Comparing Cetaphil Restoraderm System Versus Standard Skin Care in Infants
A Randomized Pilot Trial Comparing Cetaphil® Restoraderm® System and Standard Skin Care in Infants at Risk for Atopic Dermatitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Subjects will randomly be divided into a group using Cetaphil® Restoraderm® system or a group using Johnson & Johnson baby lotion and skin cleanser . At 3, 6, and 12 months non-invasive measurements of barrier function will be used to test the babies' skin. The procedures are as follows:
- Transepidermal loss (TEWL - measures the water loss from the skin)
- Skin electrical capacitance (measures how much water stays in the top layer of skin)
- Skin pH (measures level of pH)
- Skin microbiome analysis (skin swabs to check genetic code of skin bacteria)
- Lipidomic and natural moisturizing factor analysis (measures lipids (oils) in the top layer of skin)
Both groups will be reminded to follow the instructions about general good skin care of infants. Subjects will be asked if they agree to provide a saliva sample. If yes, a saliva sample will be collected from the inside of the infant's cheek at the 6 month visit and will be shipped to the laboratory of Dr. Irwin McLean at the University of Dundee, where it will be tested for gene defects in the skin barrier that might trigger the development of eczema. Defects in the gene called filaggrin have been shown to increase the risk of developing eczema. The samples will be identified by a code to protect your infant's identity. The saliva samples will be stored only for this study, and then the sample will be destroyed.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Oregon
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Portland, Oregon, United States, 97239
- Oregon Health & Science University Center for Health & Healing
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Infants up to three weeks of age born to mothers aged 18-45 years will be recruited for this study.
- Infants must have a family history of asthma, eczema, or hayfever in at least one first-degree relative and be in otherwise good overall health.
Exclusion Criteria:
- Preterm birth defined as birth prior to 37 weeks gestation
- Major congenital anomaly
- Hydrops fetalis
- Significant dermatitis at birth not including seborrheic dermatitis on the scalp ("cradle cap")
- Any immunodeficiency disorder
- Any severe genetic skin disorder
- Any other serious condition that would make the use of emollients inadvisable
- Any other major medical problems that the investigator deems may increase the risk of adverse events with the intervention or in whom assessing the outcomes may be masked by the underlying problem or practically very difficult to assess
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Standard of Care
Subjects will apply Johnson&Johnson moisturizer to their infant's skin as often as they wish.
They will also use the Johnson&Johnson cleanser.
|
Subjects will apply Johnson&Johnson moisturizer to their infant's skin as often as they wish.
They will also use the Johnson&Johnson cleanser.
Other Names:
|
|
Experimental: Cetaphil Restoraderm
Subjects will apply Cetaphil Restoraderm moisturizer once daily to infant's skin.
They will bathe their infant with Cetaphil Restoraderm cleanser.
|
Subjects will apply Cetaphil Restoraderm moisturizer once daily to infant's skin.
They will bathe their infant with Cetaphil Restoraderm cleanser.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With Cumulative Atopic Dermatitis Diagnosed by Investigator at 12 Months
Time Frame: 12 months
|
Percentage of cumulative Atopic Dermatitis diagnosed by a blinded investigator at 12 months
|
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of High Emollient Use
Time Frame: 2, 6, 12, 18, and 24 months
|
Patient-reported adherence to the emollient regimen in the intervention group and the treatment group.
High emollient use was defined as applying the intervention or control emollient five or more days per week.
|
2, 6, 12, 18, and 24 months
|
|
Age at Onset of Eczema
Time Frame: Baseline through Month 24 Follow-up
|
Age of subject at onset of eczema
|
Baseline through Month 24 Follow-up
|
|
Filaggrin Mutation Status
Time Frame: 6 month visit
|
Filaggrin mutation status result
|
6 month visit
|
|
Transepidermal Water Loss (TEWL)
Time Frame: 2 month, 6 month, and 12 month visits
|
Transepidermal water loss (TEWL) to measure skin barrier function
|
2 month, 6 month, and 12 month visits
|
|
Skin Hydration (Skin Electrical Capacitance)
Time Frame: 2 month, 6 month, and 12 month visits
|
Determination of stratum corneum hydration from the dorsal forearm
|
2 month, 6 month, and 12 month visits
|
|
Skin pH
Time Frame: 2 month, 6 month, and 12 month visits
|
Skin pH, as measured using a pH probe
|
2 month, 6 month, and 12 month visits
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Eric Simpson, MD, MCR, Oregon Health and Science University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Galderma Cetaphil Restoraderm
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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