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Trial · NCT04269629

The Effect of Antihypertensive Drugs on Severity of Anaphylaxis and Side-effects During Venom Immunotherapy

NCT04269629, Completed, Medical University of Graz; results first posted 2020-11-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. The Effect of Antihypertensive Drugs on Severity of Anaphylaxis and Side-effects During Venom Immunotherapy. Trials, record NCT04269629. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04269629

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
The Effect of Antihypertensive Drugs on Severity of Anaphylaxis and Side-effects During Venom Immunotherapy
NCT number
NCT04269629
Status
Completed
Enrollment
1,425 participants, actual
Lead sponsor
Medical University of Graz
Conditions
Hymenoptera Venom Allergy, Antihypertensive Treatment
Interventions
Insect Venom
First posted
2020-02-17
Last updated
2020-11-20
Results first posted
2020-11-20

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryFrequency of Side Effects (=Systemic Reaction, SR) During Venom Immunotherapy (VIT)after finishing the updosing phase (duration up to 6 months depending on the updosing protocol chosen by the patient) of a patient's venom immunotherapy; duration of Visit ~1hour
The primary objective of this study is to evaluate whether subjects under antihypertensive treatment with beta-blockers and/or angiotensin converting enzyme (ACE)-inhibitors show more side effects during VIT compared to subjects with no antihypertensive treatment.
SecondarySeverity of Sting Reactionsduration of first visit (~1hour)To evaluate whether subjects under antihypertensive treatment with beta-blockers and/or ACE-inhibitors have more severe sting reactions.
SecondaryCorrelation of the Prevalence of Cardiovascular Diseases and/or Hypertension With the Risk for More Severe Systemic Sting Reactions.duration of first visit (~1hour)To correlate the prevalence of cardiovascular diseases and/or hypertension with the risk for more severe systemic sting reactions.
SecondaryAssociation of Bee Venom With a Higher Frequency of Side-effects (=Systemic Reaction, SR).after finishing the updosing phase (duration up to 6 months depending on the updosing protocol chosen by the patient) of a patient's venom immunotherapy; duration of Visit ~1hourTo evaluate whether bee venom is associated with a higher frequency of side-effects.
SecondaryCorrelation of High Specific Immunoglobulin E (sIgE) Levels to a Higher Frequency of Side-effects (=Systemic Reaction, SR).after finishing the updosing phase (duration up to 6 months depending on the updosing protocol chosen by the patient) of a patient's venom immunotherapy; duration of Visit ~1hourTo evaluate whether high specific immunoglobulin E (sIgE) levels are correlated to a higher frequency of side-effects. sIgE levels are expressed in kilo units/liter \[kU/L\].
SecondaryCorrelation of High Tryptase Levels to a Higher Frequency of Side-effects (=Systemic Reaction, SR).after finishing the updosing phase (duration up to 6 months depending on the updosing protocol chosen by the patient) of a patient's venom immunotherapy; duration of Visit ~1hourTo evaluate whether high tryptase levels are correlated to a higher frequency of side-effects
SecondaryCorrelation of Quicker Up-dosing Protocols to a Higher Frequency of Side-effects (=Systemic Reaction, SR).depends on the protocol used for venom immunotherapy, a maximum of about 6 monthsTo evaluate whether quicker up-dosing protocols are correlated to a higher frequency of side-effects.
SecondaryEfficacy of VIT1 year after reaching the maintenance dose; duration of Visit ~1hour
The outcome (systemic reaction to sting or not) of sting challenges and/or field stings will be recorded to identify patients who will not tolerate but react to future stings. These results will be compared between patients not taking antihypertensive (AHT) drugs and patients taking AHT drugs.
SecondaryCorrelation of the Prevalence of Cardiovascular Diseases and/or Hypertension With the Risk for More Frequent Side Effects (=Systemic Reaction, SR) Under VIT.duration of Visit ~1hourTo correlate the prevalence of cardiovascular diseases and/or hypertension with the risk for more frequent side effects (=systemic reaction, SR) under VIT..

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYFrequency of Side Effects (=Systemic Reaction, SR) During Venom Immunotherapy (VIT)after finishing the updosing phase (duration up to 6 months depending on the updosing protocol chosen by the patient) of a patient's venom immunotherapy; duration of Visit ~1hour1342 patients underwent VIT and performed Visit 2. Of these 1342 patients, 93 experienced a systemic side effect during the updosing phase of VIT. Data were missing for 10 participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYSeverity of Sting Reactionsduration of first visit (~1hour)
1425 patients were included in the study at Visit 1. Of these 1425 patients, 603 initially experienced a severe (=Grade 3 and 4 according to the classification of Ring and Messmer), systemic sting reaction. Data were missing for 2 participants.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCorrelation of the Prevalence of Cardiovascular Diseases and/or Hypertension With the Risk for More Severe Systemic Sting Reactions.duration of first visit (~1hour)Correlation cardiovascular disease with risk of more severe systemic sting reaction: 601 of 1425 patients (Visit 1) experienced a severe systemic sting reaction. Datasets missing:9ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAssociation of Bee Venom With a Higher Frequency of Side-effects (=Systemic Reaction, SR).after finishing the updosing phase (duration up to 6 months depending on the updosing protocol chosen by the patient) of a patient's venom immunotherapy; duration of Visit ~1hour1342 patients underwent VIT and performed Visit 2. Of these 1342 patients, 93 experienced a systemic side effect during the updosing phase of VIT. Data missing for 10 participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCorrelation of High Specific Immunoglobulin E (sIgE) Levels to a Higher Frequency of Side-effects (=Systemic Reaction, SR).after finishing the updosing phase (duration up to 6 months depending on the updosing protocol chosen by the patient) of a patient's venom immunotherapy; duration of Visit ~1hour
1342 patients underwent VIT and performed Visit 2. Of these 1342 patients, 93 experienced a systemic side effect during the updosing phase of VIT. sIgE levels were only available for 1009 patients, the other data (=333) are missing.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCorrelation of High Tryptase Levels to a Higher Frequency of Side-effects (=Systemic Reaction, SR).after finishing the updosing phase (duration up to 6 months depending on the updosing protocol chosen by the patient) of a patient's venom immunotherapy; duration of Visit ~1hour
1342 patients underwent VIT and performed Visit 2. Of these 1342 patients, 93 experienced a systemic side effect during the updosing phase of VIT. Tryptase levels were only available for 1204 patients. Data missing for 138 participants.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCorrelation of Quicker Up-dosing Protocols to a Higher Frequency of Side-effects (=Systemic Reaction, SR).depends on the protocol used for venom immunotherapy, a maximum of about 6 months
1342 patients underwent VIT and performed Visit 2. Of these 1342 patients, 93 experienced a systemic side effect during the updosing phase of VIT. Data concerning the updosing protocol used were available for 1321 patients; data missing for 21 participants.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYEfficacy of VIT1 year after reaching the maintenance dose; duration of Visit ~1hourVisit 3 was performed with 1186 patients one year after reaching the maintenance phase of VIT. Data missing for 4 participants.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCorrelation of the Prevalence of Cardiovascular Diseases and/or Hypertension With the Risk for More Frequent Side Effects (=Systemic Reaction, SR) Under VIT.duration of Visit ~1hourCorrelation cardiovascular disease with risk of more frequent side effects under VIT: 93 of 1342 patients (Visit 2) experienced a SR. Datasets missing:17ParticipantsCOUNT_OF_PARTICIPANTS

Results by group22

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Frequency of Side Effects (=Systemic Reaction, SR) During Venom Immunotherapy (VIT)Patients Who Underwent VIT Updosingnumber of patients with SR with AHT treatment19Participants
Frequency of Side Effects (=Systemic Reaction, SR) During Venom Immunotherapy (VIT)Patients Who Underwent VIT Updosingnumber of patients with SR without AHT treatment74Participants
Severity of Sting ReactionsPatients With a History of an Anaphylactic Sting Reactionsevere reactions in patients with AHT treatment171Participants
Severity of Sting ReactionsPatients With a History of an Anaphylactic Sting Reactionsevere reactions in patients without AHT treatment432Participants
Correlation of the Prevalence of Cardiovascular Diseases and/or Hypertension With the Risk for More Severe Systemic Sting Reactions.Patients With Anaphylactic Sting Reactionsevere sting reaction, cardiovascular disease258Participants
Correlation of the Prevalence of Cardiovascular Diseases and/or Hypertension With the Risk for More Severe Systemic Sting Reactions.Patients With Anaphylactic Sting Reactionsevere sting reaction, no cardiovascular disease343Participants
Association of Bee Venom With a Higher Frequency of Side-effects (=Systemic Reaction, SR).Patients Who Underwent VIT UpdosingSR in patients treated with bee venom54Participants
Association of Bee Venom With a Higher Frequency of Side-effects (=Systemic Reaction, SR).Patients Who Underwent VIT UpdosingSR in patients treated with vespid venom39Participants
Correlation of High Specific Immunoglobulin E (sIgE) Levels to a Higher Frequency of Side-effects (=Systemic Reaction, SR).Patients Who Underwent VIT UpdosingSR, bee venom, IgE >0.35-3.5 kU/L17Participants
Correlation of High Specific Immunoglobulin E (sIgE) Levels to a Higher Frequency of Side-effects (=Systemic Reaction, SR).Patients Who Underwent VIT UpdosingSR, bee venom, IgE >3.5-17.5 kU/L17Participants

Participant flow4

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPatients With a History of an Anaphylactic Sting Reaction1,425
Overall StudyNumber of Patients Who Performed VITPatients With a History of an Anaphylactic Sting Reaction1,342
Overall StudyCOMPLETEDPatients With a History of an Anaphylactic Sting Reaction1,186
Overall StudyNOT COMPLETEDPatients With a History of an Anaphylactic Sting Reaction239

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPatients With a History of an Anaphylactic Sting Reaction00
Total, other adverse eventsPatients With a History of an Anaphylactic Sting Reaction00
Total, serious adverse eventsPatients With a History of an Anaphylactic Sting Reaction00

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
33605465DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04269629

GET https://conductscience.org/api/trials/v1/NCT04269629/results?page=2