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PsoriasisLITENCT03726489

Light Treatment Effectiveness (LITE) Study

A study testing Daavlin 7 series 3 panel narrow band phototherapy home units and narrow band phototherapy clinic units in people with Psoriasis and Psoriatic Plaque, run by University of Pennsylvania at 38 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To compare the effectiveness, safety (tolerability), and duration of treatment response at 12 weeks of home versus office-based narrowband ultraviolet B phototherapy for the treatment of psoriasis Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Psoriasis, Psoriatic Plaque
What is being tested?
Daavlin 7 series 3 panel narrow band phototherapy home units and narrow band phototherapy clinic units
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
783 participants
Where
38 sitesUnited States
Study dates
1 Mar 2019to 30 Dec 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Willing and able to provide informed consent (age 18+) or parental permission and assent (ages 12-17)
  • Age 12 or older
  • Plaque or guttate psoriasis predominantly located on trunk and/or extremities, with a physician global assessment average of >1.0, and considered a candidate for phototherapy
  • Patient is deemed willing and able to comply with either in-office or in-home phototherapy:
  • In office: Able to travel about 3 times per week for 12 weeks from home, work and/or school during business hours of local site
  • In home: Has space to accommodate home phototherapy unit and patient (or if 12-17, parent), willing and able to follow home phototherapy instructions
  • New or established patient in the practice

Who cannot join

  • Patients who are judged unable or unwilling to comply with either in office or in home phototherapy due to time, work, school, or other financial constraints
  • Patients judged unable to follow home phototherapy protocol due to failure to demonstrate understanding of the following:
  • How to operate the phototherapy device
  • How to follow the dosing protocol
  • Requirement to wear protective eyewear and genital protection equipment
  • Patients with known history of lack of efficacy to phototherapy or treated with phototherapy 14 days prior to baseline visit
Show all 13Show fewer
  • Psoriasis predominantly located on scalp, body folds, genitals, palms and/or soles or with a physician global assessment average of ≤ 1.0
  • Patients deemed unsafe to be treated with phototherapy:
  • History of photosensitivity or autoimmune disease such as lupus or dermatomyositis which can be aggravated by ultraviolet radiation
  • History of arsenic intake
  • Unable to tolerate standing for required duration of treatment due to age or physical function
  • History of melanoma or multiple non-melanoma skin cancers that in the opinion of the principal investigator contraindicates treatment with phototherapy
  • Clinical site deems the participant is ineligible for reason other than eligibility or screening criteria.

Trial locations and contacts

38 sites in 1 country.

38 sites in 1 country

United States38 sites
  • University of New Mexico

    Albuquerque, New Mexico, 87102

  • Johns Hopkins University

    Baltimore, Maryland, 21287

  • Total Skin & Beauty Dermatology Center

    Birmingham, Alabama, 35205

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Dermatology Specialist of Brighton

    Brighton, Michigan, 48114

  • HHC Kings County Hospital

    Brooklyn, New York, 10013

  • SUNY Downstate Health Sciences University

    Brooklyn, New York, 11203

  • Buffalo Medical Group

    Buffalo, New York, 14221

  • University of Vermont & State Agriculture College

    Burlington, Vermont, 05405

  • University of Virginia

    Charlottesville, Virginia, 22908

  • Northwestern University

    Chicago, Illinois, 60611

  • Ohio State University

    Columbus, Ohio, 43215

  • Dermatology Treatment and Research Center

    Dallas, Texas, 75230

  • Menter Dermatology Research Institute

    Dallas, Texas, 75246

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • Psoriasis Treatment Center of Central New Jersey

    East Windsor, New Jersey, 08520

  • Pennsyvlania Centre For Dermatology

    Exton, Pennsylvania, 19341

  • Johnson Dermatology

    Fort Smith, Arkansas, 72916

  • West Houston Dermatology

    Houston, Texas, 77082

  • Dawes Fretzin Clinical Research

    Indianapolis, Indiana, 46256

  • University of Southern California

    Los Angeles, California, 90033

  • University of Wisconsin

    Madison, Wisconsin, 53715

  • Heymann, Manders, Green, and Sommer, LLC

    Marlton, New Jersey, 08053

  • Frontier Derm Partners CRO, LLC

    Mill Creek, Washington, 98012

  • MD Claiborne and Associates, LLC

    New Orleans, Louisiana, 70115

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Temple University

    Philadelphia, Pennsylvania, 19122

  • MaineHealth/Maine Medical Center

    Portland, Maine, 04102

  • Infinity Dermatology NYC

    Queens, New York, 11375

  • University of Utah

    Salt Lake City, Utah, 84112

  • University of California, San Francisco

    San Francisco, California, 94143

  • Mayo Clinic Arizona

    Scottsdale, Arizona, 85259

  • DermAssociates LLC

    Silver Spring, Maryland, 20902

  • Washington University in St. Louis

    St Louis, Missouri, 63130

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • George Washington University

    Washington D.C., District of Columbia, 20037

  • Howard University

    Washington D.C., District of Columbia, 20059

  • Wake Forest University Health Sciences

    Winston-Salem, North Carolina, 27157

Other trials in United States

About this study

Official title: A Pragmatic Trial of Home Versus Office Based Narrow Band Ultraviolet B Phototherapy for the Treatment of Psoriasis

To compare the effectiveness, safety (tolerability), and duration of treatment response at 12 weeks of home versus office-based narrowband ultraviolet B phototherapy for the treatment of psoriasis

Read the detailed description

The primary objective of this study is to compare the effectiveness, safety (tolerability), and duration of treatment response at 12 weeks of home versus office-based narrowband ultraviolet B phototherapy for the treatment of psoriasis. Physician Global Assessment (PGA) and Dermatology Life Quality Index (DLQI) will be used to assess effectiveness, safety (tolerability), and duration of treatment response. This is a three year pragmatic, randomized, active comparator effectiveness study.

Being tested
Daavlin 7 series 3 panel narrow band phototherapy home units, narrow band phototherapy clinic units
Medical subject headings
Psoriasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Daavlin 7 series 3 panel narrow band phototherapy home unitsDevice

    Daavlin 7 series 3 panel narrow band phototherapy home units (with 8-12 bulbs and a smaller, flat surface with door, measuring 21" wide, 74.5" tall, and 23.5"). This unit is a class II device with a FDA 510K indication for psoriasis, vitiligo and atopic dermatitis/eczema. The unit will have a dosimetry controller, a UV sensor built in that measures the intensity of the light. This sensor will adjust the treatment time to compensate for any variation in output due to aging of the lamps or other factors

  • narrow band phototherapy clinic unitsDevice

    Office based narrow band phototherapy unit (units typically have at least 24 bulbs in a surround structure

Study groups in NCT03726489
Study groupRoleWhat they receive
Office Based PhototherapyOtherPatients randomized to this arm will receive narrow band phototherapy in a clinical setting via narrow band phototherapy clinic units.
Receives: Device: narrow band phototherapy clinic units
Home Based PhototherapyActive comparatorPatients randomized to this arm will receive narrow band phototherapy in a home setting via Daavlin 7 series 3 panel narrow band phototherapy home units.
Receives: Device: Daavlin 7 series 3 panel narrow band phototherapy home units

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Physician Global Assessment (PGA) Score of Clear/Almost Clear

    Measure of clinical treatment response, with PGA score of 0/1 (clear/almost clear). PGA score range from 0 (clear) to 5 (worst disease state).

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

  2. Impact of Dermatological Disease on Quality of Life (DLQI ≤5)

    Dermatology Life Quality Index (DLQI) score of ≤5 which corresponds to no to small impact of dermatologic disease on quality of life. DLQI is a 10 item survey that asks patients questions about their health related quality of life on a 0-3 scale. The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

Secondary outcomes (14)
  1. Total Number of Phototherapy Treatments Received

    patient or site reported phototherapy dosing

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

  2. Cumulative Dose of Phototherapy Received

    Cumulative dose of photherapy is the sum of all individual doses from randomization to week 12 visit.

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

  3. Concomitant Topical Psoriasis Treatment

    Patient reported topical psoriasis treatment - number of days per week the patient takes topical medication

    Measured: week 12 and week 24 after randomization

  4. Changes in Initiation or Discontinuation of Oral or Biologic Psoriasis Treatments

    Measured: week 12 and week 24 after randomization

  5. Patient-reported Time Spent on Phototherapy Per Treatment

    patient reported survey

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

  6. Patient Reported Costs Associated With Travel for Phototherapy Treatments

    patient reported survey for Office patients only

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

  7. Patient Reported Time Associated With Travel for Phototherapy Treatments

    patient reported survey for Office patients only

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

  8. DLQI (0-1)

    Dermatology Life Quality Index (DLQI) score of ≤1 which corresponds to no impact of dermatologic disease on quality of life. DLQI is a 10 item survey that asks patients questions about their health related quality of life on a 0-3 scale. The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

  9. Achievement of a Minimal Clinically Important Difference (MCID) on the DLQI

    A difference of 4 was determined to be the MCID

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

  10. Physician Global Assessment Times Body Surface Area (PGAxBSA)

    The difference in PGAxBSA from baseline to week 12. Values range from -500 to 500, with negative values indicating improvement in disease.

    BSA is a measure of the body surface area affected by psoriasis using the handprint method in which the palm of the entire hand approximates 1% of the body surface area. PGA is previously described. The product of the two measurements (PGA×BSA) has been investigated to assess psoriasis severity, with higher values indicating greater disease burden.

    Reference: Chiesa Fuxench et al. Validity of the simple-measure for assessing psoriasis activity (S-MAPA) for objectively evaluating disease severity in patients with plaque psoriasis. J Am Acad Dermatol 2015;73:868-7.

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

  11. PGA x BSA 75%

    Binary outcome of achieving 75% reduction in PGA x BSA from baseline to week 12

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

  12. PGA x BSA 90%

    Binary outcome of achieving 90% reduction in PGA x BSA from baseline to week 12

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

  13. Duration of Treatment Response During Observation Period

    Defined as the length of time from week 12 to the earliest of DLQI > 5 or time of initiation of a new systemic treatment or dose escalation of an existing systemic treatment, with patients who maintain DLQI <=5 5 throughout the 12 week observation period with no new systemic treatments or dose escalation censored at week 24.

    Measured: 24 weeks after randomization

  14. Patients Receiving at Least 80% of Treatments

    80% of assigned treatments is defined as 24 total treatments. Patients must have at least one treatment to be included.

    Measured: 12 weeks after randomization or earlier at discontinuation of phototherapy

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Oct 2018
  2. Study start1 Mar 2019
  3. Primary completion31 Oct 2023
  4. Study completion30 Dec 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Pragmatic, randomized, active comparator effectiveness study
Masking
None (open label)
Enrolment
783 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03726489
Sponsor's protocol ID
831323
Other IDs
PCS-1608-35830
Acronym
LITE
Status last verified
Sep 2024
First submitted
29 Oct 2018
Last updated
19 Sep 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Gelfand JM, Armstrong AW, Lim HW, Feldman SR, Johnson SM, Claiborne WCC, Kalb RE, Jakus J, Mangold AR, Flowers RH, Bhutani T, Durkin JR, Bagel J, Fretzin S, Sheehan MP, Krell J, Reeder M, Kaffenberger J, Kartono F, Takeshita J, Bridges AM, Fielding E, Nehal US, Schaecher KL, Howard LM, Eakin GS, Baez S, Bishop BE, Fitzsimmons RC Jr, Papadopoulos M, Song WB, Linn KA, Hubbard RA, Shin DB, Callis Duffin K. Home- vs Office-Based Narrowband UV-B Phototherapy for Patients With Psoriasis: The LITE Randomized Clinical Trial. JAMA Dermatol. 2024 Dec 1;160(12):1320-1328. doi: 10.1001/jamadermatol.2024.3897.

    PubMed 39319513

Questions about this trial

What is this clinical trial studying?

A study testing Daavlin 7 series 3 panel narrow band phototherapy home units and narrow band phototherapy clinic units in people with Psoriasis and Psoriatic Plaque, run by University of Pennsylvania at 38 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Sep 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Physician Global Assessment (PGA) Score of Clear/Almost Clear (time frame: 12 weeks after randomization or earlier at discontinuation of phototherapy). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03726489, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2024.

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