Light Treatment Effectiveness (LITE) Study

NCT ID: NCT03726489

Last Updated: 2024-09-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

783 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-01

Study Completion Date

2023-12-30

Brief Summary

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To compare the effectiveness, safety (tolerability), and duration of treatment response at 12 weeks of home versus office-based narrowband ultraviolet B phototherapy for the treatment of psoriasis

Detailed Description

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The primary objective of this study is to compare the effectiveness, safety (tolerability), and duration of treatment response at 12 weeks of home versus office-based narrowband ultraviolet B phototherapy for the treatment of psoriasis. Physician Global Assessment (PGA) and Dermatology Life Quality Index (DLQI) will be used to assess effectiveness, safety (tolerability), and duration of treatment response. This is a three year pragmatic, randomized, active comparator effectiveness study.

Conditions

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Psoriasis Psoriatic Plaque

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Pragmatic, randomized, active comparator effectiveness study
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Office Based Phototherapy

Patients randomized to this arm will receive narrow band phototherapy in a clinical setting via narrow band phototherapy clinic units.

Group Type OTHER

narrow band phototherapy clinic units

Intervention Type DEVICE

Office based narrow band phototherapy unit (units typically have at least 24 bulbs in a surround structure

Home Based Phototherapy

Patients randomized to this arm will receive narrow band phototherapy in a home setting via Daavlin 7 series 3 panel narrow band phototherapy home units.

Group Type ACTIVE_COMPARATOR

Daavlin 7 series 3 panel narrow band phototherapy home units

Intervention Type DEVICE

Daavlin 7 series 3 panel narrow band phototherapy home units (with 8-12 bulbs and a smaller, flat surface with door, measuring 21" wide, 74.5" tall, and 23.5"). This unit is a class II device with a FDA 510K indication for psoriasis, vitiligo and atopic dermatitis/eczema. The unit will have a dosimetry controller, a UV sensor built in that measures the intensity of the light. This sensor will adjust the treatment time to compensate for any variation in output due to aging of the lamps or other factors

Interventions

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Daavlin 7 series 3 panel narrow band phototherapy home units

Daavlin 7 series 3 panel narrow band phototherapy home units (with 8-12 bulbs and a smaller, flat surface with door, measuring 21" wide, 74.5" tall, and 23.5"). This unit is a class II device with a FDA 510K indication for psoriasis, vitiligo and atopic dermatitis/eczema. The unit will have a dosimetry controller, a UV sensor built in that measures the intensity of the light. This sensor will adjust the treatment time to compensate for any variation in output due to aging of the lamps or other factors

Intervention Type DEVICE

narrow band phototherapy clinic units

Office based narrow band phototherapy unit (units typically have at least 24 bulbs in a surround structure

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Willing and able to provide informed consent (age 18+) or parental permission and assent (ages 12-17)
2. Age 12 or older
3. Plaque or guttate psoriasis predominantly located on trunk and/or extremities, with a physician global assessment average of \>1.0, and considered a candidate for phototherapy
4. Patient is deemed willing and able to comply with either in-office or in-home phototherapy:

1. In office: Able to travel about 3 times per week for 12 weeks from home, work and/or school during business hours of local site
2. In home: Has space to accommodate home phototherapy unit and patient (or if 12-17, parent), willing and able to follow home phototherapy instructions
5. New or established patient in the practice

Exclusion Criteria

1. Patients who are judged unable or unwilling to comply with either in office or in home phototherapy due to time, work, school, or other financial constraints
2. Patients judged unable to follow home phototherapy protocol due to failure to demonstrate understanding of the following:

1. How to operate the phototherapy device
2. How to follow the dosing protocol
3. Requirement to wear protective eyewear and genital protection equipment
3. Patients with known history of lack of efficacy to phototherapy or treated with phototherapy 14 days prior to baseline visit
4. Psoriasis predominantly located on scalp, body folds, genitals, palms and/or soles or with a physician global assessment average of ≤ 1.0
5. Patients deemed unsafe to be treated with phototherapy:

1. History of photosensitivity or autoimmune disease such as lupus or dermatomyositis which can be aggravated by ultraviolet radiation
2. History of arsenic intake
3. Unable to tolerate standing for required duration of treatment due to age or physical function
4. History of melanoma or multiple non-melanoma skin cancers that in the opinion of the principal investigator contraindicates treatment with phototherapy
6. Clinical site deems the participant is ineligible for reason other than eligibility or screening criteria.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Utah

OTHER

Sponsor Role collaborator

National Psoriasis Foundation

OTHER

Sponsor Role collaborator

Patient-Centered Outcomes Research Institute

OTHER

Sponsor Role collaborator

University of Pennsylvania

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joel M. Gelfand, MD,MSCE

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

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Total Skin & Beauty Dermatology Center

Birmingham, Alabama, United States

Site Status

Mayo Clinic Arizona

Scottsdale, Arizona, United States

Site Status

Johnson Dermatology

Fort Smith, Arkansas, United States

Site Status

University of Southern California

Los Angeles, California, United States

Site Status

University of California, San Francisco

San Francisco, California, United States

Site Status

George Washington University

Washington D.C., District of Columbia, United States

Site Status

Howard University

Washington D.C., District of Columbia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Dawes Fretzin Clinical Research

Indianapolis, Indiana, United States

Site Status

MD Claiborne and Associates, LLC

New Orleans, Louisiana, United States

Site Status

MaineHealth/Maine Medical Center

Portland, Maine, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

DermAssociates LLC

Silver Spring, Maryland, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Dermatology Specialist of Brighton

Brighton, Michigan, United States

Site Status

Henry Ford Health System

Detroit, Michigan, United States

Site Status

Washington University in St. Louis

St Louis, Missouri, United States

Site Status

Psoriasis Treatment Center of Central New Jersey

East Windsor, New Jersey, United States

Site Status

Heymann, Manders, Green, and Sommer, LLC

Marlton, New Jersey, United States

Site Status

University of New Mexico

Albuquerque, New Mexico, United States

Site Status

HHC Kings County Hospital

Brooklyn, New York, United States

Site Status

SUNY Downstate Health Sciences University

Brooklyn, New York, United States

Site Status

Buffalo Medical Group

Buffalo, New York, United States

Site Status

Infinity Dermatology NYC

Queens, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Pennsyvlania Centre For Dermatology

Exton, Pennsylvania, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Temple University

Philadelphia, Pennsylvania, United States

Site Status

Dermatology Treatment and Research Center

Dallas, Texas, United States

Site Status

Menter Dermatology Research Institute

Dallas, Texas, United States

Site Status

West Houston Dermatology

Houston, Texas, United States

Site Status

University of Utah

Salt Lake City, Utah, United States

Site Status

University of Vermont & State Agriculture College

Burlington, Vermont, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Frontier Derm Partners CRO, LLC

Mill Creek, Washington, United States

Site Status

University of Wisconsin

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Gelfand JM, Armstrong AW, Lim HW, Feldman SR, Johnson SM, Claiborne WCC, Kalb RE, Jakus J, Mangold AR, Flowers RH, Bhutani T, Durkin JR, Bagel J, Fretzin S, Sheehan MP, Krell J, Reeder M, Kaffenberger J, Kartono F, Takeshita J, Bridges AM, Fielding E, Nehal US, Schaecher KL, Howard LM, Eakin GS, Baez S, Bishop BE, Fitzsimmons RC Jr, Papadopoulos M, Song WB, Linn KA, Hubbard RA, Shin DB, Callis Duffin K. Home- vs Office-Based Narrowband UV-B Phototherapy for Patients With Psoriasis: The LITE Randomized Clinical Trial. JAMA Dermatol. 2024 Dec 1;160(12):1320-1328. doi: 10.1001/jamadermatol.2024.3897.

Reference Type DERIVED
PMID: 39319513 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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PCS-1608-35830

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

831323

Identifier Type: -

Identifier Source: org_study_id

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