Development of a Method to Measure mRNA Levels in Skin Samples

NCT04537468 | Completed

• 1 other identifier: Inno-5001
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to develop a non-invasive method to measure mRNA levels using tape stripping on the skin of patients with psoriasis and patients with atopic dermatitis.

Conditions

Healthy; Atopic Dermatitis Eczema; Psoriasis

Keywords

Skin squames; Tape stripping; Skin biopsy

Outcome Measures

Primary Outcomes (1)

• Expression of skin biomarkers

  Gene expression of epidermal cytokines and chemokines.

  Day 0

Study Arms (1)

Skin sample collection

OTHER

Skin sample collection for gene expression analyses.

Other: Skin squame collection; Other: Tape strip collection; Other: Tape strip and skin biopsy collection

Interventions

Skin squame collection OTHER

Subjects underwent skin squame collection by scraping. The investigator gently scraped the surface of a lesional skin area for patients with psoriasis, and of a non-lesional skin area for healthy volunteers to collect superficial cells. These samples were analyzed by gene expression analyses.

Skin sample collection

Tape strip collection OTHER

The first subjects had up to 35 tape strips from a maximum of 4 areas (4 X 35 strippings) on the trunk or limbs (excluding the genital area). Patients with atopic dermatitis or psoriasis had tape stripping performed on lesional skin areas and the control subjects had tape stripping performed on nonlesional skin areas. The next subjects were used to determine the optimal number of tape strips required to obtain a good signal by gene expression analyses.

Skin sample collection

Tape strip and skin biopsy collection OTHER

Subjects had tape stripping on up to 3 different skin areas (2 areas on lesional skin and one area of nonlesional skin for patients with atopic dermatitis or psoriasis, and 2 areas of healthy skin for control subjects) using the optimal number of tape strips, as determined in the previous part. One 4-mm skin biopsy on a tape stripped area plus one 4-mm biopsy on non-tape-stripped skin (2 biopsies per subject) were also collected.

Skin sample collection

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Subject, male or female, aged 18 years or older at the time of consent.
• Female subjects of childbearing potential had a negative urine pregnancy test at the screening visit.
• Subjects had to be able and willing to provide written informed consent and comply with the requirements of the study protocol. Consent was obtained prior to any study-related procedures.
• Patient had a history of atopic dermatitis or psoriasis.
• Patient with psoriasis had a Physician's Global Assessment (PGA) score of ≥2 at Day 0.
• Patients with atopic dermatitis had an Investigator's Global Assessment (IGA) score of ≥2 at Day 0.

You may not qualify if:

• Female subject was pregnant or breastfeeding.
• Subject was participating in a clinical trial with an experimental drug or device or had participated in a clinical trial with an experimental drug or device within the last 4 weeks of the collection day (Day 0).
• Subject was known to have hepatitis B or hepatitis C viral infection.
• Subject was known to have immune deficiency or was immunocompromised.
• Subject had used systemic medication, medical devices, UVB or PUVA therapy or natural health products to treat atopic dermatitis or psoriasis on the areas to be biopsied or tape stripped within 4 weeks of the collection day (Day 0).
• Subject had used oral, intravenous steroids, or immunosuppressive medication within 4 weeks of the collection day (Day 0). Subject had used intramuscular or intra-lesional or intra-articular steroids or immunosuppressive medication on the areas to be biopsied or tape stripped within 4 weeks of the collection day (Day 0).
• Subject had used a biologic within 12 weeks or 5 half-lives of the collection day (Day 0), whichever was longer.
• Subject had used topical medication, natural health products or medical devices to treat atopic dermatitis or psoriasis on the areas to be tape stripped or biopsied within 2 weeks of the collection day (Day 0).
• \*Only for subjects who underwent skin biopsy:
• Subject had a known hypersensitivity/allergy to lidocaine.
• Subject had a history of hypertrophic scarring or keloid formation in scars or suture sites.
• Subject was taking anti-coagulant medication (e.g. heparin, low molecular weight \[LMW\]-heparin, warfarin, anti-platelets \[nonsteroidal anti-inflammatory drugs (NSAIDs) and low-dose aspirin (equal or lower than 81 mg) were not considered anti-platelets\]) or had a contraindication to skin biopsies.

Sponsors & Collaborators

• Innovaderm Research Inc.: lead

Study Sites (1)

Innovaderm Research, Inc.

Montreal, Quebec, H2X 2V1, Canada

Location

Related Publications (1)

• He H, Bissonnette R, Wu J, Diaz A, Saint-Cyr Proulx E, Maari C, Jack C, Louis M, Estrada Y, Krueger JG, Zhang N, Pavel AB, Guttman-Yassky E. Tape strips detect distinct immune and barrier profiles in atopic dermatitis and psoriasis. J Allergy Clin Immunol. 2021 Jan;147(1):199-212. doi: 10.1016/j.jaci.2020.05.048. Epub 2020 Jul 21.

  PMID: 32709423 RESULT

MeSH Terms

Conditions

Psoriasis

Condition Hierarchy (Ancestors)

Skin Diseases, Papulosquamous; Skin Diseases; Skin and Connective Tissue Diseases

Study Officials

• Robert Bissonnette, MD

  Innovaderm Research Inc.

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The study consisted of 3 sequential groups: 1. Collection of skin squames by scraping. 2. Collection of tape strip samples. 3. Collection of tape strip samples and skin biopsies.

Study Record Dates

• First Submitted: August 28, 2020
• First Posted: September 3, 2020
• Study Start: May 11, 2017
• Primary Completion: May 22, 2019
• Study Completion: October 2, 2019
• Last Updated: September 4, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)