Combined Effect of Acitretin and Narrow Band Ultraviolet B on Vitiligo Repigmentation

NCT ID: NCT04245319

Last Updated: 2021-07-22

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

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-01

Study Completion Date

2021-12-01

Brief Summary

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Since abnormal keratinocyte (KC) proliferation and differentiation as well as defective E cadherin expression were reported in vitiligo lesions, the investigators set to study the potential efficacy of combining Retinoids, which are known to improve KC proliferation and differentiation and increase the expression of adhesion molecules, with narrowband UVB in the treatment of vitiligo.

Detailed Description

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• Twenty patients with generalized vitiligo will be included in this study.

All patients will be subjected to:

* Clinical evaluation:
* An informed written consent.
* History taking include age, previous treatment, disease activity
* Clinical examination including Vitiligo Area Scoring Index (VASI) and Vitiligo Disease Activity Score (VIDA)
* Photography (before starting the treatment and every 2 weeks till the end of the study)

Laboratory evaluation:

* 2 mm punch skin biopsies will be taken from vitiligo patients, 1 from lesional and the other from perilesional skin before treatment.
* The patients will be randomly assigned to two groups:

Group A: patients will receive three NB-UVB sessions per week for 48 sessions. Group B: patients will receive three NB-UVB sessions per week for 48 sessions combined with acitretin in a dose of 0.3mg/kg/day daily.

* Controls: 20 individuals age and sex matched will be biopsied from the skin of their abdominoplasty surgery.
* Another two 2 mm punch skin biopsies will be taken from lesional and perilesional skin at the onset of repigmentation if repigmentation starts before completion of the 48 treatment session or after completion of the treatment period if repigmentation does not occur.
* .All biopsies from patients and controls will be stained Immunohistochemically by anti-E cadherin antibody.

Conditions

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Hyperlipidemias Xerosis Depression Liver Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Two groups Group A: patients will receive three NB-UVB sessions per week for 48 sessions. Group B: patients will receive three NB-UVB sessions per week for 48 sessions combined with acitretin in a dose of 0.3 mg/kg/day daily.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors

Study Groups

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NbUVB

Group A: patients will receive three NB-UVB sessions per week for 48 sessions.

Group Type OTHER

Narrow band ultraviolet B

Intervention Type OTHER

Patients receive nbUVB session 3 times per week

Combined nbUVB and Acitretin

Group B: patients will receive three NB-UVB sessions per week for 48 sessions combined with acitretin in a dose of 0.3mg/kg/day daily.

Group Type EXPERIMENTAL

Acitretin

Intervention Type DRUG

The patients will receive the drug and the effect on repigmentation on vitiligo lesions will be observed

Narrow band ultraviolet B

Intervention Type OTHER

Patients receive nbUVB session 3 times per week

Interventions

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Acitretin

The patients will receive the drug and the effect on repigmentation on vitiligo lesions will be observed

Intervention Type DRUG

Narrow band ultraviolet B

Patients receive nbUVB session 3 times per week

Intervention Type OTHER

Other Intervention Names

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Acitretin 25Mg Cap Acitretin 10Mg Cap

Eligibility Criteria

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Inclusion Criteria

* Patients with generalized non-segmental vitiligo (25%-75%)
* Males, postmenopausal females and premenopausal females not planning to get pregnant during the period of treatment and after 2 years from the end of treatment.
* Age more than 18 years.

Exclusion Criteria

* Children ˂ 18 years old
* Pregnant females
* Premenopausal females planning to get pregnant within the period of treatment or within 2 years after.
* Patients receiving treatment for vitiligo within the past 2 months.
* Patients with abnormal liver profile
* Patients with abnormal lipid profile
* Patients with associated photosensitive disorders
* Patients having associated skin diseases other than vitiligo
* Cataract and aphakia
* High cumulative dose from previous sessions of narrowband ˃ 200-300 session
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Shahira Ramadan

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cairo University

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Noha A. Saleh, M.Sc

Role: CONTACT

+201222177210

Other Identifiers

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Acitretin in vitiligo

Identifier Type: -

Identifier Source: org_study_id

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