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Lack of efficacy of the study medication
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| Name | Class |
|---|---|
| Dermatology Foundation | OTHER |
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Management of pediatric alopecia is particularly challenging given the chronicity of the condition, limited therapeutic response and devastating psychological effects. There is a paucity of safe and effective therapies in this population.
The investigators propose to conduct and open label, prospective cohort pilot study using topical garlic concentrate ( GarlicRich) for treatment of children with alopecia areata. Study medication will be applied topically on affected area of the skin daily for 6 months. Follow up visits will occur monthly to access the efficacy and safety of the proposed treatment .
The investigators are planning to enroll in the study 20 participants at Sickkids.
It is an open label, prospective cohort pilot study. Patients enrolled in the study will be followed at the Hospital for Sick Children for 6 months. Participants will come for the study visits every month (7 study visits). During each study visit two investigators will independently access patient's hair density and calculate the SALT score (Severity of Alopecia Tool Score), using the participant's digital photographs.
Patients will be provided with the study medication for all duration of the study.
The results of the treatment will be compared with the baseline data ( pictures/ scores/ hair density) to evaluate the efficacy and safety of garlic concentrate in children with patchy alopecia areata.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Garlic concentrate | Experimental | Garlic gel concentrate- once a day topical application |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| garlic concentrate | Drug | Topical application of GarlicRich gel on the scalp areas affected with alopecia areata once a day for 6 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage change of SALT scores at 6 months compared to baseline. | Percentage change of SALT scores at 6 months compared to baseline | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Categorical percent hair regrowth | SALT derived percent regrowth, categorized as: A0 = no change or further loss; A1= 1-24% regrowth; A2= 25-49% regrowth; A3= 50-74% regrowth; A4= 75-99% regrowth; A5= 100% regrowth | 6 months |
| Proportion of subjects with at least 70% hair regrowth using the percent scalp hair regrowth based on SALT score. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Elena Pope, MD, MSc | The Hospital for Sick Children | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Th Hospital for Sick Children | Toronto | Ontario | M5G1X8 | Canada |
only aggregated data will be available to participants
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| ID | Term |
|---|---|
| D000506 | Alopecia Areata |
| ID | Term |
|---|---|
| D000505 | Alopecia |
| D007039 | Hypotrichosis |
| D006201 | Hair Diseases |
| D012871 | Skin Diseases |
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Proportion of subjects with at least 70% hair regrowth using the percent scalp hair regrowth based on SALT score. |
| 6 months |
| Density of hair regrowth at 6 months | Density will be measured by using a dermatoscope and calculating the number of hairs in the field | 6 months |
| Type of hair regrowth at 6 months | Type of hair will be a categorical variable with 3 types of values: vellus, indeterminate and terminal hairs | 6 months |
| Parental/patient assessment of hair regrowth using a 100 mm visual analog scale with 3 anchors (total loss, no change, full regrowth) where 5 mm corresponds to 10% change | VOS will be used by parents/ patient only once at the final study visit to access the result of the study treatment. | 6 months |
| Intra-class correlations between the two investigators' assessments using SALT and VAS assessment of hair regrowth | The results of two study investigator's assessment (SALT and VAS) will be compared at each study visit. | 1,2,3,4,5,6 months |
| Correlation between surface area and SALT score | Correlation between surface area and SALT score | 1,2,3,4,5,6 months |
| Correlation between SALT scores and parental/patient assessment of regrowth at 6 months. | Correlation between SALT scores and parental/patient assessment of regrowth | 6 months |
| Percentage of patients experiencing adverse effects (erythema, irritation, contact dermatitis), collected by investigator and reported by the parents in the study diaries. | Percentage of patients experiencing adverse effects | 0-6 months |
| D017437 |
| Skin and Connective Tissue Diseases |