New Biomarkers in Human Anaphylaxis

  • Research type

    Research Study

  • Full title

    The use of novel biomarkers for anaphylaxis in clinical diagnosis

  • IRAS ID

    241496

  • Contact name

    M Thirumala Krishna

  • Contact email

    thirumala.krishna@heartofengland.nhs.uk

  • Sponsor organisation

    University Hospitals Birmingham NHS Foundation Trust

  • Duration of Study in the UK

    3 years, 0 months, 0 days

  • Research summary

    Anaphylaxis is a severe and potentially life-threatening allergic reaction. The condition usually develops suddenly and gets worse very quickly. Symptoms include feeling very unwell, breathing difficulty, feeling faint, an itchy rash, swelling and feeling sick. Anaphylaxis is a result of the immune system (the body’s natural defence system) overreacting to a trigger, such as certain food, insect stings, general anaesthetic or medicines.

    The diagnosis of anaphylaxis is based on clinical history, signs and symptoms of the reaction. A number of conditions may mimic anaphylaxis (e.g. asthma or food poisoning) and therefore a delayed diagnosis or misdiagnosis can occur. This can have serious implications to patients’ health, to their family, their quality of life and there can be a significant impact on the health service.

    The current laboratory blood test to aid in the diagnosis of anaphylaxis is the measurement of tryptase – a chemical released by a type of white blood cell involved in the allergic reaction. However, tryptase is not always abnormal in anaphylaxis and normal levels cannot rule out the condition. Hence, a new chemical ('biomarker') for anaphylaxis that could be measured in the laboratory would be invaluable for use in the allergy clinic.

    In this study, we propose to explore and evaluate new laboratory tests for novel ‘biomarkers’ in anaphylaxis and compare their performance with tryptase.

  • REC name

    Wales REC 6

  • REC reference

    18/WA/0229

  • Date of REC Opinion

    10 Jul 2018

  • REC opinion

    Favourable Opinion