Overview

This trial is active, not recruiting.

Condition psoriasis
Treatment narrowband uvb phototherapy at home
Phase phase 4
Sponsor UMC Utrecht
Collaborator ZonMw: The Netherlands Organisation for Health Research and Development
Start date October 2002
End date March 2005
Trial size 200 participants
Trial identifier NCT00150930, 945-02-017, ISRCTN83025173

Summary

UVB phototherapy is a commonly used treatment for patients with psoriasis. Generally it is performed in the outpatient department of the hospital. The UVB irradiation itself will normally take only a few minutes, but to receive the irradiation patients have to travel to the outpatient department during working hours 2 or 3 times a week. In general it is a relatively time-consuming treatment.

Objective of this study is to assess whether UVB treatment administered in the home is as equally effective as the standard outpatient UVB phototherapy. Quality of life and cost-effectiveness are also studied.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification safety/efficacy study
Intervention model parallel assignment
Masking single blind
Primary purpose treatment

Primary Outcomes

Measure
(SA)PASI: whole trial (9x)
time frame:
Quality of life (EQ-5D, SF-36, PDI): inclusion till end of therapy (3x)
time frame:
Costs & Cost-Effectiveness: during 12 months from inclusion
time frame:

Secondary Outcomes

Measure
Dosimetry (every irradiation)
time frame:
Side-effects (every irradiation)
time frame:
Use medication: whole trial
time frame:

Eligibility Criteria

Male or female participants at least 18 years old.

Inclusion Criteria: 1. Guttate or plaque psoriasis, clinically eligible for narrowband UVB (TL-01) phototherapy; 2. Willing to undergo treatment according to randomisation. Exclusion criteria: 1. No informed consent: - age below 18 years; - not willing to accept one of the two treatments offered; 2. Practical reasons: - not able to receive one of the two treatments offered (e.g. lack of space at home / living too far from hospital etc.); - analphabetism (unable to read the patient-information and the questionnaires, unable to provide written answers and written informed consent); - lack of knowledge of the Dutch language; - not in possession of a telephone. 3. Expected non-compliance: lack of understanding what the study / treatment is about, with its potential consequences. 4. Medical contra-indications: - malignancy of the skin in the past / at present; - known UVB-allergy or chronic polymorphic photodermatosis; - use (at time of inclusion) of (systemic) medication with known phototoxic or photoallergic properties; - use (at time of inclusion) of systemic antipsoriatic medication (cyclosporin, methotrexate, neotigason, fumaric acid); - history of exposure to ionising radiation.

Additional Information

Official title Home UVB Phototherapy for Psoriasis: Effectiveness, Quality of Life and Cost-Effectiveness
Principal investigator Mayke BG Koek, MD, M.Sc.
Description Psoriasis is a chronic recurrent skin disorder characterised by erythematosquamous lesions (plaques). Usually the abnormal areas are few, but occasionally the disease is more generalised. Psoriasis can be treated locally by application of creams and ointments, for instance corticosteroids and vitamin D3. For most patients topical therapy will suffice. However, for some patients the area involved is such that topical application is not feasible. Or for others, the skin lesions do not respond anymore to topical treatment. In that case the dermatologist may start irradiation with ultraviolet (UV) light or prescribe systemic medication. UVB phototherapy is a commonly used treatment for patients with psoriasis. Generally it is performed in the outpatient department of the hospital. The UVB irradiation itself will normally take only a few minutes, but to receive the irradiation patients have to travel to the outpatient department during working hours 2 or 3 times a week. In general it is a relatively time-consuming treatment. To overcome the drawbacks of UVB treatment in the outpatient clinic, home UVB phototherapy was introduced over 25 years ago. However, the safety and effectiveness of home UVB have been debated ever since. Despite all discussion, the number of dermatologists prescribing home UVB phototherapy to their patients seems to gradually increase. We recently demonstrated that there is no sound evidence that would either support or dissuade from prescribing home UVB phototherapy. Particularly the lack of randomised research is apparent. Therefore, the objective of this study is to assess whether UVB treatment administered in the home is as equally effective as the standard outpatient UVB phototherapy. Quality of life and cost-effectiveness are also studied. Primary Outcome: (SA)PASI at inclusion, start of therapy, 23 (20-26) irradiations, end of therapy, and at every 2 months after end of therapy (maximum 1 year) Quality of life scores (EQ-5D, SF-36, PDI) at inclusion, start of therapy, 23 (20-26) irradiations and at end of therapy. Costs and Cost-Effectiveness will be calculated with a time-horizon of 12 months after inclusion (questionnaires were used at inclusion, start of therapy, 23 (20-26) irradiations, end of therapy, and at every 2 months after end of therapy (maximum 1 year)) Secondary Outcome: Cumulative dosimetry (every irradiation) Total amounts of and types of side-effects (every irradiation) Concomitant use of medication (during the whole trial, data derived from patients' pharmacists)
Trial information was received from ClinicalTrials.gov and was last updated in November 2006.
Information provided to ClinicalTrials.gov by UMC Utrecht.