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Assessment of Efficacy of the Consumption of a Heat-treated Lactobacillus Paracasei (GM080) on Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Not Applicable
Locations
Taiwan
Study Type
Interventional
Intervention
GM080
Maltodextrin
Sponsored by
Société des Produits Nestlé (SPN)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis focused on measuring All subjects of any ethnicity aged from 4 to 30 months with atopic dermatitis skin symptoms with a SCORAD equal or above 20

Eligibility Criteria

4 Months - 30 Months (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Infants aged from 4-30 months (inclusive) at the time of enrolment (63 in each group).
  • With mild to severe atopic symptoms: SCORAD ≥ 20 (at V0b).
  • Having obtained his/her (or his/her legal representative's) written Informed Consent.

Exclusion Criteria:

  • SCORAD inferior to 20 (SCORAD less than 20 at V0b). A SCORAD less than 20 at V0c is not an exclusion criteria.
  • Infants who need a systemic treatment for their skin condition (e.g. glucocorticoids, steroids, cyclosporine A).
  • Infants or mothers who introduce probiotics (other than the study product) in their diet during the 16-weeks intervention study. Of note: Infants or mothers who are used to consume a certain probiotic for more than 1 month before the start of the study (V0b), can continue to use this probiotic during the intervention period and will not be excluded. Recent introduction of probiotics, within a month before the planned start of the study (V0b) should be stopped and recorded; at least 1 month should be between stopping the consumption of the probiotic and V0b).
  • Infants having other inflammatory skin diseases (urticaria, psoriasis).
  • Infants having a congenital illness or malformation that may affect normal growth (especially immunodeficiency).
  • Infants whose parents/caregivers cannot be expected to comply with the study procedures.
  • Infants currently participating or having participated in another clinical study during the last 4 weeks prior to the beginning of this study.
  • Infants using topical calcineurin inhibitors (e.g. tacrolimus and pimecrolimus (ELIDEL®)) during the study.
  • Infants who have undergone in the month before the start of the study (V0b), are currently undergoing or are anticipated to undergo ultraviolet light therapy or wet dressing or any other topical treatment of their eczema other than the one provided in the study. Lotion and skin moisturizer are allowed but need to be monitored for frequency and area.
  • The investigator and clinician will assess if the child has to be excluded based on the patient's medical condition and taken into account the values of the safety parameters tested. Therefore, no cut-off values, or normal ranges for the different safety parameters are exclusion criteria. It will be the responsibility of the investigator and clinician, based on their medical judgement, to decide if it is safe or not to include an infant into the study.

Sites / Locations

  • Kaohsiung Municipal TA-TUNG Hospital
  • Kaohsiung Municipal Hsiao-Kang Hospital
  • Taipei Chang Gung Memorial Hospital of the Chang-Gung Medical foundation
  • Chung Shan Medical University Hospital
  • Linkou Chang Gung Memorial Hospital
  • Cardinal Tien Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Active Comparator

Arm Label

Maltodextrin

GM080

Arm Description

Maltodextrin

GM080

Outcomes

Primary Outcome Measures

Change from Baseline SCORAD Score at 16 weeks of treatment
SCORAD documented during the longitudinal observational period of 16 weeks after the subject has enrolled

Secondary Outcome Measures

Score A, B and C of the SCORAD
Score A, B and C of the SCORAD The scores A, B and C of the SCORAD as well as the subcategories of the scores B and C will be analyzed separately (measured at V0c, V1, V2 and V3)
Number and duration of atopic dermatitis episodes
Number and duration of atopic dermatitis episodes The number of episodes of atopic dermatitis and the total number of days with symptoms during the 16 weeks intervention period
Transepidermal water loss
TEWL will be measured at V0, V1, V2 and V3 on 4 sites of both non-lesional and lesional appearing skin parts
Topical treatment used
Topical treatment used (sparing effect) The corticoid sparing effect of the ingredient will be assessed in the placebo and the ingredient group.
total and specific IgE
total and specific IgE
Quality of Life
The infants' dermatitis quality of life index (IDQOL) will be collected
assess the effect of the product on the safety parameters
Biochemistry and Hematology parameters
"Objective" SCORAD, which is composed of part A and B of the SCORAD (measured at V0, V1, V2 and V3)

Full Information

First Posted
March 26, 2014
Last Updated
January 25, 2018
Sponsor
Société des Produits Nestlé (SPN)
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1. Study Identification

Unique Protocol Identification Number
NCT02103972
Brief Title
Assessment of Efficacy of the Consumption of a Heat-treated Lactobacillus Paracasei (GM080) on Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
July 2014 (undefined)
Primary Completion Date
July 2017 (Actual)
Study Completion Date
November 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Société des Produits Nestlé (SPN)

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this trial is to assess the efficacy of the consumption of heat-treated Lactobacillus paracasei (GM080) on atopic dermatitis as compared to a placebo treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
All subjects of any ethnicity aged from 4 to 30 months with atopic dermatitis skin symptoms with a SCORAD equal or above 20

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
126 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Maltodextrin
Arm Type
Placebo Comparator
Arm Description
Maltodextrin
Arm Title
GM080
Arm Type
Active Comparator
Arm Description
GM080
Intervention Type
Dietary Supplement
Intervention Name(s)
GM080
Intervention Type
Dietary Supplement
Intervention Name(s)
Maltodextrin
Primary Outcome Measure Information:
Title
Change from Baseline SCORAD Score at 16 weeks of treatment
Description
SCORAD documented during the longitudinal observational period of 16 weeks after the subject has enrolled
Time Frame
between 0 and 16 weeks of treatment
Secondary Outcome Measure Information:
Title
Score A, B and C of the SCORAD
Description
Score A, B and C of the SCORAD The scores A, B and C of the SCORAD as well as the subcategories of the scores B and C will be analyzed separately (measured at V0c, V1, V2 and V3)
Time Frame
0, 4, 10 and 16 weeks of treatment
Title
Number and duration of atopic dermatitis episodes
Description
Number and duration of atopic dermatitis episodes The number of episodes of atopic dermatitis and the total number of days with symptoms during the 16 weeks intervention period
Time Frame
during the 16 weeks intervention period
Title
Transepidermal water loss
Description
TEWL will be measured at V0, V1, V2 and V3 on 4 sites of both non-lesional and lesional appearing skin parts
Time Frame
0, 4, 10 and 16 weeks
Title
Topical treatment used
Description
Topical treatment used (sparing effect) The corticoid sparing effect of the ingredient will be assessed in the placebo and the ingredient group.
Time Frame
during the 16 weeks of treatment
Title
total and specific IgE
Description
total and specific IgE
Time Frame
0 and 16 weeks
Title
Quality of Life
Description
The infants' dermatitis quality of life index (IDQOL) will be collected
Time Frame
0, 4, 10, 16 weeks and 1 and 4 years later
Title
assess the effect of the product on the safety parameters
Description
Biochemistry and Hematology parameters
Time Frame
0 and 16 weeks
Title
"Objective" SCORAD, which is composed of part A and B of the SCORAD (measured at V0, V1, V2 and V3)
Time Frame
0, 4, 10 and 16 weeks
Other Pre-specified Outcome Measures:
Title
Diaper rash episodes and duration will be recorded by the parents/caregivers
Description
Diaper rash episodes and duration will be recorded by the parents/caregivers
Time Frame
duting the 16 weeks of treatment
Title
Perception/impression of the ingredient by the caregiver
Description
At the end of the 16 weeks intervention trial, the perception of the caregivers toward the ingredient they were randomized to, will be assessed
Time Frame
at 16 weeks
Title
Assessment of allergic history and skin disease
Time Frame
1 and 4 years later
Title
Cytokine quantification
Description
Cytokine quantification (multiplex) will be assessed in plasma of the patients
Time Frame
0 and 16 weeks of treatment
Title
Genetic characterization of atopic dermatitis associated polymorphism
Description
Five major mutations in the FLG gene, one polymorphism in SPINK5 and one insertion in KLK7 gene will be analyzed in blood DNA
Time Frame
0 week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
4 Months
Maximum Age & Unit of Time
30 Months
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Infants aged from 4-30 months (inclusive) at the time of enrolment (63 in each group). With mild to severe atopic symptoms: SCORAD ≥ 20 (at V0b). Having obtained his/her (or his/her legal representative's) written Informed Consent. Exclusion Criteria: SCORAD inferior to 20 (SCORAD less than 20 at V0b). A SCORAD less than 20 at V0c is not an exclusion criteria. Infants who need a systemic treatment for their skin condition (e.g. glucocorticoids, steroids, cyclosporine A). Infants or mothers who introduce probiotics (other than the study product) in their diet during the 16-weeks intervention study. Of note: Infants or mothers who are used to consume a certain probiotic for more than 1 month before the start of the study (V0b), can continue to use this probiotic during the intervention period and will not be excluded. Recent introduction of probiotics, within a month before the planned start of the study (V0b) should be stopped and recorded; at least 1 month should be between stopping the consumption of the probiotic and V0b). Infants having other inflammatory skin diseases (urticaria, psoriasis). Infants having a congenital illness or malformation that may affect normal growth (especially immunodeficiency). Infants whose parents/caregivers cannot be expected to comply with the study procedures. Infants currently participating or having participated in another clinical study during the last 4 weeks prior to the beginning of this study. Infants using topical calcineurin inhibitors (e.g. tacrolimus and pimecrolimus (ELIDEL®)) during the study. Infants who have undergone in the month before the start of the study (V0b), are currently undergoing or are anticipated to undergo ultraviolet light therapy or wet dressing or any other topical treatment of their eczema other than the one provided in the study. Lotion and skin moisturizer are allowed but need to be monitored for frequency and area. The investigator and clinician will assess if the child has to be excluded based on the patient's medical condition and taken into account the values of the safety parameters tested. Therefore, no cut-off values, or normal ranges for the different safety parameters are exclusion criteria. It will be the responsibility of the investigator and clinician, based on their medical judgement, to decide if it is safe or not to include an infant into the study.
Facility Information:
Facility Name
Kaohsiung Municipal TA-TUNG Hospital
City
Kaohsiung City
State/Province
Qianjin District
ZIP/Postal Code
801
Country
Taiwan
Facility Name
Kaohsiung Municipal Hsiao-Kang Hospital
City
Kaohsiung City
State/Province
Siaogang District
ZIP/Postal Code
812
Country
Taiwan
Facility Name
Taipei Chang Gung Memorial Hospital of the Chang-Gung Medical foundation
City
Taipei City
State/Province
Songshan District
ZIP/Postal Code
105
Country
Taiwan
Facility Name
Chung Shan Medical University Hospital
City
Taichung City
State/Province
South District
ZIP/Postal Code
402
Country
Taiwan
Facility Name
Linkou Chang Gung Memorial Hospital
City
Gueishan Township
State/Province
Taoyuan County
ZIP/Postal Code
333
Country
Taiwan
Facility Name
Cardinal Tien Hospital
City
New Taipei City
State/Province
Xindian District
ZIP/Postal Code
231
Country
Taiwan

12. IPD Sharing Statement

Learn more about this trial

Assessment of Efficacy of the Consumption of a Heat-treated Lactobacillus Paracasei (GM080) on Atopic Dermatitis

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