Skin test skip for Kids' antibiotic allergies shows promise
NCT ID NCT03553251
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested whether children under 16 with a history of mild beta-lactam (like penicillin) allergies could safely take the drug again without first having skin tests. Researchers used a questionnaire to identify low-risk kids and then gave them an oral dose. The goal was to see if this approach kept severe allergic reactions below 2%. The study involved 195 children and aimed to simplify allergy care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- beta-lactam antibiotics (e.g., penicillin)
- What this could lead to
- If successful, this could lead to simpler, faster allergy testing for children, avoiding unnecessary skin tests and allowing safe use of common antibiotics.
- What could go wrong
- This is a small, completed study with 195 children, so results may not apply to all kids. There is still a small risk of allergic reaction, and the approach only works for those already deemed low-risk.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
195 people
The number who actually took part.
- Started
-
Sep 2018
- Finished
-
Jul 2019
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
children under 16 years of age with a clinical history that is not suggestive of IgE-mediated anaphylaxis or toxiderma to beta-lactams.
- Ages
-
Up to 16 years
- Sex
-
Anyone
- Healthy volunteers
-
Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Children under 16 years of age coming for a consultation for a beta-lactam oral reintroduction test. Exclusion Criteria: * Refusal of the legal representatives of the subject for their child to participate in the study, * If his age permits, refusal of the subject to participate in the study, * Subject aged over 16, * Pregnancy, * Absence of affiliation of the subject to a social security scheme, * Skin tests with incriminated beta-lactam already made before the consultation, * Existence of contraindications to the realization of oral reintroduction drug test with the suspected antibiotic, * Existence of criteria in the initial reaction suggestive of a non-low risk of IgE-mediated or delayed hypersensitivity to the incriminated beta-lactam, Taking antihistamine, corticosteroids or beta-blockers within 5 days prior to the oral reintroduction drug test, * Travel abroad of the child scheduled within 7 days of the oral reintroduction drug test.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Nantes University Hospital
Nantes, Loire-Atlantique, 44093, France
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