New Vitiligo Clinical Trial in Massachusetts

A phase-II, randomized, placebo-controlled trial of simvastatin in generalized vitiligo

Principle Investigator: John E. Harris, MD, PhD
Study Location: UMass Memorial Medical Center in Worcester, MA

A research trial at UMass is studying whether simvastatin, a common cholesterol medication, is useful in treating vitiligo. The study includes taking either this medication or a placebo and visiting UMass 8 times over a period of 6-7 months. You will be compensated for your time and receive free parking.

You may be eligible if you are a patient with vitiligo and areEligibility

Ages Eligible for Study: 18 Years to 64 Years
Genders Eligible for Study: Male
Accepts Healthy Volunteers: No
Criteria

Inclusion Criteria:

  • male gender
  • ages 18-64
  • at least one vitiligo skin lesion measuring at least 2×2 cm in size
  • willing and able to understand and sign informed consent
  • able to complete study and comply with study procedures

Exclusion Criteria:

  • history of segmental vitiligo
  • allergy to statin medications
  • use of statin medications due to cardiac risks.
  • use of any medications contraindicated with use of simvastatin
  • use of topical vitiligo treatments in past 4 weeks
  • use of laser or light-based vitiligo treatments within the past 8 weeks
  • treatment with immunomodulating oral medications in the past 4 weeks
  • use of statin medications in the past 8 weeks
  • evidence of hepatic dysfunction, personal or family history of non-alcoholic steatotic hepatitis, or personal history of hepatitis
  • evidence of renal dysfunction
  • history of myopathy or rhabdomyolysis, or elevated baseline creatinine kinase
  • recent history of alcohol or drug abuse
  • history of diabetes
  • untreated hypothyroidism
  • other conditions that require the use of interfering topical or systemic therapy
  • other current conditions that might interfere with study assessments such as, but not limited to, atopic dermatitis and psoriasis
  • clinically significant abnormal findings or conditions which might, in the opinion of the Principal Investigator, interfere with study evaluations or pose a risk to subject safety during the study.
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01517893

Contacts
Contact: John E. Harris, MD, PhD 508-856-1982 John.Harris@umassmed.edu
Contact: Stefan Vanderweil, BA 6177855467 stefan.vanderweil@umassmed.edu

Locations
United States, Massachusetts
University of Massachusetts Medical School Clinical Research Center Recruiting
Worcester, Massachusetts, United States, 01655
Contact: Celia Hartigan, RN, MPH     508-856-3676     Celia.Hartigan@umassmed.edu
Principal Investigator: John E. Harris, MD, PhD

 

Courtesy of http://clinicaltrials.gov/ct2/show/NCT01517893

Family History of Both Vitiligo and Psoriasis Appears to Increase Risk of Autoimmune Disease, Heart Disease, and Hypertension.

Family History of Both Vitiligo and Psoriasis Appears to Increase
Risk of Autoimmune Disease, Heart Disease and Hypertension.

A study of 154 Italian vitiligo patients showed that those patients who also had psoriasis faced a greater chance of also having family history of cardiovascular disease and hypertension. They also found that vitiligo patients with a family history of both vitiligo and psoriasis had nearly a 50% chance of having celiac disease, lupus, megaloblastic anemia, and allergic rhinitis, all autoimmune disorders suspected to be linked to vitiligo. For those with both vitiligo and psoriasis, but no family history for either skin disease, the risk of these disorders went down to 21%.

For those with a family history of vitiligo or psoriasis or both, the chance of having a family history of cardiovascular disease and hypertension increased.  Though the trend did not reach statistical significance in this study, they did report that:

A family history of cardiovascular disease was present in:

10% of 52 patients with vitiligo and a family history of vitiligo;
13% of 15 patients with vitiligo as well as a family history of both vitiligo and psoriasis;
18% of the 16 patients with vitiligo and a family history of psoriasis.
Similarly, a strong family history of hypertension was present in:

4% of vitiligo patients,
8% of those with both vitiligo and a family history of vitiligo,
13% with vitiligo and a family history of both psoriasis and vitiligo,
25% of vitiligo patients with a family history of psoriasis, and
26% of patients carrying diagnoses of both vitiligo and psoriasis but no family history of either skin disease.
The researchers also looked at diagnosed psychiatric disorders. They found:

zero prevalence of diagnosed psychiatric disorders in patients with vitiligo with or without a family history of vitiligo,
7% prevalence in those with vitiligo and a family history of both vitiligo and psoriasis,
6% in those with vitiligo and a family history of psoriasis, and
5% in patients with both vitiligo and psoriasis.

Editor’s Note:  Recent research has reported that vitiligo and psoriasis share a gene on chromosome 1.  Another group of researchers in China and Canada recently reported that both vitiligo and psoriasis share a second common genetic locus linked to the major histocompatibility complex (MHC) on chromosome 6. The MHC locus is one of the extensively studied regions in the human genome. Large-scale studies have identified a number of genetic variants that increase the risk of a variety of autoimmune disorders, including multiple sclerosis, Type 1 diabetes, systemic lupus erythematosus, ulcerative colitis, Crohn’s disease, and rheumatoid arthritis. Earlier studies had also reported that MHC loci are likely to play some important roles in psoriasis and vitiligo.

 

Courtesy of Spring Newsletter – Vitiligo Support International

Long-term Narrowband UVB (NB-UVB) Use Safe in Treating Vitiligo

NB-UVB is an established, effective treatment for vitiligo. Its safety as a long-term treatment, however, has not been studied. For that reason, in the absence of established treatment caps for NB-UVB, the suggested limit for skin types I-III has arbitrarily been set at 200 treatments to minimize the risk of nonmelanoma skin cancer (NMSC).

vitiligo calendarThis limit poses problems for many vitiligo patients, as more than 12-24 months of treatment, or more than 200 treatments, are often required for repigmentation. A recent review of patient experience by doctors at University of California, San Francisco (UCSF), now suggests that this limit may be unnecessarily low.

The doctors in this review have been treating vitiligo patients with NB-UVB for nearly a decade and conducted a retrospective review of 10 of their current NB-UVB vitiligo patients.  Despite having received from 201 to 774 NB-UVB treatments over a period of 33 to 93 months, none of these patients have developed NMSC.vitiligo cover

They pointed out that, after years of experience reviewing the available follow-up data drawn from all dermatology patients treated with NB-UVB, the general consensus is that NB-UVB does not significantly increase the risk of NMSC compared with the general population.

The UCSF physicians further commented that recent evidence suggests that topical pimecrolimus (Elidel) and/or tacrolimus (Protopic), which are commonly prescribed as adjuncts to NB-UVB, also have not shown an increased risk of NMSC. Therefore, the combination of NB-UVB with these topical agents should not have a cumulative carcinogenic effect.

The researchers concluded that NB-UVB is likely to be a safe long-term option, and because vitiligo patients will likely require more visits over a longer period of time, it is recommended that the NB-UVB guidelines be re-evaluated and that more long-term follow up data be gathered.

 
Courtesy of the Spring Newsletter – Vitiligo Support International

Vitiligo Repigmentation Using Neem Oil Experiment

Can Ginger Root Juice Repigment Vitiligo Finale