Vitamin D Deficiency and Atopic Dermatitis
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Purpose
Atopic dermatitis is a chronic skin disease characterized by a defective skin barrier, inflammation, and increased propensity for skin infections. Vitamin D is a fat-soluble vitamin that is primarily acquired through local production in the skin after ultraviolet light exposure but can also be obtained through natural and supplemental dietary sources. This randomized controlled trial will examine the effects of vitamin D repletion on atopic dermatitis severity in patients with diagnosed deficiency. The investigators hypothesize that pediatric patients with moderate or severe atopic dermatitis and vitamin D deficiency will have improved cutaneous disease after treatment with high dose as compared to standard dose vitamin D.
| Condition | Intervention |
|---|---|
|
Atopic Dermatitis Vitamin D Deficiency |
Drug: Vitamin D |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Investigator) Primary Purpose: Treatment |
| Official Title: | Treatment Of Vitamin D Deficiency And Effect On Atopic Dermatitis Severity |
- Atopic dermatitis severity at the completion of treatment [ Time Frame: 2 years ] [ Designated as safety issue: No ]The SCORAD (Severity Scoring of Atopic Dermatitis) is a clinical measurement tool assessing the severity of atopic dermatitis. The range of SCORAD measurements is 0-103. The primary study endpoint will be the SCORAD score at the end of the 6 week treatment period.
- Time to restart topical steroids [ Time Frame: 2 years ] [ Designated as safety issue: No ]The time to restart topical steroids and the SCORAD score at time of restart will be secondary study endpoints.
| Enrollment: | 7 |
| Study Start Date: | November 2010 |
| Estimated Study Completion Date: | April 2013 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Standard dose vitamin D
Treatment with cholecalciferol 400 IU daily at home.
|
Drug: Vitamin D
Ergocalciferol 300,000 IU single oral dose Cholecalciferol 400 IU orally every day for 6 weeks
|
|
Active Comparator: High dose vitamin D
Treatment with ergocalciferol 300,000 IU (6 capsules of 50,000 IU) as a single oral dose observed in clinic.
|
Drug: Vitamin D
Ergocalciferol 300,000 IU single oral dose Cholecalciferol 400 IU orally every day for 6 weeks
|
Eligibility| Ages Eligible for Study: | 1 Year to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Serum 25-hydroxyvitamin D level <20 ng/ml (<50 nmol/L)
- Diagnosed with atopic dermatitis by a CHW pediatric dermatologist
- Age 1-18 years old
- Primary residence in Milwaukee County
- Moderate and severe atopic dermatitis (Severity Scoring of Atopic Dermatitis [SCORAD] score greater than 15)
- On clinic protocol treatment for their atopic dermatitis (desonide ointment twice daily for the face and groin, triamcinolone 0.1% ointment twice daily for other areas)
Contacts and Locations| United States, Wisconsin | |
| Children's Hospital of Wisconsin | |
| MIlwaukee, Wisconsin, United States, 53226 | |
| Principal Investigator: | Yvonne Chiu, MD | Children's Hospital and Health System Foundation, Wisconsin |
More Information
No publications provided
| Responsible Party: | Yvonne Chiu, Assistant Professor, Medical College of Wisconsin |
| ClinicalTrials.gov Identifier: | NCT01337635 History of Changes |
| Other Study ID Numbers: | CHW 10/146, GC 1169 |
| Study First Received: | November 3, 2010 |
| Last Updated: | June 20, 2012 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Dermatitis Dermatitis, Atopic Vitamin D Deficiency Skin Diseases Skin Diseases, Genetic Genetic Diseases, Inborn Skin Diseases, Eczematous Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Avitaminosis |
Deficiency Diseases Malnutrition Nutrition Disorders Ergocalciferols Vitamin D Vitamins Bone Density Conservation Agents Physiological Effects of Drugs Pharmacologic Actions Micronutrients Growth Substances |
ClinicalTrials.gov processed this record on May 21, 2013