Effective Study of Live Attenuated Varicella Vaccine to Treat Severe Resistant Psoriasis
- Conditions
- Psoriasis
- Interventions
- Drug: saline, efficacy
- Registration Number
- NCT01356004
- Lead Sponsor
- Cairo University
- Brief Summary
Immunotherapy was reported in the treatment of psoriasis. Treatment of resistant psoriasis may be difficult and cyclosporine can induce some remission.
The investigators hypothesized that the combined use of live attenuated varicella vaccine as an adjuvant therapy to low dose cyclosporine in the treatment of severe resistant psoriasis can give positive responses.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 35
- Severe psoriasis: At least 30% of body involved) according to the rule of nine.
- Resistance to conventional therapy (PUVA, methotrexate, retinoids):
(Maximum PASI 50% improvement while on treatment for a duration not less than 6 months).
- Immunologically competent individuals with
- Seropositive for the varicella antibodies
- Any contraindication to live attenuated varicella vaccine
- Any contraindication to cyclosporine
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description chicken pox vaccine, efficacy live attenuated chicken pox vaccine - saline, efficacy saline, efficacy -
- Primary Outcome Measures
Name Time Method Number of Participants with PASI score improvement as a Measure of effective treatment 12 weeks the clinical evaluation of our patients through the Psoriasis Area Severity Index (PASI) score calculation at each visit.
The final patient's response was rated according to the physician global assessment (PGA) based on the final improvement of the PASI score as worse, poor (0-24% improvement in PASI), fair (25-50% improvement in PASI), good (50-74% improvement in PASI), excellent (75-99% improvement in PASI), or cleared (100% improvement in PASI).
- Secondary Outcome Measures
Name Time Method Number of Participants with Adverse Events as a Measure of Safety and Tolerability 12 weeks