Protocol summary
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Study aim
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Evaluating the efficacy and safety of bFGF in combination with NBUVB for the treatment vitiligo
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Design
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This study will be performed as an active post marketing surveillance phase 4, triple-blind (patient, physician and outcome assessor), placebo-controlled study with a superiority approach to evaluate the efficacy and safety of bFGF peptide serum in the treatment of vitiligo patches on the face.
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Settings and conduct
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Razi Hospital, Tehran, Iran
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Participants/Inclusion and exclusion criteria
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Inclusion criteria:
Male or females aged 18 to 65, signed the informed consent form, Diagnosis of non-segmental vitiligo not more than 5 years, Stable vitiligo for at least 6 months, Candidate for phototherapy, Have not been receiving any topical or systemic treatments for vitiligo for the past 6 weeks, Have not been receiving phototherapy during the past 6 months, Not having any physical or mental conditions that would interfere with the patient’s participation in the study or endanger their safety in the opinion of the investigator, Patients with general good health (except vitiligo) as judged by the Investigator
Exclusion criteria:
Women of childbearing potential, or breastfeeding, Diagnosis of extensive or unstable vitiligo, Patients with skin cancer or precancerous skin lesions, Patients with poliosis in > 50% of their vitiligo patches, Patients with complete facial depigmentation, Diagnosis of segmental or mixed vitiligo, Subjects whose vitiligo has not responded to phototherapy or patients who have received phototherapy in the past 6 months, Patients with contraindication to NBUVB, Patients with known allergy to the product's excipients
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Intervention groups
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One group receives bFGF peptide serum and the other will only receive vehicles (both will be treated with NBUVB during the study)
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Main outcome variables
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Percentage of repigmentation by comparing photos taken from facial lesions
General information
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Reason for update
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Change in the study title (after ethics committee approval)
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Acronym
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IRCT registration information
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IRCT registration number:
IRCT20201104049265N1
Registration date:
2021-07-08, 1400/04/17
Registration timing:
prospective
Last update:
2021-10-12, 1400/07/20
Update count:
1
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Registration date
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2021-07-08, 1400/04/17
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Registrant information
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Recruitment status
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Recruitment complete
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Funding source
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Expected recruitment start date
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2021-07-10, 1400/04/19
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Expected recruitment end date
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2021-09-11, 1400/06/20
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Actual recruitment start date
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empty
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Actual recruitment end date
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empty
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Trial completion date
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empty
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Scientific title
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Active Post Marketing Surveillance to Evaluate the Efficacy and Safety of bFGF in Combination with NBUVB for the Treatment of Vitiligo; A Triple-blind, Randomized, Placebo-controlled Clinical Trial
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Public title
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Phase IV Clinical Trial to Evaluate the Efficacy and Safety of basic Fibroblast Growth Factor Compared to Placebo in Combination with NBUVB for the Treatment of Vitiligo
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Purpose
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Treatment
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Inclusion/Exclusion criteria
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Inclusion criteria:
- Male or female patients aged 18 to 65 years
- Willingly signed the written informed consent form
- Diagnosis of non-segmental vitiligo no longer than 5 years with symmetrical lesions except for the eyelids
- Stable vitiligo for at least 6 months (no new patches, or less than 10% increase in the diameter of the existing patches for at least 6 months
- Candidate for phototherapy (more than 25% body surface involvement)
- Have not been receiving any topical or systemic treatments for vitiligo for the past 6 weeks
- Have not been receiving phototherapy during the past 6 months
- Not having any physical or mental conditions that would interfere with the patient’s participation in the study or endanger their safety in the opinion of the investigator
- Patients with general good health (except vitiligo) as judged by the Investigator
Exclusion criteria:
- Women of childbearing potential, or breastfeeding women
- Diagnosis of extensive or unstable vitiligo
- Patients with skin cancer or precancerous skin lesions
- Patients with poliosis in > 50% of their vitiligo patches
- Patients with complete facial depigmentation
- Diagnosis of segmental or mixed vitiligo
- Subjects whose vitiligo has not responded to phototherapy or patients who have received phototherapy in the past 6 months
- Patients with contraindication to NBUVB (pemphigus, Systemic Lupus Erythematosus, cataract, Xeroderma pigmentosum, patients receiving immunosuppressants due to organ transplantation, excessive photosensitivity)
- Patients with known allergy to the product's ingredients and excipients (isopropyl alcohol, propylene glycol, isopropyl myristate, and phenoxy ethanol)
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Age
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From 18 years old to 65 years old
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Gender
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Both
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Phase
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4
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Groups that have been masked
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- Participant
- Care provider
- Investigator
- Outcome assessor
- Data analyser
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Sample size
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Target sample size:
88
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Randomization (investigator's opinion)
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Randomized
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Randomization description
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Patients will be randomly assigned into 2 groups. Both groups will be treated equally with phototherapy (NBUVB), the intervention group will administer bFGF serum and the control group will administer the vehicle. Roller bottles are not different in appearance; Therefore, patients will not be able to distinguish the bFGF-containing roller from the vehicle. Sealedenvelope.com and has been used to create a list of random codes with block sizes of four.
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Blinding (investigator's opinion)
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Triple blinded
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Blinding description
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As the serum containing bFGF and the vehicle are completely alike in their appearance, and the method and timing of administration are the same, it is expected that both the patient and the physician are unaware of receiving bFGF or vehicle. In this study, in addition to the physician and the patients, the outcome assessor will also be blind to the assigned interventions, and therefore the study will be performed as a triple-blind phase IV clinical trial.
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Placebo
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Used
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Assignment
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Parallel
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Other design features
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Ethics committees
1
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Ethics committee
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Approval date
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2021-07-03, 1400/04/12
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Ethics committee reference number
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IR.TUMS.MEDICINE.REC.1400.412
Health conditions studied
1
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Description of health condition studied
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Vitiligo
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ICD-10 code
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L80
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ICD-10 code description
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Vitiligo
Primary outcomes
1
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Description
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Percentage of repigmentation
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Timepoint
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Baseline, week 6, and week 16
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Method of measurement
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Comparison of photos taken from lesions
Secondary outcomes
1
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Description
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Patients' satisfaction score
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Timepoint
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Baseline, week 6, and week 16
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Method of measurement
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Asking the patient to rate their satisfaction from a scale of 0 to 10 points
2
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Description
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Occurrence of any adverse reactions or adverse events
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Timepoint
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Throughout the study period
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Method of measurement
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Dairy card distribution
Intervention groups
1
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Description
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Intervention group: BFGF serum that is administered topically to the lesions every night and the patient will be exposed to sunlight for 5 to 10 minutes the next day between 11 AM and 15 PM.
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Category
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Treatment - Drugs
2
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Description
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Control group: Vehicle (placebo) that is administered topically on the lesions every night and the patient will be exposed to sunlight for 5 to 10 minutes the next day between 11 AM and 15 PM.
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Category
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Placebo
1
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Sponsor
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Grant name
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Grant code / Reference number
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Is the source of funding the same sponsor organization/entity?
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Yes
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Title of funding source
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Imen Vaccine Alborz
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Proportion provided by this source
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100
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Public or private sector
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Private
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Domestic or foreign origin
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Domestic
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Category of foreign source of funding
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empty
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Country of origin
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Type of organization providing the funding
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Industry
Sharing plan
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Deidentified Individual Participant Data Set (IPD)
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Undecided - It is not yet known if there will be a plan to make this available
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Study Protocol
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Undecided - It is not yet known if there will be a plan to make this available
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Statistical Analysis Plan
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Undecided - It is not yet known if there will be a plan to make this available
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Informed Consent Form
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Undecided - It is not yet known if there will be a plan to make this available
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Clinical Study Report
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Undecided - It is not yet known if there will be a plan to make this available
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Analytic Code
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Undecided - It is not yet known if there will be a plan to make this available
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Data Dictionary
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Undecided - It is not yet known if there will be a plan to make this available