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Food AllergyFABNCT05839405

Food Allergy in the Brain

An observational study of Food Allergy and Food Allergy in Children, run by King's College London at 1 site in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Preventing food allergic reactions predominantly relies on allergen avoidance and managing this daily causes high anxiety in some patients, while having an allergic reaction can cause a post-traumatic stress disorder-like syndrome in children. Read more about this study

Who is it for?
Ages 8 to 15 years
Conditions the study is for
Food Allergy, Food Allergy in Children, Anxiety
What is being tested?
None - Cross Sectional.
How many people
50 participants
Where
1 siteUnited Kingdom
Study dates
29 Sep 2023to 1 Oct 2025
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 8 to 15 years
  • All sexes
  • No healthy volunteers
  • Child

Study population: This study will recruit child patients (aged 8-15 years), and their legal parent/guardian, that are attending a routine clinic appointment at the Paediatric Allergy Unit at St Thomas' Hospital.

Who may be able to join

  • • Children ≥ 8 years old and <16 years
  • Suspected food allergy (non-defined allergen)
  • Undergoing blood collection for IgE testing at their clinic appointment
  • Fluent / age-appropriate level of English (verbal and written) of both the child and legal parent / guardian

Who cannot join

  • Diagnosed neurological disorders and learning disabilities, including autism spectrum disorder, attention deficit hyperactivity disorder, Down's Syndrome.
  • Undergoing any allergen-specific immunotherapy or other immunomodulatory treatments such as biologics and immunosuppressants

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site, 1 recruiting
  • St Thomas Hospital

    London, SE1 7EH

    Alexandra Santos, PhD, +44 (0) 20 7188 6424, alexandra.santos@kcl.ac.uk

    Recruiting

Other trials in United Kingdom

About this study

Official title: Food Allergy in the Brain: Investigating the Impact of Food Allergy on Children's Mental Health and Cognition, and the Associated Neurobiological Mechanisms

Preventing food allergic reactions predominantly relies on allergen avoidance and managing this daily causes high anxiety in some patients, while having an allergic reaction can cause a post-traumatic stress disorder-like syndrome in children. The underlying mechanisms of these psychological changes are poorly understood, but one potential mechanism may be post-natal hippocampal neurogenesis (HN). HN is the production of new neurons from stem cells in the hippocampus which is one of the brain centres for memory and mood regulation. HN has been associated with cognitive function and some psychiatric disorders. Importantly, it can be influenced by both internal (bloodstream) and external (exercise, diet, etc.) factors. This study will explore the link between food allergy and children's mental health and cognition, and to determine whether this is linked to changes in HN.

Read the detailed description

Preventing food allergic reactions predominantly relies on allergen avoidance and managing this daily causes high anxiety in some patients, while having an allergic reaction can cause a post-traumatic stress disorder-like syndrome in children. The underlying mechanisms of these psychological changes are poorly understood, but one potential mechanism may be post-natal hippocampal neurogenesis (HN). HN is the production of new neurons from stem cells in the hippocampus which is one of the brain centres for memory and mood regulation. HN has been associated with cognitive function and some psychiatric disorders. Importantly, it can be influenced by both internal (bloodstream) and external (exercise, diet, etc.) factors. This study will explore the link between food allergy and children's mental health and cognition, and to determine whether this is linked to changes in HN.

This study will recruit child patients (aged 8-15 years), and their legal parent/guardian, that are attending a routine clinic appointment at the Paediatric Allergy Unit at St Thomas' Hospital. Parent/guardians and the child will be approached by the patient's direct clinical team, who will explain the study procedures involved in participation. Consented adult (parent/guardian) participants will be asked to complete three anxiety questionnaires, to assess the influence of parental anxiety on that of the child. Consented child participants will be asked to complete two anxiety questionnaires and a memory task. Blood samples from the patient will also be collected in addition to those taken as part of their routine clinic appointment. Specifically, blood will be collected in the following tubes: gold top Vacutainer tube containing clot activator and gel for serum separation (4ml 8-15yrs), green top Vacutainer tube containing lithium heparin for whole blood (4ml 8-15yrs), and blue top Vacutainer tube containing citrate for peripheral blood mononuclear cell (PBMC) and plasma separation and storage (30ml 8-12yrs; 50ml 13-15yrs).

The plasma and serum from this collection will be used on two stem cell models that mimic food allergic reactions and HN, respectively. Any differences in these processes will be analysed alongside the questionnaire and memory task data and, if a link is successfully demonstrated, further work will aim to identify blood-borne factors responsible for these changes. This study will shed light on the impact of food allergy on children's mental health as well as the biological processes behind it.

Being tested
None - Cross Sectional.
Medical subject headings
Food Hypersensitivity, Anxiety Disorders, Neurobehavioral Manifestations

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • None - Cross Sectional.Other

    There is no intervention, this is cross-sectional only.

Study groups in NCT05839405
Study groupRoleWhat they receive
Non AllergicRecruited patients whose medical records indicate they are not allergic to the foods they were in clinic for
Receives: Other: None - Cross Sectional.
Mild AllergicRecruited patients whose medical records indicate they are allergic to the foods they were in clinic for, but only to a mild degree where they would be expected to experience mild, non-life threatening symptoms on exposure to the allergen
Receives: Other: None - Cross Sectional.
Severe AllergicRecruited patients whose medical records indicate they are allergic to the foods they were in clinic for, to a severe degree where they would be expected to experience severe symptoms on exposure to the allergen
Receives: Other: None - Cross Sectional.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of DAPI-positive cells by allergic group

    After exposure to patient serum, the number of DAPI-positive cells will be measured in the in vitro assay will be measured

    Measured: Throughout study, on average 2.5 years

  2. %Ki67-positive cells by allergic group

    After exposure to patient serum, cells fluorescently expressing Ki67 will be quantified within a total pool of cells that are fluorescently positive for DAPI (a nuclear DNA stain), i.e., total percentage of double fluorescently labelled cells within a total single (DAPI) stained population.

    Measured: Throughout study, on average 2.5 years

  3. %CC3-positive cells by allergic group

    After exposure to patient serum, cells fluorescently expressing CC3 will be quantified within a total pool of cells that are fluorescently positive for DAPI (a nuclear DNA stain), i.e., total percentage of double fluorescently labelled cells within a total single (DAPI) stained population.

    Measured: Throughout study, on average 2.5 years

  4. %Nestin-positive cells by allergic group

    After exposure to patient serum, cells fluorescently expressing Nestin will be quantified within a total pool of cells that are fluorescently positive for DAPI (a nuclear DNA stain), i.e., total percentage of double fluorescently labelled cells within a total single (DAPI) stained population.

    Measured: Throughout study, on average 2.5 years

  5. %SOX2-positive cells by allergic group

    After exposure to patient serum, cells fluorescently expressing SOX2 will be quantified within a total pool of cells that are fluorescently positive for DAPI (a nuclear DNA stain), i.e., total percentage of double fluorescently labelled cells within a total single (DAPI) stained population.

    Measured: Throughout study, on average 2.5 years

  6. %MAP2-positive cells by allergic group

    After exposure to patient serum, cells fluorescently expressing MAP2 will be quantified within a total pool of cells that are fluorescently positive for DAPI (a nuclear DNA stain), i.e., total percentage of double fluorescently labelled cells within a total single (DAPI) stained population.

    Measured: Throughout study, on average 2.5 years

  7. %DCX-positive cells by allergic group

    After exposure to patient serum, cells fluorescently expressing DCX will be quantified within a total pool of cells that are fluorescently positive for DAPI (a nuclear DNA stain), i.e., total percentage of double fluorescently labelled cells within a total single (DAPI) stained population.

    Measured: Throughout study, on average 2.5 years

Secondary outcomes (15)
  1. General anxiety levels of children by their allergic status, using the Spence's Children's Anxiety Scale

    To determine whether food allergy is associated with changes to general anxiety in children. General anxiety levels will be assessed using the Spence's Children's Anxiety Scale, which has a minimum value of 0 and a maximum value of 114, with higher scores indicating higher levels of anxiety. Mean anxiety scores will be compared across allergic groups.

    Measured: Throughout study, on average 2.5 years

  2. General anxiety levels of parents by their child's allergic status, using the Hospital Anxiety Depression Scale

    To determine whether food allergy is associated with changes to general anxiety in the legal caregiver. General anxiety levels will be assessed using the Hospital Anxiety Depression Scale, which has a minimum limit of 0 and a maximum limit of 21 for anxiety, with a higher score representing higher levels of anxiety. Mean anxiety scores will be compared across allergic groups. Mean anxiety scores will be compared across allergic groups.

    Measured: Throughout study, on average 2.5 years

  3. Food allergy-specific anxiety levels of children by their allergic status, using the Worry About Food Allergy scale

    To determine whether food allergy is associated with changes to food allergy-specific anxiety in children. Food allergy-specific anxiety levels in children will be assessed using the Worry About Food Allergy Child (8-12yrs) and Teen scales (13+yrs). The 8-12yrs variant has a minimum score of 0 and a maximum score of 80. The 13+yrs variant has a minimum score of 0 and a maximum score of 88. Mean anxiety scores will be compared across allergic groups.

    Measured: Throughout study, on average 2.5 years

  4. Food-allergy specific anxiety levels of parents by their child's allergic status, using the Worry About Food Allergy scale

    To determine whether food allergy is associated with changes to food allergy-specific anxiety in the legal caregiver. Food allergy-specific anxiety levels in parents will be assessed using the Worry About Food Allergy Parent scale, which has two variants based on age: one for parents of children aged 8-12yrs and one for parents of children aged 13+yrs. The 8-12yrs variant has a minimum score of 0 and a maximum score of 96. The 13+yrs variant has a minimum score of 0 and a maximum score of 108. Mean anxiety scores will be compared across allergic groups.

    Measured: Throughout study, on average 2.5 years

  5. Cognitive performance by allergic status, using the Mnemonic Similarity Task

    To determine whether food allergy is associated with changes to cognition in children. Cognition will be measured using the Mnemonic Similarity Task, which assesses a specific form of memory called pattern separation. In this task, participants are assessed on their ability to distinguish 'lure' images (images that are similar but different to images seen in the initial phase) from 'old' images (images that are exactly the same as seen in the initial phase). This ability is recorded as the "Lure Discrimination Index", given on a scale of 0-1, with a higher score indicating great cognitive performance.

    Measured: Throughout study, on average 2.5 years

  6. General anxiety levels by hippocampal neurogenic dynamics

    To determine whether any observed food allergy-induced changes to hippocampal neurogenesis are linked to changes in general anxiety, as measured by the correlation between mean percentage expression of neurogenic readouts (outlined in Outcomes 1-7) and general anxiety scores (outlined in Outcome 2)

    Measured: Throughout study, on average 2.5 years

  7. Food allergy-specific anxiety by hippocampal neurogenic dynamics

    To determine whether any observed food allergy-induced changes to hippocampal neurogenesis are linked to changes in food allergy-specific anxiety, as measured by the correlation between mean percentage expression of neurogenic readouts (outlined in Outcomes 1-7) and food allergy-specific anxiety scores (outlined in Outcome 4).

    Measured: Throughout study, on average 2.5 years

  8. Cognitive performance by hippocampal neurogenic dynamics

    To determine whether any observed food allergy-induced changes to hippocampal neurogenesis are linked to changes in cognitive function, as measured by the correlation between mean percentage expression of neurogenic readouts (outlined in Outcomes 1-7) and cognition scores (outline in Outcome 6)

    Measured: Throughout study, on average 2.5 years

  9. The association between food allergy diagnosis and Mast Cell Activation (MAT)

    To assess the association between food allergy diagnosis and MAT to specific allergen in this cohort, as measured by mean %CD63 activation of LAD2 mast cells between allergic groups. A higher percentage of %CD63 activation of LAD2 cells indicate a higher allergic response

    Measured: Throughout study, on average 2.5 years

  10. The association between the Mast Cell Activation (MAT) and hippocampal neurogenesis

    Correlation between %CD63 activation with neurogenesis (Outcomes 1-7)

    Measured: Throughout study, on average 2.5 years

  11. The association between hippocampal neurogenesis and general anxiety levels

    Correlation between neurogenesis rates (outcomes 1-7) and general anxiety scores (outcome 2)

    Measured: Throughout study, on average 2.5 years

  12. The association between hippocampal neurogenesis and food allergy-specific anxiety levels

    Correlation between neurogenesis rates (outcomes 1-7) and food allergy-specific anxiety scores (outcome 4)

    Measured: Throughout study, on average 2.5 years

  13. The association between hippocampal neurogenesis and cognitive performance

    Correlation between neurogenesis rates (outcomes 1-7) and cognitive scores (outcome 6)

    Measured: Throughout study, on average 2.5 years

  14. The association between hippocampal neurogenesis and food allergy medical history

    To assess the effect of multiple food allergy diagnoses (reported as a number indicated number of other food allergy diagnoses) on hippocampal neurogenesis (outcomes 1-7)

    Measured: Throughout study, on average 2.5 years

  15. The association between hippocampal neurogenesis and atopic disease diagnoses

    To assess the effect of atopic disease diagnoses (reported as a number indicated number of atopic disease diagnoses) on hippocampal neurogenesis ((outcomes 1-7)

    Measured: Throughout study, on average 2.5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 May 2023
  2. Study start29 Sep 2023
  3. Primary completion30 Sep 2025 (estimated)
  4. Study completion1 Oct 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Cross-sectional
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05839405
Sponsor's protocol ID
322589
Acronym
FAB
Status last verified
Feb 2023
First submitted
27 Feb 2023
Last updated
13 Nov 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There is no plan to share IPD

Questions about this trial

What is this clinical trial studying?

An observational study of Food Allergy and Food Allergy in Children, run by King's College London at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 13 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Alexandra Santos, PhD (+44 (0) 20 7188 6424, alexandra.santos@kcl.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of DAPI-positive cells by allergic group (time frame: Throughout study, on average 2.5 years). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Nov 2023.

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