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Microneedling and Latanoprost in Acrofacial Vitiligo

Primary Purpose

Vitiligo

Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Latanoprost
Microneedling
Sponsored by
Sohag University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Vitiligo focused on measuring acrofacal vitiligo, latanoprost, microneedling

Eligibility Criteria

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

Inclusion Criteria:

- Acrofacial stable vitiligo for 6 months duration (without new lesions appearance or change in size of the existing lesions).

Exclusion Criteria:

  • History of scar formation.
  • Patients with systemic diseases (diabetes, bleeding disorders, chronic renal diseases, chronic liver diseases, asthma and hypertension).
  • Patients who are receiving chemotherapy or radiotherapy.
  • Pregnant and lactating females.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    Microneedling + latanoprost

    latanoprost

    Arm Description

    patient will receive topical application of latanoprost 0.005% eye drops solution twice daily for 3 months preceded by microneeding in sessions by dermapen every 2 weeks for 3 months (totally 6 sessions).

    Patient will receive topical application of latanoprost 0.005% eye drops solution only twice daily for 3 months (active control side).

    Outcomes

    Primary Outcome Measures

    Improvement in VASI score
    VASI score: The percentage of vitiligo involvement is calculated in terms of hand units. One hand unit is approximately equivalent to 1% of the total body surface area. The degree of pigmentation is estimated to the nearest of one of the following percentages: 100% - complete depigmentation, no pigment is present 90% - specks of pigment present 75% - depigmented area exceeds the pigmented area 50% - pigmented and depigmented areas are equal 25% - pigmented area exceeds depigmented area 10% - only specks of depigmentation present. The VASI for each body region is determined by the product of the area of vitiligo in hand units and the extent of depigmentation within each hand unit measured patch. Total body VASI = S All body sites [Hand Units] x [Residual depigmentation]. (Feily et al., 2014).

    Secondary Outcome Measures

    Full Information

    First Posted
    July 26, 2018
    Last Updated
    August 26, 2018
    Sponsor
    Sohag University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03611348
    Brief Title
    Microneedling and Latanoprost in Acrofacial Vitiligo
    Official Title
    Effectiveness of Microneedling and Topical Latanoprost in Treatment of Acrofacial Vitiligo
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2018
    Overall Recruitment Status
    Unknown status
    Study Start Date
    September 1, 2018 (Anticipated)
    Primary Completion Date
    September 1, 2019 (Anticipated)
    Study Completion Date
    December 1, 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Sohag University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    To compare efficacy of topical latanoprost preceded by microneedling versus topical latanoprost alone in treatment of acrofacial vitiligo.
    Detailed Description
    patients meeting inclusion and exclusion criteria presented to Dermatology Outpatient Clinic, Sohag University Hospital will be enrolled in the study after obtaining a written consent from them. Full history will be obtained and meticulous examination will be carried out. Patients will be randomly divided into 2 groups, one group will receive topical latanoprost with microneedling, and the other one will receive topical latabnoprost alone.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Vitiligo
    Keywords
    acrofacal vitiligo, latanoprost, microneedling

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2, Phase 3
    Interventional Study Model
    Parallel Assignment
    Model Description
    Randomized controlled trial
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    70 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Microneedling + latanoprost
    Arm Type
    Active Comparator
    Arm Description
    patient will receive topical application of latanoprost 0.005% eye drops solution twice daily for 3 months preceded by microneeding in sessions by dermapen every 2 weeks for 3 months (totally 6 sessions).
    Arm Title
    latanoprost
    Arm Type
    Active Comparator
    Arm Description
    Patient will receive topical application of latanoprost 0.005% eye drops solution only twice daily for 3 months (active control side).
    Intervention Type
    Drug
    Intervention Name(s)
    Latanoprost
    Intervention Description
    Topical application of latanoprost 0.005% eye drops solution only twice daily for 3 months. To apply latanoprost solution, one drop of the solution will be distributed over 1cm2 of depigmented skin. Side effects will be recorded.
    Intervention Type
    Device
    Intervention Name(s)
    Microneedling
    Intervention Description
    A superficial micro-needling technique will be done in millimeters according to depth of skin. The vitiliginous area and a thin surrounding rim (about 2 mm) will be subjected to micro-needling with dermapen. The depth of abrasion will be guided by the depth adjustor according to depth of skin on the affected area. This will be followed by the appearance of multiple, tiny, punctate, bleeding points
    Primary Outcome Measure Information:
    Title
    Improvement in VASI score
    Description
    VASI score: The percentage of vitiligo involvement is calculated in terms of hand units. One hand unit is approximately equivalent to 1% of the total body surface area. The degree of pigmentation is estimated to the nearest of one of the following percentages: 100% - complete depigmentation, no pigment is present 90% - specks of pigment present 75% - depigmented area exceeds the pigmented area 50% - pigmented and depigmented areas are equal 25% - pigmented area exceeds depigmented area 10% - only specks of depigmentation present. The VASI for each body region is determined by the product of the area of vitiligo in hand units and the extent of depigmentation within each hand unit measured patch. Total body VASI = S All body sites [Hand Units] x [Residual depigmentation]. (Feily et al., 2014).
    Time Frame
    6 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: - Acrofacial stable vitiligo for 6 months duration (without new lesions appearance or change in size of the existing lesions). Exclusion Criteria: History of scar formation. Patients with systemic diseases (diabetes, bleeding disorders, chronic renal diseases, chronic liver diseases, asthma and hypertension). Patients who are receiving chemotherapy or radiotherapy. Pregnant and lactating females.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Noreen IS Abdelghany, M.B.B.Ch.
    Phone
    1093744655
    Ext
    +20
    Email
    noreen.ismael@yahoo.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Ramadan Saleh, MD
    Organizational Affiliation
    Sohag University
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    Share study proposal, patients and methods, results.
    IPD Sharing Time Frame
    1 year
    IPD Sharing Access Criteria
    Permission obtained from study director

    Learn more about this trial

    Microneedling and Latanoprost in Acrofacial Vitiligo

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