Combined Effect of Acitretin and Narrow Band Ultraviolet B on Vitiligo Repigmentation
Assessment of the Combined Effect of Acitretin and Narrow Band Ultraviolet B (Nb-UVB) on the Clinical Repigmentation and on the Expression of E-cadherins in Vitiligo Lesions in Comparison to Narrow Band UVB Alone. A Pilot Study
1 other identifier
interventional
20
1 country
1
Brief Summary
Since abnormal keratinocyte (KC) proliferation and differentiation as well as defective E cadherin expression were reported in vitiligo lesions, the investigators set to study the potential efficacy of combining Retinoids, which are known to improve KC proliferation and differentiation and increase the expression of adhesion molecules, with narrowband UVB in the treatment of vitiligo.
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 Jan 2020
Typical duration 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
Study Start
First participant enrolled
January 1, 2020
CompletedFirst Submitted
Initial submission to the registry
January 21, 2020
CompletedFirst Posted
Study publicly available on registry
January 28, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2021
CompletedJuly 22, 2021
July 1, 2021
1.9 years
January 21, 2020
July 17, 2021
Conditions
Outcome Measures
Primary Outcomes (2)
Determining whether addition of acitretin is beneficial for vitiligo patients or not using Vitiligo Area Scoring Index
The number of patients who will achieve 100%, 75% and 50% repigmentation of vitiligo lesions will be compared between group A (nbUVB) and group B (nbUVB+ acitretin) after 48 nbUVB sessions. The comparison of the 2 groups will be assessed using Vitiligo Area Scoring Index (VASI)
4-5 months
Determining whether addition of acitretin is beneficial for vitiligo patients or not using Vitiligo Disease Activity Score.
The number of patients who will achieve 100%, 75% and 50% repigmentation of vitiligo lesions will be compared between group A (nbUVB) and group B (nbUVB+ acitretin) after 48 nbUVB sessions. The comparison of the 2 groups will be assessed using Vitiligo Disease Activity Score (VIDA).
4-5 months
Study Arms (2)
NbUVB
OTHERGroup A: patients will receive three NB-UVB sessions per week for 48 sessions.
Combined nbUVB and Acitretin
EXPERIMENTALGroup B: patients will receive three NB-UVB sessions per week for 48 sessions combined with acitretin in a dose of 0.3mg/kg/day daily.
Interventions
The patients will receive the drug and the effect on repigmentation on vitiligo lesions will be observed
Patients receive nbUVB session 3 times per week
Eligibility Criteria
You may qualify if:
- Patients with generalized non-segmental vitiligo (25%-75%)
- Males, postmenopausal females and premenopausal females not planning to get pregnant during the period of treatment and after 2 years from the end of treatment.
- Age more than 18 years.
You may not qualify if:
- Children ˂ 18 years old
- Pregnant females
- Premenopausal females planning to get pregnant within the period of treatment or within 2 years after.
- Patients receiving treatment for vitiligo within the past 2 months.
- Patients with abnormal liver profile
- Patients with abnormal lipid profile
- Patients with associated photosensitive disorders
- Patients having associated skin diseases other than vitiligo
- Cataract and aphakia
- High cumulative dose from previous sessions of narrowband ˃ 200-300 session
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
Study Sites (1)
Cairo University
Cairo, 11956, Egypt
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
January 21, 2020
First Posted
January 28, 2020
Study Start
January 1, 2020
Primary Completion
November 30, 2021
Study Completion
December 1, 2021
Last Updated
July 22, 2021
Record last verified: 2021-07
Data Sharing
- IPD Sharing
- Will not share