Acne inversa Verneuil's disease Acne inversa
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - IHS4 mild to moderate, without tunnels in the axillae and/or inguinal area. - HS activity in at least one axilla or at least one side of the inguinal area. - Age 16 years and over.
Exclusion criteria
Exclusion criteria: - If the patient is not able to give informed consent. - If the patient is allergic to clindamycin lotion. - If the patient uses systemic therapy for HS such as antibiotics or biologicals.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint of this study is the difference in IHS4 between the intervention group and the control group over month 7 to 12, using a repeated measure analysis. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient reported outcome measures (for the axillae): - Skin related pain of the axillae, on a numerical rating scale (NRS) - Skin related itch of the axillae, on a NRS - Self-reported flares (number of flares reported by the patients in the last 4 weeks) - Quality of life measured with the Dermatologic Life Quality Index (DLQI) and the Hidradenitis Suppurativa Quality of Life score (HiSQOL), during the study. - Difference in patients satisfaction score Clinical efficacy (for the axillae): - Difference in cumulative IHS4 over month 7 to 12 between both groups. - Cumulative IHS4, correlated to hair loss over month 7 till 12. - Cumulative IHS4, calculated over a time period of 3, 9 and 12 months - Pustule and papule count during visits during the study. - (cumulative) Abscess en nodule count during the study. - Number of times escape medication has been used during the study. - Average duration of a flare, reported by the patient, during the study. - The IHS4 and HS-PGA, measured every visit during the study. - Amount of clindamycin lotion use during the study. - Difference in the cumulative dose of laser energy used. Safety and tolerability: - Number of adverse events during the study. - Incidence and severity of all adverse events (according to medDRA) will be analyzed throughout the study. Biopsy: - Histopathological: diameter hair shaft, plugging, immunohistochemistry (keratin subtype expression, inflammatory markers), antimicrobial peptides (AMPs) expression in axillary skin before and after treatment (optional) | — |
Countries
Netherlands
Contacts
Erasmus MC, Universitair Medisch Centrum Rotterdam