Sjögren Larsson syndrome (SLS) is an autosomal recessive inherited neurometabolic disorder which is characterized by a clinical triad of congenital ichthyosis, spastic di- or tetraplegia and mental retardation. A disturbance of lipid metabolism due to deficiency of the microsomal fatty aldehyde dehydrogenase (FALDH) underlies SLS.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Biochemical and genetically proven Sjögren Larsson patients. Age > 6 years. Parental informed consent. Are the trial subjects under 18? yes 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) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Renal and/or hepatic failure Use of alcohol. Smoking. Use of theophylline, warfarin and/or propranolol during the study period. Use of zileuton less than 6 weeks prior to start of the study. Patients not willing to maintain their dermatological treatment stable during the study period. Pregnancy and/or lactation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate the effect of Zileuton on the clinical parameters pruritus, ichthyosis as well as on the urinary concentrations of LTB4 and its metabolite omega-OH-LTB4.;Secondary Objective: Secondary, we study pharmacokinetic and pharmacodynamic properties of zileuton in humans as well as the dosage-effect relationship.;Primary end point(s): Clinical endpoints: Decrease in severity of pruritus and excoriations as well as improvement of ichthyosis measured by visual analogue scores (VAS), “Willemsen score” (both filled out by parents/caregivers) as well as the clinical Sjögren Larsson Area Severity Index (SLASI). Decrease in the amount of topical emollients that is needed by the patients. Biochemical endpoints: Significant decrease in urinary LTB4 and 20-OH-LTB4 metabolite concentrations of SLS patients during treatment with zileuton. | — |
Countries
Netherlands