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| ID | Type | Description | Link |
|---|---|---|---|
| CsA-ECP | Other Identifier | DermatologyAUH-UK |
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Severe atopic dermatitis (AD) is a recurrent and debilitating disease often requiring systemic immunosuppressive treatment. The efficacy of cyclosporine A (CsA) is well proven but potential side effects are concerning. Several reports point at extracorporeal photopheresis (ECP) as an efficient alternative treatment modality with few and mild side effects. However, no direct comparison between CsA and ECP in the treatment of AD has been performed so far. In this trial we test the hypothesis that ECP is non-inferior to standard treatment with CsA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CsA-ECP | Other | Sequence of therapy: First ciclosporin was given and after relapse extra corporal photopheresis was given |
|
| ECP-CsA | Other | Sequence of therapy: First extra corporal photopheresis was given and after relapse ciclosporin was given |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cyclosporine A (CsA) | Drug | 3 mg/kg/day for 4 month |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of SCORAD (SCORing Atopic Dermatitis) | 4 month |
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Inclusion Criteria:
Criteria of inclusion were refractoriness to standard topical treatment (corticosteroid ointments, UVA, UVB, PUVA, tar).
Exclusion Criteria:
Criteria of exclusion were pregnancy, uncontrolled hypertension, previous malignancy, infectious disease, liver/kidney disease or active treatment with ECP or immunosuppressants within 4 weeks prior to start of trial.
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| Name | Affiliation | Role |
|---|---|---|
| Erik Obitz, MD, DMSc | Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark | Principal Investigator |
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| ID | Term |
|---|---|
| D003876 | Dermatitis, Atopic |
| ID | Term |
|---|---|
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
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| ID | Term |
|---|---|
| D016572 | Cyclosporine |
| D017893 | Photopheresis |
| ID | Term |
|---|---|
| D003524 | Cyclosporins |
| D010456 | Peptides, Cyclic |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
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| Extracorporeal photopheresis (ECP) | Other | Administered two consecutive days twice a month for 4 month |
|
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D010455 |
| Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D011701 | PUVA Therapy |
| D014467 | Ultraviolet Therapy |
| D010789 | Phototherapy |
| D013812 | Therapeutics |
| D005112 | Extracorporeal Circulation |
| D013514 | Surgical Procedures, Operative |