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Trial registered on ANZCTR
Registration number
ACTRN12621000249853
Ethics application status
Approved
Date submitted
2/02/2021
Date registered
8/03/2021
Date last updated
8/03/2021
Date data sharing statement initially provided
8/03/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Impact of topical folic acid on skin phototherapy for atopic dermatitis
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Scientific title
The impact of topical folic acid prior to UV-B phototherapy on the extent and severity of atopic dermatitis
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Secondary ID [1]
303314
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None
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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:
atopic dermatitis
320544
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Condition category
Condition code
Skin
318398
318398
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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
The primary aim is to determine whether application of a folic acid cream improves standard narrowband UVB (nbUVB; 311nm wavelength) phototherapy for dermatitis. nbUVB therapy is a standard treatment for dermatitis. Patients will receive 3 phototherapy treatments per week and up to 30 treatments in total. Phototherapy will be administered to the whole body, in a standing phototherapy cabinet. Patients will receive a 5% folic acid cream prior to their nbUVB treatment on a 10cm x 10cm lesion and a control emollient on a contralateral lesion of similar size. The folic acid cream is applied less than 30 minutes prior to nbUVB treatment. The locations of the lesions receiving the folic acid cream and the control emollient are noted in each patient's medical records. Each treatment session will last approximately 45 minutes, including up to 15 minutes of phototherapy.
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Intervention code [1]
319620
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Treatment: Other
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Intervention code [2]
319867
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Treatment: Drugs
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Comparator / control treatment
The control treatment will be a standard skin emollient (cetomacrogol) with yellow food coloring. The control emollient is applied less than 30 minutes prior to nbUVB treatment.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Eczema Area and Severity Index (EASI) scores of the folic acid pre-treated and control emollient pre-treated areas
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Assessment method [1]
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Timepoint [1]
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Patients will be treated with up to 30 nbUVB sessions, according to clinical practice. The EASI scores will be recorded before application of the topical treatments, prior to each phototherapy session.
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Secondary outcome [1]
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none
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Assessment method [1]
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Timepoint [1]
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none
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Eligibility
Key inclusion criteria
- aged at least 18 at study commencement
- active dermatitis eligible for full body phototherapy as standard treatment.
- ability to stand without help in a full body phototherapy cabinet
- no immunosuppressive drugs taken in the last 6 weeks prior to phototherapy start
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Minimum age
18
Years
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Maximum age
No limit
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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
- Past skin cancer.
- Unable to stand unaided in the phototherapy cabinet.
- Have a photosensitive cause of dermatitis or taking photosensitizing medicines.
- Having taken immunosuppressant medicines within 6 weeks of study commencement.
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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
Not Applicable
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Type of endpoint/s
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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
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Actual
2/09/2019
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Date of last participant enrolment
Anticipated
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Actual
3/08/2020
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Date of last data collection
Anticipated
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Actual
1/12/2020
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Sample size
Target
20
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Accrual to date
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Final
20
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Recruitment outside Australia
Country [1]
23419
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New Zealand
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State/province [1]
23419
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Wellington
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Funding & Sponsors
Funding source category [1]
307730
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Other
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Name [1]
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Malaghan Institute of Medical Research
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Address [1]
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Gate 7, Victoria University
Kelburn Parade,
6242 Wellington
New Zealand
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Country [1]
307730
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New Zealand
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Primary sponsor type
Other
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Name
Malaghan Institute of Medical Research
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Address
Gate 7, Victoria University
Kelburn Parade,
6242 Wellington
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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none
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Address [1]
308432
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none
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Country [1]
308432
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
307758
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Central Health and Disabilities Ethics Committees
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Ethics committee address [1]
307758
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Ministry of Health Ethics Department Reception - Ground Floor 20 Aitken Street Thorndon WELLINGTON, 6011
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Ethics committee country [1]
307758
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New Zealand
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Date submitted for ethics approval [1]
307758
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Approval date [1]
307758
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20/09/2018
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Ethics approval number [1]
307758
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Summary
Brief summary
Atopic dermatitis (AD) is a highly debilitating disease with significant health impacts worldwide. It has been a difficult disease to treat due to the wide spectrum of clinical manifestations. As such, the current clinical management strategies are non-specific. Previous studies have documented that AD disease progression is precipitated by a combination of skin barrier dysfunction, itch and immune dysregulation. Preclinical observations indicate that the topical application of folic acid (vitamin B9) can enhance the therapeutic efficacy of narrowband ultraviolet therapy by increasing the generation of the folic acid photometabolite 6-formylpterin, which binds to the major histocompatibility complex related molecule 1 (MR1) and thereby inhibits MR1-dependent immune surveillance of the skin and associated inflammatory immune responses. This study is a proof-of-concept study aiming to translate these preclinical findings to human patients.
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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
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Dr Olivier Gasser
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Address
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Malaghan Institute of Medical Research
Gate 7, Victoria University
Kelburn Parade,
6242 Wellington
New Zealand
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Country
108390
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New Zealand
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Phone
108390
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+64 44996914
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Fax
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Email
108390
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[email protected]
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Contact person for public queries
Name
108391
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Olivier Gasser
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Address
108391
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Malaghan Institute of Medical Research
Gate 7, Victoria University
Kelburn Parade,
6242 Wellington
New Zealand
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Country
108391
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New Zealand
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Phone
108391
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+64 44996914
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Fax
108391
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Email
108391
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[email protected]
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Contact person for scientific queries
Name
108392
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Olivier Gasser
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Address
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Malaghan Institute of Medical Research
Gate 7, Victoria University
Kelburn Parade,
6242 Wellington
New Zealand
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Country
108392
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New Zealand
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Phone
108392
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+64 44996914
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Fax
108392
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Email
108392
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All of the individual participant data collected during the trial, after de-identification, will be made available upon publication.
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When will data be available (start and end dates)?
Immediately following publication, no end date
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Available to whom?
Anyone who wishes to access the data.
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Available for what types of analyses?
Any analyses
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How or where can data be obtained?
Data will be available through the publisher of the research articles.
De-identified data will be made available upon request by email (to Olivier Gasser; Email:
[email protected]
).
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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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