Evidence map›Paper›PMID 40407895›Full record

ArticleArchives of dermatological research2025

Extended fragrance ingredients surveillance study (EFISS)-protocol for a clinical surveillance study on contact allergy to 7 fragrance materials in widespread use but hitherto not systematically patch tested.

Wolfgang Uter, Ana Carolina Figueiredo, Anna Belloni Fortina, John Bourke, Jim Bridges, Margarida Gonçalo, Stamatis Gregoriou, Claudia Lang, Suzana Ljubojević Hadžavdić, Joseph Huggard and 12 more

Abstract read
In one paragraph

Article in Archives of dermatological research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Wolfgang UterDepartment of Medical Informatics, Biometry and Epidemiology Friedrich-Alexander Universität Erlangen/Nürnberg, Waldstr. 6, 91054, Erlangen, Germany. Wolfgang.uter@fau.de.
Ana Carolina FigueiredoDepartment of Dermatology, University Hospital, Coimbra Local Health Unit, Coimbra, Portugal.
Anna Belloni FortinaPediatric Dermatology Unit, Department of Medicine, University of Padova, Padova, Italy.
John BourkeDermatology Department, South Infirmary Victoria University Hospital, Cork, Ireland.
Jim BridgesResearch for Sustainability, University of Surrey, Guildford, UK.
Margarida GonçaloDepartment of Dermatology, University Hospital, Coimbra Local Health Unit, Coimbra, Portugal.
Stamatis GregoriouDepartment of Dermatology and Venereology, Andreas Sygros Hospital, Medical School of Athens, National and Kapodistrian University of Athens, Athens, Greece.
Claudia LangDepartment of Dermatology, University Hospital Zürich, Zürich, Switzerland.
Suzana Ljubojević HadžavdićDepartment of Dermatology and Venereology, University Hospital Center Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia.
Joseph HuggardThe Huggard Consulting Group, S.A.R.L, Itzig, Luxembourg.
Marléne IsakssonDepartment of Occupational and Environmental Dermatology, Skåne University Hospital Malmö, Malmö, Sweden.
Karl-Heinz JöckelMedical Faculty, University of Duisburg-Essen, University Hospital Essen, Essen, Germany.
Ian KimberFaculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Dimitra KoumakiDepartment of Dermatology and Venereology, University Hospital of Heraklion, Heraklion, Crete, Greece.
Elena PezzoloDepartment of Dermatology, San Bortolo Hospital, Vicenza, Italy.
Thomas RustemeyerDepartment of Dermatology-Allergology, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Marie L A SchuttelaarDepartment of Dermatology, University Medical Center Groningen, Groningen, The Netherlands.
Cecilia SvedmanDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.
Matthias VeyIFRA VP Scientific Affairs and IDEA Management Team, Brussels, Belgium.
Ian WhiteSt John's Institute of Dermatology, Guy's Hospital, London, UK.
Anna ZambelloPediatric Dermatology Unit, Department of Medicine, University of Padova, Padova, Italy.
Magnus BruzeDepartment of Occupational and Environmental Dermatology, Lund University, Skåne University Hospital, Malmö, Sweden.

Funding

International Fragrance Association (IFRA) EFISS
6 · The paper itself

Abstract

Contact allergy (CA) is not uncommon in the population, including to various fragrance allergens. If not diagnosed correctly, allergic contact dermatitis (ACD) may ensue, because targeted allergen avoidance is not possible. The primary objective of the study is to estimate the prevalence of CA to seven fragrance materials in patients with suspected ACD across Europe. Based on the outcome, a conclusion will be drawn as to whether present risk management regarding maximum recommended concentrations of each of these, based on quantitative risk assessment (QRA2), is adequate. The planned study is a surveillance study based on consecutive patients, patch tested in 10 European departments of dermatology with a series of allergens as indicated by their personal history, including the European baseline series, supplemented with the seven additional fragrance ingredients. The patch test procedure will follow the guideline of the European Society of Contact Dermatitis (ESCD) with additional standardization procedures. The envisaged sample size is 8100; recruitment will be in three data cycles with brief intervals allowing for descriptive interim analyses. Those patients reacting positively to any of the study allergens will be followed-up specifically to identify the source of sensitizing and/or eliciting exposure(s). Results will inform risk reassessment and subsequent risk management measures. Study results will be published in an open-access peer-reviewed scientific journal. Structured post-marketing surveillance of consumer risk of contact allergy by monitoring prevalences of positive patch test reactions in a dedicated European expert network is developed which can serve as a model for further chemicals. Important outcomes will be either a confirmation of effectiveness of risk management measures in place, or alternatively identifying aspects needing improvement (for certain cosmetic product categories). DRKS registration (DRKS00033263) 16.09.2024, mirrored at https://trialsearch.who.int.

Indexed as

AllergensDermatitis, Allergic ContactPerfumeEuropeHumansPatch TestsPrevalenceRisk AssessmentAllergensPerfumeContact allergyCross-sectional studyEpidemiological surveillanceFragrance ingredients

Identifiers

PMID40407895
PMCPMC12102106

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.