Efficacy and Safety of Ustekinumab in Bullous Pemphigoid (PB-USTE)
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ClinicalTrials.gov Identifier: NCT04117932 |
Recruitment Status :
Completed
First Posted : October 7, 2019
Last Update Posted : August 8, 2023
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Bullous pemphigoid (BP) is an autoimmune subepidermal blistering disease and typically affects the elderly. Clinically, BP is an intensely pruritic erythematous eruption with widespread blister formation. BP is usually a chronic disease, with spontaneous exacerbations and remissions, which may be accompanied by significant morbidity.
BP usually requires on average a 1-year duration of treatment. Superpotent topical corticosteroids have been demonstrated to be effective. Despite their high efficacy, topical corticosteroids are often considered as poorly convenient, requiring the assistance of patients' relatives or a nurse to apply the topical treatment on a long period of time.
Overall, whereas BP lesions can be adequately and rapidly controlled with either topical corticosteroids, there is a high need for a safe maintenance therapy to avoid treatment side effects due to cumulative doses of corticosteroids over months.
Newer therapeutic agents such as ustekinumab targeting molecules involved in the inflammatory cascade associated with BP represent future alternatives to classical immunosuppressant drugs for maintenance therapy.
Condition or disease | Intervention/treatment | Phase |
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Bullous Pemphigoid | Drug: Ustekinumab | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 18 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Efficacy and Safety of Ustekinumab in Bullous Pemphigoid |
Actual Study Start Date : | March 11, 2020 |
Actual Primary Completion Date : | December 22, 2022 |
Actual Study Completion Date : | June 22, 2023 |
Arm | Intervention/treatment |
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Experimental: Arm "ustekinumab"
Patients with bullous pemphigoid, treated using ustekinumab in association during 8 weeks with superpotent topical corticosteroids
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Drug: Ustekinumab
Ustekinumab (90 mg subcutaneously at weeks 0, 4, 16), in association with topical superpotent corticosteroid (10-30 g per day during the first 4 weeks, then every other day during 4 weeks). |
- complete remission [ Time Frame: 28 weeks ]Complete remission is defined as the absence of new or established lesions (bullae, eczematous lesions or urticarial lesions)
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Ages Eligible for Study: | 18 Years to 90 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
inclusion criteria :
- patient with bullous pemphigoid
- patient aged between 18 and 90
- patient with Karnofsky Performance score > 60%
- patient agreed to participate to the study
exclusion criteria :
- patient with allergy to corticosteroids
- patient with allergy to ustekinumab
- patient with any severe medical condition at time of inclusion including stroke, heart failure, renal failure, high blood pressure and diabetes mellitus
- malignancy < 5 years prior to inclusion
- pregnant or nursing (lactating) women, or women of child-bearing potential
- active infection or with recent history of clinically significant infection within 4 weeks prior to inclusion
- history or presence of infection with hepatitis B or C.
- history or presence of immunodeficiency diseases, including a positive HIV (ELISA and Western blot) test result.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04117932
France | |
Damien JOLLY | |
Reims, France |
Responsible Party: | CHU de Reims |
ClinicalTrials.gov Identifier: | NCT04117932 |
Other Study ID Numbers: |
PO19083 |
First Posted: | October 7, 2019 Key Record Dates |
Last Update Posted: | August 8, 2023 |
Last Verified: | March 2022 |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
bullous pemphigoid ustekinumab superpotent topical corticosteroids efficacy safety |
Pemphigoid, Bullous Skin Diseases, Vesiculobullous Skin Diseases Autoimmune Diseases |
Immune System Diseases Ustekinumab Dermatologic Agents |