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Trial registered on ANZCTR
Registration number
ACTRN12611001165976
Ethics application status
Approved
Date submitted
2/11/2011
Date registered
8/11/2011
Date last updated
8/11/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Efficacy of the combination therapy of Pimecrolimus 1% cream and Mometazone cream with either agent alone in the treatment of childhood vitiligo
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Scientific title
Efficacy of the combination therapy of Pimecrolimus 1% cream and Mometazone cream with either agent alone in the treatment of childhood vitiligo
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Secondary ID [1]
273335
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Vitiligo
279080
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Condition category
Condition code
Skin
279271
279271
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0
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Dermatological conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
In each patient three lesions with approximately equal size, in the same anatomic location (limbs, trunk, sun exposed or covered areas) will be selected. Topical pimecrolimus cream 1% will be applied to the first lesion twice daily, topical mometazone furoat 0.1% ointment will be applied for the second lesion every night, and pimecrolimus cream 1% and topical mometazone ointment 0.1% will be applied to the third lesion twice daily for the first 5 days and the subsequent 2 days of the week at nights respectively. All three treatments are administered simultaneously over the same three month period (total treatment period 3 months) and after that patients will be followed up for another 3 months as well.
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Intervention code [1]
283658
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Treatment: Drugs
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Comparator / control treatment
The patients’ lesions will be compared with his /her own ones, before and after the treatment protocol.
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Control group
Active
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Outcomes
Primary outcome [1]
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The size of the lesions will be determined and recorded via skin photography. An external observer who is unaware of the treatment protocols also will evaluate the lesions independently.
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Assessment method [1]
279891
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Timepoint [1]
279891
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before starting the treatment protocol, at the end of 1, 2 and 3 months of treatment period and also at the end of 1, 2 and 3th month of follow up period.
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Secondary outcome [1]
294700
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The pigmentation of the lesions will be determined and recorded via skin photography. An external observer who is unaware of the treatment protocols also will evaluate the lesions independently.
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Assessment method [1]
294700
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Timepoint [1]
294700
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before starting the treatment protocol, at the end of 1, 2 and 3 months of treatment period and also at the end of 1, 2 and 3th month of follow up period.
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Eligibility
Key inclusion criteria
No history of any kind of treatments for vitiligo since 1 month of starting the study.
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Minimum age
2
Years
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Maximum age
18
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
The patients with uncontrolled systemic diseases, renal failure, autoimmune disorders, history of sensitivity to pimecrolimus cream and topical steroids/macrolides, and unstable vitiligo will be excluded from the study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
18/06/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3939
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Iran, Islamic Republic Of
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State/province [1]
3939
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kerman
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Funding & Sponsors
Funding source category [1]
284142
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University
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Name [1]
284142
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Kerman Medical University
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Address [1]
284142
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Kerman medical university, Jomhori Eslami Avenue, Kerman,Kerman province, Iran
postal code: 7618747647
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Country [1]
284142
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Iran, Islamic Republic Of
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Primary sponsor type
University
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Name
Kerman Medical University
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Address
Kerman medical university, Jomhori Eslami Avenue, Kerman,Kerman province, Iran
postal code: 7618747647
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Country
Iran, Islamic Republic Of
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Secondary sponsor category [1]
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Hospital
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Name [1]
269104
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Afzalipour hospital
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Address [1]
269104
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Afzalipour hospital, Emam Khomeini High way, Kerman, Kerman province, Iran
postal code: 7616913888
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Country [1]
269104
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Iran, Islamic Republic Of
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
272100
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Ethical committe of Kerman medical University
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Ethics committee address [1]
272100
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Ethics committee country [1]
272100
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Iran, Islamic Republic Of
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Date submitted for ethics approval [1]
272100
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Approval date [1]
272100
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Ethics approval number [1]
272100
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Summary
Brief summary
Vitiligo is a common acquired pigmentation disorder with unknown cause that results in destruction of melanocyte cells. In 50% of cases the disease is started before twenty years of old that may lead to significant psycho-spiritual impairments in children. There are various therapeutic options for the treatment of vitiligo, however, none of these treatments are quite effective and safe so far. The resistance to treatments, recurrence and therapeutic side effects are some of the complications that may happen with the current therapeutic options. All these treatment options have their own limitations due to the side effects and unsuitable therapeutic responses. So efforts to find new treatment options covering these pitfalls are still continued. Recently in some limited studies, topical immunomodulators (TIMS) in the calcineurin inhibitor family (such as topical tacrolimus and pimecrolimus) have been used for the treatment of vitiligo in children as safe and efficient therapeutic options. These are safe drugs but the problem of high cost has limited their use as a routine treatment. However, combination therapy of TIMS with other therapeutic modalities and drugs may result in increased efficacy, decreased side effects and cost of treatment and shortening the duration of treatment. In the current study, we decide to compare the therapeutic effects of single TIMS therapy, with combination therapy of mometazone ointment and pimecrolimus cream for the treatment of vitiligo in children. As literature explains combination of two drugs in form of “week day/weekend” regime has increased the therapeutic effects with little side effects in the treatment of some of the skin disorders such as psoriasis, so we decided to try this new method in the treatment of children with Vitiligo.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
33340
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Address
33340
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Country
33340
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Phone
33340
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Fax
33340
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Email
33340
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Contact person for public queries
Name
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Sadegh Hasheminasab
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Address
16587
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Dermatology wards, Afzalipour Hospital,Emam Khomeini High way, Kerman, Kerman province,Iran
postal code:7616913888
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Country
16587
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Iran, Islamic Republic Of
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Phone
16587
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+98 9111566484
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Fax
16587
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+98 341 3222270
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Email
16587
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[email protected]
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Contact person for scientific queries
Name
7515
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Saeedeh Farajzadeh
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Address
7515
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Dermatology wards, Afzalipour Hospital,Emam Khomeini High way, Kerman, Kerman province,Iran
postal code: 7616913888
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Country
7515
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Iran, Islamic Republic Of
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Phone
7515
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+98 9133414259
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Fax
7515
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+98 341 3222270
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Email
7515
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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