Genetic Screening for Filaggrin Mutation in Atopic Dermatitis and Ichthyosis Vulgaris in the African American Population
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Purpose
The investigators' primary objective is to identify common and rare mutations in the filaggrin gene in African American patients with a diagnosis of atopic dermatitis and ichthyosis vulgaris. Atopic dermatitis, or eczema, is a common, chronic, relapsing and remitting problem in many children and affects 10-20% of the pediatric population. Itch is a predominant feature of this disease and is quite disruptive to daily activities of life. In addition to itch, it is characterized by markedly dry skin, small red bumps that may have fluid. Ichthyosis vulgaris is characterized by extremely dry, scaly skin with a fine white scale and increased amounts of lines noted on the palms. Filaggrin is a protein that is essential for the skin to function properly as a barrier and found to be mutated in some European patients with ichthyosis vulgaris and atopic dermatitis. This association has not been looked at in the African American population. Genomic DNA (gDNA) will be purified from buccal swabs using commercially available kits and analyzed.
| Condition | Intervention |
|---|---|
|
Atopic Dermatitis Ichthyosis Vulgaris |
Genetic: Buccal Swab |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Diagnostic |
| Official Title: | Genetic Screening for Filaggrin Mutation in Atopic Dermatitis and Ichthyosis Vulgaris in the African American Population |
- Genetic Mutations [ Time Frame: 1 month ] [ Designated as safety issue: No ]To discover new genetic mutations or identify those already known (i.e. six null mutations: 1249insG, R501X, 2282delta 4, E2422X, R2447X, and S2554X).
- Variables at SNP sites [ Time Frame: 1 month ] [ Designated as safety issue: No ]To identify variability at several SNP sites.
| Enrollment: | 35 |
| Study Start Date: | June 2010 |
| Study Completion Date: | September 2011 |
| Primary Completion Date: | October 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: AA pts AD and IV
African American patients with a diagnosis of atopic dermatitis and ichthyosis vulgaris
|
Genetic: Buccal Swab
During a single visit, a subject data collection form will be completed and DNA will be extracted from samples (buccal swabs) and then analyzed at IBT laboratories in Lenexa, Kansas.
|
|
Active Comparator: AA patients (controls)
African American patients with no personal or family history of ichthyosis vulgaris or atopy
|
Genetic: Buccal Swab
During a single visit, a subject data collection form will be completed and DNA will be extracted from samples (buccal swabs) and then analyzed at IBT laboratories in Lenexa, Kansas.
|
Eligibility| Ages Eligible for Study: | 6 Months and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Age greater than 6 months
- Affected subjects: Must be African American and have a diagnosis of both atopic dermatitis or eczema as well as ichthyosis vulgaris
- Control subjects: Must be healthy African American subjects
- Must be willing to not apply emollients for 24 hours prior to visit.
Exclusion Criteria:
- Systemic illness
- Control subjects: Must not have a family history of atopy (including asthma, seasonal allergies or hay fever or allergic rhinitis, or eczema or atopic dermatitis)
- Control subjects: Must never have been given a diagnosis of eczema or atopic dermatitis
- Control subjects: Must not have excessively dry skin
- Must not be of Hispanic ethnicity
Contacts and Locations| United States, Illinois | |
| Children's Memorial Hospital | |
| Chicago, Illinois, United States, 60614 | |
| University of Chicago | |
| Chicago, Illinois, United States | |
| Principal Investigator: | Amy S Paller, MD | Northwestern University |
More Information
No publications provided
| Responsible Party: | Amy Paller, Professor and Chair of Department of Dermatology, Professor of Pediatrics, Northwestern University |
| ClinicalTrials.gov Identifier: | NCT01016106 History of Changes |
| Other Study ID Numbers: | CMH 2010-14049 |
| Study First Received: | November 17, 2009 |
| Last Updated: | November 29, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Northwestern University:
|
eczema atopic dermatitis dry skin ichthyosis vulgaris |
Additional relevant MeSH terms:
|
Dermatitis Dermatitis, Atopic Ichthyosis Ichthyosis, Lamellar Ichthyosis Vulgaris Skin Diseases Skin Diseases, Genetic Genetic Diseases, Inborn Skin Diseases, Eczematous |
Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Skin Abnormalities Congenital Abnormalities Infant, Newborn, Diseases Keratosis Ichthyosiform Erythroderma, Congenital |
ClinicalTrials.gov processed this record on May 23, 2013