The Effect of Phototherapy on Pruritus of Patients With Chronic Kidney Disease
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Uremic Pruritus |
Device: Narrow band UVB phototherapy , long wave UVA phototherapy |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | The Effect of Phototherapy on Pruritus of Patients With Chronic Kidney Disease |
- Visual Analogue Scale (VAS) Score for Pruritus [ Time Frame: VAS score at baseline and after 6 -week phototherapy ] [ Designated as safety issue: No ]
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
- Detailed Questionnaire at Baseline and After 18 Sessions [ Time Frame: at baseline and after 18 sessions ] [ Designated as safety issue: No ]
| Enrollment: | 21 |
| Study Start Date: | June 2007 |
| Study Completion Date: | July 2009 |
| Primary Completion Date: | July 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: NB-UVB
Narrow band-Ultraviolet B phototherapy
|
Device: Narrow band UVB phototherapy , long wave UVA phototherapy
A UV irradiation cubicle (HOUVA II, National Biological Corporation, OH, U.S.A.) equipped with 24 UVA lamps (F72T12/BL9/HO UVA, National Biological Corporation, OH, U.S.A. ) and 24 UVB lamps (TL100W/01 311NB UVB, Philips Company, Eindhoven, The Netherlands).
|
|
Placebo Comparator: UVA
Ultraviolet A Phototherapy
|
Device: Narrow band UVB phototherapy , long wave UVA phototherapy
A UV irradiation cubicle (HOUVA II, National Biological Corporation, OH, U.S.A.) equipped with 24 UVA lamps (F72T12/BL9/HO UVA, National Biological Corporation, OH, U.S.A. ) and 24 UVB lamps (TL100W/01 311NB UVB, Philips Company, Eindhoven, The Netherlands).
|
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.
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Chronic kidney disease with moderate to severe uremic pruritus for longer than 2 months
Exclusion Criteria:
- pregnancy history of photosensitivity photo-aggravated disease
Contacts and Locations| Taiwan | |
| Department of dermatology, National Taiwan Univeristy Hospital Yun-Lin branch | |
| Douliou City, Yunlin County, Taiwan, 640 | |
| Principal Investigator: | Mei-Ju Ko, MD | Nationa l Taiwan University Hospital Yun-Lin branch |
More Information
No publications provided by National Taiwan University Hospital
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | National Taiwan University Hospital |
| ClinicalTrials.gov Identifier: | NCT00494975 History of Changes |
| Other Study ID Numbers: | 200704019R |
| Study First Received: | June 29, 2007 |
| Results First Received: | October 5, 2010 |
| Last Updated: | January 26, 2011 |
| Health Authority: | Taiwan: Department of Health |
Additional relevant MeSH terms:
|
Kidney Diseases Pruritus Renal Insufficiency, Chronic Kidney Failure, Chronic Urologic Diseases |
Skin Diseases Skin Manifestations Signs and Symptoms Renal Insufficiency |
ClinicalTrials.gov processed this record on May 22, 2013