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Status unknownNCT04851860Updated Apr 21, 2021

Effect of Sublingual Immunotherapy on Platlet factor4 Level in Children

A Phase 3 interventional study of sublingual immunotherapy in Allergic Rhinitis, sponsored by Zagazig University. Status unknown. Open to participants aged 6 Years to 12 Years. Per ClinicalTrials.gov, last updated 2021-04-21.

Sponsored by Zagazig University · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Apr 2021), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
6 Years to 12 Years
Sex
All
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Study summary

Better management and improving outcome of children with allergic rhinitis

Read the detailed description

The prevelance of Allergic Respiratory Diseases has been increased worldwide and affect 1of 5 persons of general population . ARDs are triggered by exposure to allergen and includes allergic rhinitis with or without conjunctivitis and bronchial asthma. ARDs are associated with decreased quality of life and increased economic burden .

Allergen-specific immunotherapy is the only disease modifying therapy preventing the evolution of AR to asthma, and its efficacy has long been known since observations by Leonard Noon in 1911. Allergen immunotherapy for AR is currently considered when showing strongly suggestive symptoms of AR which interfere with daily activities or sleep, and having evidence of IgE sensitization to ≥1 clinically relevant allergen .

The European Academy of Allergy and Clinical Immunology (EAACI) recommends treatmentof children with moderate to severe AR with Allergen Immunotherapy. It includes sublingual immunotherapy (SLIT) and subcutaneous immunotherapy (SCIT).Subcutaneous immunotherapy (SCIT) has been the gold standard, whereas sublingual immunotherapy (SLIT) has emerged as an effective and safe alternative .

Sublingual immunotherapy (SLIT) is the only treatment that regulates the immunological process during development of allergic rhinitis (AR), rather than simply treating symptoms.

Platelet activation occurs during antigen-induced airway reactions in allergic and asthmatic subjects. Raised levels of platelet-derived mediators, such as the Platelet Factor-4 (PF4), it is observed in plasma and bronchoalveolar lavage fluid of atopic individuals, and has the ability to activate eosinophils, increase expression of Fc-IgG and Fc-IgE receptors, and stimulate basophils to release histamine.

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Conditions studied

  • Allergic Rhinitis
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In context

Rhinitis

1,105 studies on the registry are indexed under Rhinitis; 65 are open to participants now.

This study's planned enrollment of 30 is below the median of 89 across 906 interventional studies indexed under Rhinitis.

Browse Rhinitis studies →

Lead sponsor

Zagazig University is the lead sponsor of 447 studies on the registry; 75 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

Ages eligible
6 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

    1. Children with moderate to severe allergic rhinitis according to Allergic Rhinitis And Its Impact On Asthma (ARIA) guidelines[9], which interfere with daily activity or sleep.

      1. Children aged (6-12) years with clinical history of allergic rhinitis for at least one year.
      1. Children with allergic rhinitis who failed medical treatment, desire an alternative to pharmacotherapy.
      1. Sex : male and female.

Exclusion criteria

Exclusion Criteria:

    1. Children with chronic lung \& heart diseases as: asthma and anatomical malformation for respiratory system.
  1. disorders: Gastro Esophageal Reflux Disease, cystic fibrosis and epilepsy. 3.Children with chronic drug use: oral or nasal corticosteroids, antiepileptic and immunosuppressive.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Other
    allergic rhintis children

    sublingual immunotherapy is used for allergic rhintis children by dosing Allergen immunotherapy extract as sublingual drops which were kept under the tongue for a couple of minutes and then swallowed. The sublingual drops were administered in the morning on an empty stomach .

    Drug: sublingual immunotherapy

Interventions

  • Drugsublingual immunotherapy

    sublingual immunotherapy is the only disease modifying therapy preventing the evolution of AR to asthma

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What researchers measure

Primary outcomes

  1. measurement of serum level of platlet factor 4 before and after sublingual immunotherapy

    diffrentiate serum level of platlet factor4 in children with allergic rhintis before and after treatment with sublingual immunotherapy

    Time frame: baseline

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Chen Y, Zhou L, Yang Y. Effect of sublingual immunotherapy on platelet activity in children with allergic rhinitis. Braz J Otorhinolaryngol. 2017 Mar-Apr;83(2):190-194. doi: 10.1016/j.bjorl.2016.03.006. Epub 2016 Apr 22. PubMed 27329923 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 21, 2021, 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
NCT04851860
Lead sponsor
Zagazig University
Responsible party
Heba Mohammad Mahmoud Mahmoud Elnaggar (Doctor Heba, Zagazig University) — Principal investigator
First posted
Apr 21, 2021
Start date
Apr 12, 2021 (estimated)
Primary completion
Oct 15, 2021 (estimated)
Completion
Nov 20, 2021 (estimated)
Last update
Apr 21, 2021

Study contacts

Heba Elnaggar
Contact
hebanagar77@gmail.com
00201018038288
Eman Elbehedy
Contact
00201098177980
Mohammad Romeh
study director · Zagazig University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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