The Randomized Double-blind Placebo-controlled Trial of Intralesional Botulinum Toxin A Injection for Recalcitrant Alopecia Totalis and Alopecia Universalis

NCT ID: NCT00997815

Last Updated: 2012-08-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2011-06-30

Brief Summary

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The main purpose of this study is to determine the efficacy of intralesional botulinum toxin type A injection for recalcitrant alopecia totalis and alopecia universalis.

Treatments of recalcitrant alopecia totalis and universalis remains an challenge issue for medical practice.The application of diphenylcyclopropenone (DPCP) is still being an standard treatment for the condition, however, there are at least thirty percentage of patients recalcitrant to this treatment.

The complete etiology of this disease has yet to be clear.Nevertheless,recent studies have demonstrated the hypothesis of neurotransmitter involvements.

There is numerous evidence in support of an imbalance of transmitters, including substance P and Calcitonin gene-related peptide.

Botulinum toxin A injection has been used to treat a neuralgiform headache and diffused alopecia areata. Both headache and hair loss have been made much in improvement. This data may support the neurotransmitter imbalance theory.

The investigators have been informed about possible effects to the alopecia condition, therefore, this study is conducted to assess the efficacy of botulinum toxin A as the novel treatment for recalcitrant alopecia totalis and alopecia universalis.

Detailed Description

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Conditions

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Recalcitrant Alopecia Totalis Recalcitrant Alopecia Universalis

Keywords

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Recalcitrant Alopecia totalis Alopecia universalis Botulinum toxin A

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Botulinum toxin A

The area of alopecia is splited into experimental and control sides by blocked randomization. Experimental sides injected with botulinum toxin A at 2 units per 0.1 ml of dilution with normal saline entire all area.

Group Type EXPERIMENTAL

Botulinum toxin A

Intervention Type DRUG

Concentration at 2 units per 0.1 of normal saline dilution

Placebo

Using normal saline

Group Type PLACEBO_COMPARATOR

Normal saline injection

Intervention Type DRUG

Using normal saline 2.5 ml injected in control side

Interventions

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Botulinum toxin A

Concentration at 2 units per 0.1 of normal saline dilution

Intervention Type DRUG

Normal saline injection

Using normal saline 2.5 ml injected in control side

Intervention Type DRUG

Other Intervention Names

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Botox

Eligibility Criteria

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Inclusion Criteria

1. All patients must be over 18 years old
2. All patients are diagnosed with alopecia totalis or alopecia universalis
3. The alopecia condition was not responded to any treatments

Exclusion Criteria

1. Having an active inflammation on scalp area
2. Allergic to botulinum toxin A of human albumin
3. Has been diagnosed with neuromuscular disorders
4. Taking any medication that may interfere with botulinum toxin A action
5. Receiving any treatment for alopecia condition within 4 weeks
6. Pregnant , breastfeeding, plan to pregnant patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Siriraj Hospital

OTHER

Sponsor Role lead

Responsible Party

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Rattapon Thuangtong

Assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rattapon Thoungtong, MD

Role: STUDY_CHAIR

Department of Dermatology, Faculty of medicine Siriraj Hospital, Mahidol University

Supenya Varothai, MD

Role: STUDY_DIRECTOR

Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University

Rasthawathana Desomchoke, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University

Suthasinee Pattaravadee, B.Sc

Role: PRINCIPAL_INVESTIGATOR

Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University

Locations

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Department of dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University

Bangkok, , Thailand

Site Status

Countries

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Thailand

Other Identifiers

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SirirajH

Identifier Type: -

Identifier Source: org_study_id