Sunlight-mediated Inter-organ Leukocyte Exchange
SMILE
1 other identifier
interventional
18
1 country
1
Brief Summary
Ultraviolet B (UVB) irradiation induces regulatory immune cell types that may transmigrate from the skin to the blood and to the central nervous system and exert regulatory effects. Vitamin D deficiency-associated gene variants should reduce this effect if this is mediated by vitamin D. For this study, participants will be irradiated with UVB for 4 weeks. Single cell RNA Sequencing will be performed on isolated immune cells from skin, blood and Cerebrospinal fluid (CSF), before and after irradiation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable multiple-sclerosis
Started Nov 2022
Shorter than P25 for not_applicable multiple-sclerosis
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
First Submitted
Initial submission to the registry
November 16, 2022
CompletedStudy Start
First participant enrolled
November 21, 2022
CompletedFirst Posted
Study publicly available on registry
November 25, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 14, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
April 14, 2023
CompletedMay 9, 2023
May 1, 2023
5 months
November 16, 2022
May 8, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Vitamin D3 serum concentration (ng/mL)
Changes in Vitamin D3 serum concentration (ng/mL) of RRMS patients with regard to different Vitamin D3 deficit-associated genotypes before and after UVB-narrowband radiation.
4 weeks
Secondary Outcomes (1)
single-cell RNA sequencing
1 year
Study Arms (2)
Participants with high Vitamin D genotype risk score
EXPERIMENTALPArticipants with low Vitamin D genotype risk score
EXPERIMENTALInterventions
Participants will be irradiated with 311nm UVB for 5 days per week and 4 weeks in total.
Eligibility Criteria
You may qualify if:
- RRMS according to revised McDonald criteria (2017) or healthy volunteer
- Patients under treatment of natalizumab, teriflunomide, glatirameracetat or dimethyl fumarate for at least 4 weeks of therapy, or therapy-naïve patients will be included
You may not qualify if:
- Patients receiving treatment in the last 3 months of interferon-β, fingolimod, alemtuzumab, ocrelizumab, cladribine, ofatumumab, ozanimod, or ponesimod
- Vitamin D supplementation in the last 8 weeks
- UVB-narrowband contraindicated skin diseases (e.g., cutaneous neoplasia)
- Lacking the ability to stand on their own in the treatment chamber
- Signs of intolerance regarding UVB radiation
- Intake of UV-sensitive therapeutics
- Further autoimmune diseases (e.g., Morbus Crohn, psoriasis, neurodermatitis)
- Additional recreational or therapeutic UV radiation (e.g., solarium)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University Hospital Muenster
Münster, North Rhine-Westphalia, 48149, Germany
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof. Dr. rer. nat.
Study Record Dates
First Submitted
November 16, 2022
First Posted
November 25, 2022
Study Start
November 21, 2022
Primary Completion
April 14, 2023
Study Completion
April 14, 2023
Last Updated
May 9, 2023
Record last verified: 2023-05