NCT05233735

Brief Summary

Vitiligo is the commonest acquired depigmenting disorder characterized by loss of melanocytes from the basal layer of skin causing white patches which leads to great psychological distress in many patients. Even though the pathogenic mechanisms of the loss of melanocytes are well researched, a permanent cure for the disease is still elusive. The key principle in the management of vitiligo is to attain stability and to induce active residual melanocytes to repopulate within the depigmented patch thus resulting in repigmentation. In recent years the use of various devices for enhanced transcutaneous delivery of various topical preparations has become more and more common in Dermatology. The aim of this study is to see whether using the Tixel device to enhance the penetration of topical betamethasone can improve the effectiveness of the treatment of pigment regeneration in vitiligo.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jan 2021

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

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, 2021

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

October 5, 2021

Completed
4 months until next milestone

First Posted

Study publicly available on registry

February 10, 2022

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2023

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2024

Completed
Last Updated

February 10, 2022

Status Verified

February 1, 2022

Enrollment Period

3 years

First QC Date

October 5, 2021

Last Update Submit

February 9, 2022

Conditions

Keywords

VitiligoTixelEnhanced Transcutaneous Delivery

Outcome Measures

Primary Outcomes (3)

  • Patient's global impression of change (PGIC) scale

    The self-report measure Patient Global Impression of Change (PGIC) reflects a patient's belief about the efficacy of treatment. Although widely used in chronic pain clinical trials, PGIC's validity has not been formally assessed. PGIC is a 7 point scale depicting a patient's rating of overall improvement. Patients rate their change as "1- very much improved," "2- much improved," "3- minimally improved," "4-no change," "5- minimally worse," "6- much worse," or "7- very much worse."

    up to 2 years

  • Dermatology life quality index (DLQI)

    The Dermatology life Quality Index (DLQI) is a ten-question questionnaire used to measure the impact of skin disease on the quality of life of an affected person. There are 10 questions, covering the following topics: symptoms, embarrassment, shopping and home care, clothes, social and leisure, sport, work or study, close relationships, sex, treatment. Each question refers to the impact of the skin disease on the patient's life over the previous week Each question is scored from 0 to 3, giving a possible score range from 0 (meaning no impact of skin disease on quality of life) to 30 (meaning maximum impact on quality of life). A series of validated "band descriptors" were described in 2005 to give meaning to the scores of the DLQI. These bands are as follows: 0-1 = No effect on patient's life, 2-5 = Small effect, 6-10 = Moderate effect, 11-20 = Very large effect, 21-30 = Extremely large effect.

    up to 2 years

  • Physician's global assessment (PGA) scale

    0-4 scale of improvement 0- Absent: 0% 1. Minimal: \< 25% 2. Mild: 26-50% 3. Moderate: 51-75% 4 -Marked to complete: \> 75%.

    up to 2 years

Study Arms (2)

topical treatment

OTHER

Topical Betamethasone for the Treatment of Vitiligo Disease

Other: Topical treatment

Enhanced Transcutaneous Delivery

EXPERIMENTAL

Enhanced Transcutaneous Delivery of Topical Betamethasone after a treatment with Tixel device for the Treatment of Vitiligo Disease

Other: Enhanced Transcutaneous Delivery of Topical Betamethasone after the treatment with Tixel

Interventions

Tixel Parameters: exposure time 6-8 milliseconds, 400-600 μm protrusion

Enhanced Transcutaneous Delivery

betamethasone ointment treatment once per day

topical treatment

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Symmetric vitiligo
  • Stable vitiligo for at least six months (\< 10% change in the last 6 months)
  • Diagnosis was made clinically by a dermatologist
  • Age over 18 -70 years men and women

You may not qualify if:

  • Non Stable vitiligo
  • Contraindications for phototherapy
  • Pregnancy or lactation
  • Lack of willingness to go to phototherapy 3 times a week for at least 6 months
  • Segmental Vitiligo
  • Phototherapy or topical therapy for vitiligo in the last 1 month.
  • Exit criteria:
  • Intolerable to the the study treatment
  • Lack of patient's compliance

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Dermatology, Tel Aviv Sourasky medical center

Tel Aviv, 64239, Israel

RECRUITING

MeSH Terms

Conditions

Vitiligo

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

HypopigmentationPigmentation DisordersSkin DiseasesSkin and Connective Tissue Diseases

Study Officials

  • Mor Pavlovski, MD

    Sourasky Medical Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Mor Pavlovski, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Recruited patients will have at least 3 × 3 cm patches in greatest dimensions in symmetrical locations for example both forearms, both legs ect. one side will serve as target lesion and the other willl rec. Patients receiving topical or systemic therapy for vitiligo will be kept off treatment for 4 weeks prior to start of therapy. each patient will have 2 different treatments. one side - topical application of Betamethasone alone other side - enhanced Transcutaneous Delivery of Topical Betamethasone for the Treatment after treatment with Tixel. each patient will be treated with the 2 modes of treatments - 2 arms in symmetrical locations
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, PhD, MBA

Study Record Dates

First Submitted

October 5, 2021

First Posted

February 10, 2022

Study Start

January 1, 2021

Primary Completion

December 31, 2023

Study Completion

December 31, 2024

Last Updated

February 10, 2022

Record last verified: 2022-02

Data Sharing

IPD Sharing
Will not share

Locations