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Completed

NCT Number: NCT05555524

Cool Baby Oil for Pruritus and Sleep Quality Among Uremic Patients

This study aims to evaluate the effect of cool baby oil on pruritus and sleep quality among uremic patient

Research Hypothesis:

* H01: There is no difference between hemodialysis patients with uremic pruritus who apply cool baby and those who apply placebo regarding sleep quality at 4 weeks follow-up * H02: There is no difference between hemodialysis patients with uremic pruritus who apply cool baby and those who apply placebo regarding itching severity at 4 weeks follow-up * H03: There is no difference between hemodialysis patients with uremic pruritus who apply cool baby and those who apply placebo regarding sleep quality at 12 weeks follow up * H04: There is no difference between hemodialysis patients with uremic pruritus who apply cool baby and those who apply placebo regarding itching severity at 12 weeks follow up * H1: Hemodialysis patients with uremic pruritus who apply cool baby oil will exhibit improved sleep quality than those who apply placebo at 4 weeks follow up * H2: Hemodialysis patients with uremic pruritus who apply cool baby oil will exhibit decreased itching severity than those who apply placebo at 4 weeks follow up * H3: Hemodialysis patients with uremic pruritus who apply cool baby oil will exhibit improved sleep quality than those who apply placebo at 12 weeks follow up * H4: Hemodialysis patients with uremic pruritus who apply cool baby oil will exhibit decreased itching severity than those who apply placebo at 12 weeks follow up

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Dialysis Units of Almowasah University Hospital, Alexandria, Egypt

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About this study

Treatment of uremic pruritus is difficult due to the refractory nature of the disease, resulting in poor hemodialysis patient quality of life, pharmacological therapy is the most common clinical treatment method. Unfortunately, despite these interventions, pruritus remains a chronic problem for many dialysis patients. Recently, non-pharmacological interventions are effective for hemodialysis patients with uremic pruritus. Emollients that include Petrolatum, lanolin, mineral oil, and dimethicone were very effective, readily available, and cost-effective interventions in comparison to other methods to improve pruritus symptoms. Several studies have been conducted and show the efficiency of baby oil in controlling pruritus and enhancing sleep quality among hemodialysis patients. However these studies evaluate the short-term effect (4 weeks), Although these studies employed usual care, no-treatment group as the control condition, thus it was not possible to blind the participants. This type of control group would likely increase treatment effects from baby oil by comparison. Thus the current study will be conducted to evaluate the effect of baby oil on pruritus and sleep quality compared to a placebo control at 4 and 12 weeks followup.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Having three episodes of itching (each episode 5 min or longer) within the last 2 weeks
  • Having intermittent itching complaints during the last 6 month
  • Agreed to be on a fixed dose of the medical treatment throughout the study

Exclusion criteria

  • Open wound
  • Skin infection
  • Edema
  • History of allergic reaction to the oils
  • Liver and dermatological diseases
  • Usage of other treatment rather than the medical treatment on a regular basis 2 weeks prior to randomization and throughout the study
  • Currently participating in other clinical trials

Treatment and study plan

Baby oil

Other

Before each application

  • Hand hygiene will be done
  • Skin care will be done to the affected area and the area is thoroughly dried.
  • Participants will wear a hospital gown and seated comfortably on their bed.
  • Gentle massage with the cool baby oil will be applied on the itching area and is continued for 15-20 min.
  • Message will be applied for three times a week before each hemodialysis session for 12 weeks

Placebo

Other

Before each application

  • Hand hygiene will be done
  • Skin care will be done to the affected area and the area is thoroughly dried.
  • Participants will wear a hospital gown and seated comfortably on their bed.
  • Gentle massage with the cool distilled water will be applied on the itching area and is continued for 15-20 min.
  • Message will be applied for three times a week before each hemodialysis session for 12 weeks

Primary outcomes

  1. mean itching severity score at the baseline defined by Itching Severity Scale (ISS)

    Time frame: at the baseline (before assigning the participants to the study groups)

    this scale includes three items; (1) distribution of itching; (2) severity of itching; and (3) sleep disturbance caused by itching. Scores range 2-45. Increasing scores indicate increasing severity and intensity of itching.

  2. change of the mean Itching Severity Scale (ISS) at 4 weeks

    Time frame: after 4 weeks from the baseline

    this scale includes three items; (1) distribution of itching; (2) severity of itching; and (3) sleep disturbance caused by itching. Scores range 2-45. Increasing scores indicate increasing severity and intensity of itching.

  3. Change of the mean Itching Severity Scale (ISS) at 12 weeks

    Time frame: after 12 weeks from the baseline

    this scale includes three items; (1) distribution of itching; (2) severity of itching; and (3) sleep disturbance caused by itching. Scores range 2-45. Increasing scores indicate increasing severity and intensity of itching.

  4. Mean pruritus severity Score on Visual Analog Scale at the Baseline

    Time frame: at the baseline (before assigning the participants to the study groups)

    This scale will be used to measure the itching intensity and consisting of a 10cm long line and a single question. The left end point represents "no itch" and the right end point the "worst imaginable itch

  5. Change from baseline mean of the pruritus severity score on the Visual Analog Scale at 4 weeks

    Time frame: after 4 weeks from the baseline

    This scale will be used to measure the itching intensity and consisting of a 10cm long line and a single question. The left end point represents "no itch" and the right end point the "worst imaginable itch

  6. Change from baseline mean of the pruritus scores on the Visual Analog Scale at 12 weeks

    Time frame: after 12 weeks from the baseline

    This scale will be used to measure the itching intensity and consisting of a 10cm long line and a single question. The left end point represents "no itch" and the right end point the "worst imaginable itch

  7. Mean score of the sleep quality on the Pittsburgh sleep quality index at the baseline

    Time frame: at the baseline (before assigning the participants to the study groups)

    it measure the self-rated sleep quality over the past month, and it is consisted of 19 self-rated question and 5 question rated by bed partner or roommate. Score ranges from 0 to 21.

    a score of > 5 indicate poor or difficult sleep and a score of ≤ 5 indicate good-sleep .

  8. Change from baseline mean of the sleep quality on the Pittsburgh sleep quality index at 4 weeks

    Time frame: after 4 weeks from the baseline

    it measure the self-rated sleep quality over the past month, and it is consisted of 19 self-rated question and 5 question rated by bed partner or roommate. Score ranges from 0 to 21.

    a score of > 5 indicate poor or difficult sleep and a score of ≤ 5 indicate good-sleep .

  9. Change from baseline mean of the sleep quality on the Pittsburgh sleep quality index at 12 weeks

    Time frame: after 12 weeks from the baseline

    it measure the self-rated sleep quality over the past month, and it is consisted of 19 self-rated question and 5 question rated by bed partner or roommate. Score ranges from 0 to 21.

    a score of > 5 indicate poor or difficult sleep and a score of ≤ 5 indicate good-sleep .

Secondary outcomes

  1. socio-demographic and clinical data assessment tool

    Time frame: (before assigning the participants to the study groups)

    this tool gathers data about participants' age, gender, educational level, marital status, area of residence, and occupation, duration of disease, comorbidity disease, duration of itching, Concurrent use of antihistamine for itching, period of most intense pruritus.

  2. Related adverse Events

    Time frame: from starting of the intervention till 2 days after study completion

    An unfavorable change in the health of a participants that happens during a clinical study or within a 2 days after the study has ended. This change may or may not be caused by the assigned treatment.

Sponsors and collaborators

Lead sponsor

Alexandria University

Other

Registry information

Official study title

Effect of Cool Baby Oil on Pruritus and Sleep Quality Among Uremic Patients: a Double-blind Placebo-controlled Randomized Clinical Trial

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Sep 27, 2022
Registry last updated
Jan 17, 2023

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.