- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03834935
Efficacy of Topical Pimecrolimus in the Treatment of Pityriasis Alba
Efficacy of Topical Pimecrolimus in the Treatment of Pityriasis Alba: A Randomized Placebo-controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Background and Rationale:
Pityriasis alba (PA) is a common benign skin disorder, that usually affects children and adolescents of darker phototypes. PA usually manifests as erythematous lesions followed by smooth scales with residual characteristic pruritic or non-pruritic ill-defined hypopigmented patches, that typically occur on the upper part of the body, especially the face. A history of atopic dermatitis is a well-known risk factor, and PA may be a minor manifestation of atopic dermatitis, although it can occur in nonatopic individuals as well. It is thought to represent nonspecific dermatitis with residual post-inflammatory hypopigmentation. Sun exposure is a triggering and accentuating factor.
PA is a common reason for dermatologic consultation due to its chronic course, frequent relapses and cosmetic appearance. Spontaneous healing occurs in several months to few years, therefore impacting the quality of life. Emollients and mild-potency topical steroids are the mainstay of treatment, with a potential risk of skin atrophy and hypopigmentation.
Pimecrolimus is a topical calcineurin inhibitor that prevents T-cell activation, approved for the treatment of atopic dermatitis, and proved efficacious for seborrheic dermatitis, without having the potential adverse effects of topical corticosteroids. Tacrolimus 0.1% ointment, another calcineurin inhibitor is an effective and safe treatment for PA, a similar efficacy of calcitriol and tacrolimus was shown after 9 weeks of treatment. An exploratory study evaluated the efficacy of pimecrolimus cream in the treatment of PA. To the best of our knowledge there is no randomized placebo-controlled trial in the literature proving the efficacy of pimecrolimus in PA.
Objective: To evaluate the effect of topical pimecrolimus in the treatment of treatment of PA
Hypothesis: Pimecrolimus is an efficacious, well-tolerated and safe treatment for pityriasis alba.
Trial design: A randomized placebo-controlled double blinded trial establishing the superiority of topical pimecrolimus 1% over placebo.
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Contact
- Name: elio G kechichian, MD
- Phone Number: +9613079072
- Email: elio.kechichian@gmail.com
Study Locations
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Beirut, Lebanon, 166830
- Saint Joseph University
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Contact:
- elio kechichian
- Phone Number: 3079072
- Email: elio.kechichian@gmail.com
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Pityriasis alba Patients confirmed by a board certified dermatologist
- Age over 2 years
- Written informed consent signed by the patients or the legal guardians of patients younger than 18 years in the native language (Arabic)
Exclusion Criteria:
- Other concomitant dermatosis (except atopic dermatitis)
- Use of topical steroids, or topical agents other than emollients and sunscreen, in the last 4 weeks
- Known allergy to pimecrolimus
- Pregnant and nursing women
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Pim
20 patients receiving topical Elidel (pimecrolimus 1%) bid on the affected area for 9 weeks.Sunscreens will not be indicated, and hygienic habits will not be changed.
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topical application of product on all lesions, twice daily.
Sunscreen will not be indicated, and hygienic habits will not be changed
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Placebo Comparator: Pl
20 patients receiving placebo (control group), cold cream bid on the affected area for 9 weeks.Sunscreens will not be indicated, and hygienic habits will not be changed.
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Topical application on all lesions, twice daily.
Sunscreen will not be indicated, and hygienic habits will not be changed
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of repigmentation of index lesions
Time Frame: 9 weeks
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Objective percentage of repigmentation the index lesion (the largest lesion) by image analysis software (ImageJ software will be used to measure the lesion reduction area after treatments)
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9 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pruritus and scaling
Time Frame: 3,6 and 9 weeks
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IGA 4 point-scale (0: none - 3: severe)
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3,6 and 9 weeks
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Investigator's repigmentation change
Time Frame: 3,6 and 9 weeks
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Clinical change is assessed by means of digital photographic registration (frontal, right, and left views).
An independent observer clinically graded the global improvement as poor (0-25%), mild (26-50%), good (51-75%), and excellent (>75%).
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3,6 and 9 weeks
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patient satisfaction
Time Frame: 9 weeks
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(0: not satisfied, 1: satisfied, 2: very satisfied).
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9 weeks
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Adverse events
Time Frame: 3,6 and 9 weeks
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adverse events reporting
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3,6 and 9 weeks
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Collaborators and Investigators
Investigators
- Study Chair: Josiane Helou, MD, Saint-Joseph University
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Skin Diseases
- Skin Diseases, Papulosquamous
- Dermatitis
- Scalp Dermatoses
- Dandruff
- Pityriasis
- Pityriasis Rosea
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Dermatologic Agents
- Calcineurin Inhibitors
- Pimecrolimus
Other Study ID Numbers
- USJDERM1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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