Evaluation of the Efficacy and Tolerability of Treatment With Interleukin-2 in Severe and Resistant Alopecia Areata

NCT ID: NCT01840046

Last Updated: 2022-08-31

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

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

4 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2013-05-31

Brief Summary

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Alopecia areata is an autoimmune disease associated with infiltration of cluster of differentiation 4(CD4 +) and cluster of differentiation 8 (CD8) + cells around the hair follicles. One of the therapeutic approaches of inflammatory diseases such as alopecia areata is the induction of tolerance. This tolerance induction can be obtained by stimulating regulatory T cells (Treg). The low-dose interleukin-2 plays a central role in the development, expansion, regulation and survival of regulatory T cells CD4 + cluster of differentiation 25 (CD25) + forkhead box protein 3 (FoxP3). Recently, recombinant interleukin 2 (IL2-R) with low dose showed very promising results in two inflammatory disease (GVHD vasculitis and cryoglobulinemia secondary to hepatitis C): clinical efficacy, increased population Treg in the blood and an excellent safety profile. We hypothesized that administration of IL2-R in patients with severe alopecia areata might allow regrowth via activation of Treg and thus induce regrowth of the air.

Detailed Description

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Conditions

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Alopecia Areata

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Interleukin 2

The patient will receive 4 cycles of recombinant interleukin 2 (aldesleukin, Proleukin ®) subcutaneously according to the following dosing schedule:

5 to 7 days (Monday to Friday) in weeks 1, 3, 6 and 9.

The dosage is as follows:

S1: 1.5 mille-International unit (MIU) / day D1 to D5, S3, S6 and S9: 3 mille-International unit /Jour D1 to D5.

Group Type EXPERIMENTAL

Interleukin-2

Intervention Type DRUG

The patient will receive 4 cycles of recombinant interleukin 2 (aldesleukin, Proleukin ®) subcutaneously according to the following dosing schedule:

5 to 7 days (Monday to Friday) in weeks 1, 3, 6 and 9.

The dosage is as follows:

S1: 1.5 mille-International unit / day (D1 to D5), S3, S6 and S9: 3 mille-International unit /Jour (D1 to D5).

Interventions

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Interleukin-2

The patient will receive 4 cycles of recombinant interleukin 2 (aldesleukin, Proleukin ®) subcutaneously according to the following dosing schedule:

5 to 7 days (Monday to Friday) in weeks 1, 3, 6 and 9.

The dosage is as follows:

S1: 1.5 mille-International unit / day (D1 to D5), S3, S6 and S9: 3 mille-International unit /Jour (D1 to D5).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years, 60 ≤ years.
* Male or female
* Clinical diagnosis of alopecia areata,
* Severe alopecia areata (\> 50% of the surface of the scalp reached)
* Alopecia areata resistant to at least one systemic therapy: phototherapy (UVB or PUVA), methotrexate or corticosteroids
* Signature of the informed consent and authorization of the right image
* Effective contraception will be maintained for the duration of the study.
* Affiliation to the Social Security

Exclusion Criteria

* Pregnancy or refusal of contraception in women of childbearing age,
* Refusal of contraception for men
* Local treatment (corticosteroids, minoxidil) or systemic (oral corticosteroids, methotrexate or other immunosuppressive agents) for less than 2 months,
* Cancer or autoimmune disease or in remission evolutionary
* Excessive alcohol intake (more than 3 glasses of wine a day or a drink per day)
* HIV, hepatitis C virus, hepatitis B virus
* Patient with renal and / or hepatic impairment,
* Patient with shingles, chickenpox, herpes, tuberculosis, an infectious disease scalable, respiratory failure ...
* Vulnerable person (anyone younger, adults under guardianship, deprived of liberty)
* Indication against treatment with IL2-R
* Presenting an indication against the Proleukin
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 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, PhD

Role: PRINCIPAL_INVESTIGATOR

CHU de Nice - Hôpital de l'Archet - Dermatology

Locations

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CHU de Nice - Hôpital Archet

Nice, Alpes-Maritimes, France

Site Status

Countries

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France

References

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Castela E, Le Duff F, Butori C, Ticchioni M, Hofman P, Bahadoran P, Lacour JP, Passeron T. Effects of low-dose recombinant interleukin 2 to promote T-regulatory cells in alopecia areata. JAMA Dermatol. 2014 Jul;150(7):748-51. doi: 10.1001/jamadermatol.2014.504.

Reference Type DERIVED
PMID: 24872229 (View on PubMed)

Other Identifiers

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12-PP-05

Identifier Type: -

Identifier Source: org_study_id

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