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Treatment of Psoriasis Using Acitretin in HIV-Positive Patients

Information source: NIH AIDS Clinical Trials Information Service
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: HIV Infections; Psoriasis

Intervention: Acitretin (Drug)

Phase: Phase 3

Status: Completed

Sponsored by: Hoffmann-La Roche

Summary

To determine the efficacy of acitretin in the treatment of psoriasis in HIV/AIDS patients.

Etretinate, a retinoid, has proven successful in the treatment of HIV-infected patients with psoriasis, but it has an elimination half-life of 100 days. Acitretin, a metabolite of etretinate, has a much shorter half-life of 2 to 3 days. Acitretin has proven effective in treating psoriasis in patients without HIV infection by reducing skin involvement and clearing of the condition, but it has not been thoroughly evaluated in HIV-infected patients.

Clinical Details

Official title: Treatment of Psoriasis Using Acitretin in HIV-Positive Patients

Study design: Treatment, Placebo Control, Efficacy Study

Detailed description: Etretinate, a retinoid, has proven successful in the treatment of HIV-infected patients with psoriasis, but it has an elimination half-life of 100 days. Acitretin, a metabolite of etretinate, has a much shorter half-life of 2 to 3 days. Acitretin has proven effective in treating psoriasis in patients without HIV infection by reducing skin involvement and clearing of the condition, but it has not been thoroughly evaluated in HIV-infected patients.

Patients receive acitretin daily, with dose increases every 4 weeks based on quantitative assessment of the skin using the Psoriasis Area and Severity Index (PASI). Treatment continues for a total of 20 weeks. Patients are followed every 2 weeks.

Eligibility

Minimum age: 18 Years. Maximum age: 55 Years. Gender(s): Both.

Criteria:

Inclusion Criteria

Concurrent Medication:

Allowed:

- Any nondermatologic medication.

Patients must have:

- HIV infection.

- Psoriasis involving at least 10 percent of body surface.

Locations and Contacts

Beth Israel Med Ctr, New York, New York 10003, United States
Additional Information


Last updated: June 23, 2005

Page last updated: June 20, 2008

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