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Background
Phototherapy UVB TL01 currently represents the first choice in treatment to induce the repigmentation of vitiligo spots. The problem though is that there are no systems or scales which enable an objective evaluation of the therapy, commonly known as percentage of repigmentation.
Recently, a European Task Force (VETF, Vitiligo European Task Force) of experts on vitiligo, within the European Society of Pigmentation, has proposed a gravity classification on the basis of three parameters/standards - extension, progression and the level of depigmentation - and used to classify patients in ten European centres. The aim of the trial is to validate the VETF scoring system set up in relation with the therapeutic answer to the standard treatment for vitiligo and phototherapy.
Leaving aside short term side effects, such as sunrush/erythema and sunburn, which are reversible and infrequent, the main problem with phototherapy is represented by the cumulative long term effects of ultraviolet rays. These can cause premature ageing of the skin (photoaging) and the appearance of skin cancer/neoplasia. Therefore the aim is to get the best results from phototherapy whilst limiting its length.
Aims of the trial:
This interruption might make the ultraviolet rays more effective 'stimulus on the melanocytes', and may also reduce long term damage caused by phototherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Experimental | Group A: 2 months treatment-1 month no treatment-2 months treatment-1 month no treatment |
|
| B | Active Comparator | Group B: 6 months non-stop treatment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sequential phototherapy | Genetic | Group A: 2 months treatment-1 month no treatment-2 months treatment-1 month no treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| The percentage of repigmentation on the target lesions will be evaluated at the end of each treatment in both groups. | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mauro Picardo, MD | Contact | picardo@ifo.it |
| Name | Affiliation | Role |
|---|---|---|
| Mauro Picardo, MD | Istituto San Gallicano - Rome - Italy | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istituto San Gallicano - | Recruiting | Rome | Rome | 00100 | Italy |
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| ID | Term |
|---|---|
| D014820 | Vitiligo |
| ID | Term |
|---|---|
| D017496 | Hypopigmentation |
| D010859 | Pigmentation Disorders |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| Continuous phototherapy | Procedure | Group B: 6 months non-stop treatment. |
|