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Management of Pruritus With Xyzal in Atopic Dermatitis

Primary Purpose

Atopic Dermatitis, Pruritus

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Levocetirizine dihydrochloride (Xyzal)
placebo
Sponsored by
Derm Research, PLLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis focused on measuring Itching, Atopic Dermatitis

Eligibility Criteria

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

Inclusion Criteria:

  • Outpatient, male or female subjects of any race, at least 18 years of age.
  • Female subjects of childbearing potential must have a negative urine pregnancy test result at Baseline and practice a reliable method of contraception throughout the study. A female is considered of childbearing potential unless she is:

    • postmenopausal for at least 12 months prior to study drug administration;
    • without a uterus and/or both ovaries; or
    • has been surgically sterile for at least 6 months prior to study drug administration.
  • Reliable methods of contraception are:

    • hormonal methods or intrauterine device in use > 90 days prior to study drug administration;
    • barrier methods plus spermicide in use at least 14 days prior to study drug administration; or
    • vasectomized partner. [Exception: Female subjects of childbearing potential who are not sexually active will not be required to practice a reliable method of contraception. These subjects may be enrolled at the Investigator's discretion if they are counseled to remain sexually inactive during the study and understand the possible risks in getting pregnant during the study.]
  • Definitive diagnosis of atopic dermatitis as per Rajka-Hanifin criteria.
  • Visual Analog Scale (VAS) pruritus score of 6 cm or more (moderate to severe itching) at baseline.
  • Willing to refrain from other antihistamines and topical steroids and topical immunomodulators for the duration of the study.
  • Able to understand and comply with the requirements of the study and sign Informed Consent/Health Insurance and Portability Accountability Act (HIPAA) Authorization forms.

Exclusion Criteria:

  • Female subjects who are pregnant (positive urine pregnancy test), breast-feeding, or who are of childbearing potential and not practicing a reliable method of birth control.
  • Requiring oral treatment for their atopic dermatitis apart from oral antihistamines
  • History of hypersensitivity or idiosyncratic reaction to to any component of the test medication , or to cetirizine.
  • Atopic Dermatitis triggered by an unavoidable irritant/allergen.
  • Skin disease/disorder that might interfere with the diagnosis or evaluation of atopic dermatitis (e.g., erythroderma, skin infection on the affected area, etc.)
  • Non-compliance with the proper wash-out periods for prohibited medications.
  • Uncontrolled chronic disease such as diabetes
  • The presence of renal disease with mild, moderate or severe renal impairment
  • Medical condition that, in the opinion of the Investigator, contraindicates the subject's participation in the clinical study.
  • Clinically significant alcohol or drug abuse, in the opinion of the Investigator.
  • History of poor cooperation, non-compliance with medical treatment, or unreliability.
  • Participation in an investigational drug study within 30 days of the Baseline Visit.

Sites / Locations

  • DermResearch, PLLC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Xyzal

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Pruritus VAS Scores at Baseline, Week 2 and Week 4
Consented subjects who met inclusion/exclusion criteria were assigned either 5mg levocetirizine dihydrochloride (Xyzal) or placebo to be taken daily each evening for 28 days. Subjects were asked to complete a Visual Analog Scale to measure itch at Baseline, Week 2 and Week 4. The scale is an eleven point scale ranging from 0-10 with 0 indicating no itch to 10 indicating itch that frequently interferes with daily activities.

Secondary Outcome Measures

Dermatology Life Quality Index (DLQI) Questionnaire Scores at Baseline, Week 2 and Week 4
Consented subjects who met inclusion/exclusion criteria were asked to complete a DLQI (Dermatology Life Quality Index)at Baseline, Week 2 and Week 4. The DLQI is a 10 item questionnaire broken down into 6 domains; symptoms and feelings, daily activities, leisure, work and school, personal relationships and treatment with a total score ranging from 0-30 (no effect on subject's life for 0, extremely large effect on subject's life for 30)

Full Information

First Posted
April 17, 2009
Last Updated
August 14, 2013
Sponsor
Derm Research, PLLC
Collaborators
UCB Pharma
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1. Study Identification

Unique Protocol Identification Number
NCT00884325
Brief Title
Management of Pruritus With Xyzal in Atopic Dermatitis
Official Title
Management of Pruritus With Xyzal in Atopic Dermatitis in a Randomized, Double-Blind, Placebo Controlled Study
Study Type
Interventional

2. Study Status

Record Verification Date
August 2013
Overall Recruitment Status
Completed
Study Start Date
February 2009 (undefined)
Primary Completion Date
January 2010 (Actual)
Study Completion Date
January 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Derm Research, PLLC
Collaborators
UCB Pharma

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
It is historically well known that the management of pruritus in atopic dermatitis is very difficult. Most of the patients are not controlled with traditional antihistamines such as Clarinex, Claritin, and Allegra. It will be a welcome addition to our treatment armamentarium if a drug such as Xyzal can control pruritus associated with atopic dermatitis.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Xyzal
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Levocetirizine dihydrochloride (Xyzal)
Other Intervention Name(s)
Xyzal
Intervention Description
One tablet 5 mg taken orally at night for 28 days
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
One tablet taken orally at night for 28 days
Primary Outcome Measure Information:
Title
Pruritus VAS Scores at Baseline, Week 2 and Week 4
Description
Consented subjects who met inclusion/exclusion criteria were assigned either 5mg levocetirizine dihydrochloride (Xyzal) or placebo to be taken daily each evening for 28 days. Subjects were asked to complete a Visual Analog Scale to measure itch at Baseline, Week 2 and Week 4. The scale is an eleven point scale ranging from 0-10 with 0 indicating no itch to 10 indicating itch that frequently interferes with daily activities.
Time Frame
Baseline - Week 2-Week 4
Secondary Outcome Measure Information:
Title
Dermatology Life Quality Index (DLQI) Questionnaire Scores at Baseline, Week 2 and Week 4
Description
Consented subjects who met inclusion/exclusion criteria were asked to complete a DLQI (Dermatology Life Quality Index)at Baseline, Week 2 and Week 4. The DLQI is a 10 item questionnaire broken down into 6 domains; symptoms and feelings, daily activities, leisure, work and school, personal relationships and treatment with a total score ranging from 0-30 (no effect on subject's life for 0, extremely large effect on subject's life for 30)
Time Frame
Baseline - Week 2 - Week 4

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Outpatient, male or female subjects of any race, at least 18 years of age. Female subjects of childbearing potential must have a negative urine pregnancy test result at Baseline and practice a reliable method of contraception throughout the study. A female is considered of childbearing potential unless she is: postmenopausal for at least 12 months prior to study drug administration; without a uterus and/or both ovaries; or has been surgically sterile for at least 6 months prior to study drug administration. Reliable methods of contraception are: hormonal methods or intrauterine device in use > 90 days prior to study drug administration; barrier methods plus spermicide in use at least 14 days prior to study drug administration; or vasectomized partner. [Exception: Female subjects of childbearing potential who are not sexually active will not be required to practice a reliable method of contraception. These subjects may be enrolled at the Investigator's discretion if they are counseled to remain sexually inactive during the study and understand the possible risks in getting pregnant during the study.] Definitive diagnosis of atopic dermatitis as per Rajka-Hanifin criteria. Visual Analog Scale (VAS) pruritus score of 6 cm or more (moderate to severe itching) at baseline. Willing to refrain from other antihistamines and topical steroids and topical immunomodulators for the duration of the study. Able to understand and comply with the requirements of the study and sign Informed Consent/Health Insurance and Portability Accountability Act (HIPAA) Authorization forms. Exclusion Criteria: Female subjects who are pregnant (positive urine pregnancy test), breast-feeding, or who are of childbearing potential and not practicing a reliable method of birth control. Requiring oral treatment for their atopic dermatitis apart from oral antihistamines History of hypersensitivity or idiosyncratic reaction to to any component of the test medication , or to cetirizine. Atopic Dermatitis triggered by an unavoidable irritant/allergen. Skin disease/disorder that might interfere with the diagnosis or evaluation of atopic dermatitis (e.g., erythroderma, skin infection on the affected area, etc.) Non-compliance with the proper wash-out periods for prohibited medications. Uncontrolled chronic disease such as diabetes The presence of renal disease with mild, moderate or severe renal impairment Medical condition that, in the opinion of the Investigator, contraindicates the subject's participation in the clinical study. Clinically significant alcohol or drug abuse, in the opinion of the Investigator. History of poor cooperation, non-compliance with medical treatment, or unreliability. Participation in an investigational drug study within 30 days of the Baseline Visit.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Leon H. Kircik, M.D.
Organizational Affiliation
DermResearch, PLLC
Official's Role
Principal Investigator
Facility Information:
Facility Name
DermResearch, PLLC
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40217
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
8430920
Citation
Hannuksela M, Kalimo K, Lammintausta K, Mattila T, Turjanmaa K, Varjonen E, Coulie PJ. Dose ranging study: cetirizine in the treatment of atopic dermatitis in adults. Ann Allergy. 1993 Feb;70(2):127-33.
Results Reference
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Management of Pruritus With Xyzal in Atopic Dermatitis

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