Prospective, Randomized, Non-treatment-controlled, Investigator-blinded, Multicenter Study on the Prophylaxis of Early Childhood Symptoms of Atopic Dermatitis in High-risk Children by Continuous Application of a Moisturizing Barrier-stabilizing Skin Cream
试验速览
- 阶段
- 3 期
- 发起方
- 入组人数
- 360
- 试验地点
- 10
- 主要终点
- Cumulative incidence of children with atopic dermatitis at 6 months of age
研究概览
简要总结
In this study, it will be investigated if symptoms of atopic dermatitis of children with high familial risk will be delayed beyond the 6th or even 12th month of life by applying the SanaCutan Basiscreme.
详细描述
Enrolled healthy newborns with high risk for atopic dermatitis will be 1:1 randomised into treatment and control group. The treatment group receives the SanaCutan Basiscreme for twice daily skin application until the age of 6 months (main phase; half of them until the age of 12 months (main + follow-up phase)), whereas the control group should avoid skin care products. Guardians of both groups are requested to document all applied skin care products in a diary. In regular visits at the study sites, a blinded physician investigates the skin of the children. In case of an atopic dermatitis (= atopic dermatitis has to be diagnosed in at least two visits with an interval of at least four weeks), the severity will be examined (SCORAD) and the treatment with SanaCutan Basiscreme will be terminated. All children will be followed up until the age of 6 months (end of main phase). This is the time when a blood test will be conducted to determine sensitization against food and inhalant allergens and total IgE. If children do not develop an atopic dermatitis in the main phase, the study continues until they receive the diagnosis (up to a maximum of 12 months, end of follow-up phase).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- — 至 21 Days（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy newborns (male or female)
- •Age < 3 weeks (≤ 21st day of life)
- •High familial risk of atopic dermatitis in the form of at least one first-degree relative (parent or sibling) with a medically diagnosed atopic dermatitis in the medical history
- •Written consent of all guardians
排除标准
- •Acute or chronic diseases
- •Acute fever (> 38.5 °C)
- •Severe congenital malformations
- •Hydrops fetalis
- •Immunodeficiency (any kind)
- •Severe genetic skin diseases or skin conditions that make the use of skin creams unsuitable
- •Corticoid or calcineurin inhibitor use or Ciclosporin intake
- •Preterm birth (< 37 weeks)
- •Known hypersensitivity to one of the ingredients of the SanaCutan Basiscreme
- •Restricted legal capacity of the guardians
- •Inability of the guardians to understand the study instructions
- •Obvious unreliability or lack of cooperation of the guardians
- •Known alcohol, medicine or drug dependency of the guardians
- •Dependence of the child or guardians on the sponsor or the investigator
- •Previous participation in another clinical trial (since birth)
- •Previous participation in this study
研究组 & 干预措施
Treatment group
Children of the treatment group receive the cream "SanaCutan Basiscreme". The cream's main ingredients are white soft paraffin and liquid paraffin and it is already approved for the treatment of several skin diseases due to its skin care effect.
干预措施: SanaCutan Basiscreme (Drug)
结局指标
主要结局
Cumulative incidence of children with atopic dermatitis at 6 months of age
时间窗: 0-6 months of age
A confirmed atopic dermatitis is present if an atopic dermatitis is diagnosed in at least 2 examinations at intervals of at least 4 weeks (preliminary diagnosis + proof of chronification). The primary objective is achieved when the cumulative incidence of children with atopic dermatitis in the treatment group at 6 months of age is significantly lower than in the control group without predetermined treatment (p \< 0.05).
次要结局
- Cumulative incidence of children with atopic dermatitis at the age of 12 and 16 weeks and 9, 12 and 6-12 months(0-12 months of age)
- Cumulative incidence of children with preliminary diagnosis of atopic dermatitis (regardless of whether chronification is confirmed) at 12 and 16 weeks and 6, 9 and 12 months(0-12 months of age)
- Time to onset of atopic dermatitis at the age of 0-6, 6-12 and 0-12 months(0-12 months of age)
- Cumulative incidence and frequency of children with xerosis at the age of 6 and 12 months(0-12 months of age)
- Frequency of sensitization to food allergens (according to Fx5 test + hazelnut) and to inhalation allergens (according to Sx1 test) and total IgE at the age of 6, 9 and 12 months(0-12 months of age)
- Adverse events: overall frequency, type, severity, causality, with frequencies, separate presentation of local reactions up to the age of 6 and 12 months(0-12 months of age)
- Drop-outs (with reasons) up to the age of 6 and 12 months(0-12 months of age)
- Compliance regarding the use of the investigational medicinal product in the treatment group up to the age of 6, 12 and 6-12 months(0-12 months of age)
- Compliance regarding the use of other skin care products (not investigational medicinal product) in both groups up to the age of 6, 12 and 6-12 months(0-12 months of age)
- Cumulative incidence and frequency of children with signs of itching at 6 and 12 months of age(0-12 months of age)
- Cumulative incidence and frequency of children with other types of eczema at 6 and 12 months of age(0-12 months of age)
- Severity of atopic dermatitis at the time of detection of (confirmed) atopic dermatitis up to the age of 12 and 16 weeks and 6, 9 and 12 months(0-12 months of age)