Skin Microbiome and Polymorphic Light Eruption
PLE_microbio
The Significance of the Skin Microbiome in the Pathophysiology of Polymorphic Light Eruption
1 other identifier
interventional
30
1 country
1
Brief Summary
Polymorphic light eruption (PLE) is the most common form among UV-inducible disorders with a prevalence of approximately 11-21% worldwide and a clear predisposition of women. Usually, within several hours after an intense UV exposure, most likely in spring or early summer, the formation of itchy skin lesions particularly at the upper arms and V-neck and neck is distinctive for PLE. It has been suggested that the development of a potential photo-induced antigen may initiate a delayed-type hypersensitivity reaction in PLE (causing the skin rash) and the microbiota of the skin may be involved. We thus hypothesized that eliminating the microbiota of the skin by disinfection may affect the formation of PLE. The concept of this study covers a combined interindividual and intraindividual half-body comparison of the skin reactions of disinfected and contralateral non-disinfected areas upon UV exposure in PLE patients and healthy subjects.
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 May 2021
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
May 7, 2021
CompletedFirst Submitted
Initial submission to the registry
June 14, 2021
CompletedFirst Posted
Study publicly available on registry
August 2, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2023
CompletedAugust 2, 2021
July 1, 2021
1.1 years
June 14, 2021
July 22, 2021
Conditions
Outcome Measures
Primary Outcomes (3)
Quantification of PLE
determined by PLE score (range, 0-12) of photo provocation results (0 best, 12 worst)
1 week
Quantification of erythema score (range, 0-4)
determined by visual and spectroscopic erythema score
1 week
Quantification of pigmentation (range, 0-4)
determined by visual and spectroscopic erythema score
1 week
Secondary Outcomes (5)
Measurement of multiple cytokines (panel of 96 cytokines)
1 week
Assessment of multiple microbiomes of the skin (quantity and variety)
1 week
Measurement of quantity and quality of multiple Antimicrobial peptides (AMP)
1 week
Measurement of concentration of cis/trans-urocanic acid
1 week
Quantification of cellular skin infiltration (T cells, granulocytes and macrophages)
1 week
Study Arms (2)
Polymorphic light eruption patients
EXPERIMENTALPLE patients subjected to MED testing and photoprovocation
Healthy subjects
OTHERNormal healthy subjects
Interventions
Administering Octeniderm (octenidine dihydrochloride, 1-propanol, 2- propanol) or 0,9% sodium chloride (as control agent) to the skin
Eligibility Criteria
You may qualify if:
- Confirmed diagnosis of PLE by typical patient history, typical histology of skin lesions and/or positive photo provocation test
- Healthy subjects
You may not qualify if:
- Presence or history of malignant skin tumors; dysplastic melanocytic nevus syndrome
- Photosensitive diseases such as porphyria, chronic actinic dermatitis, xeroderma
- pigmentosum, basal cell nevus syndrome
- Autoimmune disorders such as lupus erythematosus or dermatomyositis
- Antinuclear antibodies titer over 1:160 within 12 months prior study
- Systemic treatment of steroids and/or immunosuppressive drugs within 4 weeks prior the study start
- Systemic treatment of antibiotics within the last 6 weeks prior study
- Local treatment of anti-microbial treatment in the test field area within the last 6 weeks prior the study
- Systemic treatment of medications/drugs/ that could affect inflammatory responses within 2 weeks prior study
- Allergy on tape strips and/or adhesive material
- Psychiatric disorders
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Dermatology, Medical University of Graz
Graz, Styria, 8036, Austria
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Peter Wolf, MD
Medical University of Graz
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 14, 2021
First Posted
August 2, 2021
Study Start
May 7, 2021
Primary Completion
June 30, 2022
Study Completion
June 30, 2023
Last Updated
August 2, 2021
Record last verified: 2021-07