Bioclinical Study of Scalp Photoaging of a Population Male Over 65 Years Old.

NCT ID: NCT03603587

Last Updated: 2020-03-05

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

NA

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-14

Study Completion Date

2019-09-20

Brief Summary

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The aging of skin, especially that of the scalp, is a combination of intrinsic and extrinsic aging factors secondary to the chronic sun exposure. For men with an alopecia genetic (= bald men), the solar part, in skin aging process, is major.

The helio-dermal scalp is frequently the site of cancers mainly after 65 years. Objectives are to identify specific biomarkers involved in the photo-aging of the alopecic scalp

Detailed Description

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Investigators can also hope to understand and to explain the inter-individual inequality of the aging of skin. They can hope to a better understanding of the biological mechanisms between photo-induced skin aging and photo-induced carcinogenesis.

Investigators propose to study 40 male patients aged 65 and over in order to compare the state of aging of their scalp skin in the alopecic zone :

not hairy photo-exposed (= ZH sun damage zone) versus occipital hair zone protected photo (= ZT control zone).

Patients will be recruited in the dermatology department of the St-Etienne University Hospital who will benefit from the removal of a scalp tumour in the alopecic zone.

This study aims to identify biological markers, by transcriptomic analysis, associated with aging of the scalp, by comparing for each patient the skin of the scalp exposed to the light ("ZH") to an unexposed witness skin ("ZT").

The study will include :

* examinations to characterize components of the scalp: transcriptomic, proteomic and immunohistochemical analysis of skin biopsies, and a swab sampling will identify the cutaneous microflora of the scalp
* noninvasive examinations, in vivo

Conditions

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Skin Aging Skin Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This is a prospective mono-centric study of the physiopathology of cutaneous aging.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Patients who will benefit from the removal of a scalp tumour

Patients who will benefit from the removal of a scalp tumour in the alopecic zone will be recruited in the dermatology department of the St-Etienne University Hospital.

They will have biopsy, blood sample, examination of the scalp, questionnaire on sun exposure, Norwood scale, scinexa score, questionnaire of clinicals signs and questionnaire of the history of the hair loss.

Group Type EXPERIMENTAL

biopsy

Intervention Type PROCEDURE

Biopsy 4 to 5 mm from the distal part of the tips of the excision pieces. Three biopsies of 3 mm, made with punch, occipital hair zone (ZT) A completely painless sample, using a swab (soaked with a buffer solution) on the scalp of the ZH and ZT zone.

blood sample

Intervention Type DIAGNOSTIC_TEST

Blood sample will be collected for performed for HIV serology, B and C hepatitis.

questionnaire on sun exposure

Intervention Type DIAGNOSTIC_TEST

Questionnaire on sun exposure will be completed by patients.

examination of the scalp

Intervention Type DIAGNOSTIC_TEST

A complete examination of the scalp will be completed by dermatologist.

Norwood scale

Intervention Type DIAGNOSTIC_TEST

Norwood scale measure the evolution of baldness. It will be completed by dermatologist.

questionnaire of clinicals signs

Intervention Type DIAGNOSTIC_TEST

Questionnaire of clinicals signs will be completed by dermatologist and patient.

scinexa score

Intervention Type DIAGNOSTIC_TEST

It's a assessment score of skin aging. It will be completed by dermatologist.

questionnaire of the history of the hair loss

Intervention Type DIAGNOSTIC_TEST

Questionnaire of the history of the hair loss will be completed by dermatologist and patient.

Interventions

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biopsy

Biopsy 4 to 5 mm from the distal part of the tips of the excision pieces. Three biopsies of 3 mm, made with punch, occipital hair zone (ZT) A completely painless sample, using a swab (soaked with a buffer solution) on the scalp of the ZH and ZT zone.

Intervention Type PROCEDURE

blood sample

Blood sample will be collected for performed for HIV serology, B and C hepatitis.

Intervention Type DIAGNOSTIC_TEST

questionnaire on sun exposure

Questionnaire on sun exposure will be completed by patients.

Intervention Type DIAGNOSTIC_TEST

examination of the scalp

A complete examination of the scalp will be completed by dermatologist.

Intervention Type DIAGNOSTIC_TEST

Norwood scale

Norwood scale measure the evolution of baldness. It will be completed by dermatologist.

Intervention Type DIAGNOSTIC_TEST

questionnaire of clinicals signs

Questionnaire of clinicals signs will be completed by dermatologist and patient.

Intervention Type DIAGNOSTIC_TEST

scinexa score

It's a assessment score of skin aging. It will be completed by dermatologist.

Intervention Type DIAGNOSTIC_TEST

questionnaire of the history of the hair loss

Questionnaire of the history of the hair loss will be completed by dermatologist and patient.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Requiring excision of an alopecic scalp lesion
* from consent signed
* Patient affiliated or entitled to a social security.

Exclusion Criteria

* scalp infection
* inflammatory disease of the scalp
* genetic disease with even partial expression of the scalp
* medical treatment of scalp less than 3 weeks old
* antecedent radiotherapy of the cephalic extremity
* prior surgery of the scalp with regard to the area sampled
* Application of hair implants, or any other surgical or medical procedures of the scalp
* Washing of the scalp or application of a cosmetic product for less than 48 hours
* Artificial hair coloring.
* any contraindication to surgical excision
Minimum Eligible Age

65 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Pierre Fabre Dermo Cosmetique

INDUSTRY

Sponsor Role collaborator

Centre Hospitalier Universitaire de Saint Etienne

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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JEAN LUC PERROT, MD

Role: PRINCIPAL_INVESTIGATOR

CHU SAINT-ETIENNE

Locations

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Chu de Saint Etienne

Saint-Etienne, , France

Site Status

Countries

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France

References

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Zouboulis CC, Makrantonaki E. Clinical aspects and molecular diagnostics of skin aging. Clin Dermatol. 2011 Jan-Feb;29(1):3-14. doi: 10.1016/j.clindermatol.2010.07.001.

Reference Type BACKGROUND
PMID: 21146726 (View on PubMed)

Uitto J. Understanding premature skin aging. N Engl J Med. 1997 Nov 13;337(20):1463-5. doi: 10.1056/NEJM199711133372011. No abstract available.

Reference Type BACKGROUND
PMID: 9358147 (View on PubMed)

Shin MH, Rhie GE, Park CH, Kim KH, Cho KH, Eun HC, Chung JH. Modulation of collagen metabolism by the topical application of dehydroepiandrosterone to human skin. J Invest Dermatol. 2005 Feb;124(2):315-23. doi: 10.1111/j.0022-202X.2004.23588.x.

Reference Type BACKGROUND
PMID: 15675949 (View on PubMed)

Rock K, Grandoch M, Majora M, Krutmann J, Fischer JW. Collagen fragments inhibit hyaluronan synthesis in skin fibroblasts in response to ultraviolet B (UVB): new insights into mechanisms of matrix remodeling. J Biol Chem. 2011 May 20;286(20):18268-76. doi: 10.1074/jbc.M110.201665. Epub 2011 Mar 17.

Reference Type BACKGROUND
PMID: 21454612 (View on PubMed)

Varani J, Spearman D, Perone P, Fligiel SE, Datta SC, Wang ZQ, Shao Y, Kang S, Fisher GJ, Voorhees JJ. Inhibition of type I procollagen synthesis by damaged collagen in photoaged skin and by collagenase-degraded collagen in vitro. Am J Pathol. 2001 Mar;158(3):931-42. doi: 10.1016/S0002-9440(10)64040-0.

Reference Type BACKGROUND
PMID: 11238041 (View on PubMed)

Other Identifiers

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2018-A00714-51

Identifier Type: OTHER

Identifier Source: secondary_id

18CH035

Identifier Type: -

Identifier Source: org_study_id

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