Scleroderma, Systemic
Conditions
Keywords
Treprostinil, Scleroderma, Iontophoresis
Brief summary
The purpose of the study is to assess skin blood flow after non-invasive local administration of treprostinil by using a low-intensity current (i.e. iontophoresis) on the forearm and the fingers of healthy volunteers and patients with systemic sclerosis. The investigators also aim at assessing the systemic bioavailability and dermal diffusion of treprostinil iontophoresis.
Detailed description
Digital ulcerations are a complication of systemic sclerosis (SSc). Available treatments (i.e. IV iloprost) induce major adverse effects, limiting the use of such therapies. Iontophoresis is a non invasive route of administration of drugs. In experimental and clinical preliminary studies, the investigators have shown that iontophoresis of treprostinil on the forearm of healthy subjects induces a sustained increase in skin blood flux and that it is well tolerated (clinicaltrials.gov NCT01082484, manuscript in press). The investigators therefore aim at validating this proof of concept on the digits of SSc patients.
Interventions
Cutaneous iontophoresis of treprostinil 0.1mg/ml, on the forearm and the fingers. (charge 40-240 mC).
Sponsors
Study design
Eligibility
Inclusion criteria
* Cutaneous systemic scleroderma with sclerosed fingers
Exclusion criteria
* pregnant or breast-feeding women * any chronic disease (in the control group) * smoking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Area under the curve (AUC) of cutaneous blood flow | 0, 15min, 30 min, 1h, 2h, 4h, 6h, 8h, 10h | Cutaneous blood flow assessed with Laser Speckle Contrast Imaging (LSCI) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treprostinil blood concentration | 0, 15min, 30 min, 1h, 2h, 4h, 6h, 8h, 10h | AUC of treprostinil concentration from the end of iontophoresis until 10 hours after iontophoresis |
| Treprostinil dermal concentration | 1h, 2h, 3h, 4h, 5h, 6h, 8h, 10h | AUC of treprostinil concentration in the dermis (collected with microdialysis) from the end of iontophoresis until 10 hours after iontophoresis |
Countries
France