Adjunctive Oral Iron Supplementation in Atopic Dermatitis
Adjunctive Oral Iron Supplementation in Atopic Dermatitis: A Randomized Controlled Trial
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: Eglal AM Bassiouny, PhD
- Telefonnummer: 00201061500242
- E-post: eglal.mostafa@pharma.cu.edu.eg
Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Barn
Tar imot friske frivillige
Beskrivelse
Inclusion Criteria:
- Adolescents aged 12 to 16 years.
- Diagnosis of atopic dermatitis according to Hanifin and Rajka or UK Working Party criteria.
- Mild to moderate disease defined as EASI score 1.1-7.0 for mild and 7.1-21.0 for moderate disease, according to the severity classification of Leshem et al. (2015).
- Stable standard-of-care topical therapy for at least two weeks prior to enrolment.
- Willingness to maintain baseline topical therapy throughout the study period.
- Written informed consent from a parent or legal guardian and assent from the participant will be obtained prior to enrolment.
Exclusion Criteria:
Iron-related exclusions
- Known iron overload disorders (e.g., hereditary hemochromatosis).
- Ferritin above age- and sex-specific upper reference limits for adolescents (based on local laboratory pediatric reference ranges) in the absence of elevated CRP.
Use of oral or intravenous iron supplementation within the previous three months.
Hematologic exclusions
- Haemoglobin less than 8 g/dL. Participants excluded on this basis will be referred to the haematology clinic for evaluation and management of severe anaemia, in accordance with the Declaration of Helsinki (Article 37).
- Known hemoglobinopathies (e.g., thalassemia major, sickle cell disease).
- Active bleeding or known bleeding disorders. Dermatologic exclusions
- Presence of other chronic inflammatory skin diseases that may interfere with assessment (e.g., psoriasis, bullous disorders).
- Active skin infection requiring systemic antibiotic therapy.
Use of systemic treatments for atopic dermatitis, including:
- Systemic corticosteroids
- Immunosuppressants
- Biologic therapies within the following washout periods: dupilumab ≥12-16 weeks; cyclosporine ≥4 weeks; methotrexate ≥4-6 weeks; systemic corticosteroids ≥2-4 weeks.
Systemic exclusions
Severe chronic illnesses that may affect study participation or safety, including:
- Advanced kidney disease
- Chronic liver disease
- Any other medical condition that, in the investigator's judgment, may interfere with study participation or outcomes.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Ingen inngripen: standard-of-care topical therapy (emollients and steroids)
Participants will receive standard-of-care topical therapy (emollients and steroids).
Standard topical therapies for atopic dermatitis will be continued and documented.
|
|
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Eksperimentell: standard-of-care topical therapy (emollients and steroids)+ Oral Iron
Participants will receive (Ferrodunal capsules providing 100 mg elemental oral iron once daily) in addition to standard-of-care topical therapy (emollients and steroids).
The 100 mg fixed dose falls within the recommended paediatric dosing range of 3-6 mg/kg/day for most adolescents weighing ≥20 kg.
Iron supplementation will be discontinued if serum ferritin exceeds 300 ng/mL on two consecutive measurements.
|
Ferrodunal capsules providing 100 mg elemental oral iron once daily
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
• Change in Eczema Area and Severity Index (EASI) score from baseline to week 12.
Tidsramme: 12 weeks
|
Higher scores indicate more severe atopic dermatitis, Minimum score is 0 and maximum is 72.
|
12 weeks
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in SCORing Atopic Dermatitis (SCORAD) score from baseline to weeks 6 and 12.
Tidsramme: 12 weeks
|
Higher scores indicate more severe disease and symptoms.
Maximum score is 103 and minimum is zero.
|
12 weeks
|
|
Change in Children's Dermatology Life Quality Index (CDLQI) from baseline to weeks 6 and 12.
Tidsramme: 12 weeks
|
Higher scores indicate greater impairment in quality of life.
Score from 0 to 30.
|
12 weeks
|
|
Change in Patient-Oriented Eczema Measure (POEM) from baselines to weeks 6 and 12.
Tidsramme: 12 weeks
|
Higher scores indicate worse eczema symptoms.
Maximum score is 28 and minimum is 0.
|
12 weeks
|
|
Change in EuroQol Visual Analogue Scale (EQ-VAS) from baseline to weeks 6 and 12.
Tidsramme: 12 weeks
|
Higher scores indicate better perceived overall health.
Score is from 0 to 100.
|
12 weeks
|
|
Change in Peak Pruritus Numerical Rating Scale (PP-NRS) from baseline to weeks 6 and 12.
Tidsramme: 12 weeks
|
Higher scores indicate more severe itching.
Score is from 0 to 10.
|
12 weeks
|
|
Change in serum ferritin from baseline to weeks 6 and 12.
Tidsramme: 12 weeks
|
12 weeks
|
|
|
Proportion of participants achieving EASI-50, EASI-75, and EASI-90.
Tidsramme: 12 weeks
|
12 weeks
|
|
|
Adverse events frequency
Tidsramme: 12 weeks
|
12 weeks
|
|
|
Medication adherence will be assessed through capsule counts at each follow-up visit.
Tidsramme: 12 weeks
|
12 weeks
|
|
|
Correlation between baseline iron status strata and EASI score. (exploratory outcome)
Tidsramme: 12 weeks
|
12 weeks
|
|
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Correlation between change in iron biomarkers and change in EASI score. (exploratory outcome)
Tidsramme: 12 weeks
|
12 weeks
|
|
|
Change in EQ-5D-Y index score from baseline to weeks 6 and 12.
Tidsramme: 12 weeks
|
Higher scores indicate better health-related quality of life.
Usually ≤1 (can be negative in some tariffs).
|
12 weeks
|
|
Change in serum iron from baseline to weeks 6 and 12.
Tidsramme: 12 weeks
|
12 weeks
|
|
|
Change in serum hemoglobin from baseline to weeks 6 and 12.
Tidsramme: 12 weeks
|
12 weeks
|
|
|
Change in serum CRP from baseline to weeks 6 and 12.
Tidsramme: 12 weeks
|
12 weeks
|
|
|
Medication adherence will be assessed through participant self-report at each follow-up visit.
Tidsramme: 12 weeks
|
12 weeks
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Etterforskere
Etterforskere
- Hovedetterforsker: Eglal AM Bassiouny, PhD, Cairo University
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Genetiske sykdommer, medfødte
- Metabolske sykdommer
- Sykdommer i immunsystemet
- Overfølsomhet, Umiddelbar
- Overfølsomhet
- Hudsykdommer
- Hudsykdommer, genetisk
- Hudsykdommer, eksem
- Forstyrrelser i jernmetabolisme
- Dermatitt
- Medfødte, arvelige og neonatale sykdommer og abnormiteter
- Ernæringsmessige og metabolske sykdommer
- Hud- og bindevevssykdommer
- Jernmangel
- Dermatitt, atopisk
- Uorganiske kjemikalier
- Elementer
- Metaller
- Metaller, tunge
- Overgangselementer
- Stryke
Andre studie-ID-numre
Andre studie-ID-numre
- CL4181
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