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Completed

NCT Number: NCT04016025

A Clinical Study of Adherence to Methylprednisolone Aceponate in Different Carriers

Untersuchung der Adhärenz zur topischen Standardtherapie bei Patienten mit chronischem Handekzem in Abhängigkeit von der Galenik

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Jena University Hospital

Jena, Thuringia, 07743, Germany

About this study

Prospective, randomized, parallel grouped, single-blinded (investigator), monocentric objective assessment of the adherence to the treatment with topical methylprednisolone aceponate (Advantan®) depending on the type of vehicle in patients with hand eczema treated according to the current Guideline.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Signed and dated informed consent has been obtained.
  • Clinical diagnosis of chronic mild-to-moderate hand dermatitis with or without atopic etiology or background (according to IGA: at least mild at Visit 1).
  • Subjects (male or female) aged from 18 to 65 years.
  • In overall good health including well controlled diseases as determined by medical history, physical examination, vital signs and clinical laboratory.
  • Female subjects must be of either:
  • non-childbearing potential, post-menopausal, or have a confirmed clinical history of sterility or,
  • childbearing potential, provided there is a confirmed negative urine pregnancy test prior to exposure, to rule out pregnancy Female subjects of childbearing potential must be willing to use highly effective methods of contraception to avoid causing pregnancy from enrolment and until the last visit (V3).
  • Female subjects must not be breastfeeding.

Exclusion criteria

  • females who are pregnant or breast-feeding.
  • Systemic treatment with immunosuppressive drugs, retinoids or corticosteroids within 8 weeks prior to randomization.
  • Phototherapy (PUVA or UVB) on the hands within 4 weeks prior to randomization.
  • Topical applied treatment with immunomodulators (e.g. pimecrolimus or tacrolimus) or corticosteroids on the hands within 2 weeks prior to randomization.
  • Use of other treatment on the hands during the clinical trial except for the use of investigational medicinal product (IMP) and emollient provided by sponsor during the clinical trial.
  • Use of systemic antibiotics or cutaneously applied antibiotics on the hands within 2 weeks prior to randomization.
  • Concurrent skin diseases on the hands and/or integument with acute flare and/or skin lesions within the last 8 weeks.
  • Current diagnosis of eczema on the integument except for the hands.
  • Current diagnosis of exfoliative dermatitis.
  • Current diagnosis of glaucoma or cataract.
  • Significant clinical infection on the hands which requires antibiotic treatment.
  • Known or suspected hypersensitivity to component(s) of the IMP.
  • Subjects with history of an immunocompromising disease (e.g. lymphoma, HIV).
  • Former participation in this clinical trial.
  • Current participation in any other interventional clinical trial.
  • Subjects known or, in the opinion of the investigator, are unlikely to comply with the Clinical Trial Protocol (e.g. alcoholism, drug dependency or psychotic state).
  • Close affiliation with the investigator or other employees of the trial site (e.g. a close relative) or persons working at LEO Pharma A/S or Bayer Consumer Care AG or subject is an employee of sponsor.

Treatment and study plan

Adherence to topical standard therapy assessed

Behavioral

Adherence defined as percentage of patients applying at least aimed daily dose

Primary outcomes

  1. Adherence to treatment

    Time frame: 28 days

    Adherence defined as percentage of patients applying at least aimed daily dose Adherence will be assumed, if

    • truly applicated daily dose is at least 75% of prescribed daily dose and
    • the individual mean number of applications per day is at least 0.85
  2. Measurement 1

    Time frame: 28 days; visit 1 (day 1)

    Hand surface [cm²]

  3. Measurement 2

    Time frame: 28 days; visit 1 (day 1), 2 (day 14) and 3 (day 28)

    Weight of topical drug container [mg]

  4. Individual amount of topical drug

    Time frame: 28 days

    • weight of topical drug container [mg] by hand surface [cm²] will be combined to individual amount of topical drug which will as well be the prescribed daily dose
  5. Truly applicated daily dose

    Time frame: 28 days

    • individual amount of topical drug used [mg/cm²] by individual mean number of applications

Secondary outcomes

  1. Change of Hand Eczema

    Time frame: 28 days; visit 1 (day 1), 2 (day 14) and 3 (day 28)

    Hand Eczema Severity Index (HECSI) Score: 0-360 Points (Total HECSI score = Sum (E, I, V, F, S, O) X Ex (Fingertips) + Sum (E, I, V, F, S, O) X Ex (Fingers except tips) + Sum (E, I, V, F, S, O) X Ex (Palm of hands) + Sum (E, I, V, F, S, O) X Ex (Back of hands) + Sum (E, I, V, F, S, O) X Ex (Wrists))

  2. Change of Hand Eczema

    Time frame: 28 days; visit 1 (day 1), 2 (day 14) and 3 (day 28)

    Investigator's global Assessment (IGA) Score: 0-4 Points (0=Clear, 1=Almost clear, 2=Mild, 3=Moderate, 4=Severe)

Sponsors and collaborators

Lead sponsor

Jena University Hospital

Other

Collaborators

  • Bayer

Registry information

Official study title

Randomized Single-blind Study on the Adherence to Treatment With Topical Methylprednisolone Aceponate (Advantan®) in Different Vehicles (AD-HERE)

Acronym: AD-HERE

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Jul 11, 2019
Registry last updated
May 10, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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