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Exploratory Study on Lactibiane Topic AD on Skin Flora and Barrier Reinforcement in Mild to Moderate Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
Lactibiane Topic AD
Placebo
Sponsored by
PiLeJe
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Atopic Dermatitis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject diagnosed with mild to moderate AD defined as SCORAD≤40 (Eichenfield et al. JAAD 2014).
  • Subject with at least two symmetric AD lesions with comparable severity: Located either on upper extremities (left and right arms except hands) or lower extremities (left and right legs except feet), With an erythema ≥ 1 (mild to severe intensity), With a lesional area score ≥ 4 on both lesions with an authorized delta of two points between the two lesions, With a sufficient extent to allow all the investigations.
  • Subject with I, II, III or IV skin phototype (according to Fitzpatrick's scale).
  • For woman of childbearing potential (defined as all women physiologically capable of becoming pregnant): Negative urine pregnancy test at inclusion visit. Use of a highly effective method of birth control* during the study. * A highly effective method of birth control is defined as one which results in a low failure rate (less than 1%) when used consistently and correctly, such as implants, combined oral contraceptives, intrauterine device, double barrier methods (e.g. condom with spermicide), sexual abstinence or vasectomized partner.
  • Subject with health insurance coverage according to local regulation.
  • Subject having given his written informed consent.

Exclusion Criteria:

  • Subject having a known hypersensitivity, allergy or contraindication to any ingredients contained within the investigational product or placebo.
  • Subject having exposed his skin to natural or artificial UV within 8 weeks prior to the inclusion visit or intending to expose his skin during the study.
  • Subject having performed phototherapy within 8 weeks prior to the inclusion visit or intending to perform phototherapy during the study.
  • Subject having performed another physical treatment (e.g radiotherapy…) on the investigational areas within 6 months prior to the inclusion visit or intending to perform it during the study.
  • Subject treated with systemic non-steroidal anti-inflammatory drugs (≥3 days) within 1 week before the inclusion visit.
  • Subject treated with biological immunosuppressive drugs within 12 weeks prior to the inclusion visit or intending to be treated with it during the study.
  • Subject treated with non-biological immunosuppressive drugs within 4 weeks prior to the inclusion visit or intending to be treated with it during the study.
  • Subject treated with systemic corticoids within 1 week prior to the inclusion visit or planed during the study.
  • Subject treated with systemic antibiotics within 7 days prior to the inclusion visit or planed during the study.
  • Subject having applied topical immunomodulators, non-steroidal anti-inflammatory, corticoids or antihistamines on investigational limbs within 1 weeks prior to the inclusion visit.
  • Subject having applied topical antibiotics or disinfectants on investigational limbs within 2 weeks prior to the inclusion visit.
  • Subject having applied any other topical and/or care product after the last grooming prior to the inclusion visit.
  • Subject having applied water or care product (except hands cleaning) within 12 hours prior to the inclusion visit.
  • Subject having started, modified or stopped any other treatment/product within 4 weeks prior to the inclusion visit or intending to do so during the study that according to the investigator's judgment, could interfere with study results.
  • Subject having significant medical condition that according to the investigator's judgment, deems inappropriate for study participation (e.g present or past malignancy, present or past skin condition…).
  • Subject having significant dermatological condition or sign (e.g disease, scare, abundant hairiness, tanning mark…) that according to the investigator's judgment, could limit the observations or/and interfere with the interpretations.
  • Subject taking part or having participated in another clinical study within 2 weeks prior to the inclusion visit.
  • Subject under legal guardianship or incapacitation.
  • Subject linguistically or psychologically unable of signing informed consent form and unable to comply with the protocol requirements according to the investigator's judgment.

Sites / Locations

  • Unité de Recherche Clinique en Immunologie - Lyon Sud

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Lactibiane topic AD

Placebo

Arm Description

Cosmetical product Lactibiane Topic AD

Placebo made with the same base as the cosmetical product

Outcomes

Primary Outcome Measures

Change in skin flora composition
16S rRNA sequencing, qPCR
Change in skin flora composition
16S rRNA sequencing, qPCR

Secondary Outcome Measures

Skin barrier status
TransEpidermal Water Loss (TEWL)
Patient Oriented SCORing Atopic Dermatitis
Patient Oriented SCORing Atopic Dermatitis (POSCORAD): 0 - 103 (Higher values represent a worse outcome)
SCORing Atopic Dermatitis
SCORing Atopic Dermatitis (SCORAD) : 0 - 103 (Higher values represent a worse outcome)
Clinical severity of lesional areas
Scoring of lesional area by subject and investigator : 0-18 (Higher values represent a worse outcome)
Manifestation of adverse local reactions
Subjects will use a diary to document any potential adverse reactions observed after product application

Full Information

First Posted
January 14, 2021
Last Updated
January 28, 2021
Sponsor
PiLeJe
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1. Study Identification

Unique Protocol Identification Number
NCT04728269
Brief Title
Exploratory Study on Lactibiane Topic AD on Skin Flora and Barrier Reinforcement in Mild to Moderate Atopic Dermatitis
Official Title
Exploratory Study to Assess the Impact of a Cosmetic Product (Lactibiane Topic AD) on Skin Flora and Skin Reinforcement Barrier in Mild to Moderate Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Completed
Study Start Date
August 19, 2020 (Actual)
Primary Completion Date
December 9, 2020 (Actual)
Study Completion Date
December 9, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PiLeJe

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
This exploratory study aims to evaluate the impact of a cosmetic product (Lactibiane Topic AD) vs placebo on skin flora and skin reinforcement barrier in mild to moderate atopic dermatitis using biometrological, biological and clinical parameters.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Lactibiane topic AD
Arm Type
Experimental
Arm Description
Cosmetical product Lactibiane Topic AD
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo made with the same base as the cosmetical product
Intervention Type
Other
Intervention Name(s)
Lactibiane Topic AD
Intervention Description
Application of Lactibiane topic AD twice a day (morning and evening) on one lesional area
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Application of placebo twice a day (morning and evening) on the symmetrical lesional area
Primary Outcome Measure Information:
Title
Change in skin flora composition
Description
16S rRNA sequencing, qPCR
Time Frame
from baseline (Day 0) at Day 21
Title
Change in skin flora composition
Description
16S rRNA sequencing, qPCR
Time Frame
from baseline (Day 0) at Day 14
Secondary Outcome Measure Information:
Title
Skin barrier status
Description
TransEpidermal Water Loss (TEWL)
Time Frame
Day 0, Day 14, Day 21
Title
Patient Oriented SCORing Atopic Dermatitis
Description
Patient Oriented SCORing Atopic Dermatitis (POSCORAD): 0 - 103 (Higher values represent a worse outcome)
Time Frame
Day 0, Day 14, Day 21
Title
SCORing Atopic Dermatitis
Description
SCORing Atopic Dermatitis (SCORAD) : 0 - 103 (Higher values represent a worse outcome)
Time Frame
Day 0, Day 14, Day 21
Title
Clinical severity of lesional areas
Description
Scoring of lesional area by subject and investigator : 0-18 (Higher values represent a worse outcome)
Time Frame
Day 0, Day 14, Day 21
Title
Manifestation of adverse local reactions
Description
Subjects will use a diary to document any potential adverse reactions observed after product application
Time Frame
From Day 0 to Day 21

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject diagnosed with mild to moderate AD defined as SCORAD≤40 (Eichenfield et al. JAAD 2014). Subject with at least two symmetric AD lesions with comparable severity: Located either on upper extremities (left and right arms except hands) or lower extremities (left and right legs except feet), With an erythema ≥ 1 (mild to severe intensity), With a lesional area score ≥ 4 on both lesions with an authorized delta of two points between the two lesions, With a sufficient extent to allow all the investigations. Subject with I, II, III or IV skin phototype (according to Fitzpatrick's scale). For woman of childbearing potential (defined as all women physiologically capable of becoming pregnant): Negative urine pregnancy test at inclusion visit. Use of a highly effective method of birth control* during the study. * A highly effective method of birth control is defined as one which results in a low failure rate (less than 1%) when used consistently and correctly, such as implants, combined oral contraceptives, intrauterine device, double barrier methods (e.g. condom with spermicide), sexual abstinence or vasectomized partner. Subject with health insurance coverage according to local regulation. Subject having given his written informed consent. Exclusion Criteria: Subject having a known hypersensitivity, allergy or contraindication to any ingredients contained within the investigational product or placebo. Subject having exposed his skin to natural or artificial UV within 8 weeks prior to the inclusion visit or intending to expose his skin during the study. Subject having performed phototherapy within 8 weeks prior to the inclusion visit or intending to perform phototherapy during the study. Subject having performed another physical treatment (e.g radiotherapy…) on the investigational areas within 6 months prior to the inclusion visit or intending to perform it during the study. Subject treated with systemic non-steroidal anti-inflammatory drugs (≥3 days) within 1 week before the inclusion visit. Subject treated with biological immunosuppressive drugs within 12 weeks prior to the inclusion visit or intending to be treated with it during the study. Subject treated with non-biological immunosuppressive drugs within 4 weeks prior to the inclusion visit or intending to be treated with it during the study. Subject treated with systemic corticoids within 1 week prior to the inclusion visit or planed during the study. Subject treated with systemic antibiotics within 7 days prior to the inclusion visit or planed during the study. Subject having applied topical immunomodulators, non-steroidal anti-inflammatory, corticoids or antihistamines on investigational limbs within 1 weeks prior to the inclusion visit. Subject having applied topical antibiotics or disinfectants on investigational limbs within 2 weeks prior to the inclusion visit. Subject having applied any other topical and/or care product after the last grooming prior to the inclusion visit. Subject having applied water or care product (except hands cleaning) within 12 hours prior to the inclusion visit. Subject having started, modified or stopped any other treatment/product within 4 weeks prior to the inclusion visit or intending to do so during the study that according to the investigator's judgment, could interfere with study results. Subject having significant medical condition that according to the investigator's judgment, deems inappropriate for study participation (e.g present or past malignancy, present or past skin condition…). Subject having significant dermatological condition or sign (e.g disease, scare, abundant hairiness, tanning mark…) that according to the investigator's judgment, could limit the observations or/and interfere with the interpretations. Subject taking part or having participated in another clinical study within 2 weeks prior to the inclusion visit. Subject under legal guardianship or incapacitation. Subject linguistically or psychologically unable of signing informed consent form and unable to comply with the protocol requirements according to the investigator's judgment.
Facility Information:
Facility Name
Unité de Recherche Clinique en Immunologie - Lyon Sud
City
Pierre-Bénite
ZIP/Postal Code
69495
Country
France

12. IPD Sharing Statement

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Exploratory Study on Lactibiane Topic AD on Skin Flora and Barrier Reinforcement in Mild to Moderate Atopic Dermatitis

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