- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT00871208
Trial of Treatment of Atopic Dermatitis With Concurrent Altabax® and Topical Low-Potency Corticosteroids Versus Low-Potency Corticosteroid Mono-therapy
Randomized, Placebo-Controlled Trial of Treatment of Atopic Dermatitis With Concurrent Altabax® and Topical Low-Potency Corticosteroids vs. Low-Potency Corticosteroid Mono-therapy
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Background: Atopic dermatitis is a pruritic skin disorder which affects more than 10% of the United States population, one-third of whom report sleep disturbance and a quarter with chronic unremitting disease. Atopic dermatitis is a recurrent pruritic skin disorder which has a significant morbidity and extensive costs for the health care system. Quality of life is often impaired for patients with atopic dermatitis due to sleep disturbance, pruritus and the physical impairment of visible skin lesions.
The rapidity in which pruritus and lesional appearance are noted to resolve correlates strongly with improved patient satisfaction and improved quality of life.
Recently, a clinical trial of adding mupirocin into a regimen of topical corticosteroids has shown a significant enhancement in lesional clearance and symptom reduction with addition of mupirocin to the topical corticosteroid. These improvements were most notable within the first week of treatment.
Proposal: A 4-week clinical trial of 60 atopic dermatitis patients (ages 9 months to 17 years) would be conducted. All sixty patients would be given topical mid-potency corticosteroid (Locoid lipocream®) to be mixed with a second product. Half the patients would receive Altabax® and the other half would receive vehicle (blinded to subject and investigator). Patients would be advised to apply the topical randomized product first, let dry and then apply topical Locoid lipocream ® to affected areas, and then apply the topical randomized ointment product to each of the sites of skin disease on top of the Locoid lipocream ®. Treatment of affected areas would continue for 4 weeks or until lesions have cleared, which ever comes first. Parents of patients will be asked to maintain a written diary of drug application.
Tipo de estudio
Fase
- Fase 4
Contactos y Ubicaciones
Ubicaciones de estudio
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New York
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NY, New York, Estados Unidos, 10003
- Department of Dermatology, Beth Israel Medical Center
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NY, New York, Estados Unidos, 10019
- Department of Dermatology, Roosevelt Hospital
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NY, New York, Estados Unidos, 10025
- Department of Dermatology, St. Luke's-Roosevelt-Hospital Center
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Diagnosis of Atopic Dermatitis
- Ages 9 months to 17 years
- Presence of at least one lesion of atopic dermatitis at the time of baseline enrollment
- Disease limited to less than 100 cm2 body surface area
- EASI Score of at least 7, based on the Gong, et al publication Gong JQ, Lin L, Lin T, Hao F, Zeng FQ, Bi ZG, Yi D, Zhao B. Skin colonization by Staphylococcus aureus in patients with eczema and atopic dermatitis and relevant combined topical therapy: a double-blind multicentre randomized controlled trial. Br J Dermatol. 2006 Oct;155(4):680-7.
Exclusion Criteria:
- Allergy to any ingredient in Altabax® or Locoid lipocream ®
- Usage of oral corticosteroids within the 2 weeks prior to study initiation or during the study
- Usage of topical corticosteroid or other topical prescriptions for atopic dermatitis in the week prior to study initiation
- Inability to comply with the study protocol
- Presence of major medical illness requiring systemic therapy including cancers.
- Clinical diagnosis of bacterial infections of the skin, including impetigo or abscesses.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Triple
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: 1
Altabax (R) and Locoid Lipocream (R):Patients will apply both drugs sequentially to active lesions of atopic dermatitis.
Physical examination, skin cultures, photos and quality of life scores will be performed at baseline, week 1, week 2 and week 4.
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Retapamulin 1% ointment is to be applied to lesional atopic dermatitis twice-daily in addition to a topical corticosteroid (Locoid lipocream (R))
Otros nombres:
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Comparador activo: 2
Vehicle and Locoid Lipocream (R):Patients will apply both drugs sequentially to active lesions of atopic dermatitis.
Physical examination, skin cultures, photos and quality of life scores will be performed at baseline, week 1, week 2 and week 4.
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The vehicle base of retapamulin ointment will be applied twice-daily to active lesions of atopic dermatitis in addition to locoid lipocream (R)
Otros nombres:
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Periodo de tiempo |
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Superiority of drug to vehicle in reducing Eczema Area and Severity Index (EASI) scores in children with atopic dermatitis
Periodo de tiempo: Each patient will be enrolled for a 4 week trial
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Each patient will be enrolled for a 4 week trial
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Medidas de resultado secundarias
Medida de resultado |
Periodo de tiempo |
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Improved quality of life with usage of the drug altabax (R) and topical corticosteroids over vehicle and topical corticosteroids for treatment of atopic dermatitis in children with atopic dermatitis.
Periodo de tiempo: 4 week trial of medication
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4 week trial of medication
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Publicaciones y enlaces útiles
Publicaciones Generales
- Fivenson D, Arnold RJ, Kaniecki DJ, Cohen JL, Frech F, Finlay AY. The effect of atopic dermatitis on total burden of illness and quality of life on adults and children in a large managed care organization. J Manag Care Pharm. 2002 Sep-Oct;8(5):333-42. doi: 10.18553/jmcp.2002.8.5.333.
- Carroll CL, Balkrishnan R, Feldman SR, Fleischer AB Jr, Manuel JC. The burden of atopic dermatitis: impact on the patient, family, and society. Pediatr Dermatol. 2005 May-Jun;22(3):192-9. doi: 10.1111/j.1525-1470.2005.22303.x.
- Ricci G, Bendandi B, Bellini F, Patrizi A, Masi M. Atopic dermatitis: quality of life of young Italian children and their families and correlation with severity score. Pediatr Allergy Immunol. 2007 May;18(3):245-9. doi: 10.1111/j.1399-3038.2006.00502.x.
- Gong JQ, Lin L, Lin T, Hao F, Zeng FQ, Bi ZG, Yi D, Zhao B. Skin colonization by Staphylococcus aureus in patients with eczema and atopic dermatitis and relevant combined topical therapy: a double-blind multicentre randomized controlled trial. Br J Dermatol. 2006 Oct;155(4):680-7. doi: 10.1111/j.1365-2133.2006.07410.x.
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Enfermedades de la piel
- Enfermedades del sistema inmunológico
- Hipersensibilidad, Inmediata
- Enfermedades Genéticas Congénitas
- Enfermedades De La Piel Genéticas
- Hipersensibilidad
- Enfermedades De La Piel Eccematosas
- Dermatitis
- Eczema
- Dermatitis Atópica
- Agentes antiinfecciosos
- Agentes antiinflamatorios
- Agentes dermatológicos
- Agentes antibacterianos
- Hidrocortisona
- Hidrocortisona 17-butirato 21-propionato
- Acetato de hidrocortisona
- Hemisuccinato de hidrocortisona
- Retapamulina
- Hidrocortisona-17-butirato
Otros números de identificación del estudio
- SLR08-057-111672
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
Ensayos clínicos sobre Dermatitis atópica
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Hospices Civils de LyonReclutamientoDermatitis de contacto | Dermatitis de contacto Irritante | Dermatitis de Contacto AlérgicaFrancia
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Steven BakerTerminadoDermatitis de contacto de la manoEstados Unidos
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Primus PharmaceuticalsTerminadoDermatitis de contacto irritanteEstados Unidos
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HealthPartners InstituteTerminadoDermatitis de contacto irritanteEstados Unidos
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University of Split, School of MedicineReclutamientoDermatitis de contactoCroacia
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University of Split, School of MedicineReclutamientoDermatitis de contacto | Dermatitis de contacto IrritanteCroacia
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University of Split, School of MedicineTerminadoDiferencias regionales de la irritación cutánea y su efecto en la recuperación de la barrera cutáneaDermatitis de contacto irritanteCroacia
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University Ghent3MTerminadoÚlcera de presión | Erupción del pañal | Dermatitis asociada a la incontinencia | Dermatitis de contacto irritante por incontinenciaBélgica
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Herbarium Laboratorio Botanico LtdaTerminado
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Herlev and Gentofte HospitalGöteborg University; University of Copenhagen; Sahlgrenska University Hospital,...TerminadoDermatitis alérgica de contacto por cosméticosDinamarca, Suecia
Ensayos clínicos sobre Altabax (R)
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The University of Texas Health Science Center,...GlaxoSmithKlineTerminadoFoliculitis | Impétigo | Eccema de infección secundaria | Infecciones menores de tejidos blandosEstados Unidos
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University of California, IrvineAgency for Healthcare Research and Quality (AHRQ)TerminadoStaphylococcus aureus resistente a la meticilinaEstados Unidos
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Ochsner Health SystemGlaxoSmithKline; Tulane University School of MedicineRetiradoStaphylococcus aureus resistente a la meticilinaEstados Unidos
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Derm Research, PLLCGlaxoSmithKlineTerminadoDermatitis atópica | Infección SecundariaEstados Unidos
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Bay Pines VA Healthcare SystemRetiradoProcedimientos ortopédicos | Staphylococcus aureus resistente a la meticilinaEstados Unidos
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Klinikum NürnbergDesconocidoSíndrome del seno enfermoAlemania
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University of California, Los AngelesNational Institute of Allergy and Infectious Diseases (NIAID)TerminadoInfecciones del Tracto Respiratorio | Influenza | VacunasEstados Unidos
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LifeScanTerminado
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Daping Hospital and the Research Institute of Surgery...Aún no reclutando
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Johns Hopkins UniversityNational Institute of Allergy and Infectious Diseases (NIAID)Aún no reclutando