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Completed

NCT Number: NCT05644691

Impact of the Daily Use of Emollient on Corticosteroids Consumption in Patients With Atopic Dermatitis

This study aims at assessing the reduction of consumption of corticosteroids (same mid-potent corticosteroids for all patients) afforded by the use of a specific emollient in comparison to the usual one in subjects suffering from atopic dermatitis.

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Key information

About this study

The study is conducted in compliance, as closely as possible, with the current version of the world medical association declaration of Helsinki, local regulations based on International Council on Harmonisation (ICH) guidelines for Good Clinical Practice.

The primary objective of this study is to compare the tested emollient and the usual emollient through the weight of used dermocorticosteroid. The weight of used dermocorticosteroid is compared at the end of the study by a Student t-test (or a non parametric Wilcoxon test depending on the data distribution).

The following hypotheses are used for the estimation of the sample size calculation:

  • Power (1 - β) = 80%
  • Two-sided significance level (α) = 5%
  • Expected inter-group difference = 0.6g
  • Standard deviation = 1.4g.

Statistical analyses is performed with SAS® version 9.4 or higher (SAS institute, North Carolina, USA).

Continuous variables are summarized as number of observations, mean, standard deviation, standard error, median, minimum and maximum (95% confidence interval will be provided if necessary). For categorical variables, subject counts and percentages will be provided.

Analyses use 2-sided tests at the 5% significance level, except the normality tested at the threshold of 1% (Shapiro-Wilk test).

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • diagnosis of atopic dermatitis must meet Hanifin's criteria (at least 3 basic features and at least 3 minor features)
  • mild atopic dermatitis present for at least 6 months before inclusion (SCORAD at inclusion between 20 and 30)
  • able to apply the emollient (each morning and evening) during a three-month period

Exclusion criteria

  • presenting with another dermatological condition that could interfere with clinical evaluation
  • having received any systemic treatment, including PUVAtherapy for atopic dermatitis in the month prior to Day 0
  • who intend to expose themselves to the sun during the trial

Treatment and study plan

Lipikar Baume AP+M

Other

application of Lipikar Baume AP+M twice daily for 3 months in parallel with the corticosteroid treatment

Usual emollient

Other

application of the usual emollient twice daily for 3 months in parallel with the corticosteroid treatment

Primary outcomes

  1. efficacy of treatments

    Time frame: from baseline to Day84

    the efficacy of treatments is evaluated by corticosteroids consumption (weight of product and number of applications)

Secondary outcomes

  1. change in SCORing Atopic Dermatitis (SCORAD) measure

    Time frame: from baseline to Day84

    evaluation of SCORAD by the dermatologist in relation with the emollient consumption (weight of product and number of applications)

  2. change in Patient-Oriented SCORing Atopic Dermatitis (PO-SCORAD) measure

    Time frame: from baseline to Day84

    evaluation of PO-SCORAD by the patient in relation with the emollient consumption (weight of product and number of applications)

  3. change in LOCAL SCORing Atopic Dermatitis (LOCAL SCORAD) measure

    Time frame: from baseline to Day84

    evaluation of LOCAL SCORAD by the dermatologist in relation with the emollient consumption (weight of product and number of applications)

  4. change in cutaneous discomfort

    Time frame: from baseline to Day84

    evaluation of skin sensation (itching, tingling, burning) by the patient on a 4-point scale (from absence to severe)

  5. change in global efficacy

    Time frame: from Day28 to Day84

    evaluation of global efficacy by the patient on a 4-point scale (from nil to excellent)

  6. change in global tolerance

    Time frame: from Day28 to Day84

    evaluation of global tolerance of the treatment (emollient + corticosteroid) by the patient on a 4-point scale (from nil to excellent)

  7. change in Patient Benefit Index (PBI) measure

    Time frame: from baseline to Day84

    questionnaire filled in by the patient or the patient's parents (whether the statement applies to the situation or not, possible answers: not at all, somewhat, moderately, quite, very, does not apply to me)

  8. change in the quality of life (patients aged 18 years or over)

    Time frame: from baseline to Day84

    questionnaire about the Atopic Burden Scale for Adults (ABS-A) with the following scale: never, rarely, sometimes, often, very often, constantly, not applicable. A higher score means a higher burden.

  9. change in the quality of life (patients aged less than 18 years)

    Time frame: from baseline to Day84

    questionnaire about the Atopic Dermatitis Burden Scale for the Family (ABS-F) with the following scale: no, without hesitation; I don't know; maybe; yes, without hesitation; not applicable. A higher score means a higher burden.

Sponsors and collaborators

Lead sponsor

Cosmetique Active International

Industry

Registry information

Official study title

Impact of the Daily Use of the Tested Emollient on Corticosteroids Consumption in Patients Minimum 3 Years Old With Atopic Dermatitis (SCORAD 20-30) Versus Their Usual Emollient

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Dec 9, 2022
Registry last updated
Dec 9, 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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