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Treatment of Atopic Dermatitis With Different Orders of Application of Locoid Lotion and Hylatopic Plus Cream

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Locoid Lipocream
Hylatopic Plus
Sponsored by
Icahn School of Medicine at Mount Sinai
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis focused on measuring Atopic Dermatitis, AD

Eligibility Criteria

3 Months - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • subjects of at least 3 months of age.
  • clinical diagnosis of stable mild to moderate AD using the Hanifin and Rajka criteria for diagnosing AD
  • AD lesions of similar size and severity of bilateral anatomic location
  • a SPGA score of 2 or 3 and at least 10% BSA involvement at baseline
  • in good health, without evidence of disease process(es) that would present patient safety concerns or confounding factors for assessment of study objectives
  • able and willing to understand and sign an informed consent (or if applicable parent or legal guardian sign an informed consent),
  • able and willing to agree to requirements and restrictions of the study
  • Subjects who are willing to discontinue all systemic corticosteroids, immunomodulators, ultra violet light therapy or other medication (investigational or otherwise) that may have an effect on atopic dermatitis disease progression for 30 days prior to the baseline measurement.
  • Subjects on a stable maintenance therapy (at least 30 days of use prior to baseline) of antihistamines and/or nasal spray containing corticosteroids for the treatment of bronchial asthma or allergic rhinitis, and antibiotics for the treatment of acne will be allowed.
  • Subjects who are willing to discontinue use of topical treatments for AD including, but not limited to, corticosteroids, immunomodulators, vitamin D treatments, retinoids, topical antihistamines for at least 14 days prior to baseline
  • Subjects who are willing to discontinue use of oral antibiotic therapy for at least 7 days prior to baseline, unless prescribed for acne treatment as previously described
  • Subjects with no known allergy to any of the study product ingredients
  • Women of childbearing potential must be willing to use a form of birth control during the study. For the purpose of this study, the following are considered acceptable methods of birth control: oral contraceptives, Norplant, Depo-Provera, double barrier methods (e.g., condom and spermicide) and abstinence.

Exclusion Criteria:

  • immunocompromised patients, or subjects with extensive disease that could not reasonably be controlled with topical therapy
  • history or evidence of other conditions that would interfere with the evaluation of the study medication
  • subjects desiring excessive or prolonged exposure to UV light (e.g. sunlight/tanning beds) during the study
  • Use of topical medications for AD or any other medical condition.
  • Subjects currently involved in another clinical research study.
  • Subjects, who are pregnant, breast feeding or planning a pregnancy.
  • Subjects with clinically significant unstable medical or mental disorders.
  • Subjects who are unwilling or unable to comply with the requirements of the protocol.

Sites / Locations

  • Icahn School of Medicine at Mount Sinai

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Right side

Left first

Arm Description

Patients were randomized to apply Locoid Lipocream on the right side of the target lesion followed by Hylatopic Plus lotion on the left side of the target lesion with the reverse order on the other side.

Patients were randomized to apply Locoid Lipocream on the left side of the target lesion followed by Hylatopic Plus lotion on the right side of the target lesion with the reverse order on the other side.

Outcomes

Primary Outcome Measures

Change from Baseline Treatment Success at Day 29
Treatment Success defined as Clear or Almost Clear (0 or 1) on the 5 point static physician global assessment of psoriasis (SPGA) scale at day 29, evaluating non-inferiority of one group compared to the other using the lower limit of the confidence interval for the difference in success proportions, as compared to baseline.

Secondary Outcome Measures

Change from Baseline SPGA scale at Day 29
2 point reduction of SPGA at day 29 as compared to baseline. The sPGA is a physician's global assessment of the participant's psoriasis based on severity of induration, scaling, and erythema. The sPGA of psoriasis comprises a 6-point scale ranging from 0 (clear) to 5 with increasing severity.
Change from Baseline Pruritus at Day 29
Change from baseline pruritus at day 29

Full Information

First Posted
May 27, 2014
Last Updated
April 11, 2017
Sponsor
Icahn School of Medicine at Mount Sinai
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1. Study Identification

Unique Protocol Identification Number
NCT02153762
Brief Title
Treatment of Atopic Dermatitis With Different Orders of Application of Locoid Lotion and Hylatopic Plus Cream
Official Title
Assessment of Application Order When Utilizing Locoid Lotion and Hylatopic Plus Cream in the Treatment of Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
April 2013 (undefined)
Primary Completion Date
January 2014 (Actual)
Study Completion Date
January 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Icahn School of Medicine at Mount Sinai

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and tolerability, as well as effectiveness, with regards to the order of application for Locoid Lipocream and Hylatopic Plus cream in patients with atopic dermatitis (AD), which is a type of skin rash.Topical skin barrier repair therapies (BRT) that are plain moisturizing creams/lotions with added lipids (fats/oils), such as Hylatopic Plus cream, have emerged as an effective addition to the the treatment of atopic dermatitis. BRTs are often used along with topical steroids (medicated creams), such as Locoid lotion, on skin with AD, and as a monotherapy (single treatment) on both non-diseased and diseased skin. Since BRTs help to restore components of skin that are absent in skin with AD, it is believed that long-term BRT use may reduce further development of further AD. This is an open-label, single site study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
Atopic Dermatitis, AD

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
41 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Right side
Arm Type
Experimental
Arm Description
Patients were randomized to apply Locoid Lipocream on the right side of the target lesion followed by Hylatopic Plus lotion on the left side of the target lesion with the reverse order on the other side.
Arm Title
Left first
Arm Type
Active Comparator
Arm Description
Patients were randomized to apply Locoid Lipocream on the left side of the target lesion followed by Hylatopic Plus lotion on the right side of the target lesion with the reverse order on the other side.
Intervention Type
Drug
Intervention Name(s)
Locoid Lipocream
Other Intervention Name(s)
Topical skin barrier repair therapies (BRT)
Intervention Description
Patients were randomized to apply Locoid Lipocream followed by Hylatopic Plus lotion on either the right or left side target lesion with the reverse order on the other side.
Intervention Type
Drug
Intervention Name(s)
Hylatopic Plus
Other Intervention Name(s)
Topical skin barrier repair therapies (BRT)
Intervention Description
Patients were randomized to apply Locoid Lipocream followed by Hylatopic Plus lotion on either the right or left side target lesion with the reverse order on the other side.
Primary Outcome Measure Information:
Title
Change from Baseline Treatment Success at Day 29
Description
Treatment Success defined as Clear or Almost Clear (0 or 1) on the 5 point static physician global assessment of psoriasis (SPGA) scale at day 29, evaluating non-inferiority of one group compared to the other using the lower limit of the confidence interval for the difference in success proportions, as compared to baseline.
Time Frame
baseline and Day 29
Secondary Outcome Measure Information:
Title
Change from Baseline SPGA scale at Day 29
Description
2 point reduction of SPGA at day 29 as compared to baseline. The sPGA is a physician's global assessment of the participant's psoriasis based on severity of induration, scaling, and erythema. The sPGA of psoriasis comprises a 6-point scale ranging from 0 (clear) to 5 with increasing severity.
Time Frame
baseline and Day 29
Title
Change from Baseline Pruritus at Day 29
Description
Change from baseline pruritus at day 29
Time Frame
baseline and Day 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: subjects of at least 3 months of age. clinical diagnosis of stable mild to moderate AD using the Hanifin and Rajka criteria for diagnosing AD AD lesions of similar size and severity of bilateral anatomic location a SPGA score of 2 or 3 and at least 10% BSA involvement at baseline in good health, without evidence of disease process(es) that would present patient safety concerns or confounding factors for assessment of study objectives able and willing to understand and sign an informed consent (or if applicable parent or legal guardian sign an informed consent), able and willing to agree to requirements and restrictions of the study Subjects who are willing to discontinue all systemic corticosteroids, immunomodulators, ultra violet light therapy or other medication (investigational or otherwise) that may have an effect on atopic dermatitis disease progression for 30 days prior to the baseline measurement. Subjects on a stable maintenance therapy (at least 30 days of use prior to baseline) of antihistamines and/or nasal spray containing corticosteroids for the treatment of bronchial asthma or allergic rhinitis, and antibiotics for the treatment of acne will be allowed. Subjects who are willing to discontinue use of topical treatments for AD including, but not limited to, corticosteroids, immunomodulators, vitamin D treatments, retinoids, topical antihistamines for at least 14 days prior to baseline Subjects who are willing to discontinue use of oral antibiotic therapy for at least 7 days prior to baseline, unless prescribed for acne treatment as previously described Subjects with no known allergy to any of the study product ingredients Women of childbearing potential must be willing to use a form of birth control during the study. For the purpose of this study, the following are considered acceptable methods of birth control: oral contraceptives, Norplant, Depo-Provera, double barrier methods (e.g., condom and spermicide) and abstinence. Exclusion Criteria: immunocompromised patients, or subjects with extensive disease that could not reasonably be controlled with topical therapy history or evidence of other conditions that would interfere with the evaluation of the study medication subjects desiring excessive or prolonged exposure to UV light (e.g. sunlight/tanning beds) during the study Use of topical medications for AD or any other medical condition. Subjects currently involved in another clinical research study. Subjects, who are pregnant, breast feeding or planning a pregnancy. Subjects with clinically significant unstable medical or mental disorders. Subjects who are unwilling or unable to comply with the requirements of the protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joshua Zeichner, MD
Organizational Affiliation
Icahn School of Medicine at Mount Sinai
Official's Role
Principal Investigator
Facility Information:
Facility Name
Icahn School of Medicine at Mount Sinai
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States

12. IPD Sharing Statement

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Treatment of Atopic Dermatitis With Different Orders of Application of Locoid Lotion and Hylatopic Plus Cream

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