Beginning Assessment of Cutaneous Treatment Efficacy of Roseomonas in Atopic Dermatitis
- Conditions
- Atopic Dermatitis
- Interventions
- Biological: Roseomonas mucosa
- Registration Number
- NCT03018275
- Brief Summary
Background:
Atopic dermatitis (AD) is a skin disease also called eczema. It is common in children and sometimes gets better on its own. However, chronic AD may cause asthma, food allergies, eye infections, and sleep problems. The cause of AD might be related to bacteria that live on the skin. Researchers want to see if introducing bacteria, R mucosa, from healthy skin onto the skin of someone with AD helps treat the disease.
Objective:
To test the safety and activity of R mucosa for treating AD.
Eligibility:
Part 1: People ages 18 and older with AD
Part 2: Children ages 3-17 with AD
Design:
Participants will be screened with:
Medical history
Physical exam
Examination of their AD
Blood and urine tests
At the baseline visit, participants will have blood tests and photos taken of their skin. They will get a supply of R mucosa and a memory aid to track their doses and record how they are feeling. Part 2 participants guardians will complete questionnaires about their child s AD.
Part 1 participants will spray R mucosa on their arm twice per week for 6 weeks.
Part 2 guardians will spray it on their child s arm twice per week for 16 weeks.
Participants will have follow-up visits to repeat some baseline tests and review their memory aid:
Part 1: Six weeks after the baseline visit
Part 2: Four times over 16 weeks; then 2 or 3 times for 1 year
Participants will be called or emailed to discuss how they are feeling:
Part 1: About 30 days after their last visit
Part 2: About every 10 days between visits
- Detailed Description
The underlying pathology of atopic dermatitis (AD) consists of defective skin barrier function, susceptibility to Staphylococcus aureus skin infection, and immune imbalance. There is currently no cure for AD. Preclinical data in a mouse model of AD suggest that commensal Gram-negative bacteria (CGN), such as Roseomonas mucosa, from a healthy source can relieve symptoms of AD and have antimicrobial effects. In this study, we will first evaluate the safety of R mucosa-based biotherapy in adults with AD (age 18+ years; part 1), and then evaluate the safety and activity of R mucosa-based biotherapy in children (ages 3-17 years) with AD (parts 2A and 2B). In part 1, participants will receive twice-weekly doses of CGN biotherapy for 6 weeks, with dose escalations at 2 and 4 weeks. In part 2, participants will receive twice-weekly doses of CGN biotherapy for 4 months, with possible dose escalations at 4 and 8 weeks (part 2A only). Starting at 12 weeks for both parts 2A and 2B, dosing frequency may be increased to every other day. Participants in part 1 will be contacted 30 10 days after end of treatment for assessment of safety. Participants in parts 2A and 2B will also be followed for up to 1 year after the end of treatment for evaluation of long-term activity and safety. This will be the first study to test cutaneous live biotherapeutic products for AD. We hypothesize that altering the strains of CGN on the skin of people with AD will improve the patient s clinical outcome. We do not expect serious toxicities because R mucosa is rarely pathogenic; reported cases of bacteremia have typically been associated with percutaneous catheters in immunocompromised patients, who are excluded from this study.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 31
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description 1 Roseomonas mucosa Vials of lyophilized R mucosa (10"3, 10"4, or 10"5 CFU)
- Primary Outcome Measures
Name Time Method A 50% reduction in antecubital-specific SCORing Atopic Dermatitis (SCORAD) with no adverse events related to product use. Frequency of solicited adverse events, unsolicited adverse events, serious adverse events, and death. 4 weeks, 8 weeks, 12 weeks, 16 weeks, 8 months, 12 months, and 16 months
- Secondary Outcome Measures
Name Time Method A 30% improvement in the quality of life as measured by the validated Family Dermatology Life Quality Index (FDLQI) 4 weeks, 8 weeks, 12 weeks, 16 weeks, 8 months, 12 months, and 16 months A 30% improvement in the quality of life as measured by the validated Children's Dermatology Life Quality Index (CDLQI) 4 weeks, 8 weeks, 12 weeks, 16 weeks, 8 months, 12 months, and 16 months
Trial Locations
- Locations (1)
National Institutes of Health Clinical Center
🇺🇸Bethesda, Maryland, United States