Intervention Study to Evaluate a Probiotic in Mild Atopic Dermatitis Young Patients
Primary Purpose
Dermatitis, Atopic
Status
Completed
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
Probiotic
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Dermatitis, Atopic
Eligibility Criteria
Inclusion Criteria:
- patients that are 4 to 17 years of age.
- Patients diagnosed of atopic dermatitis according to Hanifin and Rajka diagnostic criteria for atopic dermatitis.
- Patients with a SCORAD score ranging from 20 to 40.
- Patients that are actually using, or in which the use of topic corticosteroids to treat the atopic dermatitis flare-ups.
- Patients whose parents or legal representative have signed the informed consent. If the patient is 12 year old or older, the patient has to sign a consent to enter the trial.
Exclusion Criteria:
- Pregnancy.
- Breastfeeding.
- Women of childbearing age that do not make a commitment to use any effective contraceptive method.
- Phototherapy treatments to atopic dermatitis
- Systemic corticoid therapy in the last two months.
- Immunosuppressive or cytostatic treatment in the last two months.
- Probiotic treatment in the last two months.
- Systemic antibiotic in the last four months.
- Fever (axillary temperature > 37ºC or equivalent)
- Severe allergic diseases-
- Immunodeficiency or cancer related processes.
- Other dermatological pathologies that could difficult the atopic dermatitis evaluation, or that require the continued use of topic corticosteroids.
- Any contraindication to any product or drug used during the trial, according to their technical files.
- Participation in any drug clinical trial in the last 3 months.
Sites / Locations
- Centro Dermatologico Estetico de Alicante
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
Probiotic
Placebo
Arm Description
daily intake of 1 capsule containing probiotic.
daily intake of 1 capsule containing placebo
Outcomes
Primary Outcome Measures
Time of use of topic corticosteroids
Duration of treatment with topic corticosteroids
Variation in SCORAD score during treatment
Secondary Outcome Measures
Variation in the Global Clinical Impression (CGI) score during treatment
Exposure to other treatments
Duration of treatment with systemic corticosteroids or antihistamine drugs
side effects due to treatment in two arms of treatment
Number of side effects due to probiotic and due to placebo
Full Information
NCT ID
NCT02585986
First Posted
October 13, 2015
Last Updated
September 11, 2016
Sponsor
Biopolis S.L.
Collaborators
Korott, S.L.
1. Study Identification
Unique Protocol Identification Number
NCT02585986
Brief Title
Intervention Study to Evaluate a Probiotic in Mild Atopic Dermatitis Young Patients
Official Title
Randomized, Double Blind, Placebo-controlled Intervention Study to Evaluate Safety and Efficiency of a Probiotic in Symptoms Reduction and Use of Topic Corticoids in Mild Atopic Dermatitis Patients Aged 4 to 17 Years
Study Type
Interventional
2. Study Status
Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
January 2016 (undefined)
Primary Completion Date
July 2016 (Actual)
Study Completion Date
August 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biopolis S.L.
Collaborators
Korott, S.L.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The aim of the study is to evaluate the beneficial effect of a probiotic preparation with an antiinflammatory and modulating activity on immunological processes, with positive results on different inflammatory and atopic conditions.
Detailed Description
In this study the investigators evaluate the safety and efficacy of a probiotic formulation in the reduction of symptoms and use of topic and systemic corticosteroids and antihistamines in the treatment of mild atopic dermatitis according to Hanifin and Rajka diagnostic criteria for atopic dermatitis, with a SCORAD (Scoring Atopic Dermatitis) index of 20 to 40, in patients 4 to 18 years old, that require the use of said drugs due to disease flare-ups, and to whom the usage of topic corticoids to control said flare-ups is indicated.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dermatitis, Atopic
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
51 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Probiotic
Arm Type
Active Comparator
Arm Description
daily intake of 1 capsule containing probiotic.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
daily intake of 1 capsule containing placebo
Intervention Type
Dietary Supplement
Intervention Name(s)
Probiotic
Other Intervention Name(s)
Active formulation
Intervention Description
daily intake of 1 capsule probiotic
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
daily intake of 1 capsule containing placebo
Primary Outcome Measure Information:
Title
Time of use of topic corticosteroids
Description
Duration of treatment with topic corticosteroids
Time Frame
twelve weeks
Title
Variation in SCORAD score during treatment
Time Frame
twelve weeks
Secondary Outcome Measure Information:
Title
Variation in the Global Clinical Impression (CGI) score during treatment
Time Frame
twelve weeks
Title
Exposure to other treatments
Description
Duration of treatment with systemic corticosteroids or antihistamine drugs
Time Frame
twelve weeks
Title
side effects due to treatment in two arms of treatment
Description
Number of side effects due to probiotic and due to placebo
Time Frame
twelve weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
4 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
patients that are 4 to 17 years of age.
Patients diagnosed of atopic dermatitis according to Hanifin and Rajka diagnostic criteria for atopic dermatitis.
Patients with a SCORAD score ranging from 20 to 40.
Patients that are actually using, or in which the use of topic corticosteroids to treat the atopic dermatitis flare-ups.
Patients whose parents or legal representative have signed the informed consent. If the patient is 12 year old or older, the patient has to sign a consent to enter the trial.
Exclusion Criteria:
Pregnancy.
Breastfeeding.
Women of childbearing age that do not make a commitment to use any effective contraceptive method.
Phototherapy treatments to atopic dermatitis
Systemic corticoid therapy in the last two months.
Immunosuppressive or cytostatic treatment in the last two months.
Probiotic treatment in the last two months.
Systemic antibiotic in the last four months.
Fever (axillary temperature > 37ºC or equivalent)
Severe allergic diseases-
Immunodeficiency or cancer related processes.
Other dermatological pathologies that could difficult the atopic dermatitis evaluation, or that require the continued use of topic corticosteroids.
Any contraindication to any product or drug used during the trial, according to their technical files.
Participation in any drug clinical trial in the last 3 months.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Vicente Navarro-López, MD
Organizational Affiliation
Universidad Católica San Antonio de Murcia
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ana A. Ramirez-Boscá, MD
Organizational Affiliation
Universidad Católica San Antonio de Murcia
Official's Role
Principal Investigator
Facility Information:
Facility Name
Centro Dermatologico Estetico de Alicante
City
Alicante
ZIP/Postal Code
03014
Country
Spain
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Citations:
PubMed Identifier
12694268
Citation
Ellis C, Luger T, Abeck D, Allen R, Graham-Brown RA, De Prost Y, Eichenfield LF, Ferrandiz C, Giannetti A, Hanifin J, Koo JY, Leung D, Lynde C, Ring J, Ruiz-Maldonado R, Saurat JH; ICCAD II Faculty. International Consensus Conference on Atopic Dermatitis II (ICCAD II): clinical update and current treatment strategies. Br J Dermatol. 2003 May;148 Suppl 63:3-10. doi: 10.1046/j.1365-2133.148.s63.1.x. No abstract available.
Results Reference
background
PubMed Identifier
12531593
Citation
Leung DY, Bieber T. Atopic dermatitis. Lancet. 2003 Jan 11;361(9352):151-60. doi: 10.1016/S0140-6736(03)12193-9.
Results Reference
background
PubMed Identifier
18385500
Citation
Bieber T. Atopic dermatitis. N Engl J Med. 2008 Apr 3;358(14):1483-94. doi: 10.1056/NEJMra074081. No abstract available.
Results Reference
background
PubMed Identifier
12706328
Citation
Levy RM, Gelfand JM, Yan AC. The epidemiology of atopic dermatitis. Clin Dermatol. 2003 Mar-Apr;21(2):109-15. doi: 10.1016/s0738-081x(02)00360-7. No abstract available.
Results Reference
background
PubMed Identifier
9068310
Citation
Su JC, Kemp AS, Varigos GA, Nolan TM. Atopic eczema: its impact on the family and financial cost. Arch Dis Child. 1997 Feb;76(2):159-62. doi: 10.1136/adc.76.2.159.
Results Reference
background
PubMed Identifier
15965431
Citation
Simpson EL, Hanifin JM. Atopic dermatitis. J Am Acad Dermatol. 2005 Jul;53(1):115-28. doi: 10.1016/j.jaad.2005.01.130. No abstract available.
Results Reference
background
PubMed Identifier
16455350
Citation
Boguniewicz M, Leung DY. 10. Atopic dermatitis. J Allergy Clin Immunol. 2006 Feb;117(2 Suppl Mini-Primer):S475-80. doi: 10.1016/j.jaci.2005.10.018.
Results Reference
background
Citation
Ridao M. Dermatitis atópica: clínica, diagnóstico diferencial y tratamiento. Pediatr Integral 2004:8:204-10.
Results Reference
background
Citation
Hanifin JM, Rajka G. Diagnosis features of atopic dermatitis. Acta Derm Venereol 1980;92:44-7.
Results Reference
background
PubMed Identifier
8435513
Citation
Severity scoring of atopic dermatitis: the SCORAD index. Consensus Report of the European Task Force on Atopic Dermatitis. Dermatology. 1993;186(1):23-31. doi: 10.1159/000247298.
Results Reference
background
PubMed Identifier
9298180
Citation
Sprikkelman AB, Tupker RA, Burgerhof H, Schouten JP, Brand PL, Heymans HS, van Aalderen WM. Severity scoring of atopic dermatitis: a comparison of three scoring systems. Allergy. 1997 Sep;52(9):944-9. doi: 10.1111/j.1398-9995.1997.tb01255.x.
Results Reference
background
PubMed Identifier
10871941
Citation
Charman C, Williams H. Outcome measures of disease severity in atopic eczema. Arch Dermatol. 2000 Jun;136(6):763-9. doi: 10.1001/archderm.136.6.763.
Results Reference
background
PubMed Identifier
15575941
Citation
Pucci N, Novembre E, Cammarata MG, Bernardini R, Monaco MG, Calogero C, Vierucci A. Scoring atopic dermatitis in infants and young children: distinctive features of the SCORAD index. Allergy. 2005 Jan;60(1):113-6. doi: 10.1111/j.1398-9995.2004.00622.x.
Results Reference
background
PubMed Identifier
16880586
Citation
Bhor U, Pande S. Scoring systems in dermatology. Indian J Dermatol Venereol Leprol. 2006 Jul-Aug;72(4):315-21. doi: 10.4103/0378-6323.26722. No abstract available.
Results Reference
background
Citation
National Institute for health and clinical excellence. Atopic eczema in children. Management of atopic eczema in children from birth up to the age of 12 years. NICE clinical guideline 57. Dec 2007.
Results Reference
background
PubMed Identifier
16815136
Citation
Boguniewicz M, Schmid-Grendelmeier P, Leung DY. Atopic dermatitis. J Allergy Clin Immunol. 2006 Jul;118(1):40-3. doi: 10.1016/j.jaci.2006.04.044. Epub 2006 Jun 6. No abstract available.
Results Reference
background
PubMed Identifier
16689857
Citation
Schoepe S, Schacke H, May E, Asadullah K. Glucocorticoid therapy-induced skin atrophy. Exp Dermatol. 2006 Jun;15(6):406-20. doi: 10.1111/j.0906-6705.2006.00435.x.
Results Reference
background
PubMed Identifier
17136292
Citation
Castro AP. Calcineurin inhibitors in the treatment of allergic dermatitis. J Pediatr (Rio J). 2006 Nov;82(5 Suppl):S166-72. doi: 10.2223/JPED.1557.
Results Reference
background
PubMed Identifier
12399676
Citation
Meurer M, Folster-Holst R, Wozel G, Weidinger G, Junger M, Brautigam M; CASM-DE-01 study group. Pimecrolimus cream in the long-term management of atopic dermatitis in adults: a six-month study. Dermatology. 2002;205(3):271-7. doi: 10.1159/000065863.
Results Reference
background
PubMed Identifier
15178928
Citation
Meurer M, Fartasch M, Albrecht G, Vogt T, Worm M, Ruzicka T, Altmeyer PJ, Schneider D, Weidinger G, Braeutigam M; CASM-DE-01 Study Group. Long-term efficacy and safety of pimecrolimus cream 1% in adults with moderate atopic dermatitis. Dermatology. 2004;208(4):365-72. doi: 10.1159/000078462.
Results Reference
background
PubMed Identifier
18782118
Citation
de Benedictis FM, de Benedictis D, Canonica GW. New oral H1 antihistamines in children: facts and unmeet needs. Allergy. 2008 Oct;63(10):1395-404. doi: 10.1111/j.1398-9995.2008.01771.x.
Results Reference
background
PubMed Identifier
33921166
Citation
Climent E, Martinez-Blanch JF, Llobregat L, Ruzafa-Costas B, Carrion-Gutierrez MA, Ramirez-Bosca A, Prieto-Merino D, Genoves S, Codoner FM, Ramon D, Chenoll E, Navarro-Lopez V. Changes in Gut Microbiota Correlates with Response to Treatment with Probiotics in Patients with Atopic Dermatitis. A Post Hoc Analysis of a Clinical Trial. Microorganisms. 2021 Apr 15;9(4):854. doi: 10.3390/microorganisms9040854.
Results Reference
derived
PubMed Identifier
29117309
Citation
Navarro-Lopez V, Ramirez-Bosca A, Ramon-Vidal D, Ruzafa-Costas B, Genoves-Martinez S, Chenoll-Cuadros E, Carrion-Gutierrez M, Horga de la Parte J, Prieto-Merino D, Codoner-Cortes FM. Effect of Oral Administration of a Mixture of Probiotic Strains on SCORAD Index and Use of Topical Steroids in Young Patients With Moderate Atopic Dermatitis: A Randomized Clinical Trial. JAMA Dermatol. 2018 Jan 1;154(1):37-43. doi: 10.1001/jamadermatol.2017.3647.
Results Reference
derived
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Intervention Study to Evaluate a Probiotic in Mild Atopic Dermatitis Young Patients
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