Demodicidosis, Rosacea
Conditions
Keywords
demodex, demodicidosis, rosacea, ivermectin
Brief summary
The purpose of this study is to determine whether 0.5% ivermectin cream is effective in the treatment of demodicidosis (including papulopustular rosacea)
Interventions
Each participant will be treated with topical ivermectin cream 0.5% qd for one half of the face and with a vehicle cream qd for the other half of the face for 1 month. In the second month all patients will be treated with ivermectin cream for the entire skin involvement.
Sponsors
Study design
Eligibility
Inclusion criteria
* subjects with clinical and laboratory diagnosis of demodicidosis with symmetrical facial eruption who are willing to comply with study requirements
Exclusion criteria
* known hypersensitivity to ivermectin. * pregnancy * immunodeficiency such as HIV or immunosuppressive therapy * concomitant use of systemic antibiotics or steroids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A decrease in mite density in skin surface biopsy after treatment with topical ivermectin (≤5 mites/cm2 for skin lesions). | 5 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical improvement | 5 months | Clinical improvement will be assessed by objective evaluation of erythema, dryness, scaling, roughness, and/or papules/pustules in skin lesions and subjective evaluation of itch and dryness. |
| A comparable dermoscopic improvement in the demodicidosis features | 5 months | dermoscopic demodicidosis features: * number of demodex tails * demodex follicular openings * reticular dilated vessels. |
Countries
Israel