Digital ischaemia/ulceration in patients with scleroderma-spectrum disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: A diagnosis of SSc (or of another scleroderma-spectrum disorder) and severe digital ischaemia and/or digital ulceration severe enough to require hospitalisation for intravenous prostanoid therapy. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Age 80 years. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: This study follows on from a project entitled 'Iontophoresis as a possible therapy for digital ischaemia, preliminary studies in healthy volunteers'. The aim of the new study is to determine whether iontophoresis (a method of driving drugs or chemicals through the skin with very low currents) of vasodilatory chemicals (chemicals that temporarily widen the blood vessels, allowing higher blood flow) improves the healing rate of ulcers on the finger and/or improves digital ischaemia severe enough to require hospitalisation for intravenous vasodilator therapy. The desired outcome is that this novel method of vasodilatory delivery reduces the required treatment time and therefore the hospitalisation time of the patients. If so then this therapy might, in the future, replace intravenous prostanoid therapy. It should be stated that what is proposed are preliminary studies which will not definitely answer these questions but will inform future controlled clinical trials. ;Secondary Objective: ;Primary end point(s): The primary endpoint will be an increase in perfusion as imaged by dual wavelength laser Doppler imaging, in which we have extensive experience. One laser Doppler image of the affected area will be taken before and after treatment on days 1, 2 and 5 where possible. | — |
Countries
United Kingdom