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CompletedNCT03270241Updated Jan 9, 2024Results posted

Early Molecular Changes in Vitiligo After Narrowband Ultraviolet Therapy

An interventional study of Phototherapy (NB-UVB) via the 3 Series PC & SP phototherapy cabinet in Vitiligo and Dermatology/Skin - Other, sponsored by Johns Hopkins University. Completed at 1 site in United States. Open to participants aged 18 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-09.

Sponsored by Johns Hopkins University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 100 Years
Sex
All
01

Study summary

Vitiligo is a chronic acquired cutaneous disease of pigmentation that affects patients' quality of life across all degrees of involvement and severity. Phototherapy, such as Narrow band UVB (NB-UVB), is a clinically indicated treatment for skin lesions. NB-UVB treatment has been shown to promote repigmentation and normalize cellular behaviors. The investigators would like to analyze the change in protein expression and histological change in skin from NB-UVB treatment in participants with Vitiligo.

The investigators are recruiting participants with Vitiligo on the body, arms, and/or legs.

Read the detailed description

This is a dermatology study of the effects of short-term NB-UVB treatment, standard phototherapy for Vitiligo patients. In the study, demographics information, three ascending dose of phototherapy, and small skin biopsies will be required of the participants.

For all enrolled participants, the starting dose of NB-UVB administered will be 250 mJ/cm2, which is the standard of care for patients with Vitiligo. The dose will be increased by 10% with each treatment, as long as there are no side effects with treatment such as burning or redness/ erythema. Small skin biopsies will be collected from normal skin and from affected skin from vitiligo participants at the baseline visit and 3 days after the conclusion of treatment; up to a total of 6 biopsies will be collected from each patient. Participants will be compensated for time and effort.

02

Conditions studied

  • Vitiligo
  • Dermatology/Skin - Other

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Keywords

  • Vitiligo
  • Dermatology
  • Johns Hopkins
  • Compensation
  • Paid
  • Phototherapy
  • NB-UVB
  • Light treatment
  • Skin
  • Biopsies
  • Money
  • Short-term
03

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Adults 18 years or older with bilateral symmetrical vitiligo lesions, in general good health as determined by the Principal Investigator by medical history and physical exam.
  • Able to understand consent procedure
  • Able to comply with protocol activities

Exclusion criteria

Exclusion Criteria:

  • Patients less than 18 years old
  • Patients not able to understand consent procedure
  • Patients unable to comply with protocol activities
  • Non-English speakers: the study assessments/questionnaires/evaluations are not scientifically validated in languages other than English.
  • Patients with a photosensitive disorder or on a medication which has been demonstrated in these patients to cause photosensitivity
  • Patients receiving concomitant phototherapy to test sites
  • Patient receiving topical medication to test sites within 2 weeks of study initiation
  • Patient receiving oral medications for vitiligo within 4 weeks prior to study initiation
  • Receipt of an investigation agent within the past 4 weeks (or within 5 half lives) prior to study initiation
  • Pregnant or nursing patients (self-reported)
  • Patient with significant medical history or concurrent illness that the investigator feels is not safe for study participation, including melanoma
  • Presence or suspicion of bleeding disorder or diathesis which would complicate biopsy.
  • Patients with history of excessive scar or keloid formation in the past 10 years
  • Patients with known allergy to anesthetic used
  • Subjects with a pacemaker, implanted cardioverter-defibrillator, baroreflex activation device, cochlear implant, implanted bone growth stimulator, robotic limb prosthesis, subcutaneous GPS tracking device, electrodes implanted in the brain, attached electrodes in a subject undergoing cardiac defibrillation during the moment of skin color reading, or other device which may be disrupted by electrical current, UNLESS subject is kept "1 yard (one arm's length) from the main unit" of the spectrophotometer at all times, as specified in device approval letter.
04

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
    Phototherapy (NB-UVB)

    Phototherapy (NB-UVB) will be administered for all enrolled subjects. The starting dosage will be 250 mJ/cm2. The dose will be increased by 10% with each treatment, as long as there are no side effects with treatment.

    Device: Phototherapy (NB-UVB) via the 3 Series PC & SP phototherapy cabinet

Interventions

  • DevicePhototherapy (NB-UVB) via the 3 Series PC & SP phototherapy cabinet

    This is an investigator-initiated, single-blinded, ascending dose study of NB-UVB treatment for Vitiligo in adults of 3 treatments for one week. It is designed to measure the molecular changes and re-pigmentation in affected and normal skin of participants with Vitiligo and normal skin in healthy participants.

05

What researchers measure

Primary outcomes

  1. Molecular Changes From NB-UVB Therapy

    The investigators are assessing the histological and molecular changes of normal and Vitiligo-lesion skin from NB-UVB therapy. The molecular markers (in microgram/ mL) include, but not limited to, KIT receptor, stem cell factor (SCF), tumor necrosis factor-alpha (TNF-alpha), and interleukin-1 (IL-1).

    Time frame: 2 years

06

Results

Posted Jan 9, 2024

Participant flow

Participant flow — Overall Study
MilestonePhototherapy (NB-UVB)
Started10
Completed10
Not completed0

Outcome measures

PrimaryMolecular Changes From NB-UVB Therapy

The investigators are assessing the histological and molecular changes of normal and Vitiligo-lesion skin from NB-UVB therapy. The molecular markers (in microgram/ mL) include, but not limited to, KIT receptor, stem cell factor (SCF), tumor necrosis factor-alpha (TNF-alpha), and interleukin-1 (IL-1).

Time frame:
2 years

No measurements were reported for this outcome.

Adverse events

Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Phototherapy (NB-UVB)0/10 (0%)0/10 (0%)1/10 (10%)
Most frequent other events
Most frequent other events
EventPhototherapy (NB-UVB)
Wound InfectionInfections and infestations1/10

Baseline characteristics

Age, Continuous
Age, Continuous(years)Phototherapy (NB-UVB)
Mean49.6 ± 10.62
Sex: Female, Male
Sex: Female, Male(Participants)Phototherapy (NB-UVB)
Female5
Male5
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Phototherapy (NB-UVB)
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American4
White4
More than one race1
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(Participants)Phototherapy (NB-UVB)
United States10
07

Study locations

1 site
  • Johns Hopkins Outpatient Center
    Baltimore, Maryland 21287, United States
08

References and documents

Study documents

  • Protocol and statistical analysis plan · Apr 12, 2018
  • Informed consent form · Apr 21, 2018

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided — The investigators are still deciding on what information to release to other researchers.

09

Registry details

Key details

Study ID
NCT03270241
Lead sponsor
Johns Hopkins University
Responsible party
Sponsor
First posted
Sep 1, 2017
Start date
Oct 1, 2017
Primary completion
Mar 14, 2023
Completion
Mar 14, 2023
Results posted
Jan 9, 2024
Last update
Jan 9, 2024

Study contacts

Noori Kim, M.D
principal investigator · Johns Hopkins University

Oversight

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

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This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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