Treatment of Port Wine Stains in Children With Pulsed Dye Laser and Timolol Gel

NCT ID: NCT01272609

Last Updated: 2012-03-26

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2012-05-31

Brief Summary

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Pulsed dye laser (PDL)is the gold standard treatment of port wine stains (PWS). However, many sessions are required and failure or relapses are not uncommon. It has been demonstrated that a neoangiogenesis occurs after PDL, explaining at least partially those failure. The objective of this study is to evaluate the use of a topical beta-blocker (timolol 1% gel) as a combination treatment with PDL for treating PWS.

Methods. Prospective multicenter study comparing PDL alone to PDL + timolol. Sessions of PDL will be performed once a month for 3 months. One group will be treated with PDL alone and the other will also applied timolol 1% gel twice a day during treatment. The evaluation will be done one month after the third session.

Detailed Description

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Conditions

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Melanoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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LCP + Timolol

Three sessions of LCP in 595 nm (diameter of spot 7mm; duration of shooting 1,5 ms; Fluence 8 J / cm ²if LCP of Candela © or 7 J / cm ² if LCP of Cynosure ©) spaced out of 1 month. Twice-daily applications on the zone treated by the LCP of timolol frost and will be begun that very evening by the first session and will be pursued 15j after the 3rd session of LCP. The maximum surface of treatment will be 100 cms ².

Group Type EXPERIMENTAL

Timolol + LCP

Intervention Type DRUG

Three sessions of LCP in 595nm (diameter of spot 7mm; duration of shooting 1,5ms; Fluence 8 J / cm ² if LCP of Candela © or 7 J / cm ² if LCP of Cynosure ©) spaced out of 1 month. Twice-daily applications on the zone treated by the LCP of timolol frost and will be begun that very evening by the first session and will be pursued 15j after the 3rd session of LCP. The maximum surface of treatment will be 100 cms ².

LCP

Three sessions of LCP in 595 nm (diameter of spot 7mm; duration of shooting 1,5ms; Fluence 8 J / cm ² if LCP of Candela © or 7 J / cm ² if LCP of Cynosure © spaced out of 1 month.

Group Type ACTIVE_COMPARATOR

LCP

Intervention Type DEVICE

Three sessions of LCP in 595nm (diameter of spot 7mm; duration of shooting 1,5ms; Fluence 8 J / cm ²if LCP of Candela © or 7 J / cm ²if LCP of Cynosure © spaced out of 1 month.

Interventions

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Timolol + LCP

Three sessions of LCP in 595nm (diameter of spot 7mm; duration of shooting 1,5ms; Fluence 8 J / cm ² if LCP of Candela © or 7 J / cm ² if LCP of Cynosure ©) spaced out of 1 month. Twice-daily applications on the zone treated by the LCP of timolol frost and will be begun that very evening by the first session and will be pursued 15j after the 3rd session of LCP. The maximum surface of treatment will be 100 cms ².

Intervention Type DRUG

LCP

Three sessions of LCP in 595nm (diameter of spot 7mm; duration of shooting 1,5ms; Fluence 8 J / cm ²if LCP of Candela © or 7 J / cm ²if LCP of Cynosure © spaced out of 1 month.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Children from 6 months to 18 year-old.
* PWS of the face
* No prior treatement with PDL
* Membership or beneficiary of a national insurance scheme.
* Consent signed by the parents and by the patient if he is old enough to understand

Exclusion Criteria

* Child with whom the angioma plan was already handled by laser or pulsed lamp
* Histories of asthma or obstructive bronchitis
* severe allergic Rhinitis and hyper bronchial ability to react
* Bradycardie sinusale, block auriculo-ventriculaires of the second or third degree
* unchecked Cardiac insufficiency
* cardiogenic Shock
* untreated Phéochromocytome
* Sentimentality in the timolol or in one of these excipients, and\\or in the other bétabloquants
* Taken by floctafénine or by sultopride
* Taken of bétabloquants by oral route, of inhibitors calcic or of amiodarone
* severe peripheral circulatory Disorders(Confusions of Raynaud)
* arterial Low blood pressure
* Pregnancy and feeding
* Absence of effective contraception at the girls old enough to procreate
* Contraindication in the use of cream with lidocaïne and with prilocaïne
Minimum Eligible Age

6 Months

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Nice

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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PASSERON Thierry, Pu-Ph

Role: PRINCIPAL_INVESTIGATOR

CHU de Nice - Service de Dermatologie - Hôpital de l'Archet - 151 Route de saint-antoine de ginestière 06200 Nice

Locations

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CHU de Nice - 4 avenue Reine Victoria

Nice, Alpes-Maritimes, France

Site Status RECRUITING

CHU de Bordeaux

Bordeaux, , France

Site Status RECRUITING

Hôpital Sévigné

Cesson-Sévigné, , France

Site Status RECRUITING

CHU de Dijon

Dijon, , France

Site Status RECRUITING

Clinique de Turin

Paris, , France

Site Status RECRUITING

CH de Quimper

Quimper, , France

Site Status RECRUITING

CHU de reims

Reims, , France

Site Status RECRUITING

Clinique Mathilde

Rouen, , France

Site Status RECRUITING

CHU de Touloluse

Toulouse, , France

Site Status RECRUITING

Clinique Saint-jean Languedoc

Toulouse, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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PASSERON Thierry, PU-PH

Role: CONTACT

+33492039224

Facility Contacts

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PASSERON Thierry, PU-PH

Role: primary

+33492039224

Labreze Christine, pu-ph

Role: primary

Toubel Gérard, Phd

Role: primary

Vabres Pierre, PhD

Role: primary

Mazer Jean-Marc, Phd

Role: primary

Plantin Patrick, phd

Role: primary

ESCHARD Christine, Pu-Ph

Role: primary

Rossi Bernard, PHD

Role: primary

MAZEREEUW juliette, Pu-Ph

Role: primary

Dahan serge, phd

Role: primary

Other Identifiers

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2010-022440-20

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

10-PP-11

Identifier Type: -

Identifier Source: org_study_id

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