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Recruitment very slow & ongoing funding not obtained.
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Vitamin D is known to have a regulatory influence on both the immune system and skin barrier function. Studies in paediatric populations have found an inverse association of vitamin D levels and with both prevalence and severity of atopic dermatitis (AD). Trials of vitamin D as a treatment for AD are limited in number and size. There has never been a placebo-controlled randomised controlled trial of stoss high dose versus daily standard dose for the treatment of AD. Further, no trials have explored the presence of vitamin D pathway genes and response to treatment of AD. This pilot study will be used as a reference to determine outcomes and feasibility for undertaking a larger and more in depth definitive study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stoss vitamin D | Active Comparator | Stoss vitamin D at Day 1 and daily placebo for 90 days (Day 1 to 90) |
|
| Daily vitamin D | Active Comparator | Stoss placebo at Day 1 and daily vitamin D for 90 days (Day 1 to 90) |
|
| Placebo | Placebo Comparator | Stoss placebo at Day 1 and daily placebo for 90 days (Day 1 to 90) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stoss vitamin D | Drug | A single 1.5 mL dose containing 150,000 IU cholecalciferol (100,000 IU/mL) administered on Day 1 (Solution in Olive Oil B.P. ) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in SCORAD | Atopic dermatitis severity score (SCORAD) | Change from baseline at 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Vitamin D levels | vitamin D level in serum | Baseline and 3 months |
| Vitamin D polymorphisms | Presence of defined vitamin D polymorphisms |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kirsten P Perrett, MBBS | Murdoch Childrens Research Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Children's Hospital Melbourne | Melbourne | Victoria | 3052 | Australia |
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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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|
| Daily vitamin D | Drug | Daily 0.2 mL dose containing 1000 IU cholecalciferol administered from Day 1 to 90 |
|
|
| Stoss placebo | Drug | A single 1.5 mL dose administered on Day 1 |
|
|
| Daily placebo | Drug | A once daily 0.2 mL dose administered from Day 1 to 90 |
|
|
| Baseline |
| Immunoglobulin E (IgE) (serum) | Serum | Baseline and 3 months |
| Effects on Parameters of bone metabolism (serum) | Calcium, Phosphate, Parathyroid hormone, Alkaline Phosphatase | Baseline and 3 months |
| Effects on Parameters of bone metabolism (urine) | Calcium:Creatinine (urine) | Baseline, 1 month and 3 months |
| Quality of life (family) | Standardised questionnaire: Family Dermatology Life Quality Index (FDLQI) | Baseline and 3 months |
| Quality of life (child) | Standardised questionnaire: Child Dermatology Life Quality Index (CDLQI) if >= 4 years of age OR Infant Dermatology Quality of Life (IDQOL) if <4 years of age | Baseline and 3 months |
| Compliance to study medications | Vitamin D stoss/daily and placebo stoss/daily | Throughout the study period, , an average of 3 months |
| Adverse events | Serious adverse events and serious adverse events | Throughout the study period, an average of 3 months |
| SCORAD | Atopic dermatitis severity score (SCORAD) | At 3 months |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |