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Status unknownNCT01681615Updated Sep 13, 2012

Challenge Test for Acetylsalicylic Acid Hypersensitivity

An interventional study of Acetylsalicylate and Isotonic NaCl in Asthma Aspirin-sensitive, ASA Intolerant Asthma and Asthma, Aspirin-Induced, sponsored by Helse Stavanger HF. Status unknown at 2 sites in Norway. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2012-09-13.

Sponsored by Helse Stavanger HF · Not applicable, Interventional, and Diagnostic

The sponsor has not verified this record recently (last verified Sep 2012), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The investigators want to find new challenge test for Acetylsalicylic hypersensitivity / Aspirin hypersensitivity. The investigators suggest that this new test will be as efficient as the already established protocols in terms of sensitivity and specificity.

Read the detailed description

Hypersensitivity to Acetylsalicylic Acid or Aspirin (and other NSAIDS) is a condition that affects up to 2,5% of the population. Most cases are seen in a complex of such hypersensitivity with chronic eosinophilic rhinosinusitis with nasal polyposis and asthma. Despite research in finding a reliable in-vitro-test for the condition, challenge tests are still considered gold standard. So far oral, nasal, inhalation and intravenous routes of administration has been described in literature.

02

Conditions studied

  • Asthma Aspirin-sensitive
  • ASA Intolerant Asthma
  • Asthma, Aspirin-Induced
  • Asthma, Nasal Polyps, and Aspirin Intolerance

Keywords

  • Challenge test for Aspirin Hypersensitivity
  • Challenge test for Acetylsalicylic Hypersensitivity
03

In context

Asthma

3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.

This study's planned enrollment of 50 is below the median of 83 across 2,752 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

Helse Stavanger HF is the lead sponsor of 93 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Persons between 18 and 60 years of age
  • Suspected Acetylsalicylic Acid Hypersensitivity

Exclusion criteria

Exclusion Criteria:

  • History on anaphylactic shock after NSAIDS intake
  • History on gastric ulcer after NSAIDS intake
  • Patients previously gone through testing or desensitisation for Aspirin hypersensitivity
  • Clinical unstable asthma or baseline FEV1\<70%
  • Severe disease of the heart, digestive tract, liver or kidney
  • Severe chronic urticaria
  • Present conjunctivitis
  • Pregnancy
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Single group
Masking
Double (Participant, Investigator)
Enrollment
50 participants (estimated)

Study arms

  • Active comparator
    Acetylsalicylate

    Acetylsalicylic Acid Eyedrops

    Drug: Acetylsalicylate

  • Placebo comparator
    isotonic NaCl

    Saline Eyedrops

    Drug: Isotonic NaCl

Interventions

  • DrugAcetylsalicylate

    1-2 drops

  • DrugIsotonic NaCl

    1 drop

06

What researchers measure

Primary outcomes

  1. Inspiratory nasal flow measured by Rhinomanometry

    Bilateral flow reduction \>40% considered positive test.

    Time frame: Within 45 min from challenge

  2. Expiratory nasal flow measured by Rhinomanometry

    Bilateral expiratory flow reduction \>40% considered positive.

    Time frame: Within 45 min from challenge

  3. Pulmonary forced expiratory volume in 1 second (FEV1)

    Reduction in FEV1 \>20% is considered as positive test.

    Time frame: Within 45 min from challenge

Secondary outcomes

  1. Conjunctival symptoms

    0=no symptoms, 1=limited redness and / or itching, 2=conjunctival redness and /or itching / swelling or bullae within 5 minutes from testing. Value 1 and 2 is considered positive if unilateral.

    Time frame: Within 45 days from challenge

  2. Nasal symptoms

    Rhinorrhea, congestion and sneezing is considered as positive test.

    Time frame: Within 45 minutes from challenge

  3. Bronchial and laryngeal symptoms

    Bronchospasm. tight chest, wheezing or laryngospasm is considered as positive test.

    Time frame: Within 45 minutes from challenge

Other outcomes

  1. Other significant and relevant symptoms

    Erythema in upper body or face, nausea or abdominal pain is considered as positive test.

    Time frame: Within 45 days after challenge

07

Study locations

2 sites
  • Akershus University Hospital
    Lørenskog, Akershus 1478, Norway
  • Stavanger University Hospital
    Stavanger, Rogaland 4068, Norway
    • Anders Torp, MD · Contact · anders.torp@sus.no · 0047 05151 (central)
    • Jörg Törpel, MD · Contact · jörg.törpel@sus.no · 0047 05151 (central)
    • Anders Torp, MD · Sub investigator
    • Jörg Törpel, MD · Sub investigator
08

References and documents

Publications

  • Stevenson DD, Sanchez-Borges M, Szczeklik A. Classification of allergic and pseudoallergic reactions to drugs that inhibit cyclooxygenase enzymes. Ann Allergy Asthma Immunol. 2001 Sep;87(3):177-80. doi: 10.1016/S1081-1206(10)62221-1. No abstract available. PubMed 11570612 ↗
  • Hedman J, Kaprio J, Poussa T, Nieminen MM. Prevalence of asthma, aspirin intolerance, nasal polyposis and chronic obstructive pulmonary disease in a population-based study. Int J Epidemiol. 1999 Aug;28(4):717-22. doi: 10.1093/ije/28.4.717. PubMed 10480701 ↗
  • Kasper L, Sladek K, Duplaga M, Bochenek G, Liebhart J, Gladysz U, Malolepszy J, Szczeklik A. Prevalence of asthma with aspirin hypersensitivity in the adult population of Poland. Allergy. 2003 Oct;58(10):1064-6. doi: 10.1034/j.1398-9995.2003.00267.x. PubMed 14510727 ↗
  • Vally H, Taylor ML, Thompson PJ. The prevalence of aspirin intolerant asthma (AIA) in Australian asthmatic patients. Thorax. 2002 Jul;57(7):569-74. doi: 10.1136/thorax.57.7.569. PubMed 12096197 ↗
  • Samter M, Beers RF Jr. Intolerance to aspirin. Clinical studies and consideration of its pathogenesis. Ann Intern Med. 1968 May;68(5):975-83. doi: 10.7326/0003-4819-68-5-975. No abstract available. PubMed 5646829 ↗
  • Stevenson D SR, Zuraw BL. Sensitivity to aspirin and NSAIDs. Adkinson NJ YJ, Busse WW, et al., editor. Philadelphia: CV Mosby and Co.; 2003
  • Nizankowska-Mogilnicka E, Bochenek G, Mastalerz L, Swierczynska M, Picado C, Scadding G, Kowalski ML, Setkowicz M, Ring J, Brockow K, Bachert C, Wohrl S, Dahlen B, Szczeklik A. EAACI/GA2LEN guideline: aspirin provocation tests for diagnosis of aspirin hypersensitivity. Allergy. 2007 Oct;62(10):1111-8. doi: 10.1111/j.1398-9995.2007.01409.x. Epub 2007 May 22. PubMed 17521312 ↗
  • Mastalerz L, Setkowicz M, Sanak M, Szczeklik A. Hypersensitivity to aspirin: common eicosanoid alterations in urticaria and asthma. J Allergy Clin Immunol. 2004 Apr;113(4):771-5. doi: 10.1016/j.jaci.2003.12.323. PubMed 15100686 ↗
  • Setkowicz M, Mastalerz L, Podolec-Rubis M, Sanak M, Szczeklik A. Clinical course and urinary eicosanoids in patients with aspirin-induced urticaria followed up for 4 years. J Allergy Clin Immunol. 2009 Jan;123(1):174-8. doi: 10.1016/j.jaci.2008.09.005. Epub 2008 Oct 8. PubMed 18842291 ↗
  • Szczeklik A, Gryglewski RJ, Czerniawska-Mysik G. Relationship of inhibition of prostaglandin biosynthesis by analgesics to asthma attacks in aspirin-sensitive patients. Br Med J. 1975 Jan 11;1(5949):67-9. doi: 10.1136/bmj.1.5949.67. PubMed 1109660 ↗
  • Wong JT, Nagy CS, Krinzman SJ, Maclean JA, Bloch KJ. Rapid oral challenge-desensitization for patients with aspirin-related urticaria-angioedema. J Allergy Clin Immunol. 2000 May;105(5):997-1001. doi: 10.1067/mai.2000.104571. PubMed 10808182 ↗
  • Berges-Gimeno MP, Simon RA, Stevenson DD. Long-term treatment with aspirin desensitization in asthmatic patients with aspirin-exacerbated respiratory disease. J Allergy Clin Immunol. 2003 Jan;111(1):180-6. doi: 10.1067/mai.2003.7. PubMed 12532116 ↗
  • Rozsasi A, Polzehl D, Deutschle T, Smith E, Wiesmiller K, Riechelmann H, Keck T. Long-term treatment with aspirin desensitization: a prospective clinical trial comparing 100 and 300 mg aspirin daily. Allergy. 2008 Sep;63(9):1228-34. doi: 10.1111/j.1398-9995.2008.01658.x. PubMed 18699939 ↗
  • Stevenson DD. Aspirin sensitivity and desensitization for asthma and sinusitis. Curr Allergy Asthma Rep. 2009 Mar;9(2):155-63. doi: 10.1007/s11882-009-0023-4. PubMed 19210906 ↗
  • Stevenson DD, Hankammer MA, Mathison DA, Christiansen SC, Simon RA. Aspirin desensitization treatment of aspirin-sensitive patients with rhinosinusitis-asthma: long-term outcomes. J Allergy Clin Immunol. 1996 Oct;98(4):751-8. doi: 10.1016/s0091-6749(96)70123-9. PubMed 8876550 ↗
  • Sweet JM, Stevenson DD, Simon RA, Mathison DA. Long-term effects of aspirin desensitization--treatment for aspirin-sensitive rhinosinusitis-asthma. J Allergy Clin Immunol. 1990 Jan;85(1 Pt 1):59-65. doi: 10.1016/0091-6749(90)90222-p. PubMed 2299107 ↗
  • Macy E, Bernstein JA, Castells MC, Gawchik SM, Lee TH, Settipane RA, Simon RA, Wald J, Woessner KM; Aspirin Desensitization Joint Task Force. Aspirin challenge and desensitization for aspirin-exacerbated respiratory disease: a practice paper. Ann Allergy Asthma Immunol. 2007 Feb;98(2):172-4. doi: 10.1016/S1081-1206(10)60692-8. PubMed 17304886 ↗
  • Romano A, Torres MJ, Castells M, Sanz ML, Blanca M. Diagnosis and management of drug hypersensitivity reactions. J Allergy Clin Immunol. 2011 Mar;127(3 Suppl):S67-73. doi: 10.1016/j.jaci.2010.11.047. PubMed 21354502 ↗
  • Wismol P, Putivoranat P, Buranapraditkun S, Pinnobphun P, Ruxrungtham K, Klaewsongkram J. The values of nasal provocation test and basophil activation test in the different patterns of ASA/NSAID hypersensitivity. Allergol Immunopathol (Madr). 2012 May-Jun;40(3):156-63. doi: 10.1016/j.aller.2010.12.011. Epub 2011 Apr 13. PubMed 21492991 ↗
  • Alonso-Llamazares A, Martinez-Cocera C, Dominguez-Ortega J, Robledo-Echarren T, Cimarra-Alvarez M, Mesa del Castillo M. Nasal provocation test (NPT) with aspirin: a sensitive and safe method to diagnose aspirin-induced asthma (AIA). Allergy. 2002 Jul;57(7):632-5. doi: 10.1034/j.1398-9995.2002.t01-1-13447.x. PubMed 12100305 ↗
  • Milewski M, Mastalerz L, Nizankowska E, Szczeklik A. Nasal provocation test with lysine-aspirin for diagnosis of aspirin-sensitive asthma. J Allergy Clin Immunol. 1998 May;101(5):581-6. doi: 10.1016/S0091-6749(98)70163-0. PubMed 9600492 ↗
  • Krane Kvenshagen B, Jacobsen M, Halvorsen R. Can conjunctival provocation test facilitate the diagnosis of food allergy in children? Allergol Immunopathol (Madr). 2010 Nov-Dec;38(6):321-6. doi: 10.1016/j.aller.2010.01.007. Epub 2010 Jun 4. PubMed 20605314 ↗
  • Kralinger MT, Hamasaki D, Kieselbach GF, Voigt M, Parel JM. Intravitreal acetylsalicylic acid in silicone oil: pharmacokinetics and evaluation of its safety by ERG and histology. Graefes Arch Clin Exp Ophthalmol. 2001 Mar;239(3):208-16. doi: 10.1007/s004170100255. PubMed 11405070 ↗
  • Kralinger MT, Stolba U, Velikay M, Egger S, Binder S, Wedrich A, Haas A, Parel JM, Kieselbach GF. Safety and feasibility of a novel intravitreal tamponade using a silicone oil/acetyl-salicylic acid suspension for proliferative vitreoretinopathy: first results of the Austrian Clinical Multicenter Study. Graefes Arch Clin Exp Ophthalmol. 2010 Aug;248(8):1193-8. doi: 10.1007/s00417-010-1389-7. Epub 2010 Apr 28. PubMed 20424852 ↗
  • Voigt M, Kralinger M, Kieselbach G, Chapon P, Anagnoste S, Hayden B, Parel JM. Ocular aspirin distribution: a comparison of intravenous, topical, and coulomb-controlled iontophoresis administration. Invest Ophthalmol Vis Sci. 2002 Oct;43(10):3299-306. PubMed 12356838 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 13, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01681615
Lead sponsor
Helse Stavanger HF
Collaborators
University Hospital, Akershus
Responsible party
Sponsor
First posted
Sep 10, 2012
Start date
Sep 2012
Primary completion
Mar 2013 (estimated)
Completion
Dec 2013 (estimated)
Last update
Sep 13, 2012

Study contacts

Gregor Bachmann-Harlidstad, MD, PhD
Contact
Gregor.Bachmann-Harlidstad2@ahus.no
0047 02900 (central)
Jörg Törpel, MD
Contact
jörg.törpel@sus.no
0047 05151 (central)
Gregor Bachmann-Harildstad, MD, PhD
study chair · University in Oslo

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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