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Trial registered on ANZCTR
Registration number
ACTRN12613001028796
Ethics application status
Approved
Date submitted
10/09/2013
Date registered
16/09/2013
Date last updated
2/04/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Efficacy of the Apitherapy in the treatment of recalcitrant localized plaque psoriasis and evaluation of Tumor Necrosis Factor-Alpha (TNF-a) serum level: Double blind randomized clinical trial.
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Scientific title
Efficacy of the Apitherapy in the treatment of recalcitrant localized plaque psoriasis and evaluation of Tumor Necrosis Factor-Alpha (TNF-a) serum level: Double blind randomized clinical trial.
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Secondary ID [1]
283181
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Nil
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Universal Trial Number (UTN)
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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:
Localized psoriasis
290039
0
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Condition category
Condition code
Skin
290416
290416
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0
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Dermatological conditions
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Inflammatory and Immune System
290446
290446
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0
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Autoimmune diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All patients will tested for existing immunity by intradermal injection of 0.05 ml of drug [Epivac 'Registered Trademark' Bee Venom (Apis mellifera)The Holding Company for Biological Products and Vaccines] into the skin of left forearm. the one who negative for anaphylactic reaction, will have a standard dose of 0. 05 mL/cm2 around psoriatic lesion were administered intradermaly. Injections were spaced 1 cm apart. An insulin syringe with a small-bore needle (25 gauge) was used for accuracy of dose measurement and ease of administration. The session carried on once weekly for 3 months in small doses starting with 0.05-0.1ml, and then increased gradually by 0.05 ml every other injection till reach a dose 1 ml every injection
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Intervention code [1]
287906
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Treatment: Drugs
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Comparator / control treatment
saline injection
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Control group
Placebo
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Outcomes
Primary outcome [1]
290441
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To evaluate the therapeutic potential effect of Bee venom in recalcitrant localized Psoriasis, by assessing Physician Global Assessment (PGA) before and after treatment
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Assessment method [1]
290441
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Timepoint [1]
290441
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To evaluate the therapeutic potential effect of Bee venom in recalcitrant localized Psoriasis at the end of 3 months of treatment
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Primary outcome [2]
291836
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To evaluate the therapeutic potential effect of Bee venom in recalcitrant localized Psoriasis at the end of 3 months of treatment. By assessing with physician global assessment (PGA).
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Assessment method [2]
291836
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Timepoint [2]
291836
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To evaluate the therapeutic potential effect of Bee venom in recalcitrant localized Psoriasis at the end of 3 months of treatment
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Secondary outcome [1]
304524
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To detect the effect of Bee venom on the serum level of Tumor necrosis factor alpha (TNF-a).
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Assessment method [1]
304524
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Timepoint [1]
304524
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To detect the effect of Bee venom on the serum level of Tumor necrosis factor alpha (TNF-a).by measuring serum level of (TNF-a) at the beginning and 12th week of treatment via polystyrene microplate ELISA
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Eligibility
Key inclusion criteria
*Patients diagnosed as recalcitrant localized psoriasis.
*Patients aged 18 -60 years.
*Both genders.
*Stopping any topical or systemic treatment for psoriasis during the last 2 months.
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Minimum age
18
Years
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Maximum age
60
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
*Patient who had any allergic disorder.
*Patient who had reactions to bee stings.
*Patient who are responding well to conventional treatment.
*Pregnancy and lactation.
*Systemic diseases such as diabetes and cardiac diseases
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled 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?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3 / Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2012
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Actual
17/07/2012
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Date of last participant enrolment
Anticipated
31/10/2012
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Actual
1/10/2012
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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]
5401
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Egypt
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State/province [1]
5401
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Funding & Sponsors
Funding source category [1]
287928
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Self funded/Unfunded
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Name [1]
287928
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self funded. the study funded by the authors themselves
the university will not fund the trial because of poor resources
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Address [1]
287928
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Faculty of Medicine, Suez Canal University, Department of Dermatology and Venereology, Ismailia 41511, Egypt.
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Country [1]
287928
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Egypt
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Primary sponsor type
Individual
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Name
Faculty of Medicine, Suez Canal University, prof. Atef Elakhras
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Address
Faculty of Medicine, Suez Canal University, Department of Dermatology and Venereology, Ismailia 41511, Egypt.
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Country
Egypt
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Secondary sponsor category [1]
286654
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Individual
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Name [1]
286654
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Ghada F. A. Mohammed
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Address [1]
286654
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Faculty of Medicine, Suez Canal University, Department of Dermatology and Venereology, Ismailia 41511, Egypt.
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Country [1]
286654
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Egypt
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
The interventional, randomized, placebo-controlled, parallel-group study was approved from the Suez Canal Research Ethical Committee. The study was carried out in Dermatology outpatient clinic, Suez Canal University Hospital for a period of 10 months in accordance with the guidelines of the Helsinki Declaration. Informed consent was obtained from all patients This randomized control trial study conducts to evaluate serum level of TNF-a and the efficacy and safety of using Apitherapy in order to find an effective and easy method for treating localized psoriasis. Aim of work It is a trial to evaluate Bee Venom Therapy (BVT) in localized psoriasis and to investigate its possible influence on serum level of tumor necrosis factor alpha (TNF- a). Study objectives * To evaluate the therapeutic potential effect of Bee venom in localized Psoriasis . * To detect the effect of Bee venom on the serum level of Tumor necrosis factor alpha (TNF-a). Study questions * Is the use of bee venom therapy effective in treatment of localized psoriasis? * Dose Bee venom therapy has effect on serum level of TNF –a? Hypotheses The Bee venom is effective in treatment of localized Psoriasis.
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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
42798
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Dr Ghada F. A. Mohammed
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Address
42798
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Faculty of Medicine, Suez Canal University, Department of Dermatology and Venereology, Ismailia 41511, Egypt.
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Country
42798
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Egypt
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Phone
42798
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+206401112518631
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Fax
42798
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Email
42798
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[email protected]
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Contact person for public queries
Name
42799
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Ghada F. A. Mohammed
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Address
42799
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Faculty of Medicine, Suez Canal University, Department of Dermatology and Venereology, Ismailia 41511, Egypt.
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Country
42799
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Egypt
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Phone
42799
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+206401112518631
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Fax
42799
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Email
42799
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[email protected]
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Contact person for scientific queries
Name
42800
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Atef Ibrahim EL-Akhras
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Address
42800
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Faculty of Medicine, Suez Canal University, Department of Dermatology and Venereology, Ismailia 41511, Egypt.
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Country
42800
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Egypt
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Phone
42800
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+206401006096387
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Fax
42800
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Email
42800
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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
Source
Title
Year of Publication
DOI
Embase
Efficacy of the apitherapy in the treatment of recalcitrant localized plaque psoriasis and evaluation of tumor necrosis factor-alpha (TNF-alpha) serum level: A double-blind randomized clinical trial.
2015
https://dx.doi.org/10.3109/09546634.2014.990411
N.B. These documents automatically identified may not have been verified by the study sponsor.
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