ClinicalTrials.gg
Not yet recruitingNCT07918586Updated Nov 5, 2026

Localized Aeroallergen Exposure in Atopic Dermatitis

An interventional study of Localized grass pollen allergen exposure and Localized placebo exposure in Atopic Dermatitis, sponsored by Fraunhofer-Institute of Toxicology and Experimental Medicine. Not yet recruiting at 2 sites in Germany. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Fraunhofer-Institute of Toxicology and Experimental Medicine · Not applicable, Interventional, and Basic science

Updated Nov 5, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This pilot study evaluates skin reactions following localized aeroallergen exposure in adults with atopic dermatitis.

02

Conditions studied

  • Atopic Dermatitis

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Keywords

  • Aeroallergen exposure
  • Grass pollen
03

In context

Dermatitis, Atopic

1,591 studies on the registry are indexed under Dermatitis, Atopic; 286 are open to participants now.

This study's planned enrollment of 15 is below the median of 82 across 1,246 interventional studies indexed under Dermatitis, Atopic.

Browse Dermatitis, Atopic studies →

Lead sponsor

Fraunhofer-Institute of Toxicology and Experimental Medicine is the lead sponsor of 38 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Able and willing to give written .
  2. Male and female subjects, aged 18-65 years. Women will be considered for inclusion if they are:

    • Not pregnant, as confirmed by pregnancy test (see flow chart), and not nursing.
    • Of non-child bearing potential (i.e. physiologically incapable of becoming pregnant, including any female who is pre-menarchial or , with documented proof of hysterectomy or tubal ligation, or meets clinical criteria for menopause and has been amenorrhoeic for more than 1 year prior to the screening visit).
    • Of and using a highly effective method of during the entire study (vasectomised partner, sexual abstinence - the lifestyle of the female should be such that there is complete abstinence from intercourse from two weeks prior to the start of the study until at least 72 hours after the last study visit -, implants, injectables, combined oral contraceptives, hormonal IUDs or double-barrier methods, i.e. any double combination of IUD, condom with spermicidal gel, diaphragm, sponge, and cervical cap).
  3. Positive IgE level for grass pollen (Phadia g6, Lieschgras) of at least CAP FEIA class 3 (≥3,50 kU/l) at screening or in previous year.
  4. Atopic dermatitis fulfilling the UK criteria of AD.
  5. Local SCORAD for erythema domain 1 or 2 in exposed area (cubital fossa / lower arm).
  6. Local IGA 1 or 2.
  7. Difference of Local SCORAD between both arms ≤ 2.
  8. ≥18 and ≤ 40.

Exclusion criteria

Exclusion Criteria:

  1. Any abnormal findings in physical examination, clinical chemistry, hematology, vital signs at screening visit, which, in the opinion of the investigator, may either put the subject at risk because of participation in the study or may influence the results of the study, or the subject's ability to participate in the study.
  2. Past or present disease, which as judged by the investigator, may affect the outcome of this study. These diseases include, but are not limited to, cardiovascular disease, , hepatic disease, renal disease, hematological disease, neurological disease, endocrine disease or pulmonary disease.
  3. Positive -1/2Ab, surface antigen (HBsAg) or virus antibodies (HCVAb) test at screening or test not performed.
  4. Treatment with medication that might interfere with rescue medication for the management of allergic reactions (e.g. beta blocker).
  5. Topical (skin) treatment (wash out phase: 2 weeks before day 1).
  6. Topical calcineurin inhibitor treatment (wash out phase 2 weeks before day 1).
  7. UV radiation treatment (wash out phase 4 weeks before day 1).
  8. Systemic treatment (steroids, biologics, e.g. dupilumab, JAK-Inhibitors, cyclosporine, azathioprine, Mycophenolat Mofetil (MMF); wash out phase 3 months, before day 1.
  9. Treatment with high dose inhaled corticosteroids.
  10. Treatment with antihistamines (wash out phase 1 week before day 1).
  11. Unstable AD during Screening (SCORAD difference of >15 points from Visit 1 to Visit 2).
  12. Diastolic blood pressure above 95 mmHg.
  13. Acute respiratory infection 2 weeks prior to screening visit.
  14. Alcohol or drug abuse within 12 months prior to screening.
  15. Regular daily consumption of more than 1 liter of usual beer or the equivalent quantity of approximately 40 g of alcohol in another form.
  16. Participation in another clinical trial 30 days prior to enrollment.
  17. There is a risk of non-compliance with study procedures.
  18. Suspected inability to understand the protocol requirements, instructions and study-related restrictions, the nature, scope, and possible consequences of the study.
  19. History of an acute infection four weeks prior to the visit.
  20. Subject has received previous immunotherapy treatment with any grass pollen allergen within 2 years prior to screening.
  21. Subject is receiving ongoing treatment with any specific immunotherapy for other allergies.
Terms in these criteria, in plain language(12)

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
15 participants (estimated)

Study arms

  • Experimental
    Allocation A

    Localized grass pollen allergen exposure on the left forearm and localized placebo exposure on the right forearm.

    Other: Localized grass pollen allergen exposure · Other: Localized placebo exposure

  • Experimental
    Allocation B

    Localized placebo exposure on the left forearm and localized grass pollen allergen exposure on the right forearm.

    Other: Localized grass pollen allergen exposure · Other: Localized placebo exposure

Interventions

  • OtherLocalized grass pollen allergen exposure

    Localized grass pollen allergen exposure on two consecutive days.

  • OtherLocalized placebo exposure

    Localized placebo exposure on two consecutive days.

06

What researchers measure

Primary outcomes

  1. Difference in the change of local SCORAD

    The primary endpoint is defined as the difference in the change of local SCORAD between the grass pollen-exposed arm and the placebo-exposed arm from baseline to post-provocation assessment. For each subject, the change in local SCORAD will be calculated separately for each arm as follows: ΔSCORAD\_grass = local SCORAD\_grass (Day 3) - local SCORAD\_grass (Baseline); ΔSCORAD\_placebo = local SCORAD\_placebo (Day 3) - local SCORAD\_placebo (Baseline). The primary endpoint is then calculated as: Primary endpoint = ΔSCORAD\_grass - ΔSCORAD\_placebo.

    Time frame: Baseline to Day 3

Secondary outcomes

  1. Change in total SCORAD

    Assess the change in total SCORAD between pre-provocation baseline and one day after the second exposure (day 3).

    Time frame: Baseline to Day 3

  2. Change in EASI

    Assess the change in EASI between pre-provocation baseline and one day after the second exposure (day 3). EASI assesses the extent and severity of atopic dermatitis based on erythema, infiltration/papulation, excoriation, and lichenification. Total scores range from 0 to 72, with higher scores indicating greater disease severity.

    Time frame: Baseline to Day 3

  3. Change in local IGA

    Evaluate disease severity by the change in local IGA between baseline and one day after the second exposure (day 3).

    Time frame: Baseline to Day 3

  4. Change in itch intensity

    Evaluate itch intensity related to provocation by the change in itch VAS between baseline and one day after the second exposure (day 3).

    Time frame: Baseline to Day 3

  5. Proportion of local responders

    Determine the proportion of local responders, defined as patients with a worsening of local SCORAD ≥25% over baseline at one day after the second exposure (day 3).

    Time frame: Baseline to Day 3

  6. Rescue medication use in relation to provocation

    Assess rescue medication use in relation to provocation (change in use of topical or systemic rescue medication between the pre-provocation period and the period including and following the two exposure days).

    Time frame: Baseline to Day 3

  7. Safety and tolerability

    Assess the safety and tolerability of local aeroallergen application in adults with atopic dermatitis by determining the number of participants with at least one adverse event related to the local aeroallergen provocation.

    Time frame: From first exposure through follow-up on Day 7

Other outcomes

  1. Changes in skin microbiome composition over time

    Exploratory analyses will be performed to characterize biological changes associated with localized grass pollen provocation at the skin level. Skin swabs: Exploratory microbiome endpoints include changes in skin microbiome composition over time, assessed by beta-diversity metrics. For each subject, within-site changes in microbial community composition from baseline to Day 3 will be determined separately for the grass pollen and placebo sites, and the difference in these changes between the two sites will be analyzed. Additional exploratory microbiome endpoints include changes in alpha diversity and exploratory analyses of differential abundance of selected bacterial taxa, where technically feasible.

    Time frame: Baseline to Day 3

  2. Changes in selected serum proteins

    Blood samples: Exploratory endpoints include changes in selected serum proteins associated with allergic inflammation and AD from baseline to Day 3. Serum proteins will be measured using the Olink Inflammation Panel and reported as NPX (Normalized Protein Expression).

    Time frame: Baseline to Day 3

07

Study locations

2 sites
08

Timeline

1 registry update 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 Dec 2026; primary completion for Apr 2027, 4 months later.

Of 113 non-industry interventional studies with no phase under Dermatitis, Atopic, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 43. This study's planned 4 months is below that.

Counting every sponsor, half of 182 studies reached it within 15 months; a quarter within 6 and three quarters within 34.

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

Registered
Oct 20, 2026
First posted
Nov 5, 2026
StartEst.
Dec 2026
Primary completionEst.
Apr 2027
CompletionEst.
Apr 2027
Last update
Nov 5, 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.
Registered
First appeared on the registry. No changes since
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07918586
Lead sponsor
Fraunhofer-Institute of Toxicology and Experimental Medicine
Responsible party
Sponsor
First posted
Nov 5, 2026
Start date
Dec 2026 (estimated)
Primary completion
Apr 2027 (estimated)
Completion
Apr 2027 (estimated)
Last update
Nov 5, 2026

Study contacts

Jens Hohlfeld, Prof. Dr. med.
Contact
jens.hohlfeld@item.fraunhofer.de
+49 511 5350-8101

Oversight

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 Oct 2026. You cannot join it, but the record below documents what was studied.

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