Combined Use of Pulsed Dye Laser and Topical Antiangiogenic Agents for Treatment of Port Wine Stain Birthmarks
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Purpose
The researcher want to improve port wine stain (PWS) therapeutic outcome in response to laser therapy. The researcher want to determine whether the combined use of pulsed dye laser (PDL) therapy and topical tacrolimus or pimecrolimus will improve PWS therapeutic outcome.
| Condition | Intervention | Phase |
|---|---|---|
|
Port Wine Stain |
Other: combined PDL nad Topical Agent |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | phase1/2 Combine PDL/Topical Agent for Treatment of PWS |
- Improve PWS lesion blanching. [ Time Frame: 8 weeks ] [ Designated as safety issue: Yes ]
- To determine whether the combined use of pulsed dye laser (PDL) therapy and topical agent will improve PWS outcome. [ Time Frame: 8 weeks ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 40 |
| Study Start Date: | November 2009 |
| Study Completion Date: | September 2011 |
| Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: combined PDL and topical agent
PWS
|
Other: combined PDL nad Topical Agent
tacrolimuS/pimecrolimus
Other Name: Protopic/Elidel
|
Detailed Description:
Both topical agents inhibit nuclear factor of activated T-cells (NFAT) which blocks the calcineurin/NFAT pathway inhibiting endothelial cell proliferation and angiogenesis, which could be very useful in preventing PWS recanalization.
The combined use of PDL to induce PWS blood vessel injury, and topical antiangiogenic agents to prevent PWS blood vessel angiogenesis and recanalization after laser therapy, will improve PWS lesion blanching.
Eligibility| Ages Eligible for Study: | 16 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 16 years of age and older
- Have PWS suitable for comparison testing as determined by the study doctor
Exclusion Criteria:
- Less than 16 years old
- Are pregnant
- Have skin cancer
- Currently taking immunosuppressive or steroids or photosensitizing drugs
- Current participation in any other investigational drug evaluation
- Concurrent use of known photosensitizing drugs
Contacts and Locations| United States, California | |
| Beckman Laser Institute Medical clinic | |
| Irvine, California, United States, 92612 | |
| Principal Investigator: | John S Nelson, M.D,PhD | Beckman Laser Institute University of California Irvine |
More Information
No publications provided
| Responsible Party: | Montana Compton, Administrative Nurse Research Coordinator Beckman Laser Institute, University of California, Irvine |
| ClinicalTrials.gov Identifier: | NCT00969397 History of Changes |
| Other Study ID Numbers: | NIH K-24, LAMMP |
| Study First Received: | August 31, 2009 |
| Last Updated: | October 28, 2011 |
| Health Authority: | United States: Institutional Review Board United States: Food and Drug Administration |
Keywords provided by University of California, Irvine:
|
Birthmark PWS |
Additional relevant MeSH terms:
|
Port-Wine Stain Skin Abnormalities Congenital Abnormalities Skin Diseases Angiogenesis Inhibitors Angiogenesis Modulating Agents |
Growth Substances Physiological Effects of Drugs Pharmacologic Actions Growth Inhibitors Antineoplastic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 23, 2013