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Effective Study of Live Attenuated Varicella Vaccine to Treat Severe Resistant Psoriasis

Phase 4
Completed
Conditions
Psoriasis
Interventions
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
Inclusion Criteria
  • 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
Exclusion Criteria
  • Any contraindication to live attenuated varicella vaccine
  • Any contraindication to cyclosporine

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
chicken pox vaccine, efficacylive attenuated chicken pox vaccine-
saline, efficacysaline, efficacy-
Primary Outcome Measures
NameTimeMethod
Number of Participants with PASI score improvement as a Measure of effective treatment12 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
NameTimeMethod
Number of Participants with Adverse Events as a Measure of Safety and Tolerability12 weeks
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