Atopic Dermatitis
Conditions
Keywords
Atopic dermatitis, Ciclosporine, Extracorporal photopheresis
Brief summary
Severe atopic dermatitis (AD) is a recurrent and debilitating disease often requiring systemic immunosuppressive treatment. The efficacy of cyclosporine A (CsA) is well proven but potential side effects are concerning. Several reports point at extracorporeal photopheresis (ECP) as an efficient alternative treatment modality with few and mild side effects. However, no direct comparison between CsA and ECP in the treatment of AD has been performed so far. In this trial we test the hypothesis that ECP is non-inferior to standard treatment with CsA.
Interventions
3 mg/kg/day for 4 month
Administered two consecutive days twice a month for 4 month
Sponsors
Study design
Eligibility
Inclusion criteria
Criteria of inclusion were refractoriness to standard topical treatment (corticosteroid ointments, UVA, UVB, PUVA, tar).
Exclusion criteria
Criteria of exclusion were pregnancy, uncontrolled hypertension, previous malignancy, infectious disease, liver/kidney disease or active treatment with ECP or immunosuppressants within 4 weeks prior to start of trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change of SCORAD (SCORing Atopic Dermatitis) | 4 month |