Mechanisms of Action of Photo(Chemo)Therapy in Skin Diseases

NCT ID: NCT03340155

Last Updated: 2017-11-13

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

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-30

Study Completion Date

2022-10-31

Brief Summary

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The molecular mechanisms of action of photo(chemo)therapy in skin diseases are investigated in this study. The phototherapeutic modalities employed include UVB (ultraviolet B), UVA (ultraviolet A), PUVA (psoralen+UVA) and/or extracorporeal photochemotherapy (photopheresis). The study will address whether and how photo(chemo)therapy affects specific biologic pathways in different skin disorders and search for predictive biomarkers.

Detailed Description

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This study is performed in order to investigate the molecular mechanisms of action of photo(chemo)therapy in skin diseases, including psoriasis, cutaneous T-cell lymphoma, other lymphoproliferative disorders of the skin, eczema, lichen planus, prurigo/pruritus, polymorphic light eruption, mastocytosis, graft-versus-host disease, vitiligo and other photo(chemo)therapy-responsive diseases. Twenty patients will be enrolled per diagnosis group. The phototherapeutic modalities administered will be UVB, UVA, PUVA and/or extracorporeal photochemotherapy (photopheresis). The severity of disease and clinical response to treatment will be assessed with scores including dermatological quality of life (DLQI) and disease-specific scores such as PASI (psoriasis area and severity index), mSWAT (modified severity-weighted assessment tool), SCORAD (scoring atopic dermatitis), scleroderma score and/or different visual analog scale (VAS) scores for pruritus. The effect of treatment on a variety of laboratory endpoints will be investigated in blood samples and optionally also skin samples. Those endpoints include among others the regulation of cytokines/chemokines, immune function, clonality of immune cells, vitamin D, and serum lipids. The study will address whether and how photo(chemo)therapy affects specific biologic pathways in the different disorders and determine whether predictive biomarkers for therapeutic response exist.

Conditions

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Psoriasis Cutaneous T Cell Lymphoma Lymphoproliferative Disorders Eczema Lichen Planus Prurigo Pruritus Polymorphic Light Eruption Graft Vs Host Disease Mastocytosis Vitiligo

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Biomarker search;
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Interventions

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Photo(chemo)therapy

Treatment with photo(chemo)therapy, including UVB, UVA, PUVA and photopheresis

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years
* Skin disorder to be treated with photo(chemo)therapy

Exclusion Criteria

* Pregnancy and breastfeeding
* Poor general health status
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Graz

OTHER

Sponsor Role lead

Responsible Party

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Peter Wolf, MD

Professor of Dermatology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Medical University of Graz, Department of Dermatology

Graz, Styria, Austria

Site Status RECRUITING

Countries

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Austria

Central Contacts

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Peter Wolf, Dr.

Role: CONTACT

Phone: +43 316 385

Email: [email protected]

Facility Contacts

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Peter Wolf, MD

Role: primary

Angelika Hofer, MD

Role: backup

Other Identifiers

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Graz IRB# 29-609 ex 16/17

Identifier Type: -

Identifier Source: org_study_id