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The Effect of Phototherapy on Pruritus of Patients With Chronic Kidney Disease

Not Applicable
Completed
Conditions
Uremic Pruritus
Interventions
Device: Narrow band UVB phototherapy , long wave UVA phototherapy
Registration Number
NCT00494975
Lead Sponsor
National Taiwan University Hospital
Brief Summary

The purpose of this study was to confirm the efficacy of NB UVB phototherapy in alleviating uremic pruritus and investigate the association between improvement of pruritus and change of serum parameters, including routine biochemical data, immune profile and dialysis adequacy.

Detailed Description

We would conduct a randomized study to evaluate the effect of NB UVB therapy on uremic pruritus. The intensity of pruritus will be evaluated using visual analog scale (VAS) score (0 \[no pruritus\]-10 most severe pruritus\]) and a detailed questionnaire assessing various characteristics of pruritus at baseline . The patients with the intensity of pruritus VAS score more than 5 will be randomized to narrow band UVB and control group. Phototherapy was administered to the whole body surface 2-3 sessions per week for total 18 sessions in a UV irradiation cubicle. The dose increased from 210mJ/cm2 .Doses were increased by 10 % at every session. The control group received time-matched exposures to long-wave ultraviolet light. The investigator will determine the pruritic intensity at baseline every 3 sessions by VAS score and by detailed questionnaire at baseline and after 18 sessions. The blood sample will also be collected at baseline and after treatment to determine factors associated with improvement.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
21
Inclusion Criteria
  • Chronic kidney disease with moderate to severe uremic pruritus for longer than 2 months
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Exclusion Criteria
  • pregnancy history of photosensitivity photo-aggravated disease
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
NB-UVBNarrow band UVB phototherapy , long wave UVA phototherapyNarrow band-Ultraviolet B phototherapy
UVANarrow band UVB phototherapy , long wave UVA phototherapyUltraviolet A Phototherapy
Primary Outcome Measures
NameTimeMethod
Visual Analogue Scale (VAS) Score for PruritusVAS score at baseline and after 6 -week phototherapy

a VAS is a horizontal line, 100 mm in length. The patient marks on the line the point that they feel represents their perception of their pruritus.

0 (no pruritus) - 10 (most severe pruritus) The investigator will determine the pruritic intensity at baseline, every 3 sessions by VAS score, and by detailed questionnaire at baseline and after 18 sessions

Secondary Outcome Measures
NameTimeMethod
Detailed Questionnaire at Baseline and After 18 Sessionsat baseline and after 18 sessions

Trial Locations

Locations (1)

Department of dermatology, National Taiwan Univeristy Hospital Yun-Lin branch

🇨🇳

Douliou City, Yunlin County, Taiwan

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