The Efficacy and Safety of Different Concentrations of Localized Injections of Steroids in the Treatment of Alopecia Areata
Efficacy and Safety of Different Concentrations of Intralesional Triamcinolone Acetonide in Alopecia Areata: A Prospective, Randomized, Double-blind, Placebo-controlled Study
1 other identifier
interventional
5
1 country
1
Brief Summary
Alopecia areata (AA) is a disease characterized by areas of hair loss. Localized steroid injections is the standard treatment for limited disease. There are no existing studies that compare different concentrations of steroids in the treatment of AA. This study will compare the efficacy and safety of different concentrations of localized steroid injections in the treatment of AA. Six treatment sessions will be done over 6 to 9 months. The investigators will compare the following concentrations: 2,5mg/ml, 5mg/ml, 10mg/ml, and normal saline.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Dec 2010
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 8, 2010
CompletedFirst Posted
Study publicly available on registry
November 23, 2010
CompletedStudy Start
First participant enrolled
December 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2014
CompletedJune 8, 2015
June 1, 2015
3.6 years
November 8, 2010
June 3, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Hair growth
4-6 weeks after each treatment session
Secondary Outcomes (1)
Side effects
4-6 weeks after each treatment session
Study Arms (4)
A
ACTIVE COMPARATORPlease note that the letter are assigned to different areas of injections within the same patient. All patients will be receiving the same treatment
B
ACTIVE COMPARATORPlease note that the letter are assigned to different areas of injections within the same patient. All patients will be receiving the same treatment
C
ACTIVE COMPARATORPlease note that the letter are assigned to different areas of injections within the same patient. All patients will be receiving the same treatment
D
PLACEBO COMPARATORPlease note that the letter are assigned to different areas of injections within the same patient. All patients will be receiving the same treatment.
Interventions
Injections will be given within a 3 cm2 area of alopecia which will be divided into 4 quadrants. Three different concentrations of triamcinolone acetonide will be used: 2.5, 5, and 10 mg/ml. Each quadrant will receive injections with either triamcinolone acetonide 2.5 mg/ml, triamcinolone acetonide 5 mg/ml, triamcinolone acetonide 10 mg/ml, or normal saline as a control. Injection of 0.1 ml will be given intradermally using a 30 gauge half inch long needle attached to a 3 ml syringe. Each quadrant will receive approximately 7 injections per treatment session so the total dose of triamcinolone acetonide will be around 13 mg. Injections will be given vertically, with the beveled side of the needle directed to the opposite side and 2 mm away from the margin of the adjacent quadrant to avoid a diffusion effect. The treatment will be repeated every 4 to 6 weeks for a total of 6 treatment sessions.
Eligibility Criteria
You may qualify if:
- Age \> 18 years
- Less than 50% scalp involvement
- Patients should have a patch of at least 4.5 cm in the smallest diameter
You may not qualify if:
- Current episode of alopecia areata for longer than 2 years
- Evidence of hair regrowth at baseline
- Patients who received treatment with a topical, intralesional, or systemic agent within the past month
- Rapidly progressing disease
- Hypersensitivity to Triamcinolone acetonide or vehicle
- Pregnancy or breast-feeding
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Skin Care Center, Vancouver General Hospital, 835 West 10th Ave
Vancouver, British Columbia, Canada
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jerry Shapiro, MD FRCPC
University of British Columbia
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 8, 2010
First Posted
November 23, 2010
Study Start
December 1, 2010
Primary Completion
July 1, 2014
Study Completion
July 1, 2014
Last Updated
June 8, 2015
Record last verified: 2015-06