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CompletedNCT03902392GrapolyphenUpdated Jan 2, 2020Results posted

Red Grape Polyphenol Oral Administration to Women Affected by Nickel-mediated Allergic Contact Dermatitis

An interventional study of NaturOx Group (A) and Placebo Group (B) in Allergic Contact Dermatitis, sponsored by University of Bari. Completed at 1 site in Italy. Open to female participants aged 25 Years to 60 Years. Per ClinicalTrials.gov, last updated 2020-01-02.

Sponsored by University of Bari · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Apr 2018, registered Feb 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
25 Years to 60 Years
Sex
Female
01

Study summary

Nickel (Ni)-mediated allergic contact dermatitis (ACD) is a very common disease worldwide. Our previous findings demonstrated that in vitro supplementation of polyphenols, extracted from seeds of red grape (Nero di Troia cultivar), to peripheral lymphomonocytes from Ni-mediated ACD patients could reduce release of T helper (h)1 [interferon (IFN)-] and Th2 [interleukin (IL)-4] cytokines, on the one hand. On the other hand, IL-10 (an anti-inflammatory cytokine) levels increased with a reduction of IL-17 (an inflammatory cytokine). Also levels of nitric oxide (NO) decreased in response to polyphenol pretreatment.

Read the detailed description

Nickel (Ni) is a transitional metal largely distributed in the environment whose continuous exposure is able to provoke local and systemic allergic contact dermatitis (ACD). Ni-mediated ACD is characterized by loss of epidermal integrity, urticaria/angioedema, flares, and itching, whose extent depends on many variables such as genetic, time of sensitization and environmental exposure.The aim of the present research is to verify whether the oral administration of polyphenols (NATUR-OX®) to patients with Ni-mediated ACD is able to modify immune parameters.

02

Conditions studied

  • Allergic Contact Dermatitis

Keywords

  • Allergic contact dermatitis
  • Cytokines
  • Cellular and molecular rehabilitation
  • Immune response
  • Nickel
  • Polyphenols
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In context

Dermatitis

1,435 studies on the registry are indexed under Dermatitis; 131 are open to participants now.

This study's enrollment of 50 is below the median of 64 across 1,131 interventional studies indexed under Dermatitis.

Browse Dermatitis studies →

Lead sponsor

University of Bari is the lead sponsor of 75 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
25 Years to 60 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Female patient; Age: 25-60 Years; Ni-mediated ACD (positive reaction to the nickel patch test)

Exclusion criteria

Exclusion Criteria:

  • Absence of other pathologies such as immune-mediated diseases, metabolic diseases (diabetes and obesity)
  • infectious episodes in the last month and intake of immunosuppressive drugs or drugs influencing the immune response.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
50 participants (actual)

Study arms

  • Active comparator
    NATUR-OX Group (A)

    Administration, for three months (T1), of NATUR-OX® capsule/day. NATUR-OX® which is a dietary supplement containing grape seed extracts from Nero di Troia (Vitis vinifera). Each capsule contains 280 mg of proanthocyanidins where Ni contamination of capsule is below 0.24 ppm

    Dietary Supplement: NaturOx Group (A)

  • Placebo comparator
    Placebo Group (B)

    Administration with placebo one capsule/daily for three months. The placebo capsules had the same appearance and composition of the supplement except for the active ingredient (polyphenols)

    Other: Placebo Group (B)

Interventions

  • Dietary supplementNaturOx Group (A)

    Comparison between dietary supplement and placebo

  • OtherPlacebo Group (B)

    Comparison between dietary supplement and placebo

06

What researchers measure

Primary outcomes

  1. Evaluation of Serum Biomarker Concentrations at the Time of Enrollment (T0)

    At the time of enrollment (T0) concentrations of serum biomarkers (pg/ml) (IFN-γ, IL-17, IL-4, IL-10, PTX3 and NO) will be evaluated in patients of which, one group (A) will assume polyphenols (NATUR-OX ) while the other group (B) will assume placebo. Of note, from each group 7 spontaneously dropouts occurred. An ELISA method will be use to analyze and to assess serum biomarker concentrations.

    Time frame: Baseline (T0)

Secondary outcomes

  1. Evaluation of Serum Biomarker Concentrations at the End of the Treatment (T1)

    Serum biomarkers (IFN-γ, IL-17, IL-4, IL-10, PTX3 and NO) (pg/ml) in the same patients of both groups A and B whose received for 3 months Polyphenols (NATUR-OX) and placebo, respectively, were evaluated. To analyze serum biomarkers an ELISA method were used .

    Time frame: After 3 months (T1)

07

Results

Posted Jan 2, 2020

Participant flow

Participant flow — Overall Study
MilestoneNATUR-OX Group (A)Placebo Group (B)
Started2525
Completed1818
Not completed77
Withdrew: Lost to follow-up77

Outcome measures

PrimaryEvaluation of Serum Biomarker Concentrations at the Time of Enrollment (T0)

At the time of enrollment (T0) concentrations of serum biomarkers (pg/ml) (IFN-γ, IL-17, IL-4, IL-10, PTX3 and NO) will be evaluated in patients of which, one group (A) will assume polyphenols (NATUR-OX ) while the other group (B) will assume placebo. Of note, from each group 7 spontaneously dropouts occurred. An ELISA method will be use to analyze and to assess serum biomarker concentrations.

Time frame:
Baseline (T0)
Reported as:
Mean · pg/ml
Evaluation of Serum Biomarker Concentrations at the Time of Enrollment (T0)
pg/mlNATUR-OX Group (A)Placebo Group (B)
IFN-γ (measurement unit: pg/ml)14.53 ± 3.8516.03 ± 3.521
IL-4 (measurement unit: pg/ml)109.1 ± 8.944110.7 ± 8.805
IL-17(measurement unit: pg/ml)97.58 ± 5.57695.34 ± 3.982
IL-10 (measurement unit: pg/ml)14.19 ± 3.49415.86 ± 3.847
PTX3 (measurement unit: pg/ml)410.7 ± 46.34415.6 ± 52.73
NO concentration (measurement unit: pg/ml)2.401 ± 1.1402.380 ± 1.233
SecondaryEvaluation of Serum Biomarker Concentrations at the End of the Treatment (T1)

Serum biomarkers (IFN-γ, IL-17, IL-4, IL-10, PTX3 and NO) (pg/ml) in the same patients of both groups A and B whose received for 3 months Polyphenols (NATUR-OX) and placebo, respectively, were evaluated. To analyze serum biomarkers an ELISA method were used .

Time frame:
After 3 months (T1)
Reported as:
Mean · pg/ml
Evaluation of Serum Biomarker Concentrations at the End of the Treatment (T1)
pg/mlNATUR-OX Group (A)Placebo Group (B)
IFN-γ (measurement unit: pg/ml)10.41 ± 3.96417.29 ± 3.687
IL-4 (measurement unit: pg/ml)79.57 ± 8.770112.2 ± 8.840
IL-17 (measurement unit: pg/ml)51.36 ± 5.374100.6 ± 4.519
IL-10 (measurement unit: pg/ml)25.67 ± 5.58611.19 ± 2.737
PTX3 (measurement unit: pg/ml)365.3 ± 46.08455.9 ± 50.05
NO concentration (measurement unit: pg/ml)1.381 ± 0.78232.619 ± 1.262

Adverse events

Collected over 3 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
NATUR-OX Group (A)0/25 (0%)0/25 (0%)0/25 (0%)
Placebo Group (B)0/25 (0%)0/25 (0%)0/25 (0%)

Baseline characteristics

7 dropouts for each group.

Age, Categorical
Age, Categorical(Participants)NATUR-OX Group (A)Placebo Group (B)Total
<=18 years000
Between 18 and 65 years181836
>=65 years000
Age, Continuous
Age, Continuous(years)NATUR-OX Group (A)Placebo Group (B)Total
Mean43.7 (28 to 59)42.5 (25 to 60)42.5 (25 to 60)
Sex: Female, Male
Sex: Female, Male(Participants)NATUR-OX Group (A)Placebo Group (B)Total
Female181836
Male000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)NATUR-OX Group (A)Placebo Group (B)Total
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White181836
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)NATUR-OX Group (A)Placebo Group (B)Total
Italy181836
Evaluation of IFN-γ at T0
Evaluation of IFN-γ at T0(pg/ml)NATUR-OX Group (A)Placebo Group (B)Total
Mean14.53 ± 3.8516.03 ± 3.52115.28 ± 3.72
Evaluation of IL-17 at T0
Evaluation of IL-17 at T0(pg/ml)NATUR-OX Group (A)Placebo Group (B)Total
Mean97.58 ± 5.57695.34 ± 3.98296.46 ± 4.91
Evaluation of IL-4 at T0
Evaluation of IL-4 at T0(pg/ml)NATUR-OX Group (A)Placebo Group (B)Total
Mean109.1 ± 8.944110.7 ± 8.805109.87 ± 8.78

3 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Thea Magrone
    Bari, 70124, Italy
09

References and documents

Publications

  • Magrone T, Romita P, Verni P, Salvatore R, Spagnoletta A, Magrone M, Russo MA, Jirillo E, Foti C. In vitro Effects of Polyphenols on the Peripheral Immune Responses in Nickel-sensitized Patients. Endocr Metab Immune Disord Drug Targets. 2017 Nov 16;17(4):324-331. doi: 10.2174/1871530317666171003161314. PubMed 28982342 ↗
  • Johansen JD, Aalto-Korte K, Agner T, Andersen KE, Bircher A, Bruze M, Cannavo A, Gimenez-Arnau A, Goncalo M, Goossens A, John SM, Liden C, Lindberg M, Mahler V, Matura M, Rustemeyer T, Serup J, Spiewak R, Thyssen JP, Vigan M, White IR, Wilkinson M, Uter W. European Society of Contact Dermatitis guideline for diagnostic patch testing - recommendations on best practice. Contact Dermatitis. 2015 Oct;73(4):195-221. doi: 10.1111/cod.12432. Epub 2015 Jul 14. PubMed 26179009 ↗
  • Summer B, Stander S, Thomas P. Cytokine patterns in vitro, in particular IL-5/IL-8 ratio, to detect patients with nickel contact allergy. J Eur Acad Dermatol Venereol. 2018 Sep;32(9):1542-1548. doi: 10.1111/jdv.14931. Epub 2018 Mar 26. PubMed 29524267 ↗

Study documents

  • Study protocol · Oct 31, 2018
  • Statistical analysis plan · Oct 31, 2018

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 2, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03902392
Lead sponsor
University of Bari
Responsible party
Thea Magrone (Aggregate Professor of Immunology, University of Bari) — Principal investigator
First posted
Apr 4, 2019
Start date
Apr 16, 2018
Primary completion
Sep 10, 2018
Completion
Oct 31, 2018
Results posted
Jan 2, 2020
Last update
Jan 2, 2020

Study contacts

Caterina CF Foti, MD
principal investigator · University of Bari

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.

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