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Atopic Dermatitis (AD)DIANANCT07316465

Birth Cohort: Development of IgE Autoantibodies in Newborns With (High Risk of) Atopic Dermatitis

A study testing Development of atopic dermatitis with/without IgE autoantibodies in people with Atopic Dermatitis (AD) and Autoantibody, run by Universitair Ziekenhuis Brussel at 1 site in Belgium.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Previous research has shown that some patients with atopic eczema have specific self-reactive antibodies, known as IgE autoantibodies, that react to their own skin cells, referred to as "self-reactive antibodies" or "autoantibodies". Read more about this study

Who is it for?
Ages 1 hour to 24 monthsHealthy volunteers can take part
What is being tested?
Development of atopic dermatitis with/without IgE autoantibodies
Could I receive a placebo?
No, everyone receives an active treatment
How many people
500 participants
Where
1 siteBelgium
Study dates
1 Oct 2023to 31 Dec 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 hour to 24 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Newborns who are planned to be born at the maternity ward of UZ Brussel with the following criteria:
  • 400 newborns with high-risk for AD-development (at least 1 parent or sibling with physician diagnosed atopic dermatitis AND/OR asthma AND/OR allergic rhinitis)
  • 100 newborns with low-risk for AD-development (no parents or siblings with history of atopic dermatitis AND/OR asthma AND/OR allergic rhinitis)

Who cannot join

  • Newborns not born at the maternity ward of UZ Brussel
  • Parents with a poor understanding of Dutch, French or English
  • Newborns who are admitted post-partum to the neonatal intensive care unit (gestational age <34 weeks) or with medical complications
  • Newborns with severe genetic abnormalities/birth defects
  • Newborns whose parents will not be able to attend the study visits for a period of 2 years (location, working hours)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Inge Kortekaas Krohn, PhD contact

+32 (0)2 477 4244

inge.kortekaas@vub.be

Carine Vleminckx contact

carine.vleminckx@uzbrussel.be

Belgium1 site, 1 recruiting
  • Universitair Ziekenhuis (UZ) Brussel, Vrije Universiteit Brussel (VUB)

    Jette, Brussels Capital, 1090

    Inge Kortekaas Krohn, PhD, +32 (0)2 477 4244, inge.kortekaas@vub.be

    Carine Vleminckx, carine.vleminckx@uzbrussel.be

    Recruiting

Other trials in Belgium

About this study

Official title: Development of IgE Autoantibodies in Newborns With Atopic Dermatitis (DIANA) Birth Cohort

Previous research has shown that some patients with atopic eczema have specific self-reactive antibodies, known as IgE autoantibodies, that react to their own skin cells, referred to as "self-reactive antibodies" or "autoantibodies". It is not yet known when and how these self-reactive antibodies develop, so this is what we aim to investigate.

This study aims to examine the presence of self-reactive antibodies at birth. In other words, the investigators want to study the earliest stage of developing antibodies that target the body's own skin cells. Additionally, factors that contribute to the development of these self-reactive antibodies will be explored as well as the correlation with the development of atopic eczema.

Read more

The study will involve newborns who are at an increased risk of developing atopic eczema due to a family history of asthma, hay fever, or atopic eczema. There will also be a control group of newborns without these characteristics. The study's approach is to examine a portion of the umbilical cord blood, which is routinely collected after birth, to investigate self-reactive antibodies. The goal is to determine whether these self-reactive antibodies are linked to the development of atopic eczema in the first two years of life. For this purpose, follow-ups will be conducted at the ages of 6, 12, and 24 months.

This study will contribute to an increased understanding of the prevalence of self-reactive antibodies and the factors influencing their development. Moreover, the study will determine whether these antibodies play a role in the prevention of and/or serve as predictive factors for the development of atopic eczema.

Read the detailed description

IgE autoantibodies against self-peptides in the skin have been identified in a subgroup of patients AD. These autoantibodies are present in subjects with comorbid allergic diseases in particular and are usually absent in healthy individuals, suggesting a link between IgE autoreactivity and allergic disease burden (Kortekaas Krohn I, et al. Allergy 2023). A prevalence of 15% of IgE autoantibodies was reported in infants younger than one year with AD, proving the development of IgE autoantibodies already early in life (Mothes N, et al. J Allergy Clin Immunol 2005).

The Development of IgE Autoantibodies in Newborns with (a high-risk of) Atopic dermatitis (DIANA) study is a large birth cohort, including a well-characterized and demographically diverse population with extensive early-life data of the infants and their parents. The DIANA birth cohort has an interdisciplinary design with a follow-up until the age of two years, enabling detailed monitoring of AD and other conditions.

In the present study, it is hypothesized that hereditary factors, lifestyle, and the environment can influence the development of self-reactive antibodies. To assess hereditary factors, a one-time blood sample will be taken from the biological mother and father, focusing solely on self-reactive antibodies and inflammatory substances. In addition, non-invasive and painless skin barrier measurements will be performed to study the skin barrier function. Environmental factors are investigated through questionnaires and swabs are being taken from the skin or stool to study the composition of the microbes.

The primary objective is:

To determine the presence of self-reactive antibodies at birth or early development.

Secondary objectives are:

  1. to investigate whether the presence of self-reactive antibodies is correlated with the development of atopic eczema during the first two years of life
  2. to study whether heredity can influence the development of self-reactive antibodies
  3. to examine whether environmental factors can influence the development of self-reactive antibodies

Eligible parents who plan to give birth at the University Hospital (UZ) Brussel will be offered the opportunity to participate in the study. If they are interested, the prenatal baseline visit (visit 1) is scheduled. A total of five visits will be scheduled over two years. After birth, umbilical cord blood will be collected and the second visit will take place within 72 hours. Follow-up visits will be scheduled at 6 months of age (visit 3), 12 months (visit 4), and 24 months (visit 4).

Being tested
Development of atopic dermatitis with/without IgE autoantibodies
Keywords
Birth cohort, Autoantibodies, IgE, Atopic dermatitis, DIANA
Medical subject headings
Dermatitis, Atopic, Hypersensitivity, Immediate

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Development of atopic dermatitis with/without IgE autoantibodiesOther

    No studies have been performed on the presence of IgE autoantibodies at birth and whether this is related to AD development, prediction of the development of atopic diseases (biomarker) or clinical relevance in the pathophysiology. Causative environmental and hereditary factors still need to be unraveled. We assume that newborns with IgE autoantibodies are prone to develop atopic dermatitis and its comorbidities (food allergy, allergic asthma/ rhinitis) . In case IgE autoantibodies are identified in cord blood, this may originate from the mother and passes to the child due to maternal spillover , or it is produced by the fetus (prenatally) who produces IgE autoantibodies him/herself or by the infant in early life.

    This project aims to insights to the understanding of the first stages of IgE autoantibody development, its relation to AD and other allergic diseases as well as heredity and environmental factors. The endpoints study hold the potential to improve prevention and/or prognosis.

Study groups in NCT07316465
Study groupRoleWhat they receive
Infants born at UZ BrusselOtherCord blood, blood drawl at 6, 12 and 24 months of age, electrical impedance spectroscopy, natural moisturizing factor, skin swab, stool swab, questionnaires, skin check (disease scores). These interventions will be the same for all participants.
Receives: Other: Development of atopic dermatitis with/without IgE autoantibodies

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Prevalence of IgE autoantibodies against skin epitopes in newborns

    The prevalence (or first developmental stages) of IgE autoantibodies directed against keratinocyte-derived proteins in newborns (with high risk of atopic dermatitis).

    Measured: From enrollment to study visit 2 after birth.

Secondary outcomes (4)
  1. Correlation between the presence of IgE autoantibodies and the development of atopic dermatitis

    The presence of IgE autoantibodies will be measured after birth, at 6, 12 and 24 months of age. The skin will be examined by a dermatologist (resident) after birth, 6, 12 and 24 months for dryness and/or the presence of atopic dermatitis (according to the Hanifin and Rajka criteria). The subjects will be subdivided based on the presence of IgE autoantibodies and correlated with the skin conditions.

    Measured: From visit 2 (after birth) to visit 5 at 24 months of age.

  2. Correlation of IgE autoantibodies with IgE levels in serum

    We will sub-divide the participants based on the presence of IgE autoantibodies (positive or negative) and analyse the levels of IgE in serum (kU/L).

    Measured: From visit 2 after birth to visit 5 at 24 months of age.

  3. Investigation of the hereditary factor in case IgE autoantibodies present

    Serum is collected from both of the biological parents (if available/possible) to measure the presence of IgE autoantibodies for evaluatation of evaluation of the hereditary factor.

    1. In case IgE autoantibodies are present in the infant after birth, we will evaluate if the mother is positive too (spill-over from the mother?).
    2. If they develop autoantibodies during the two-year follow-up period, we will analyse if (one or both) the parents are positive as well.

    Measured: From enrollment to visit 5 at 24 months.

  4. Characterization of leukocytes in infants

    1. Characterization of leukocytes in infants and correlate with the presence of IgE autoantibodies (positive, negative)
    2. Characterization of leukocytes in infants and correlate with the development of AD (present yes/no)

    Measured: Through study completion, an average of 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Jan 2026
  2. Study start1 Oct 2023
  3. Primary completion31 Dec 2029 (estimated)
  4. Study completion31 Dec 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07316465
Sponsor's protocol ID
EC-2023-074
Other IDs
18E2K24N, G056322N
Acronym
DIANA
Status last verified
Nov 2025
First submitted
21 Nov 2025
Last updated
5 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: IDP sharing will be performed according to the institution's open access policy (for research) and in accordance with the EU/ Belgian law. The study protocol will be published in a scientific journal and publicly available (open access).

Publications

  • Charles N, Kortekaas-Krohn I, Kocaturk E, Scheffel J, Altrichter S, Steinert C, Xiang YK, Gutermuth J, Reber LL, Maurer M. Autoreactive IgE: Pathogenic role and therapeutic target in autoimmune diseases. Allergy. 2023 Dec;78(12):3118-3135. doi: 10.1111/all.15843. Epub 2023 Aug 9.

    PubMed 37555488
  • Kolkhir P, Altrichter S, Badloe FMS, Belasri H, Charles N, De Vriese S, Gutermuth J, Huygen L, Kocaturk E, Kortekaas Krohn I, Munoz M, Monino-Romero S, Reber LL, Scheffel J, Steinert C, Xiang YK, Maurer M. The European Network for IgE-Mediated Autoimmunity and Autoallergy (ENIGMA) initiative. Nat Med. 2024 Apr;30(4):920-922. doi: 10.1038/s41591-024-02819-9. No abstract available.

    PubMed 38429523
  • Kortekaas Krohn I, Badloe FMS, Herrmann N, Maintz L, De Vriese S, Ring J; CK-CARE Study Group; Bieber T, Gutermuth J. Immunoglobulin E autoantibodies in atopic dermatitis associate with Type-2 comorbidities and the atopic march. Allergy. 2023 Dec;78(12):3178-3192. doi: 10.1111/all.15822. Epub 2023 Jul 24.

    PubMed 37489049
  • Belasri H, De Leye H, Saerens J, Vandermeersch L, Badloe FM, Vandeneynde A, Lenie S, De Vriese S, Gies I, Cools F, Gucciardo L, Kortekaas Krohn I, Gutermuth J. Development of IgE autoantibodies in newborns with atopic dermatitis (DIANA): protocol of a prospective, non-interventional, observational birth cohort. BMJ Open. 2026 May 29;16(5):e114509. doi: 10.1136/bmjopen-2025-114509.

    PubMed 42215271

Questions about this trial

What is this clinical trial studying?

A study testing Development of atopic dermatitis with/without IgE autoantibodies in people with Atopic Dermatitis (AD) and Autoantibody, run by Universitair Ziekenhuis Brussel at 1 site in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 5 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Inge Kortekaas Krohn, PhD (+32 (0)2 477 4244, inge.kortekaas@vub.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Prevalence of IgE autoantibodies against skin epitopes in newborns (time frame: From enrollment to study visit 2 after birth.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07316465, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Jan 2026.

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