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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Notify MeKey information
Conditions
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
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
Maltodextrin
Dietary SupplementPrimary outcomes
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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
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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)
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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
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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
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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.
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total and specific IgE
Time frame: 0 and 16 weeks
total and specific IgE
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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
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assess the effect of the product on the safety parameters
Time frame: 0 and 16 weeks
Biochemistry and Hematology parameters
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"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
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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
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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
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Assessment of allergic history and skin disease
Time frame: 1 and 4 years later
-
Cytokine quantification
Time frame: 0 and 16 weeks of treatment
Cytokine quantification (multiplex) will be assessed in plasma of the patients
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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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