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Prednisolone vs. Ciclosporine in Severe Atopic Eczema

Information source: Dresden University of Technology
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Atopic Dermatitis

Intervention: Prednisolone (Drug); Ciclosporine A (Drug)

Phase: Phase 4

Status: Recruiting

Sponsored by: Dresden University of Technology

Official(s) and/or principal investigator(s):
Jochen M Schmitt, MD MPH, Principal Investigator, Affiliation: Dpt. of Dermatology, TU Dresden, Fetscherstr 74, D-01307 Dresden

Overall contact:
Jochen M Schmitt, MD, MPH, Phone: 0049 351 458, Ext: 2421, Email: Jochen.Schmitt@uniklinikum-dresden.de

Summary

To investigate the comparative efficacy of Ciclosporine A and Prednisolone in adult patients with severe atopic dermatitis.

Clinical Details

Official title: Prednisolone vs. Ciclosporine in Severe Atopic Eczema

Study design: Treatment, Randomized, Double Blind (Subject, Investigator), Active Control, Parallel Assignment, Efficacy Study

Primary outcome: stable remission in both treatment groups

Secondary outcome:

response rate in both treatment groups

relapse rate in both treatment groups

mean change in objective SCORAD in both treatment groups

mean change in HRQL (DLQI) in both treatment groups

change in disease symptoms (POEM)in both treatment groups

Cost-effectiveness of both treatments

Tolerability and Safety

change in presenteeism in both treatment groups

patient satisfaction

Eligibility

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

Criteria:

Inclusion Criteria:

- male and female patients age >= 18 and < 55

- weight between 50 and 100 kg

- confirmed diagnosis of AE (UK working party criteria)

- objective SCORAD > 40

- DLQI > 10

- resistancy against topical treatment options including steroids and

calcineurin-inhibitors

Exclusion Criteria:

- participation to another clinical trial within the last 4 weeks before baseline

- pregnant or breastfeeding

- women of childbearing potential without adequate contraception

- allergy against prednisolone or Ciclosporine A

- acute bacterial or viral infection

- malignant tumor in personal history

- diabetes mellitus

- arterial hypertension

- Glaucoma

- peptic ulcer

- severe osteoporosis

- tuberculosis in personal history

- colitis ulcerosa

- diverticulitis

- concurrent treatment with chloroquin, Mefloquin, Statins, Warafin

- Creatinin Clearance < 60 ml /min

- UV treatment within 8 weeks before inclusion

- ongoing systemic immunosuppressive treatment

- planned vaccination within 8 weeks before study entry, during study and 2 weeks after

end of study

- Poliomyelitis

- Lymphadenitis after BCG vaccination

- Hyperuricaemia

- chronic liver disease

- Xeroderma pigmentosum, Cockaye-Syndrome, Bloom Syndrome

- Psychiatric co-morbidity

- drug or alcohol abuse

Locations and Contacts

Jochen M Schmitt, MD, MPH, Phone: 0049 351 458, Ext: 2421, Email: Jochen.Schmitt@uniklinikum-dresden.de

University Hospital of Dermatology and Venerology Graz, Graz 8036, Austria; Recruiting
Werner Aberer, Prof., MD
Werner Aberer, Prof., MD, Principal Investigator
Christian Schuster, MD, Sub-Investigator

Dept. of Dermatology, Medical Faculty, TU Dresden, Dresden 01307, Germany; Recruiting
Jochen M Schmitt, MD MPH, Phone: 00493514582421, Email: jochen.schmitt@uniklinikum-dresden.de
Jochen M Schmitt, MD MPH, Principal Investigator
Marlene Lochno, Sub-Investigator
Knut Schäkel, PD, MD, Sub-Investigator

University Hospital Kiel, Kiel 24105, Germany; Recruiting
Regina Fölster-Holst, PD, MD, Phone: 0049 431 5971512
Regina Fölster-Holst, PD, MD, Principal Investigator
Shirin Filsoof, Sub-Investigator
Konstanze Müller-Wening, Sub-Investigator

Dpt. of Dermatology, Medical Faculty Eppendorf, Hamburg 20246, Germany; Recruiting
Matthias Augustin, Prof., MD
Matthias Augustin, Prof., MD, Principal Investigator
Nadine Franzke, Sub-Investigator

Dpt. of Dermatology, University Hospital Münster, Münster 48149, Germany; Recruiting
Thomas Luger, Prof., MD
Thomas Luger, Prof., MD, Principal Investigator
Mareike Eickelmann, Sub-Investigator
Sarah Schulz, Sub-Investigator
Funda Schürmeyer-Horst, MD, Sub-Investigator

Additional Information

Starting date: March 2007
Ending date: May 2009
Last updated: July 7, 2008

Page last updated: October 19, 2009

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