NCT02795143

Brief Summary

The purpose of this study is to determine whether isotretinoin is helpful in treating patients with an adverse cutaneous drug eruption known as toxic epidermal necrolysis (TEN).

Trial Health

30
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Nov 2016

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 6, 2016

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 9, 2016

Completed
5 months until next milestone

Study Start

First participant enrolled

November 1, 2016

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2020

Completed
Last Updated

June 7, 2023

Status Verified

December 1, 2016

Enrollment Period

3.6 years

First QC Date

June 6, 2016

Last Update Submit

June 5, 2023

Conditions

Keywords

TEN

Outcome Measures

Primary Outcomes (1)

  • Number of days of hospitalization

    Number of days patient will be hospitalized.

    up to 14 days

Secondary Outcomes (1)

  • Percent of body surface affected (BSA)

    up to 14 days

Study Arms (2)

Isotretinoin

EXPERIMENTAL

Isotretinoin will be given at the following dosage: Dosing will be as listed on the table below. Weight in Kg Total Daily Dose 40-49 Kg 40mg 50-89 Kg 80mg 90-150 Kg 120mg

Drug: Isotretinoin

Placebo

PLACEBO COMPARATOR

Subjects will be given placebo capsules twice a day.

Other: Placebo

Interventions

Isotretinoin
PlaceboOTHER
Placebo

Eligibility Criteria

Age18 Years - 69 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years of age
  • Has biopsy-proven toxic epidermal necrolysis (TEN)
  • If female, should not be of childbearing potential defined as:
  • Have not had menstrual periods for 12 months in a row (menopause) OR
  • Had bilateral oophorectomy or total hysterectomy OR
  • Have a ovarian disorder that would make pregnancy not possible

You may not qualify if:

  • Unknown HIV status and unwilling to undergo HIV testing
  • Women of childbearing potential
  • Pregnancy
  • Breastfeeding
  • Fasting serum triglyceride levels \>25% of upper limit of normal
  • Aspartate aminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase levels \>2Ă— upper limit of normal (ULN)
  • Known allergy to isotretinoin
  • History of suicidal attempt, psychosis, major depression or other serious mood disorders
  • Currently taking vitamin A supplements, tetracyclines, phenytoin, corticosteroids, IVIg or St. John's Wort
  • Has any condition that, in the opinion of the investigator, would make participation not be in the best interest (for example, compromise the well-being) of the participant or that could prevent, limit, or confound the protocol-specified assessments
  • Participation in an interventional study within the past 30 days.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

MeSH Terms

Conditions

Stevens-Johnson Syndrome

Interventions

Isotretinoin

Condition Hierarchy (Ancestors)

StomatitisMouth DiseasesStomatognathic DiseasesDrug EruptionsDermatitisSkin DiseasesSkin and Connective Tissue DiseasesErythema MultiformeErythemaSkin Diseases, VesiculobullousHypersensitivity, DelayedHypersensitivityImmune System DiseasesDrug HypersensitivityDrug-Related Side Effects and Adverse ReactionsChemically-Induced Disorders

Intervention Hierarchy (Ancestors)

RetinoidsCarotenoidsPolyenesAlkenesHydrocarbons, AcyclicHydrocarbonsOrganic ChemicalsCyclohexenesCyclohexanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicTerpenesPigments, BiologicalBiological Factors

Study Officials

  • Arturo Saavedra, MD, PhD

    Massachusetts General Hospital

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 6, 2016

First Posted

June 9, 2016

Study Start

November 1, 2016

Primary Completion

June 1, 2020

Study Completion

June 1, 2020

Last Updated

June 7, 2023

Record last verified: 2016-12

Data Sharing

IPD Sharing
Will not share

Locations