About this trial
Assessing the additive value of mini-oral pulse steroid therapy in surgical treatment of acral and difficult to treat sites of vitiligo
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with non-segmental vitiligo (NSV) with acral or resistant lesions over the elbows and knees, that has not responded to conventional treatment
Stability for ≥ 1 year
Age ≥18 years
Lack of topical treatment for at least 1 month prior to surgery and systemic treatment for at least 3 months prior to surgery.
Disqualifiers
Non acral NSV responsive to conventional treatment modalities
Active vitiligo; new lesions, expansion of old lesions, confetti like lesions, ill-defined edges or koebnerization in < 1 year
Age < 18 years.
Pregnant females.
Trial design
Parallel
Treatments tested in this trial
oral steroid-dexamethasone
Drugthis study is the first according to the best of our knowledge assessing the value of adding mini oral pulse steroid therapy to non cultured epidermal suspension in treatment of stable acral and difficult to treat vitiligo
non cultured epidermal suspension
Procedure/Surgerythis is the best surgical technique for surgical treatment of vitiligo that would be done for both arms
Treatment groups
Trial outcomes
Primary outcomes
comparing percent change in pigmentation in both arms
• Comparing percent change of pigmentation as per VESTA score after 3 months of treatment with NCES with and without mini oral pulse steroids.
comparing percent change in surface area in both arms
• Comparing percent change in the surface area of the depigmented patch following NCES using point counting technique.
Secondary outcomes
comparing physician global assessment in both arms
• Comparing physician global assessment after treatment with NCES with and without oral mini-pulse therapy
Sponsors and contacts
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