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Completed

NCT Number: NCT02103972

Assessment of Efficacy of the Consumption of a Heat-treated Lactobacillus Paracasei (GM080) on Atopic Dermatitis

The primary objective of this trial is to assess the efficacy of the consumption of heat-treated Lactobacillus paracasei (GM080) on atopic dermatitis as compared to a placebo treatment.

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Key information

Age range

4 month–30 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kaohsiung Municipal TA-TUNG Hospital, Kaohsiung City, Qianjin District, Taiwan

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Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Infants aged from 4-30 months (inclusive) at the time of enrolment (63 in each group).
  • With mild to severe atopic symptoms: SCORAD ≥ 20 (at V0b).
  • Having obtained his/her (or his/her legal representative's) written Informed Consent.

Exclusion criteria

  • SCORAD inferior to 20 (SCORAD less than 20 at V0b). A SCORAD less than 20 at V0c is not an exclusion criteria.
  • Infants who need a systemic treatment for their skin condition (e.g. glucocorticoids, steroids, cyclosporine A).
  • Infants or mothers who introduce probiotics (other than the study product) in their diet during the 16-weeks intervention study. Of note: Infants or mothers who are used to consume a certain probiotic for more than 1 month before the start of the study (V0b), can continue to use this probiotic during the intervention period and will not be excluded. Recent introduction of probiotics, within a month before the planned start of the study (V0b) should be stopped and recorded; at least 1 month should be between stopping the consumption of the probiotic and V0b).
  • Infants having other inflammatory skin diseases (urticaria, psoriasis).
  • Infants having a congenital illness or malformation that may affect normal growth (especially immunodeficiency).
  • Infants whose parents/caregivers cannot be expected to comply with the study procedures.
  • Infants currently participating or having participated in another clinical study during the last 4 weeks prior to the beginning of this study.
  • Infants using topical calcineurin inhibitors (e.g. tacrolimus and pimecrolimus (ELIDEL®)) during the study.
  • Infants who have undergone in the month before the start of the study (V0b), are currently undergoing or are anticipated to undergo ultraviolet light therapy or wet dressing or any other topical treatment of their eczema other than the one provided in the study. Lotion and skin moisturizer are allowed but need to be monitored for frequency and area.
  • The investigator and clinician will assess if the child has to be excluded based on the patient's medical condition and taken into account the values of the safety parameters tested. Therefore, no cut-off values, or normal ranges for the different safety parameters are exclusion criteria. It will be the responsibility of the investigator and clinician, based on their medical judgement, to decide if it is safe or not to include an infant into the study.

Treatment and study plan

GM080

Dietary Supplement

Maltodextrin

Dietary Supplement

Primary outcomes

  1. Change from Baseline SCORAD Score at 16 weeks of treatment

    Time frame: between 0 and 16 weeks of treatment

    SCORAD documented during the longitudinal observational period of 16 weeks after the subject has enrolled

Secondary outcomes

  1. Score A, B and C of the SCORAD

    Time frame: 0, 4, 10 and 16 weeks of treatment

    Score A, B and C of the SCORAD The scores A, B and C of the SCORAD as well as the subcategories of the scores B and C will be analyzed separately (measured at V0c, V1, V2 and V3)

  2. Number and duration of atopic dermatitis episodes

    Time frame: during the 16 weeks intervention period

    Number and duration of atopic dermatitis episodes The number of episodes of atopic dermatitis and the total number of days with symptoms during the 16 weeks intervention period

  3. Transepidermal water loss

    Time frame: 0, 4, 10 and 16 weeks

    TEWL will be measured at V0, V1, V2 and V3 on 4 sites of both non-lesional and lesional appearing skin parts

  4. Topical treatment used

    Time frame: during the 16 weeks of treatment

    Topical treatment used (sparing effect) The corticoid sparing effect of the ingredient will be assessed in the placebo and the ingredient group.

  5. total and specific IgE

    Time frame: 0 and 16 weeks

    total and specific IgE

  6. Quality of Life

    Time frame: 0, 4, 10, 16 weeks and 1 and 4 years later

    The infants' dermatitis quality of life index (IDQOL) will be collected

  7. assess the effect of the product on the safety parameters

    Time frame: 0 and 16 weeks

    Biochemistry and Hematology parameters

  8. "Objective" SCORAD, which is composed of part A and B of the SCORAD (measured at V0, V1, V2 and V3)

    Time frame: 0, 4, 10 and 16 weeks

Other outcomes

  1. Diaper rash episodes and duration will be recorded by the parents/caregivers

    Time frame: duting the 16 weeks of treatment

    Diaper rash episodes and duration will be recorded by the parents/caregivers

  2. Perception/impression of the ingredient by the caregiver

    Time frame: at 16 weeks

    At the end of the 16 weeks intervention trial, the perception of the caregivers toward the ingredient they were randomized to, will be assessed

  3. Assessment of allergic history and skin disease

    Time frame: 1 and 4 years later

  4. Cytokine quantification

    Time frame: 0 and 16 weeks of treatment

    Cytokine quantification (multiplex) will be assessed in plasma of the patients

  5. Genetic characterization of atopic dermatitis associated polymorphism

    Time frame: 0 week

    Five major mutations in the FLG gene, one polymorphism in SPINK5 and one insertion in KLK7 gene will be analyzed in blood DNA

Sponsors and collaborators

Lead sponsor

Société des Produits Nestlé (SPN)

Industry

Registry information

Important dates

Study start
2014
Primary completion
2017
Study completion
2017
First posted
Apr 4, 2014
Registry last updated
Jan 26, 2018

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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