tidsramme: From baseline (pre-intervention) through 15 minutes post-intervention.
|
Pruritus intensity will be assessed using the Numerical Rating Scale (NRS), ranging from 0 (no itch) to 10 (worst imaginable itch). Higher scores indicate greater pruritus intensity and therefore a worse outcome. |
From baseline (pre-intervention) through 15 minutes post-intervention.
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Time to reduction of at least 2 points from the baseline ICH NRS score.
Tidsramme: From baseline (pre-intervention) through 15 minutes post-intervention.
|
A reduction of at least 2 points on the 11-point Numerical Rating Scale (0-10) indicates an improvement in pruritus intensity. |
From baseline (pre-intervention) through 15 minutes post-intervention.
|
|
Time to complete resolution of oral pruritus (ICH NRS score of 0).
Tidsramme: From baseline (pre-intervention) through 15 minutes post-intervention.
|
Complete resolution of oral pruritus is defined as an Intra-episode Clinical Numerical Rating Scale (ICH NRS) score of 0, corresponding to no itching. The scale ranges from 0 (no itch) to 10 (worst imaginable itch), with higher scores indicating greater pruritus severity and therefore a worse outcome. |
From baseline (pre-intervention) through 15 minutes post-intervention.
|
|
Time to a decrease in oral pruritus intensity to a level at which the participant would normally not seek treatment.
Tidsramme: From baseline (pre-intervention) through 15 minutes post-intervention.
|
Time from intervention administration to the first assessment at which oral pruritus intensity decreases to a level that the participant reports would not normally prompt them to seek treatment. Pruritus intensity is assessed using the Intra-episode Clinical Numerical Rating Scale (ICH NRS), ranging from 0 (no itch) to 10 (worst imaginable itch), with higher scores indicating greater pruritus intensity and a worse outcome. |
From baseline (pre-intervention) through 15 minutes post-intervention.
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Samarbeidspartnere
Samarbeidspartnere
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Sykdommer i immunsystemet
- Overfølsomhet, Umiddelbar
- Forstyrrelser av miljømessig opprinnelse
- Overfølsomhet
- Mat overfølsomhet
- Miljøsykdom
- Miljø og folkehelse
- Kosthold, mat og ernæring
- Fysiologiske fenomener
- Mat og drikke
- Karbohydrater
- Fysiske fenomener
- Uorganiske kjemikalier
- Miljø
- Økologiske og miljøfenomener
- Biologiske fenomener
- Termodynamikk
- Vær
- Atmosfære
- Meteorologiske konsepter
- Polysakkarider
- Anioner
- Ioner
- Elektrolytter
- Hydroksider
- Alkalier
- Oksider
- Oksygenforbindelser
- Disakkarider
- Oligosakkarider
- Sukker
- Temperatur
- Vann
- Mat
- Sukrose
- Lav temperatur
Andre studie-ID-numre
Andre studie-ID-numre
- MP-21-2027-10364
Plan for individuelle deltakerdata (IPD)
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