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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02061735
Other study ID # CHMC 2011-0443
Secondary ID
Status Completed
Phase N/A
First received February 12, 2014
Last updated May 5, 2015
Start date October 2011
Est. completion date April 2015

Study information

Verified date May 2015
Source Children's Hospital Medical Center, Cincinnati
Contact n/a
Is FDA regulated No
Health authority United States: Institutional Review Board
Study type Observational

Clinical Trial Summary

A combined set of quantitative skin imaging methods will quantitatively describe the natural ontogeny and the response to standard treatments over time in patients with infantile hemangiomas.


Description:

Infantile hemangiomas (IH) are relatively common benign vascular neoplasms, which appear shortly after birth and grow rapidly in the following weeks and months. The proliferative phase involves a rapidly dividing endothelial cell proliferation. The tumors generally stabilize and then involute over time. They are usually clinically insignificant; however, a small percentage of them can be life threatening secondary to location, associated syndrome, and physical findings such as ulceration. Treatment options have included steroids, interferon, vincristine and more recently propranolol. There are few published prospective research studies on the effectiveness of these treatment options. Because of several factors, it has been difficult to objectively measure response of these lesions. The purpose is to determine (1) whether multiple quantitative skin imaging modalities can quantitatively describe the clinically relevant features of infantile hemangiomas, including color (red, blue), lightness, size (height, volume), biomechanical properties, temperature and perfusion and (2) the natural ontogeny and response to treatment over time. The treatments are oral propranolol, topical timolol and untreated (observation).


Recruitment information / eligibility

Status Completed
Enrollment 118
Est. completion date April 2015
Est. primary completion date April 2015
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Both
Age group 1 Month to 5 Years
Eligibility Inclusion Criteria:

- Age = 5 years of age

- Diagnosis of a cutaneous infantile hemangioma

- Diagnosis of hemangioma requiring treatment (treatment includes: propranolol or topical timolol) or diagnosis of an infantile hemangioma that will not be treated at the time of enrollment

- Able to tolerate imaging procedures

Exclusion Criteria:

- Age > 5 years

- Non cutaneous infantile hemangioma

- Hemangioma on the lip

- Hemangioma on the eyelid

- Hemangioma located in areas whereby measurements cannot be made due to equipment limitations

- Deep hemangioma with no visible skin surface component

- Congenital hemangioma

- No available normal site for study control

- Other vascular anomaly

- Not able to tolerate imaging procedures

Study Design

Observational Model: Case Control, Time Perspective: Prospective


Locations

Country Name City State
United States Cincinnati Children's Hospital Medical Center Cincinnati Ohio

Sponsors (2)

Lead Sponsor Collaborator
Children's Hospital Medical Center, Cincinnati Society for Pediatric Dermatology

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Hemangioma height IH height and volume will be obtained from surface scans with the Artec scanner with a 0.5 mm resolution, 0.1 mm accuracy, at 60 cm. Three dimensional scans will be created with the Artec Studio software and features quantified with the three dimensional software. Soft tissue landmarks will create the region of interest for all evaluations. Height and volume will be calculated for the infantile hemangioma versus the control. up to 5 years No
Primary Static and Dynamic Temperature Temperature information will be acquired with a thermal imaging camera with analysis software. The thermal features of the surrounding uninvolved control skin are removed by applying thresholds. Static infrared thermography captures the steady-state condition and spatial distribution. Dynamic infrared thermography applies a stress (cooling) to stimulate the thermal response within the tissue. up to 5 years No
Primary Skin color and lightness High resolution color Images will be taken taken with a digital camera, Micro 60 mm lens with a wireless close up flash system at 30cm and perpendicular to the site. The images are color corrected and processed into three distinct images : red color, blue-yellow color, and lightness (white - back).
Color and thermal images are co-registered and analyzed with customized software. The system creates quantitative outputs and maps for visualization of IH regions of thermal and color activity. Threshold values for the lightness, red color, blue color and thermal images are selected based upon histogram distributions of the uninvolved skin as the values above the mean and multiple standard deviations The pixels beyond the thresholds are used to quantify and map the features due to the hemangioma itself.
up to 5 years No
Secondary Biomechanical properties Tissue mechanical properties (i.e., elasticity, elastic deformation, laxity, stiffness, etc.) will be measured to assess tissue deformability. The instrument measures biomechanical properties of the skin by applying a negative pressure, in the range between 20 and 500 mbar. These properies are compared to an uninvolved contralateral control site. up to 5 years No
See also
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Recruiting NCT05187923 - Computer Aided Tool for Diagnosis of Neck Masses in Children
Withdrawn NCT01408056 - Timolol Option for Ulcerated Hemangiomas (TOUCH Trial) Phase 2