None listed
Conditions
Brief summary
Patient will recieve a controlled exposure of UVA using a Spectraline wand with a an oral photosensitiser such as 8 MOP or 5 MOP. Exposure to the UVA starts at 15 sec and increments by 15 secs once a week to a maximium exposure of 60 secs. All patients will be offered a total of 40 treatments of the combined therpay. Patients will be evaluated by their specialist at treatments 1, 10, 20 and at treatment 40 or termination/withdrawal. Early conclusion or treatment or temporary interuptions are permitted if remission is attained.
Interventions
Patient will recieve a controlled exposure of UVA using a Spectraline wand (A pencil lamp source of UVA light placed in the oral cavity) with the oral photosensitiser 8-Methoxypsoralen (MOP) at a dose of 0.6mg/kg or 5 MOP at a dose of 1.2mg/kg given two hours before each treatment. Exposure to the UVA light starts at 15 sec and increments by 15 secs once a week to a total of 60 secs. All patients will be offered a total of 40 treatments with an average of four treatments per week. Patients complete the treatment using the same oral photosensitiser they start with, and supply/ availability of the drug determines which one the patient uses.
Sponsors
Study design
Eligibility
Inclusion criteria
Undergone Allogeneic Stem cell transplant with clinical diagnosis of oral GVHD and any degree or oral symptoms leading to pain, discomfort and interfere with oral intake. Histological confirmation not required.
Exclusion criteria
Sensivity to sunscreens and photosensitisers. Known photodermatoses. Foreseeable intense exposure to solar or UV exposure except study related. unable to take tablets