Temperature controlled airflow (air shower) treatment in children with severe skin allergy

ISRCTN ISRCTN65865773
DOI https://doi.org/10.1186/ISRCTN65865773
Secondary identifying numbers N/A
Submission date
16/01/2015
Registration date
14/03/2015
Last edited
02/11/2023
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Tiny particles in the air that cause allergies such as dust mite and pollen or those from cats and pollutants from traffic exhaust fumes can lead to health problems. Avoidance of these tiny particles can improve health. Unfortunately, complete avoidance of these particles inside the home is often not possible. In this study, we shall test a new treatment called Airsonett, for removing these particles in the air, on children.

Who can participate?
Children aged 2–16 years old with severe skin allergies

What does the study involve?
Airsonett will be installed in the rooms of participants, so that they are surrounded by clean and slightly cooler air while they are sleeping.

What are the possible benefits and risks of participating?
A benefit is the avoidance of particles in the air that cause allergies. Risks were not provided at the time of registration.

Where is the study run from?
Imperial College Health Care NHS Trust (UK)

When is the study starting and how long is it expected to run for?
From January 2015 to December 2025

Who is funding the study?
Imperial College Biomedical Research Centre (UK)

Who is the main contact?
Dr Claudia Gore

Contact information

Dr Claudia Gore
Public

Dept of Paediatric Allergy
St Mary's Hospital
Imperial College Healthcare NHS Trust
Praed Street
London
W2 1NY
United Kingdom

Study information

Study designSingle centre open-label extended pilot study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Home
Study typeTreatment
Scientific titleTemperature controlled laminar airflow treatment in children with severe atopic eczema: a pilot study
Study hypothesisTemperature controlled laminar airflow (TLA) treatment improves severe eczema in children, leading to reduced health care use, better sleep and quality of life
Ethics approval(s)Local research ethics committee (London-Fulham) number 14/LO/0130
Condition1. Severe atopic eczema, treatment resistant or dependent on potent topical/systemic therapy
2. Most participants will have multiple allergic comorbidities, such as allergic rhino conjunctivitis, asthma and food allergies
Intervention1. A TLA device (Airsonett) will be installed for all participants
2. Airsonett is a European Union registered medical device and has been approved in the United Kingdom for use by consumers; it produces highly filtered clean air that is 0·5°C cooler than the rest of the air in the room; this cooler air surrounds individual while he or she is sleeping and filters the tiny particles and allergens in their breathing zone (i.e., the air a person would breathe in) during sleep
3. In the week before and after the installation of the TLA device, aeroallergen sampling will take place and a novel home sleep-study device will be in place to assess changes in sleep quality
4. Participants will have detailed clinical follow-up
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Not provided at time of registration
Primary outcome measureImprovement in sleep and pruritus (SCORAD-C, visual analogue score)
Measured at 1 month, 3 months, 6 months, 12 months.
Secondary outcome measures1. Reduction in Health Care Utilisation
2. Cost score combining medication requirement and unscheduled healthcare visits
3. Improvement in eczema related quality of life (validated questionnaires: CDQoL, FDI)
4. Change in allergen exposure during TLA use in home environment (particle counting, airsampling)
5. Improvement in rhinitis related quality of life. (Paed RQLQ)
6. Change in sleep quality as assessed by home sleep study (Sonomat)

All Outcomes measured at 1 month, 3 months, 6 months, 12 months.
Except:
1. Sonomat Outcome, measured at 3-4 days post treatment start.
2.Change in allergen exposure, measured at 3-4 days post treatment start.
Overall study start date15/01/2015
Overall study end date31/12/2025

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit2 Years
Upper age limit16 Years
SexBoth
Target number of participants15
Total final enrolment15
Participant inclusion criteria1. Age 2–16 years old
2. Severe atopic eczema and evidence of sensitization to at least one perennial allergen (house dust mite, pets or mould
3. Consent to participate voluntarily and parental consent if participant is younger than 16 years old
4. Willing and able to comply with the study specific procedures; signed informed consent needed before any study procedure
5. Sufficient space to install the TLA device in the home
Participant exclusion criteriaUnwilling or unable to comply with the study protocol
Recruitment start date15/01/2015
Recruitment end date31/12/2024

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Imperial College Health Care NHS Trust
London
W2 1NY
United Kingdom

Sponsor information

Imperial College
University/education

Regulatory Compliance Office
Room 510A
Level 5 Lab Block
Charing Cross Hospital
Fulham Palace Road
London
W6 8RF
England
United Kingdom

ROR logo "ROR" https://ror.org/041kmwe10

Funders

Funder type

University/education

Imperial College Biomedical Research Centre (UK)

No information available

Results and Publications

Intention to publish date31/12/2026
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planPresentation at national/international meetings; publication in scientific journal; further plan to be confirmed later
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2018 01/10/2019 Yes No
HRA research summary 28/06/2023 No No

Editorial Notes

02/11/2023: The following changes were made to the trial record:
1. The recruitment end date was changed from 15/01/2016 to 31/12/2024.
2. The overall end date was changed from 31/12/2023 to 31/12/2025.
3. The intention to publish date was changed from 01/12/2016 to 31/12/2026.
05/10/2022: The overall trial end date was changed from 31/12/2018 to 31/12/2023.
13/03/2020: Internal review.
01/10/2019: The following changes were made to the trial record:
1. Publication reference added.
2. The total final enrolment was added.