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CompletedNCT06063044Updated Oct 18, 2023

Food-specific IgG4-guided Elimination Diets Improve Allergy Symptoms in Children

An observational study in Rhinitis, Allergic, Asthma, Allergic and Conjunctivitis, Allergic, sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University. Completed at 1 site in China. Open to participants aged 8 Months to 14 Years. Per ClinicalTrials.gov, last updated 2023-10-18.

Sponsored by Second Affiliated Hospital, School of Medicine, Zhejiang University · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
407
Ages
8 Months to 14 Years
Sex
All
01

Study summary

Allergic diseases in children are major public health concerns due to their widespread and rising prevalence. The most classic pathway to trigger allergy is type I allergy mediated by immunoglobulin E(IgE), but the role of immunoglobulin G4(IgG4) in allergic diseases is still worth exploring.we have collected the data of allergic patients aged 0-14 years for retrospective cross-sectional analysis to evaluate the positive rates of total IgE, HDM IgE, FS-IgE and FS-IgG4. Meanwhile, investigators screened out patients who were treated with FS-IgG4-guided elimination diets with/without probiotics for more than 3 months to clarify the role of FS-IgG4 in childhood allergic diseases by assessing the improvement of clinical symptoms before and after treatment.

Read the detailed description

Allergic diseases in children are major public health concerns due to their widespread and rising prevalence. And management of allergic diseases beyond medication, such as food management is also very important. The most classic pathway to trigger allergy is type I allergy mediated by immunoglobulin E(IgE), but the role of immunoglobulin G4(IgG4) in allergic diseases is still worth exploring.In present study, investigators have collected the data of allergic patients aged 0-14 years for retrospective cross-sectional analysis to evaluate the positive rates of total IgE, house dust mite (HDM) IgE, FS-IgE and FS-IgG4. Meanwhile, investigators screened out patients who were treated with FS-IgG4-guided diet elimination with/without probiotics for more than 3 months to clarify the role of FS-IgG4 in childhood allergic diseases by assessing the improvement of clinical symptoms before and after treatment. This retrospective study was conducted to clarify the clinical relevance of food-specific IgG4 in allergic diseases and the effect of dietary avoidance on clinical symptoms, thus making a breakthrough in the diagnosis and treatment of childhood allergies.

02

Conditions studied

  • Rhinitis, Allergic
  • Asthma, Allergic
  • Conjunctivitis, Allergic
  • Atopic Dermatitis
  • Chronic Urticaria

Keywords

  • Immunoglobulin E
  • Immunoglobulin G
  • Elimination Diets
  • chlid
03

In context

Rhinitis, Allergic

717 studies on the registry are indexed under Rhinitis, Allergic; 94 are open to participants now.

This study's enrollment of 407 is above the median of 120 across 143 observational studies indexed under Rhinitis, Allergic.

Browse Rhinitis, Allergic studies →

Lead sponsor

Second Affiliated Hospital, School of Medicine, Zhejiang University is the lead sponsor of 1,047 studies on the registry; 502 are open to participants now.

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

04

Who can participate

Ages eligible
8 Months to 14 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

A total of 407 patients were recruited. Of the all patients,141 were assigned to the respiratory system group, 124 to the skin system group and 142 to the multiple system group. The follow-up interval of patients in both groups before and after treatment was more than 3 months, with the longest follow-up interval being two and a half years.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Clinical diagnosis of allergic rhinitis.

  • Clinical diagnosis of asthma.
  • Clinical diagnosis of conjunctivitis.
  • Clinical diagnosis of urticaria.
  • Clinical diagnosis of atopic dermatitis.
  • Total IgE,FS-IgE, HDM-IgE and FS-IgG4 must be tested.

Exclusion criteria

Exclusion Criteria:

  • diseases.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
407 participants (actual)
Patient registry
No

Groups and cohorts

  • Respiratory system group

    the patients who diagnosed as rhinitis, asthma and conjunctivitis were assigned to the respiratory system group

  • Skin system group

    the patients who diagnosed as urticaria and atopic dermatitis were assigned to the skin system group

  • Multiple systems group

    the patients who diagnosed with a combination of symptoms from different systems were assigned to the multiple systems group

06

What researchers measure

Primary outcomes

  1. Age of participants

    Age of participants were evaluated in the respiratory, dermatological and multisystemic groups.

    Time frame: 2018.1-2020.12

  2. Gender ratio of participants

    Gender ratio of participants were evaluated in the respiratory, dermatological and multisystemic groups.

    Time frame: 2018.1-2020.12

  3. birth mode of participants

    Birth mode of participants were evaluated in the respiratory, dermatological and multisystemic groups.

    Time frame: 2018.1-2020.12

  4. Family history of allergies of the participants

    Family history of allergies of the participants were evaluated in the respiratory, dermatological and multisystemic groups.

    Time frame: 2018.1-2020.12

  5. total IgE

    The average level of total IgE in the respiratory, cutaneous, and multi-system groups was assessed.

    Time frame: 2018.1-2020.12

  6. FS-IgE

    The positive rates of FS-IgE in respiratory, cutaneous and multi-system groups were evaluated.

    Time frame: 2018.1-2020.12

  7. HDM-IgE

    The average level of HDM-IgE in the respiratory, cutaneous, and multi-system groups was assessed.

    Time frame: 2018.1-2020.12

  8. FS-IgG4

    The positive rates of FS-IgG4 in respiratory, cutaneous and multi-system groups were evaluated.

    Time frame: 2018.1-2020.12

  9. The difference of total-IgE and FS-IgG4 positive rates among the three groups

    Chi-square test was used to compare total-IgE (+) FS-IgG4 (+), total-IgE (+) FS-IgG4 (-), total-IgE (-) FS-IgG4 (+) and total-IgE (-) FS-IgG4 (-) among the three groups.

    Time frame: 2018.1-2020.12

  10. The difference of FS-IgE and FS-IgG4 positive rates among the three groups

    Chi-square test was used to compare FS-IgE (+) FS-IgG4 (+), FS-IgE (+) FS-IgG4 (-), FS-IgE (-) FS-IgG4 (+) and FS-IgE (-) FS-IgG4 (-) among the three groups.

    Time frame: 2018.1-2020.12

  11. Comparison of FS-IgG4 positive rates among the three groups

    The differences of 10 food-specific IgG4 antibodies (including eggs, milk, cod, beef, chicken, wheat, prawns, crab, mushrooms) in respiratory, skin and multi-system groups were evaluated.

    Time frame: 2018.1-2020.12

07

Study locations

1 site
  • Second Affiliated Hospital,School of Medicine,Zhejiang University
    Hangzhou, Zhejiang, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06063044
Responsible party
Sponsor
First posted
Oct 2, 2023
Start date
Jan 1, 2018
Primary completion
Dec 31, 2020
Completion
Dec 31, 2020
Last update
Oct 18, 2023

Study contacts

Huiying Wang
study chair · 2nd Affiliated Hospital, School of Medicine, Zhejiang University, China

Oversight

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 Jun 2023. You cannot join it, but the record below documents what was studied.

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