The α-gal Syndrome - Investigating Immune Reactions to Tick Bites

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorLuxembourg Institute of Health

About this trial

Tick bites can transmit pathogens, but they can also induce a food allergy to mammalian meat. The goal of this clinical trial is to follow immune response and antibody build-up in individuals bitten by a tick. Participants are invited to enroll within 48 hours after the tick removal and donate some blood. The tick is also collected and analysed. Researchers will then try to answer the following questions:

* Was the tick infected with parasites? * Did the participant make antibodies against tick proteins or tick-borne parasites? * Did the participant develop IgE antibodies against the alpha-Gal sugar? The alpha-Gal sugar is present on mammalian meat, and ticks can transmit the alpha-Gal sugar to the host during their blood meal. Humans recognize the alpha-Gal sugar as foreign and some individuals will build IgE antibodies in response. These IgE antibodies against alpha-Gal can lead to a food allergy to red meat, also known as alpha-Gal syndrome.

Researchers will compare a group of participants that develop IgE against the alpha-Gal sugar with participants that will not. They want to find out if there are specific immune features that differentiate the 2 groups.

Participants will:

* Enroll after a recent tick bite within 48 hours after tick removal: they will be asked to donate some blood and fill out a questionnaire. * Visit the clinic 4 to 6 weeks later for a follow-up sample and questionnaire. * Visit the clinic 3 months after the tick bite for allergy tests if they have been selected for this 3rd visit.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Individuals aged ≥ 18 years, Male and Female.

Experience of a tick bite: the tick has been removed less than 48 hours ago, or the tick is still attached to the skin and can be removed on site by the study nurse.

Tick available for analysis.

Informed consent signed.

Disqualifiers

Individuals < 18 years of age, Male or Female.

Individuals with an acute viral/bacterial inflammation.

Individuals with an immune deficiency or under immunosuppressive treatments.

Individuals in receipt with immunotherapy with omalizumab.

Trial population

Adult population having experienced a recent tick bite and volunteering to visit the study clinic for blood donation at 2 time-points, respectively 3 time-points for a selected subgroup.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

100 Participants
are grouped into 2 trial groups
Group A: a-Gal sensitized participants
Group B: a-Gal non-sensitized participants

Trial outcomes

Primary outcomes

1

Determination of immune signatures leading to allergic sensitization after a tick bite

We expect to determine immune signatures predicting a reaction leading to allergic sensitization and answer fundamental questions on pathways leading from a tick bite to a Th2 immune response.

Time frame
2 years after the enrollment of the last study participant
2

Tick and tick-borne pathogen surveillance

The identification of the tick species and search for pathogens will generate crucial data that are important for tick surveillance in Luxembourg

Time frame
From enrollment until 6 months after the last inclusion

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Luxembourg Institute of Health

Lead sponsor

Centre Hospitalier du Luxembourg

Collaborator

Luxembourg National Research Fund

Collaborator