NCT06884189

Brief Summary

The aim of the aPPPle pilot study is to test feasibility and generate first results in preparation for a main study. The aPPPle study will investigate the exposure of operators, workers and residents to plant protection products (PPP) and potential physiological effects on blood biomarkers. The target plants are apple crops, as application occurs at higher altitudes and therefore higher drift/exposure is expected compared to ground-level application. The substances to be investigated are acetamiprid (an insecticide) and dithianon and dodine (two fungicides).

Trial Health

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Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
16

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Mar 2025

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 7, 2025

Completed
4 days until next milestone

Study Start

First participant enrolled

March 11, 2025

Completed
8 days until next milestone

First Posted

Study publicly available on registry

March 19, 2025

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 20, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 20, 2025

Completed
Last Updated

March 19, 2025

Status Verified

March 1, 2025

Enrollment Period

9 months

First QC Date

March 7, 2025

Last Update Submit

March 17, 2025

Conditions

Keywords

exposure studyplant protection productshuman biomonitoringeffect biomarker

Outcome Measures

Primary Outcomes (2)

  • Concentration of plant protection substances/metabolites in different matrices

    The concentrations of the investigated substances/their metabolites will be analysed in urine, patches (to assess dermal exposure of the body), hand wipes (to assess dermal exposure of the hands), filters of an personal air sampler (to assess inhalation exposure), hair samples and gras samples

    Operators: during the observed work with PPP and for urine up to 48 hours after; resident: during the observed application and for urine up to 48 hours after; workers: during work in the orchards and for urine up to 48 hours a; control: at one time point

  • Effect biomarkers in blood and metabolome in plasma

    Defined effect biomarkers in blood as well as the metabolome in plasma will be analysed before and after application of plant protection products to observe possible early physiological changes. The following effect biomarkers in the blood will be measured: c-reactive protein, fasting glucose, HbA1c, cortisol, oxidized LDL, complete blood count, thyrotropin (TSH), free T3 (fT3), free T4 (fT4), gamma GT, GOT (ASAT), GPT (ALAT), bilirubin, cystatin C, urea

    enrollment until 7 days after application/work in the apple orchards; for people from the control group at one time point

Study Arms (4)

Operators

People who apply plant protection products to apple crops.

Workers

People who do manual work in apple cultivation, like pruning or harvesting.

Residents

People whose place of residence is adjacent to the orchard under investigation.

Control

People whose place of residence is at least 10 km away from agricultural apple orchards and a maximum of 150 km away from the apple orchard under investigation.

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Users, residents and workers: people from "Altes Land", a large apple-growing region in northern Germany Control: live at least 10 km and max. 150 km away from agricultural apple orchards

You may qualify if:

  • belonging to one of the defined study groups
  • over 18 years of age at the time of recruitment
  • person can understand the language and content of the study requirements
  • person is capable of consenting to participate in the study and has given written consent to participate in the aPPPle study
  • person has health insurance

You may not qualify if:

  • person has direct professional contact with the tested substances acetamiprid, dithianon or dodine

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Federal Institute for Risk Assessment

Berlin, 10589, Germany

RECRUITING

Central Study Contacts

Prof. Dr. Cornelia Weikert

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 7, 2025

First Posted

March 19, 2025

Study Start

March 11, 2025

Primary Completion

December 20, 2025

Study Completion

December 20, 2025

Last Updated

March 19, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will not share

Locations