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Not yet recruitingNCT07727148FASCUpdated Jul 27, 2026

FASC: Fish Allergy in Spanish Children - A Study of New Cases of Fish Allergy in Children and Adolescents

An observational study in Fish Allergy, Food Hypersensitivity and IgE-Mediated Food Allergy, sponsored by Carmelo Escudero. Not yet recruiting. Open to participants aged Up to 17 Years. Per ClinicalTrials.gov, last updated 2026-07-27.

Sponsored by Carmelo Escudero · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
120
Ages
Up to 17 Years
Sex
All
01

Study summary

Fish allergy is one of the leading causes of food-induced allergic reactions in children, but the clinical presentation and patterns of sensitization vary considerably among patients and geographical regions. This prospective multicenter observational study aims to characterize children and adolescents with newly diagnosed IgE-mediated fish allergy in Spain.

Clinical information, diagnostic test results, and molecular sensitization profiles will be collected using standardized procedures across participating centers. Molecular allergy assessment will include component-resolved diagnostics to evaluate sensitization to major fish allergens and other relevant allergenic protein families. The study will also assess disease severity, quality of life, and regional differences in sensitization patterns.

The results are expected to improve the understanding of pediatric fish allergy in Spain and contribute to more accurate diagnosis, risk assessment, and personalized management of affected patients.

Read the detailed description

Fish allergy is a major cause of IgE-mediated food allergy in children and is associated with a wide spectrum of clinical manifestations, ranging from mild reactions to severe anaphylaxis. Current knowledge of pediatric fish allergy is limited by geographical differences in dietary habits, fish species consumed, and patterns of allergen sensitization. Although component-resolved diagnostics have improved the characterization of fish allergy, comprehensive multicenter studies in children remain scarce.

The FASC study is a prospective, multicenter, observational study conducted in Spain to characterize children and adolescents with newly diagnosed IgE-mediated fish allergy. Consecutive eligible patients will be recruited in participating pediatric allergy units using standardized diagnostic and data collection procedures. Clinical information, allergy history, skin testing, serum specific IgE measurements, and molecular sensitization profiles will be collected. When clinically indicated, oral food challenges will be performed according to international recommendations and routine clinical practice.

The study aims to describe clinical phenotypes, molecular sensitization patterns, disease severity, quality of life, and geographical variability across Spain. The findings are expected to improve the understanding of pediatric fish allergy, support the identification of clinically relevant sensitization profiles, and contribute to more accurate diagnosis and individualized patient management.

02

Conditions studied

  • Fish Allergy
  • Food Hypersensitivity
  • IgE-Mediated Food Allergy

Keywords

  • Fish Allergy
  • Pediatric Allergy
  • Food Allergy
  • IgE-Mediated Allergy
  • Component-Resolved Diagnostics
  • Molecular Allergology
  • Specific IgE
  • Children
  • Adolescents
  • Anaphylaxis
  • Food Challenge
  • Quality of Life
03

In context

Food Hypersensitivity

376 studies on the registry are indexed under Food Hypersensitivity; 90 are open to participants now.

This study's planned enrollment of 120 is below the median of 151 across 120 observational studies indexed under Food Hypersensitivity.

Browse Food Hypersensitivity studies →

Lead sponsor

This is the only study on the registry with Carmelo Escudero as lead sponsor.

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

04

Who can participate

Ages eligible
Up to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population consists of children and adolescents evaluated for suspected fish allergy in the Allergy Units of participating hospitals across Spain. Participants will be recruited consecutively from routine clinical practice at tertiary referral centers that are members of the Spanish Society of Allergy and Clinical Immunology (SEAIC). The study includes patients from multiple geographical regions, providing a representative sample of the Spanish pediatric population referred for specialized allergy assessment.

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

  • Children and adolescents aged 0 to 17 years (up to 18 years of age).
  • First clinical episode compatible with IgE-mediated fish allergy.
  • Evidence of allergic sensitization demonstrated by at least one of the following:
  • Positive skin prick test (wheal diameter ≥3 mm compared with the negative control); or
  • Serum specific IgE ≥0.35 kUA/L to at least one fish species or fish allergen component.
  • Written obtained from the parent(s) or legal guardian(s), and assent from participants aged 12 years or older, when applicable.

Exclusion criteria

Exclusion Criteria:

  • Age ≥18 years.
  • Non-IgE-mediated fish allergy (e.g., fish-induced FPIES).
  • Severe dermographism, chronic urticaria, or severe atopic dermatitis preventing reliable interpretation of skin prick testing.
  • Inability to complete the diagnostic procedures required by the study.
  • Absence of or, when applicable, participant assent.
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
120 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Prevalence of sensitization to clinically relevant fish allergen components.

    Distribution of molecular sensitization profiles to clinically relevant fish allergen components and allergenic protein families in children and adolescents with newly diagnosed IgE-mediated fish allergy, as determined by component-resolved diagnostics performed at study enrollment.

    Time frame: Baseline (Day 1)

Secondary outcomes

  1. Sensitization to individual fish allergen components

    Frequency and distribution of sensitization to individual fish allergen components and allergenic protein families measured by component-resolved diagnostics.

    Time frame: Baseline (Day 1)

  2. Specific IgE sensitization profile

    Serum specific IgE sensitization to fish species and allergenic components determined using standardized laboratory methods.

    Time frame: Baseline (Day 1)

  3. Oral food challenge outcome

    Results of oral food challenges, including confirmation of clinical allergy and identification of tolerated fish species, when clinically indicated.

    Time frame: During the diagnostic evaluation (up to 3 months after baseline (Day 1))

  4. Health-related quality of life

    Health-related quality of life assessed using validated food allergy-specific quality-of-life questionnaires.

    Time frame: Baseline (Day 1) and at completion of the diagnostic evaluation (up to 3 months after baseline (Day 1))

  5. Geographical variability in sensitization profiles

    Comparison of molecular sensitization profiles and clinical characteristics across participating regions in Spain.

    Time frame: Through study completion, an average of 18 months

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Dec 2027, 14 months later.

Of 42 non-industry observational studies under Food Hypersensitivity, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 250. This study's planned 14 months is below that.

Counting every sponsor, half of 43 studies reached it within 42 months; a quarter within 19 and three quarters within 250.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 18, 2026
First posted
Jul 27, 2026
StartEst.
Oct 1, 2026
Primary completionEst.
Dec 30, 2027
CompletionEst.
Jun 30, 2028
Last update
Jul 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07727148
Lead sponsor
Carmelo Escudero
Responsible party
Carmelo Escudero (Head of the Pediatric Allergy Section, Hospital Infantil Universitario Niño Jesús, Hospital Infantil Universitario Niño Jesús, Madrid, Spain) — Sponsor-investigator
First posted
Jul 27, 2026
Start date
Oct 1, 2026 (estimated)
Primary completion
Dec 30, 2027 (estimated)
Completion
Jun 30, 2028 (estimated)
Last update
Jul 27, 2026

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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