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Photophoresis Versus Ciclosporine in Severe Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Cyclosporine A (CsA)
Extracorporeal photopheresis (ECP)
Sponsored by
University of Aarhus
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis focused on measuring Atopic dermatitis, Ciclosporine, Extracorporal photopheresis

Eligibility Criteria

20 Years - 45 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Criteria of inclusion were refractoriness to standard topical treatment (corticosteroid ointments, UVA, UVB, PUVA, tar).

Exclusion Criteria:

Criteria of exclusion were pregnancy, uncontrolled hypertension, previous malignancy, infectious disease, liver/kidney disease or active treatment with ECP or immunosuppressants within 4 weeks prior to start of trial.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Other

    Other

    Arm Label

    CsA-ECP

    ECP-CsA

    Arm Description

    Sequence of therapy: First ciclosporin was given and after relapse extra corporal photopheresis was given

    Sequence of therapy: First extra corporal photopheresis was given and after relapse ciclosporin was given

    Outcomes

    Primary Outcome Measures

    Change of SCORAD (SCORing Atopic Dermatitis)

    Secondary Outcome Measures

    Full Information

    First Posted
    August 25, 2014
    Last Updated
    March 26, 2015
    Sponsor
    University of Aarhus
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02226068
    Brief Title
    Photophoresis Versus Ciclosporine in Severe Atopic Dermatitis
    Official Title
    Ciclosporine and Extracorporal Photopheresis (ECP) Are Equipotent in Treating Severe Atopic Dermatitis (AD): A Randomized Cross-over Study Comparing Two Efficient Treatment Modalities
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    June 2002 (undefined)
    Primary Completion Date
    August 2003 (Actual)
    Study Completion Date
    January 2004 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University of Aarhus

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Severe atopic dermatitis (AD) is a recurrent and debilitating disease often requiring systemic immunosuppressive treatment. The efficacy of cyclosporine A (CsA) is well proven but potential side effects are concerning. Several reports point at extracorporeal photopheresis (ECP) as an efficient alternative treatment modality with few and mild side effects. However, no direct comparison between CsA and ECP in the treatment of AD has been performed so far. In this trial we test the hypothesis that ECP is non-inferior to standard treatment with CsA.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Atopic Dermatitis
    Keywords
    Atopic dermatitis, Ciclosporine, Extracorporal photopheresis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Crossover Assignment
    Allocation
    Randomized
    Enrollment
    20 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    CsA-ECP
    Arm Type
    Other
    Arm Description
    Sequence of therapy: First ciclosporin was given and after relapse extra corporal photopheresis was given
    Arm Title
    ECP-CsA
    Arm Type
    Other
    Arm Description
    Sequence of therapy: First extra corporal photopheresis was given and after relapse ciclosporin was given
    Intervention Type
    Drug
    Intervention Name(s)
    Cyclosporine A (CsA)
    Other Intervention Name(s)
    Sandimmune
    Intervention Description
    3 mg/kg/day for 4 month
    Intervention Type
    Other
    Intervention Name(s)
    Extracorporeal photopheresis (ECP)
    Intervention Description
    Administered two consecutive days twice a month for 4 month
    Primary Outcome Measure Information:
    Title
    Change of SCORAD (SCORing Atopic Dermatitis)
    Time Frame
    4 month

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    45 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Criteria of inclusion were refractoriness to standard topical treatment (corticosteroid ointments, UVA, UVB, PUVA, tar). Exclusion Criteria: Criteria of exclusion were pregnancy, uncontrolled hypertension, previous malignancy, infectious disease, liver/kidney disease or active treatment with ECP or immunosuppressants within 4 weeks prior to start of trial.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Erik Obitz, MD, DMSc
    Organizational Affiliation
    Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Photophoresis Versus Ciclosporine in Severe Atopic Dermatitis

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