Study of Immunoadsorption to Treat Severe Atopical Dermatitis Associated With Excessively High Serum IgE Levels
Not Applicable
Completed
- Conditions
- Dermatitis, Atopic
- Interventions
- Procedure: immunoadsorption
- Registration Number
- NCT00616096
- Lead Sponsor
- University of Luebeck
- Brief Summary
The purpose of this study is to determine whether immunoadsorption is effective in the treatment of severe atopic dermatitis associated with excessively high serum IgE levels.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 10
Inclusion Criteria
- Atopical dermatitis
- Total serum IgE level above 5000 kU/l
- IGA score of 3 or above
- No sufficient response to topical corticosteroids/calcineurin inhibitors, UV therapy (at least 4 weeks of therapy), systemic corticosteroids and cyclosporin A (at least 8 weeks of therapy) or no possibility of a prolonged use of this therapy due to adverse events/contraindications
- 18 years of age or above
- Effective contraception during therapy
- Informed consent
Exclusion Criteria
- Unfavorable conditions for peripheral venous access
- Known hypersensitivity or allergy towards materials used in the adsorber columns
- Adequate anticoagulation not possible (e.g. multiple allergies towards various anticoagulants)
- Extreme bleeding tendency during anticoagulation
- Hypercoagulability
- Severe cardiovascular disease forbidding extracorporeal circulation
- Severe systemic infection
- Serum IgG level below 250 mg/dl
- Severe immunodeficiency (e.g. AIDS)
- Treatment with an ACE inhibitor (discontinue drug at least 72 h before treatment)
- Pregnancy
- Lactation
- A condition that, in the opinion of the investigator, would preclude participation in the study (e.g. chronic alcoholism or mental dysfunction)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description 1 immunoadsorption -
- Primary Outcome Measures
Name Time Method Evidence of clinical improvement of skin condition, pruritus and sleep disturbance. 13 weeks
- Secondary Outcome Measures
Name Time Method Evidence of reduction of concomitant topical and/or systemic medication. 13 weeks
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
Immunoadsorption mechanism IgE removal impact Th2 cytokines IL-4 IL-13 severe atopic dermatitis
Comparative efficacy immunoadsorption versus systemic immunosuppressants severe refractory atopic dermatitis high IgE
Predictive biomarkers immunoadsorption response severe atopic dermatitis beyond total IgE levels TARC EASI
Safety profile adverse events immunoadsorption apheresis extracorporeal treatment atopic dermatitis patients
IgE targeting therapies Omalizumab Ligelizumab versus immunoadsorption severe atopic dermatitis treatment landscape
Trial Locations
- Locations (1)
Department of Dermatology, University of Lübeck
🇩🇪Lübeck, Schleswig-Holstein, Germany