- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00515047
Identifying Genetic Determinants of Eczema Herpeticum and Other Viral Infections in Individuals With Atopic Dermatitis (Genetics)
Genetics of Atopic Dermatitis - Eczema Herpeticum
Study Overview
Status
Conditions
Detailed Description
AD is a chronic inflammatory skin disorder characterized by recurrent viral skin infections. However, people with AD do not all develop the same infections. For example, some people with AD who receive the smallpox vaccine develop a life-threatening condition known as eczema vaccinatum (EV). This study focuses on individuals with AD who also have a history of eczema herpeticum (ADEH+), a condition similar to EV. It is unlikely that the differences in the development of skin infections are due to differences in viral exposure, and instead due to differences in each individual's response to viruses. The purpose of this study is to determine the genetic pathways which are responsible for the development of viral skin infections in people with AD.
Participants in this study will also be enrolled in the ADVN Biomarker Registry Study. There will be only one clinical visit for this study at which blood and/or skin samples may be collected. The samples will then have high-throughput genotyping to define genetic markers in individuals susceptible to viral infections.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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California
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La Jolla, California, United States, 92037
- University of California at San Diego
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Colorado
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Denver, Colorado, United States, 80206
- National Jewish Health
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Illinois
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Chicago, Illinois, United States
- Northwestern University
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Chicago, Illinois, United States
- Children's Memorial Hospital
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Massachusetts
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Boston, Massachusetts, United States, 02115
- Children's Hospital Boston
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New York
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Rochester, New York, United States, 14642
- University of Rochester Medical Center
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Oregon
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Portland, Oregon, United States, 97239
- Oregon Health & Sciences University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Enrollment in ADVN Biomarker Registry Study
- Non-Hispanic and only African American or only Caucasian race
- Parent or guardian willing to provide informed consent, if necessary
Exclusion Criteria:
- History of any systemic illness, excluding AD
- Participation of a first degree relative already enrolled in the genotyping study unless the subject in question fulfills the diagnostic criteria for ADEH+. More information on this criterion can be found in the protocol.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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Eczema Herpeticum (EH)
Participants with AD who currently have or have had EH
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Non-EH
Participants with AD who do not have and have never had EH
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Healthy Controls
Healthy participants without a history of AD
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Identification of variants/haplotypes in EH-associated genes and characterization of frequencies of variants in priority candidate genes for EH
Time Frame: Throughout Study
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Throughout Study
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Identification and prioritization of novel genes induced in response to viral infection (HSV/Vaccinia and MCV) in AD participants and relevant control groups
Time Frame: Throughout Study
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Throughout Study
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Collaborators and Investigators
Investigators
- Principal Investigator: Lisa Beck, MD, University of Rochester
- Principal Investigator: Kathleen Barnes, PhD, Johns Hopkins Allergy and Asthma Center
Publications and helpful links
General Publications
- Baker BS. The role of microorganisms in atopic dermatitis. Clin Exp Immunol. 2006 Apr;144(1):1-9. doi: 10.1111/j.1365-2249.2005.02980.x.
- Kim BE, Leung DY, Streib JE, Kisich K, Boguniewicz M, Hamid QA, Howell MD. Macrophage inflammatory protein 3alpha deficiency in atopic dermatitis skin and role in innate immune response to vaccinia virus. J Allergy Clin Immunol. 2007 Feb;119(2):457-63. doi: 10.1016/j.jaci.2006.10.005. Epub 2006 Dec 4. Erratum In: J Allergy Clin Immunol. 2008 Nov;122(5):1007.. Kisich, Kevin [added].
- Porter CD, Muhlemann MF, Cream JJ, Archard LC. Molluscum contagiosum: characterization of viral DNA and clinical features. Epidemiol Infect. 1987 Oct;99(2):563-6. doi: 10.1017/s0950268800068072.
- Umene K, Yoshida M, Sakaoka H. Comparison of the association with eczema herpeticum in the two predominant genotypes of herpes simplex virus type 1. J Med Virol. 1996 Aug;49(4):329-32. doi: 10.1002/(SICI)1096-9071(199608)49:43.0.CO;2-5.
- Gao PS, Leung DY, Rafaels NM, Boguniewicz M, Hand T, Gao L, Hata TR, Schneider LC, Hanifin JM, Beaty TH, Beck LA, Weinberg A, Barnes KC. Genetic variants in interferon regulatory factor 2 (IRF2) are associated with atopic dermatitis and eczema herpeticum. J Invest Dermatol. 2012 Mar;132(3 Pt 1):650-7. doi: 10.1038/jid.2011.374. Epub 2011 Nov 24.
- Gao PS, Rafaels NM, Mu D, Hand T, Murray T, Boguniewicz M, Hata T, Schneider L, Hanifin JM, Gallo RL, Gao L, Beaty TH, Beck LA, Leung DY, Barnes KC. Genetic variants in thymic stromal lymphopoietin are associated with atopic dermatitis and eczema herpeticum. J Allergy Clin Immunol. 2010 Jun;125(6):1403-1407.e4. doi: 10.1016/j.jaci.2010.03.016. Epub 2010 May 13. No abstract available.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Skin Diseases
- Virus Diseases
- Infections
- Immune System Diseases
- Hypersensitivity, Immediate
- Genetic Diseases, Inborn
- DNA Virus Infections
- Skin Diseases, Genetic
- Skin Diseases, Infectious
- Hypersensitivity
- Skin Diseases, Viral
- Skin Diseases, Eczematous
- Herpesviridae Infections
- Herpes Simplex
- Dermatitis
- Eczema
- Dermatitis, Atopic
- Kaposi Varicelliform Eruption
Other Study ID Numbers
- DAIT ADVN GENE 04
- HHSN266200400033
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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