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TREAT NL (TREatment of ATopic Eczema, the Netherlands) Registry: Dutch National Registry for Patients With Moderate-to-severe Atopic Eczema on Photo- or Systemic Therapies

Recruiting
Conditions
Moderate-to-severe Atopic Eczema
Interventions
Other: No study-specific intervention
Registration Number
NCT03621137
Lead Sponsor
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Brief Summary

The TREAT NL (TREatment of ATopic eczema, the Netherlands) registry is a national registry for children and adults with moderate-to-severe atopic eczema aiming to gather data on their prescribed photo- and systemic immunomodulating therapies. Atopic eczema is a common, chronic, itchy, inflammatory skin disease that can have a major impact on the quality of life of patients and their immediate surroundings.

Serious atopic eczema patients are treated by means of photo- or systemic immunomodulating therapy. Of these mostly off-label applied therapies, there is insufficient evidence on the short and long term for their effectiveness, safety and cost-effectiveness. Moreover, good comparative research and real-life data are lacking. With the arrival of new expensive treatments it is crucial to get insight into these treatments in order to improve quality of care.

By means of a prospective registry these data can be collected and help to obtain information for clinical practice, for answering research questions, for reducing costs and implementing the results by guidelines and decision aids.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
500
Inclusion Criteria
  • Patient has a diagnosis of atopic eczema, based on the U.K. working party's diagnostic criteria;
  • Starts with any type of phototherapy (e.g. UVB) or systemic immunomodulating therapy (e.g. cyclosporin, systemic glucocorticosteroids, azathioprine, methotrexate, mycophenolic acid, dupilumab);
  • Has voluntarily signed and dated an informed consent prior to any study related procedure or has a legal representative to do so and is willing to comply with the requirements of this study protocol.
Exclusion Criteria
  • Patient uses only (systemic) antibiotics or antihistamines;
  • Patient starts with systemic immunomodulating therapy for another indication than atopic eczema;
  • Insufficient understanding of the study by the patient or parent/legal representative.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Patients with moderate-to-severe atopic eczemaNo study-specific interventionAdult and pediatric patients that start treatment with phototherapy or systemic immunomodulating therapy for their atopic eczema
Primary Outcome Measures
NameTimeMethod
Mean change in POEM (Patient-Oriented Eczema Measure) score5 years

Patient-reported outcome measure for symptoms of atopic eczema

Mean change in PGA (Patient's Global Assessment) score5 years

Patient-reported outcome measure for global disease severity

Mean change in DLQI (Dermatology Life Quality Index) score5 years

Patient-reported outcome measure for skin-related quality of life

Drug survival of the therapies5 years

Assessment of the duration until discontinuation of a drug together with the reason thereof

Mean change in EASI (Eczema Area and Severity Index) score5 years

Investigator-assessed outcome measure for disease severity at physical examination

Mean change in IGA (Investigator's Global Assessment) score5 years

Investigator-assessed outcome measure for global disease severity

Mean time to reach a change in EASI (Eczema Area and Severity Index) score of 50%5 years

Investigator-assessed outcome measure for disease severity at physical examination

The occurrence of severe adverse events5 years

Any undesirable experience of severe nature occurring to a subject is reported

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Department of Dermatology, Amsterdam University Medical Centres, University of Amsterdam, Research Institute Amsterdam Public Health and Amsterdam Infection and Immunity Institute, Amsterdam, The Netherlands

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Amsterdam, North-Holland, Netherlands

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