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CompletedNCT03093805Updated Jun 12, 2019

Topical Vitamin D in Acute Graft Versus Host Disease of the Skin

An interventional study of Calcipotriene in Graft Vs Host Disease, sponsored by Children's Hospital Medical Center, Cincinnati. Completed at 1 site in United States. Open to participants aged 3 Months to 35 Years. Per ClinicalTrials.gov, last updated 2019-06-12.

Sponsored by Children's Hospital Medical Center, Cincinnati · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
3 Months to 35 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy of Calcipotriene cream. This is a synthetic vitamin D3 derivative for topical use. It is used to treat grade 1-3 acute skin graft versus host disease (GVHD) in hematopoietic stem cell transplant (HSCT) recipients. Calcipotriene will be used as the exclusive topical therapy in addition to standard of care GVHD treatment prescribed for the study subject by the primary physician.

Read the detailed description

Acute skin GVHD affects about one third of pediatric and adult transplant recipients. Chronic GVHD (cGVHD) affects 40-60% of adult patients who have undergone allogeneic HSCT. It is a major cause of non-relapse mortality and morbidity. Systemic prednisone is the first-line treatment for cGVHD; however, about one-half of all patients do not respond to this initial therapy, and there is no standard second-line therapy. Immunosuppressive therapy used for treatment of GVHD brings significant risk of infection, poorly affecting clinical outcomes.

Vitamin D affects immunoregulation, fibroblast proliferation, collagen synthesis and endothelial cell function, and the investigators hypothesize that topical vitamin D application will have a positive effect on acute and chronic skin GVHD. The investigators hypothesize that topical vitamin D cream may restore normal cell function and decrease the use of steroid creams in acute GVHD of the skin.

02

Conditions studied

  • Graft Vs Host Disease

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Keywords

  • Hematopoietic Stem Cell Transplant
  • Graft Versus Host Disease
03

In context

Graft vs Host Disease

806 studies on the registry are indexed under Graft vs Host Disease; 138 are open to participants now.

This study's enrollment of 10 is below the median of 35 across 637 interventional studies indexed under Graft vs Host Disease.

Browse Graft vs Host Disease studies →

Lead sponsor

Children's Hospital Medical Center, Cincinnati is the lead sponsor of 661 studies on the registry; 134 are open to participants now.

Of its 54 completed or terminated interventional studies of FDA-regulated products, 30 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
3 Months to 35 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • HSCT recipients with acute Grade I through III GVHD based on Glucksberg criteria. Recipients of multiple transplants are still eligible to participate in this research study.
  • Each study subject is to have calcium and vitamin D level prior to starting study, if not obtained within 30 days of beginning treatment.

Exclusion criteria

Exclusion Criteria:

  • Patient with active cellulitis at the start of the treatment.
  • Patients with hypercalcemia or vitamin D levels above 100 μg/L.
  • Patients with known allergy to any of the topical therapy components.
  • Patients who have received previous treatment with topical vitamin D cream.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Calcipotriene

    Patients will apply Calcipotriene cream 2 times per day for 7 days.

    Dietary Supplement: Calcipotriene

Interventions

  • Dietary supplementCalcipotriene

    Topical vitamin D cream will be applied to affected areas of the skin.

    Also known as: Dovonex

06

What researchers measure

Primary outcomes

  1. GVHD Grade

    Change in GVHD grade over 7 days. GVHD grade based on Glucksberg criteria

    Time frame: 7 days

07

Study locations

1 site
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 12, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03093805
Lead sponsor
Children's Hospital Medical Center, Cincinnati
Responsible party
Sponsor
First posted
Mar 28, 2017
Start date
Mar 15, 2017
Primary completion
Mar 4, 2019
Completion
Mar 26, 2019
Last update
Jun 12, 2019

Study contacts

Gregory Wallace, DO
principal investigator · Children's Hospital Medical Center, Cincinnati

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2019. You cannot join it, but the record below documents what was studied.

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