Socioeconomic Determinants of the Chemical Exposome and Its Genotoxic Effects in Children

NCT06314633 — Not applicable, Completed, 149 participants, Institut Cancerologie de l'Ouest

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RegistryNCT06314633, acronym PESTIFOL
StatusCompleted
PhaseNot applicable
Study typeInterventional; na, single group, masking: none, health services research
Enrollment149 (Actual)
SponsorInstitut Cancerologie de l'Ouest (Other); collaborators: ANSES
ConditionsHealthy Volunteer Children
InterventionsHair cut, Socio-economic questionnaires (Other)
Datesstart 2024-01-29, primary completion 2025-07-31, completion 2025-07-31, first posted 2024-03-18, last updated 2026-05-22
Locations1 site in France

Related Papers Related Patents Related Grants Related Experts
All trials for Healthy Volunteer Children All trials of Hair cut All trials of Socio-economic questionnaires

-Summary

PESTIFOL will include children over 8 and under 12 years old of different socioeconomic positions (SEP), mostly living in the region of Pays de la Loire. This approach should enable us to assess the impact of the SEP, and therefore social inequalities, on chemical expositions and DNA damage, and to characterize which (classes/mixture of) pollutants are major source of DNA damage. The study will also address potential effects associated with geographical location on the exposome and its biological consequences.

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+Detailed description

Growing evidence points to a complex influence of the exposome on health outcomes. Epidemiological studies show associations between pesticides and cognitive delay and cancers. Only few were conducted in children. Chemical exposures differ between socioeconomic groups. The more disadvantaged the group, the higher are some exposures. However, the effect of the exposome on health is complicated to assess due to the long latencies of most diseases. It is therefore important to link social and chemical exposures to 'immediate' outcomes or molecular risk factors for human diseases. There is a strong connection between DNA damage and chronic diseases such as cancers. However, it is difficult to attribute these risks to specific impregnations.

The present study will address the impact of socioeconomic position, hence social inequalities, on environmental exposures and their biological consequences in children. Our approach is to detect DNA damage in hair follicles and associate these measurements with pesticide detections in the hair matrix and socioeconomic position (SEP).

PESTIFOL will include children over 8 and under 12 years old of different socioeconomic positions (SEP), mostly living in the region of Pays de la Loire. This approach should enable us to assess the impact of the SEP, and therefore social inequalities, on chemical expositions and DNA damage, and to characterize which (classes/mixture of) pollutants are major source of DNA damage. The study will also address potential effects associated with geographical location on the exposome and its biological consequences.

+Arms and interventions

ArmTypeInterventionsDescription
study proceduresOtherOther: Hair cut; Other: Socio-economic questionnairesHair cut for DNA damage and chemical exposome variation analysis and Socio-economic characteristics
  • Hair cut (Other): Hair locks and follicles will be cut twice in winter and spring
  • Socio-economic questionnaires (Other): Information about parents education levels and professional occupation, geographic area, children gender, indoor and outdoor children's environmental exposures

+Outcome measures

Primary outcomes

  • Describe DNA damage [4-6 months]: Hair locks and hair follicles will be collected and will be analysed to evaluate the DNA damage : average amount of DNA break foci per nucleus cross-section
  • Describe DNA damage [4-6 months]: Hair locks and hair follicles will be collected and will be analysed to evaluate the DNA damage: proportion of cells with an abnormal break rate.
  • Describe socio-economic characteristics. [4-6 months]: The socio-economic characteristics will evaluated via parent's questionnaires : parents occupation and education level
  • Describe socio-economic characteristics. [4-6 months]: The socio-economic characteristics will evaluated via parents questionnaires : parents education level

Secondary outcomes

  • Characterize chemical exposome variations [4-6 months]: Chemical exposome: presence and amount of pollutant impregnations : total number of polluants detected in hair sample
  • Characterize chemical exposome variations [4-6 months]: Chemical exposome: presence of pollutants/pesticides classified as genotoxic/carcinogenic by the WHO IARC (International Agency for Research on Cancer), and/or the US EPA (National Environmental Protection Agency).
  • Characterize socio-economic indicators [4-6 months]: The socio-economic characteristics will be evaluated via parents' questionnaires: parents' occupation and education level
  • Characterize socio-economic indicators, geographical area, seasons [4-6 months]: The socio-economic characteristics will be evaluated via parents' questionnaires: geographic area
  • Characterize socio-economic indicators, geographical area, seasons [4-6 months]: The socio-economic characteristics will be evaluated via parents' questionnaires: gender
  • Characterize socio-economic indicators, geographical area, seasons [4-6 months]: The socio-economic characteristics will be evaluated via parents' questionnaires: seasons (winter and spring)
  • Describe DNA damage [4-6 months]: Evaluate the DNA damage: average amount of DNA break foci per nucleus cross-section
  • Describe DNA damage [4-6 months]: Evaluate the DNA damage: proportion of cells with an abnormal break rate.

+Eligibility

Sex: All, ages: 8 Years to 12 Years, accepts healthy volunteers

Inclusion Criteria:

* Children over 8 and under 12 years old at the time of inclusion
* Children in school in class level CE2, CM1 or CM2
* Living in the Pays de La Loire region, at least 80% of the time
* Written informed assent and consent obtained from the participant and both parents or legal representative prior to performing any protocol-related procedures.

Exclusion Criteria:

\- Disorder precluding understanding of trial information or informed assent.

+Locations (1)

FacilityCityCountryStatus
Institut de Cancérologie de l'ouestSaint-HerblainFrance