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Treatment of Atopic Dermatitis by a Full-Body Blue Light Device (AD-Blue)

Primary Purpose

Dermatitis, Atopic

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Full Body Blue Light Device
Sponsored by
Philips Electronics Nederland BV
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dermatitis, Atopic

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Signed and dated informed consent prior to any study mandated procedure
  • Good health as determined by the Investigator
  • Willing and able to comply with study requirements
  • Atopic dermatitis (AD) fulfilling the United Kingdom (UK) criteria of AD
  • Age between 18 and ≤ 75 years
  • Reliable method of contraception for women of childbearing potential (i.e. low failure rate less than 1% per year; e.g. oral contraceptives, intrauterine device [IUD] or transdermal contraceptive patch)
  • Willing to abstain from excessive sun / UV exposure (e.g. sunbathe, solarium) during the course of the study
  • Body Mass Index ≥ 18 and ≤ 35

Exclusion Criteria:

General

  • Inmates of psychiatric wards, prisons, or other state institutions
  • Investigator or any other team member involved directly or indirectly in the conduct of the clinical study
  • Participation in another clinical trial within the last 30 days
  • Pregnant or nursing women
  • Risk of non-compliance with study procedures

Medical History

  • Past or present disease, which as judged by the investigator, may affect the outcome of this study. These diseases may include cardiovascular disease, malignancy, hepatic disease, renal disease, hematological disease, neurological disease, endocrine disease or pulmonary disease, and others.
  • Clinically relevant abnormalities in hematology, or blood chemistry at screening.
  • Positive HIV-1/2Ab, hepatitis B surface antigen (HBsAg) or hepatitis C virus antibodies (HCV-Ab) test at screening.
  • Diastolic blood pressure above 95 mmHg.
  • Febrile illness within 2 weeks prior to baseline visit.
  • Alcohol or drug abuse within 12 months prior to screening (i.e., Regular daily consumption of more than 1 liter of beer or the equivalent quantity of approximately 40 g of alcohol in another form.)
  • Photodermatosis and/or significant photosensitivity, including porphyria and/or hypersensitivity to porphyrins as well as photosensitivity due to present or past (within the last year) intake of amiodarone.
  • Congenital or acquired immunodeficiency
  • Patients who have been diagnosed with invasive skin cancer at any time (=malignant cells invaded below the basal membrane of the epidermis), or with severe actinic damage present at baseline visit.
  • Patients with genetic deficiencies attached with increased sensitivity to light or increased risk to dermatologic cancer (i.e. Xeroderma pigmentosum, Cockayne Syndrome, Bloom-Syndrome).

Concomitant medication/treatment in medical history and during the study

Within 8 weeks prior to baseline visit:

  • Systemic immunosuppression treatment (steroids, cyclosporine, azathioprine, Mycophenolate Mofetil (MMF))

Within 4 weeks prior to baseline visit:

  • UV radiation treatment

Within 2 weeks prior to baseline visit:

  • Topical steroid treatment
  • Topical calcineurin inhibitor treatment

Within 3 days prior to baseline visit:

  • Photo-sensitising medication (e.g. psoralen, tetracyclines, hydrochlorothiazide, phenothiazines, quinolones, hypericumperforatum, arnica, valerian, tar) as assessed by the regular medication plan of the patient
  • colours (e.g. thiazide, toluidine blue, eosin, methylene blue, rose Bengal, acridine) which will be visible on the patient's skin

Sites / Locations

  • University Hospital Goettingen
  • University Hospital Marburg
  • University Hospital Geneva

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Blue light at 415nm

Blue light at 450nm

Placebo

Arm Description

Full body irradiation for 30min (15 min. each body side) with blue light at 415nm peak wavelength with full body blue device.

Full body irradiation for 30min (15 min. each body side) with blue light at 450nm peak wavelength with full body blue device.

Full body irradiation for 30min (15 min. each body side) with blue light at 450nm peak wavelength with a low dose setting (not therapeutically active) of the full body blue device.

Outcomes

Primary Outcome Measures

Change in Eczema Area Severity Index (EASI) at end of treatment
Change in EASI from baseline to week 8

Secondary Outcome Measures

Change in Score of Atopic Dermatitis (SCORAD) at end of treatment
Change in SCORAD from baseline to week 8
Change in Patient Oriented Score of Atopic Dermatitis (PO-SCORAD) at end of treatment
Change in PO-SCORAD from baseline to week 8
Change in Investigator Global assessment (IGA)at end of treatment
Change in IGA from baseline to week 8
Change in itch Visual Analogue Scale (VAS) at end of treatment
Change in itch VAS from baseline to week 8
EASI 50%
Proportion of patients achieving 50% reduction from baseline EASI score at end of treatment
Change in Dermatology Life Quality Index (DLQI) at end of treatment
Change in DLQI from baseline to week 8
Change in EASI at follow-up
Change in EASI from end of treatment to week 12
Time until treatment response
Time until Treatment Response is seen

Full Information

First Posted
March 15, 2017
Last Updated
August 6, 2018
Sponsor
Philips Electronics Nederland BV
Collaborators
University Hospital Goettingen, Philipps University Marburg Medical Center, University Hospital, Geneva
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1. Study Identification

Unique Protocol Identification Number
NCT03085303
Brief Title
Treatment of Atopic Dermatitis by a Full-Body Blue Light Device
Acronym
AD-Blue
Official Title
Treatment of Atopic Dermatitis by a Full-Body Blue Light Device
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
March 16, 2017 (Actual)
Primary Completion Date
July 31, 2018 (Actual)
Study Completion Date
July 31, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Philips Electronics Nederland BV
Collaborators
University Hospital Goettingen, Philipps University Marburg Medical Center, University Hospital, Geneva

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Multicentric, placebo-controlled, double-blinded, three-armed, prospective, randomized controlled trial.150 patients diagnosed with atopic dermatitis will be randomized to arm 1 (irradiation for 30min at 415nm wavelength), arm 2 (irradiation for 30min at 450nm wavelength), and arm 3 (irradiation for 30min at low-dose (placebo)). Irradiation will be scheduled 3 times a week for 8 weeks. Patients will be followed up for four weeks after the last irradiation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dermatitis, Atopic

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Masking Description
Patients are blinded by wearing tinted glasses for eye protection which disenable distinction of different wave lengths of light. Medical doctors will examine patients in other rooms than those equipped with the investigational medical devices. These examiners are blinded and are therefore not involved in the preparation and process of the irradiation.
Allocation
Randomized
Enrollment
87 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Blue light at 415nm
Arm Type
Experimental
Arm Description
Full body irradiation for 30min (15 min. each body side) with blue light at 415nm peak wavelength with full body blue device.
Arm Title
Blue light at 450nm
Arm Type
Experimental
Arm Description
Full body irradiation for 30min (15 min. each body side) with blue light at 450nm peak wavelength with full body blue device.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Full body irradiation for 30min (15 min. each body side) with blue light at 450nm peak wavelength with a low dose setting (not therapeutically active) of the full body blue device.
Intervention Type
Device
Intervention Name(s)
Full Body Blue Light Device
Intervention Description
Full body blue light irradiation (phototherapy) of atopic dermatitis patients.
Primary Outcome Measure Information:
Title
Change in Eczema Area Severity Index (EASI) at end of treatment
Description
Change in EASI from baseline to week 8
Time Frame
week 8
Secondary Outcome Measure Information:
Title
Change in Score of Atopic Dermatitis (SCORAD) at end of treatment
Description
Change in SCORAD from baseline to week 8
Time Frame
week 8
Title
Change in Patient Oriented Score of Atopic Dermatitis (PO-SCORAD) at end of treatment
Description
Change in PO-SCORAD from baseline to week 8
Time Frame
week 8
Title
Change in Investigator Global assessment (IGA)at end of treatment
Description
Change in IGA from baseline to week 8
Time Frame
week 8
Title
Change in itch Visual Analogue Scale (VAS) at end of treatment
Description
Change in itch VAS from baseline to week 8
Time Frame
week 8
Title
EASI 50%
Description
Proportion of patients achieving 50% reduction from baseline EASI score at end of treatment
Time Frame
week 8
Title
Change in Dermatology Life Quality Index (DLQI) at end of treatment
Description
Change in DLQI from baseline to week 8
Time Frame
week 8
Title
Change in EASI at follow-up
Description
Change in EASI from end of treatment to week 12
Time Frame
week 12
Title
Time until treatment response
Description
Time until Treatment Response is seen
Time Frame
week 0-8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed and dated informed consent prior to any study mandated procedure Good health as determined by the Investigator Willing and able to comply with study requirements Atopic dermatitis (AD) fulfilling the United Kingdom (UK) criteria of AD Age between 18 and ≤ 75 years Reliable method of contraception for women of childbearing potential (i.e. low failure rate less than 1% per year; e.g. oral contraceptives, intrauterine device [IUD] or transdermal contraceptive patch) Willing to abstain from excessive sun / UV exposure (e.g. sunbathe, solarium) during the course of the study Body Mass Index ≥ 18 and ≤ 35 Exclusion Criteria: General Inmates of psychiatric wards, prisons, or other state institutions Investigator or any other team member involved directly or indirectly in the conduct of the clinical study Participation in another clinical trial within the last 30 days Pregnant or nursing women Risk of non-compliance with study procedures Medical History Past or present disease, which as judged by the investigator, may affect the outcome of this study. These diseases may include cardiovascular disease, malignancy, hepatic disease, renal disease, hematological disease, neurological disease, endocrine disease or pulmonary disease, and others. Clinically relevant abnormalities in hematology, or blood chemistry at screening. Positive HIV-1/2Ab, hepatitis B surface antigen (HBsAg) or hepatitis C virus antibodies (HCV-Ab) test at screening. Diastolic blood pressure above 95 mmHg. Febrile illness within 2 weeks prior to baseline visit. Alcohol or drug abuse within 12 months prior to screening (i.e., Regular daily consumption of more than 1 liter of beer or the equivalent quantity of approximately 40 g of alcohol in another form.) Photodermatosis and/or significant photosensitivity, including porphyria and/or hypersensitivity to porphyrins as well as photosensitivity due to present or past (within the last year) intake of amiodarone. Congenital or acquired immunodeficiency Patients who have been diagnosed with invasive skin cancer at any time (=malignant cells invaded below the basal membrane of the epidermis), or with severe actinic damage present at baseline visit. Patients with genetic deficiencies attached with increased sensitivity to light or increased risk to dermatologic cancer (i.e. Xeroderma pigmentosum, Cockayne Syndrome, Bloom-Syndrome). Concomitant medication/treatment in medical history and during the study Within 8 weeks prior to baseline visit: Systemic immunosuppression treatment (steroids, cyclosporine, azathioprine, Mycophenolate Mofetil (MMF)) Within 4 weeks prior to baseline visit: UV radiation treatment Within 2 weeks prior to baseline visit: Topical steroid treatment Topical calcineurin inhibitor treatment Within 3 days prior to baseline visit: Photo-sensitising medication (e.g. psoralen, tetracyclines, hydrochlorothiazide, phenothiazines, quinolones, hypericumperforatum, arnica, valerian, tar) as assessed by the regular medication plan of the patient colours (e.g. thiazide, toluidine blue, eosin, methylene blue, rose Bengal, acridine) which will be visible on the patient's skin
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Schoen, Prof
Organizational Affiliation
University Medical Center Göttingen, Clinic of Dermatology, Venereology and Allergology
Official's Role
Principal Investigator
Facility Information:
Facility Name
University Hospital Goettingen
City
Goettingen
ZIP/Postal Code
37075
Country
Germany
Facility Name
University Hospital Marburg
City
Marburg
ZIP/Postal Code
35043
Country
Germany
Facility Name
University Hospital Geneva
City
Geneva
ZIP/Postal Code
1205
Country
Switzerland

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
27537360
Citation
Keemss K, Pfaff SC, Born M, Liebmann J, Merk HF, von Felbert V. Prospective, Randomized Study on the Efficacy and Safety of Local UV-Free Blue Light Treatment of Eczema. Dermatology. 2016;232(4):496-502. doi: 10.1159/000448000. Epub 2016 Aug 19. Erratum In: Dermatology. 2016;232(4):522.
Results Reference
background
PubMed Identifier
30622089
Citation
Kromer C, Nuhnen VP, Pfutzner W, Pfeiffer S, Laubach HJ, Boehncke WH, Liebmann J, Born M, Schon MP, Buhl T. Treatment of Atopic Dermatitis Using a Full-Body Blue Light Device (AD-Blue): Protocol of a Randomized Controlled Trial. JMIR Res Protoc. 2019 Jan 8;8(1):e11911. doi: 10.2196/11911.
Results Reference
derived

Learn more about this trial

Treatment of Atopic Dermatitis by a Full-Body Blue Light Device

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