Actively Recruiting

Age: 18Years - 80Years
All Genders
NCT06512753

The Effectiveness of Hydroxychloroquine Versus Methotrexate in the Treatment of Lichen Planopilaris in Routine Clinical Care: a Patient Preference Trial

Led by Erasmus Medical Center · Updated on 2024-07-22

56

Participants Needed

1

Research Sites

104 weeks

Total Duration

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AI-Summary

What this Trial Is About

Rationale Lichen planopilaris (LPP) is a prevalent form of cicatricial alopecia, predominantly affecting women and causing irreversible hair loss. Hydroxychloroquine (HCQ) and methotrexate (MTX) are the most frequently used systemics for treatment of LPP in daily practice. Due to the absence of well-established treatment guidelines, this study aims to evaluate the effectiveness of HCQ and MTX in routine clinical care. Objective(s) To investigate the effectiveness of HCQ and MTX in the treatment of adults with lichen planopilaris in routine clinical care. Study type Prospective, patient preference clinical trial with a duration up to 48 weeks in accordance with the routine clinical care guidelines. Study population This study will include adults (≥18 years) diagnosed with LPP. Methods Patients will choose between HCQ and MTX treatment as in routine clinical care, receiving follow-up in accordance with standard clinical practices. They will not be randomized. The primary endpoint is the measurement of the Lichen Planopilaris Activity Index (LPPAI) at the 6-months, providing a quantitative assessment of the disease's activity and response to the selected treatment. The Skindex-29 questionnaire will be conducted at each visit, allowing evaluation of the impact on patients' quality of life.

CONDITIONS

Official Title

The Effectiveness of Hydroxychloroquine Versus Methotrexate in the Treatment of Lichen Planopilaris in Routine Clinical Care: a Patient Preference Trial

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age of 18 years and older.
  • Diagnosed with Lichen Planopilaris (LPP).
  • Willingness to provide informed consent for participation in the study.
  • No contraindications or known allergies to hydroxychloroquine or methotrexate.
Not Eligible

You will not qualify if you...

  • Histopathological diagnosis other than Lichen Planopilaris (LPP).
  • Unable to adhere to the study protocol, including medication intake, clinic visits, and questionnaire completion.
  • Contraindications for hydroxychloroquine including retinopathy, maculopathy, myasthenia gravis, or body weight less than 35 kg.
  • Contraindications for methotrexate including conception or lactation, severe kidney or liver dysfunction, alcohol abuse, bone marrow hypoplasia, immunodeficiency, anemia, leukopenia, thrombocytopenia, poor nutritional status, hypersensitivity to methotrexate, lung toxicity, or significant lung function reduction.

AI-Screening

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Trial Site Locations

Total: 1 location

1

Erasmus MC

Rotterdam, South Holland, Netherlands, 3015GD

Actively Recruiting

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Research Team

M

Mathias Willaert, MD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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