Impact of Increased Immunoglobulin E to Anti-herpes Simplex Virus -1 Innate Immune Responses in Atopic Dermatitis Patients With Eczema Herpeticum

Study Overview
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Brief Summary
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This study investigates whether blood monocytes' surface bound- immunoglobulin E affects the innate immune responses against herpes simplex viruses in atopic dermatitis patients with eczema herpeticum.

Detailed Description
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Some of atopic dermatitis patients (AD) have severe herpes simplex viral (HSV) infections, which could cause erosive skin lesions all over the body. This condition is termed as eczema herpeticum (ADEH+). Scientists have found that ADEH+ patients have significantly increased blood immunoglobulin (Ig) E compared to AD patients without eczema herpeticum and healthy people. Increased IgE in blood could bound to immune cells' surface, such as monocytes. Since monocytes serve as the first line defense to fight viral infection, their surface-bound IgE may interfere their anti-viral immune responses, and consequently results in more severe viral infections. The purpose of this study is to learn more about how increased IgE affect body's immune ability to fight herpes simplex viruses. This study includes three groups: AD patient without eczema herpeticum complication(ADEH-); AD patient with eczema herpeticum complication(ADEH+) and healthy controls. Study results will be compared between groups.

Official Title
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Investigate the Impact of Increased IgE on Innate Anti-herpes Simplex Virus 1 Responses in the Eczema Herpeticum Patients

Conditions
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Atopic Dermatitis With a History of Eczema Herpeticum, Atopic Dermatitis Without a History of Eczema Herpeticum, Health Controls Without Atopy

Intervention / Treatment
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* Biological: Xolair


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 16-65 years old, age, sex and race match among non-atopic, ADEH- and ADEH+. Participant and/or parent guardian must be able to understand and provide informed consent, and fits in one of the following conditions: A history of AD with a history of eczema herpeticum, ADEH+, as diagnosed using the Atopic Dermatitis Research Network Standard Diagnostic Criteria. A history of AD without a history of eczema herpeticum, ADEH-, as diagnosed using Atopic Dermatitis Research Network Standard Diagnostic Criteria, and no first degree relatives with a history of EH. Non-atopic as diagnosed using Atopic Dermatitis Research Network Standard Diagnostic Criteria. Exclusion Criteria: Inability or unwillingness of a participant to give written informed consent or comply with study protocol Known or suspected immunosuppression Severe concomitant illness(es) Women of childbearing potential not using the contraception method(s) specified in this study (specify), as well as women who are breastfeeding Known sensitivity to study drug(s) or class of study drug(s) Patients with severe medical condition(s) that in the view of the investigator prohibits participation in the study (specify as required) Use of any other investigational agent in the last 30 days

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Normal controls<br>No history of skin disease and atopy | Biological: Xolair<br>* This is in vitro mechanistic study. No drug will be given in vivo to patients.<br>* Other names: omalizumab;|
| ADEH-<br>Atopic dermatitis without a history of eczema herpeticum | Biological: Xolair<br>* This is in vitro mechanistic study. No drug will be given in vivo to patients.<br>* Other names: omalizumab;|
| ADEH+<br>Atopic dermatitis with a history of eczema herpeticum | Biological: Xolair<br>* This is in vitro mechanistic study. No drug will be given in vivo to patients.<br>* Other names: omalizumab;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Monocytes surface bound IgE quantities | Relative quantities of surface bound IgE | One day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Atopic dermatitis, Eczema herpeticum, Immunoglobulin E, Herpes simplex virus