Effect of Microneedling, Bimatoprost and Excimer in Vitiligo Treatment

Early Phase 1CompletedNCT04738149

Medical University of South Carolina4 enrolled

Overview

The purpose of this research is to treat vitiligo with a topical PGF2α, microneedling and excimer laser. The goal is to have greater repigmentation than the standard of care (excimer) after 12 weeks of treatment. The study is a pilot, split study meaning the patient will receive one experimental and one standard of care treatment on symmetric lesions of similar location, geometrics and size. Enrolled subjects will present biweekly to clinic on the same two days for twelve weeks. One lesion will be treated with microneedling, topical PGF2α and calibrated excimer laser, while the parallel lesion will be excimer laser alone. Physical exam, photographs, and a review of of the subjects medical records will occur in the study. Changes in size, appearance, and adverse events will be monitored throughout the study. The patient will also agree to close up photographs of their lesions throughout the study. The possible benefit of joining this study is that the treatment received may be more effective than the other study treatment or then other available treatments for vitiligo, although this cannot be guaranteed.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Vitiligo

Interventions

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * All patients 18 years and older with the diagnosis of Vitiligo. Exclusion Criteria: * Female patients currently pregnant or lactating * Female patients with plans to come pregnant during the next 3 months * Allergic reactions to topical or oral prostaglandins * Uncontrolled skin disease * History of glaucoma * Concomitant disease or therapy that interferes with the diagnosis that might interfere with vitiligo diagnosis sand evaluation. * Patients currently using other treatments for Vitiligo, such as topical steroids, calcineurin inhibitors, and Vitamin D analogs within 2 weeks of study initiation * Inability or unwillingness of subject or legal guardian/representative to give

Outcomes

Primary Outcomes

Percentage of skin repigmentation after 12 weeks

A blinded outcome accessor will compare photographs of patients before and after treatment.

Time frame: Post treatment (at week 12)

Number of patients with perceived improvement after 12 weeks.

Patients will be completing the Vitiligo Noticeability Scale that encompasses a series of questions assessing patient perceived change of before and after photographs.

Time frame: Week 12

Secondary Outcomes

Change in quality of life

To access vitiligo patient specifically though a QOL reliable and valid scale.

Time frame: Baseline and post treatment approximately 12 weeks