Diagnosing allergies with Skin Prick Automated Test (S.P.A.T.)

ISRCTN ISRCTN14098475
DOI https://doi.org/10.1186/ISRCTN14098475
Submission date
06/07/2022
Registration date
18/07/2022
Last edited
05/08/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Allergies affect 30-40% of the general population. The skin prick test is the golden standard to diagnose allergies against for example pollen, dust or food allergies. However, variable results are obtained dependent on who executes the test and on which device is used. In order to reduce this variability, an automated skin prick test device was developed and is being validated in this study.

Who can participate?
Healthy volunteers aged between 18 and 65 years old

What does the study involve?
Participants will be recruited via regular communication channels at UZ Leuven in May 2022. These individuals are asked to undergo two series of skin prick tests, one manual (arm 1) and one automated (arm 2). Both skin prick tests are performed with 9 pricks of histamine, from which a red, itchy inflamed wheal is expected on the skin, and 1 prick of glycerol control solution from which there should be no reaction.

What are the possible benefits and risks of participating?
There is no immediate personal benefit for the participants. The Risks of participating are skin itch and redness or erythema (seldom). Uticaria also known as hives, weals, welts or nettle rash, asthma attack or anaphylaxis are rare.

Where is the study run from?
University Hospital Leuven (Belgium)

When is the study starting and how long is it expected to run for?
March 2022 to May 2022

Who is funding the study?
Hippo dx (Belgium)

Who is the main contact?
1. Senne Gorris
senne@hippo-dx.com
2. Ms Leen Cools (public contact)
leen.cools@uzleuven.be

Contact information

Prof Peter Hellings
Principal Investigator

Herestraat 49
Leuven
3000
Belgium

Phone +32 16 34 20 37
Email peter.hellings@uzleuven.be
Prof Peter Hellings
Scientific

Herestraat 49
Leuven
3000
Belgium

Phone +32 16 34 20 37
Email peter.hellings@uzleuven.be
Ms Leen Cools
Public

Herestraat 49
Leuven
3000
Belgium

Phone +32 16 34 20 37
Email leen.cools@uzleuven.be
Dr Senne Gorris
Scientific

Hippo Dx
Ter Heidelaan 95A
Aarschot
3200
Belgium

Email senne@hippo-dx.com

Study information

Study designProspective single-centre study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeDiagnostic
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleValidation and reproducibility of Type I hypersensitivity reaction in the diagnostic process of the skin prick test: Manual versus automated testing
Study hypothesisAllergies are a major problem in global patient care, multiple methods of diagnosis have been created of which the skin prick test is the golden standard. This test, first described in the literature in 1959, has not changed over the last 60 years and is still performed manually and needs to be executed by experienced personnel.

Often human error means that this test can be inaccurate and because of workload, some health care providers move to other less sensitive diagnosis methods.

To improve accuracy and take out human error, Hippo Dx developed Skin Prick Automated Test (S.P.A.T.) an automated skin prick test. This study will provide a comparison between manual and automated skin prick tests.
Ethics approval(s)Approved 09/05/2022, Federal Agency for Medicines and Health Products (FAHMP) of Belgium (Avenue Galilée - Galileelaan 5/03,1210, Brussels; +32 (0)2 528 44 86; annemie.zenner@fagg-afmps.be), ref: CIV-22-03-039130
ConditionAllergy diagnostics
InterventionParticipants will be recruited via regular communication channels at UZ Leuven in May 2022. The individuals will be divided into decade age groups (i.e. sample size). Only adult subjects (18 to 65 years old) are included, this age range consists of the same population where a manual skin prick test will be performed according to international standards in skin prick testing. The participants will undergo a manual (arm 1) and an automated (arm 2) skin prick test; the automated test uses a clinical device by Hippo Dx: S.P.A.T. (skin prick automated test). Both skin prick tests are performed with 9 pricks of histamine, from which a red, itchy inflamed wheal is expected on the skin, and 1 prick of glycerol control solution from which no reaction is expected.
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Not provided at time of registration
Primary outcome measureCoefficient of variation wheal size (mm) measured using manual skin prick test (SPT) and SPAT at 15 minutes after skin prick
Secondary outcome measuresNumber of true positive and true negative wheals using manual skin prick test (SPT) and SPAT at 15 minutes after skin prick
Overall study start date28/03/2022
Overall study end date31/05/2022

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participants120
Total final enrolment118
Participant inclusion criteriaAged between 18 and 65 years old
Participant exclusion criteria1. Skin pathologies like chronic or exuberant urticaria, dermographism, and chronic dermatitis that need daily treatment
2. Use of antihistaminic medication < 7 days before the start of the study
3. Use of tricyclic antidepressants (antihistamine activity) < 7 days before the start of the study
4. Use of topical corticoids on the forearm < 7 days before the start of the study
5. Use of omalizumab < 6 months before the start of the study
6. Pregnancy
Recruitment start date20/05/2022
Recruitment end date31/05/2022

Locations

Countries of recruitment

  • Belgium

Study participating centre

University Hospitals Leuven
Herestraat 49
Leuven
3000
Belgium

Sponsor information

Hippo DX
Industry

Ter Heidelaan 95A
Aarschot
3200
Belgium

Email senne@hippo-dx.com
Website https://hippo-dx.com/

Funders

Funder type

Industry

Hippo Dx

No information available

Results and Publications

Intention to publish date30/09/2022
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe data sharing plans for the current study are unknown and will be made available at a later date

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 10/12/2022 02/06/2023 Yes No
Results article 01/11/2023 05/08/2024 Yes No

Editorial Notes

05/08/2024: Publication reference and total final enrolment added.
02/06/2023: Publication reference added.
15/07/2022: Trial's existence confirmed by the Federal Agency for Medicines and Health Products (FAHMP) of Belgium.