Autologous cell suspension grafting using ReNovaCell in non-segmental vitiligo patients: a randomized controlled study
- Conditions
- non-segmental vitiligovitiligo10035023
- Registration Number
- NL-OMON46274
- Lead Sponsor
- Academisch Medisch Centrum
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 20
• Patients with, non-segmental vitiligo receiving 6 months of standard of care, consisting of topical corticosteroids or immune modulators and NB-UVB phototherapy
• Age >=18
• Patient is willing and able to give written informed consent
• At least two comparable (in location and diameter) depigmented lesions of at least 10 cm2 or one large lesion of at least 30 cm2 on the extremities, face or trunk - excluding fingers, elbows, feet and knees.
- Patients with signs of activity (spreading of lesions and/or koebnerisation) during standard of care treatment or showing depigmentation in the test punch grafting
- Skin type I
- Recurrent HSV skin infections
- Hypertrophic scars
- Keloid
- Cardiac insufficiency
- Patients with a history of hypersensitivity to (UVB or UVA) light and/or allergy to local anaesthesia.
- Patients who are pregnant or breast-feeding
- Patients not competent to understand what the procedures involves
- Patients with a personal history of melanoma or non-melanoma skin cancer
- Patients with atypical nevi.
- Known allergy to clarithromycin
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Objective assessment of the degree of repigmentation three and six months after<br /><br>RenovaCell grafting with a digital image analysis system. To assess the<br /><br>pigmentation, the contours of pigmentation are copied on a transparent sheet<br /><br>before, three and six months after treatment, after which the sheets are<br /><br>scanned. By comparing pre- and post-treatment pictures, the relative surface<br /><br>showing repigmentation expressed as percentage of the selected treated patch is<br /><br>computed.</p><br>
- Secondary Outcome Measures
Name Time Method <p>Secondary outcomes:<br /><br>- Patient Reported Outcomes: satisfaction, cosmetic acceptability, noticeability<br /><br>- General patient assessed outcome per treatment region on a scale from 0-3<br /><br>(poor, moderate, good or excellent).<br /><br>- Visual assessment of percentage repigmentation by blinded observer<br /><br>- Visual assessment of side effects per treatment region (hyperpigmentation,<br /><br>hypopigmentation and scarring on a scale from 0-3) by a blinded investigator.<br /><br>- The superfluous of the suspension and residual lesional punchgrafts will be<br /><br>used for flow cytometric analyses of the cellular composition of the grafted<br /><br>cell suspension, and expression analysis of melanin synthesis-related genes.<br /><br>These data will be correlated to the clinical data.</p><br>