A Clinical Study of Adherence to Methylprednisolone Aceponate in Different Carriers (AD-HERE)
Primary Purpose
Adherence, Patient, Chronic Eczema
Status
Completed
Phase
Phase 4
Locations
Germany
Study Type
Interventional
Intervention
Adherence to topical standard therapy assessed
Sponsored by

About this trial
This is an interventional treatment trial for Adherence, Patient
Eligibility Criteria
Inclusion Criteria:
- Signed and dated informed consent has been obtained.
- Clinical diagnosis of chronic mild-to-moderate hand dermatitis with or without atopic etiology or background (according to IGA: at least mild at Visit 1).
- Subjects (male or female) aged from 18 to 65 years.
- In overall good health including well controlled diseases as determined by medical history, physical examination, vital signs and clinical laboratory.
Female subjects must be of either:
- non-childbearing potential, post-menopausal, or have a confirmed clinical history of sterility or,
- childbearing potential, provided there is a confirmed negative urine pregnancy test prior to exposure, to rule out pregnancy Female subjects of childbearing potential must be willing to use highly effective methods of contraception to avoid causing pregnancy from enrolment and until the last visit (V3).
- Female subjects must not be breastfeeding.
Exclusion Criteria:
- females who are pregnant or breast-feeding.
- Systemic treatment with immunosuppressive drugs, retinoids or corticosteroids within 8 weeks prior to randomization.
- Phototherapy (PUVA or UVB) on the hands within 4 weeks prior to randomization.
- Topical applied treatment with immunomodulators (e.g. pimecrolimus or tacrolimus) or corticosteroids on the hands within 2 weeks prior to randomization.
- Use of other treatment on the hands during the clinical trial except for the use of investigational medicinal product (IMP) and emollient provided by sponsor during the clinical trial.
- Use of systemic antibiotics or cutaneously applied antibiotics on the hands within 2 weeks prior to randomization.
- Concurrent skin diseases on the hands and/or integument with acute flare and/or skin lesions within the last 8 weeks.
- Current diagnosis of eczema on the integument except for the hands.
- Current diagnosis of exfoliative dermatitis.
- Current diagnosis of glaucoma or cataract.
- Significant clinical infection on the hands which requires antibiotic treatment.
- Known or suspected hypersensitivity to component(s) of the IMP.
- Subjects with history of an immunocompromising disease (e.g. lymphoma, HIV).
- Former participation in this clinical trial.
- Current participation in any other interventional clinical trial.
- Subjects known or, in the opinion of the investigator, are unlikely to comply with the Clinical Trial Protocol (e.g. alcoholism, drug dependency or psychotic state).
- Close affiliation with the investigator or other employees of the trial site (e.g. a close relative) or persons working at LEO Pharma A/S or Bayer Consumer Care AG or subject is an employee of sponsor.
Sites / Locations
- Jena University Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Active Comparator
Arm Label
cream
fatty ointment
Arm Description
Treatment with topical Methylprednisolone aceponate 0,1% cream (Advantan®) plus Basic care (Bepanthen® Sensiderm)
Treatment with topical Methylprednisolone aceponate 0,1% fatty ointment (Advantan®) plus Basic care (Bepanthen® Sensiderm)
Outcomes
Primary Outcome Measures
Adherence to treatment
Adherence defined as percentage of patients applying at least aimed daily dose Adherence will be assumed, if
truly applicated daily dose is at least 75% of prescribed daily dose and
the individual mean number of applications per day is at least 0.85
Measurement 1
Hand surface [cm²]
Measurement 2
Weight of topical drug container [mg]
Individual amount of topical drug
- weight of topical drug container [mg] by hand surface [cm²] will be combined to individual amount of topical drug which will as well be the prescribed daily dose
Truly applicated daily dose
- individual amount of topical drug used [mg/cm²] by individual mean number of applications
Secondary Outcome Measures
Change of Hand Eczema
Hand Eczema Severity Index (HECSI) Score: 0-360 Points (Total HECSI score = Sum (E, I, V, F, S, O) X Ex (Fingertips) + Sum (E, I, V, F, S, O) X Ex (Fingers except tips) + Sum (E, I, V, F, S, O) X Ex (Palm of hands) + Sum (E, I, V, F, S, O) X Ex (Back of hands) + Sum (E, I, V, F, S, O) X Ex (Wrists))
Change of Hand Eczema
Investigator's global Assessment (IGA) Score: 0-4 Points (0=Clear, 1=Almost clear, 2=Mild, 3=Moderate, 4=Severe)
Full Information
NCT ID
NCT04016025
First Posted
June 28, 2019
Last Updated
May 7, 2022
Sponsor
Jena University Hospital
Collaborators
Bayer
1. Study Identification
Unique Protocol Identification Number
NCT04016025
Brief Title
A Clinical Study of Adherence to Methylprednisolone Aceponate in Different Carriers
Acronym
AD-HERE
Official Title
Randomized Single-blind Study on the Adherence to Treatment With Topical Methylprednisolone Aceponate (Advantan®) in Different Vehicles (AD-HERE)
Study Type
Interventional
2. Study Status
Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
December 2, 2020 (Actual)
Primary Completion Date
March 11, 2022 (Actual)
Study Completion Date
April 14, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Jena University Hospital
Collaborators
Bayer
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Untersuchung der Adhärenz zur topischen Standardtherapie bei Patienten mit chronischem Handekzem in Abhängigkeit von der Galenik
Detailed Description
Prospective, randomized, parallel grouped, single-blinded (investigator), monocentric objective assessment of the adherence to the treatment with topical methylprednisolone aceponate (Advantan®) depending on the type of vehicle in patients with hand eczema treated according to the current Guideline.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Adherence, Patient, Chronic Eczema
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Model Description
Randomized single-blind
Masking
Care ProviderInvestigator
Masking Description
The investigator of the study will not know in which vehicle the enrolled patient will receive the standard therapeutical drug
Allocation
Randomized
Enrollment
80 (Actual)
8. Arms, Groups, and Interventions
Arm Title
cream
Arm Type
Active Comparator
Arm Description
Treatment with topical Methylprednisolone aceponate 0,1% cream (Advantan®) plus Basic care (Bepanthen® Sensiderm)
Arm Title
fatty ointment
Arm Type
Active Comparator
Arm Description
Treatment with topical Methylprednisolone aceponate 0,1% fatty ointment (Advantan®) plus Basic care (Bepanthen® Sensiderm)
Intervention Type
Behavioral
Intervention Name(s)
Adherence to topical standard therapy assessed
Intervention Description
Adherence defined as percentage of patients applying at least aimed daily dose
Primary Outcome Measure Information:
Title
Adherence to treatment
Description
Adherence defined as percentage of patients applying at least aimed daily dose Adherence will be assumed, if
truly applicated daily dose is at least 75% of prescribed daily dose and
the individual mean number of applications per day is at least 0.85
Time Frame
28 days
Title
Measurement 1
Description
Hand surface [cm²]
Time Frame
28 days; visit 1 (day 1)
Title
Measurement 2
Description
Weight of topical drug container [mg]
Time Frame
28 days; visit 1 (day 1), 2 (day 14) and 3 (day 28)
Title
Individual amount of topical drug
Description
- weight of topical drug container [mg] by hand surface [cm²] will be combined to individual amount of topical drug which will as well be the prescribed daily dose
Time Frame
28 days
Title
Truly applicated daily dose
Description
- individual amount of topical drug used [mg/cm²] by individual mean number of applications
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Change of Hand Eczema
Description
Hand Eczema Severity Index (HECSI) Score: 0-360 Points (Total HECSI score = Sum (E, I, V, F, S, O) X Ex (Fingertips) + Sum (E, I, V, F, S, O) X Ex (Fingers except tips) + Sum (E, I, V, F, S, O) X Ex (Palm of hands) + Sum (E, I, V, F, S, O) X Ex (Back of hands) + Sum (E, I, V, F, S, O) X Ex (Wrists))
Time Frame
28 days; visit 1 (day 1), 2 (day 14) and 3 (day 28)
Title
Change of Hand Eczema
Description
Investigator's global Assessment (IGA) Score: 0-4 Points (0=Clear, 1=Almost clear, 2=Mild, 3=Moderate, 4=Severe)
Time Frame
28 days; visit 1 (day 1), 2 (day 14) and 3 (day 28)
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:
Signed and dated informed consent has been obtained.
Clinical diagnosis of chronic mild-to-moderate hand dermatitis with or without atopic etiology or background (according to IGA: at least mild at Visit 1).
Subjects (male or female) aged from 18 to 65 years.
In overall good health including well controlled diseases as determined by medical history, physical examination, vital signs and clinical laboratory.
Female subjects must be of either:
non-childbearing potential, post-menopausal, or have a confirmed clinical history of sterility or,
childbearing potential, provided there is a confirmed negative urine pregnancy test prior to exposure, to rule out pregnancy Female subjects of childbearing potential must be willing to use highly effective methods of contraception to avoid causing pregnancy from enrolment and until the last visit (V3).
Female subjects must not be breastfeeding.
Exclusion Criteria:
females who are pregnant or breast-feeding.
Systemic treatment with immunosuppressive drugs, retinoids or corticosteroids within 8 weeks prior to randomization.
Phototherapy (PUVA or UVB) on the hands within 4 weeks prior to randomization.
Topical applied treatment with immunomodulators (e.g. pimecrolimus or tacrolimus) or corticosteroids on the hands within 2 weeks prior to randomization.
Use of other treatment on the hands during the clinical trial except for the use of investigational medicinal product (IMP) and emollient provided by sponsor during the clinical trial.
Use of systemic antibiotics or cutaneously applied antibiotics on the hands within 2 weeks prior to randomization.
Concurrent skin diseases on the hands and/or integument with acute flare and/or skin lesions within the last 8 weeks.
Current diagnosis of eczema on the integument except for the hands.
Current diagnosis of exfoliative dermatitis.
Current diagnosis of glaucoma or cataract.
Significant clinical infection on the hands which requires antibiotic treatment.
Known or suspected hypersensitivity to component(s) of the IMP.
Subjects with history of an immunocompromising disease (e.g. lymphoma, HIV).
Former participation in this clinical trial.
Current participation in any other interventional clinical trial.
Subjects known or, in the opinion of the investigator, are unlikely to comply with the Clinical Trial Protocol (e.g. alcoholism, drug dependency or psychotic state).
Close affiliation with the investigator or other employees of the trial site (e.g. a close relative) or persons working at LEO Pharma A/S or Bayer Consumer Care AG or subject is an employee of sponsor.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peter Elsner, Prof. Dr. med.
Organizational Affiliation
University hospital Jena
Official's Role
Principal Investigator
Facility Information:
Facility Name
Jena University Hospital
City
Jena
State/Province
Thuringia
ZIP/Postal Code
07743
Country
Germany
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
25763418
Citation
Diepgen TL, Andersen KE, Chosidow O, Coenraads PJ, Elsner P, English J, Fartasch M, Gimenez-Arnau A, Nixon R, Sasseville D, Agner T. Guidelines for diagnosis, prevention and treatment of hand eczema. J Dtsch Dermatol Ges. 2015 Jan;13(1):e1-22. doi: 10.1111/ddg.12510_1.
Results Reference
background
PubMed Identifier
28258632
Citation
Torrelo A. Methylprednisolone aceponate for atopic dermatitis. Int J Dermatol. 2017 Jun;56(6):691-697. doi: 10.1111/ijd.13485. Epub 2017 Mar 4.
Results Reference
background
PubMed Identifier
22709142
Citation
Schliemann S, Petri M, Elsner P. How much skin protection cream is actually applied in the workplace? Determination of dose per skin surface area in nurses. Contact Dermatitis. 2012 Oct;67(4):229-33. doi: 10.1111/j.1600-0536.2012.02119.x. Epub 2012 Jun 18.
Results Reference
background
PubMed Identifier
17704626
Citation
Lee JY, Choi JW, Kim H. Determination of hand surface area by sex and body shape using alginate. J Physiol Anthropol. 2007 Jun;26(4):475-83. doi: 10.2114/jpa2.26.475.
Results Reference
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PubMed Identifier
12060371
Citation
Gray R, Wykes T, Gournay K. From compliance to concordance: a review of the literature on interventions to enhance compliance with antipsychotic medication. J Psychiatr Ment Health Nurs. 2002 Jun;9(3):277-84. doi: 10.1046/j.1365-2850.2002.00474.x.
Results Reference
background
PubMed Identifier
24397866
Citation
Ofenloch RF, Weisshaar E, Dumke AK, Molin S, Diepgen TL, Apfelbacher C. The Quality of Life in Hand Eczema Questionnaire (QOLHEQ): validation of the German version of a new disease-specific measure of quality of life for patients with hand eczema. Br J Dermatol. 2014 Aug;171(2):304-12. doi: 10.1111/bjd.12819. Epub 2014 Jun 18.
Results Reference
background
PubMed Identifier
23869730
Citation
Agner T, Jungersted JM, Coenraads PJ, Diepgen T. Comparison of four methods for assessment of severity of hand eczema. Contact Dermatitis. 2013 Aug;69(2):107-11. doi: 10.1111/cod.12039.
Results Reference
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PubMed Identifier
18294310
Citation
Ruzicka T, Lynde CW, Jemec GB, Diepgen T, Berth-Jones J, Coenraads PJ, Kaszuba A, Bissonnette R, Varjonen E, Hollo P, Cambazard F, Lahfa M, Elsner P, Nyberg F, Svensson A, Brown TC, Harsch M, Maares J. Efficacy and safety of oral alitretinoin (9-cis retinoic acid) in patients with severe chronic hand eczema refractory to topical corticosteroids: results of a randomized, double-blind, placebo-controlled, multicentre trial. Br J Dermatol. 2008 Apr;158(4):808-17. doi: 10.1111/j.1365-2133.2008.08487.x. Epub 2008 Feb 21.
Results Reference
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PubMed Identifier
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Citation
Reich A, Chatzigeorkidis E, Zeidler C, Osada N, Furue M, Takamori K, Ebata T, Augustin M, Szepietowski JC, Stander S. Tailoring the Cut-off Values of the Visual Analogue Scale and Numeric Rating Scale in Itch Assessment. Acta Derm Venereol. 2017 Jun 9;97(6):759-760. doi: 10.2340/00015555-2642. No abstract available.
Results Reference
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A Clinical Study of Adherence to Methylprednisolone Aceponate in Different Carriers
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