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Study to Assess the Effect of "Eucerin AtopiControl" on Dermal Symptoms in Patients With Atopic Dermatitis

Primary Purpose

Atopic Dermatitis, Allergy Pollen

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
'Eucerin AtopiControl Lotion' (for the body)
Allergen challenge chamber
Sponsored by
Fraunhofer-Institute of Toxicology and Experimental Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis

Eligibility Criteria

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

Inclusion Criteria:

  • Women will be considered for inclusion if they are: not pregnant, as confirmed by pregnancy test (see flow chart) and not nursing.

Of non-child bearing potential (i.e. physiologically incapable of becoming pregnant, including any female who is pre-menarchial or post-menopausal, with documented proof of hysterectomy or tubal ligation, or meet clinical criteria for menopause and has been amenorrhoeic for more than 1 year prior to the screening visit). Of childbearing potential and using a highly effective method of contraception during the entire study (vasectomised partner, sexual abstinence - the lifestyle of the female should be such that there is complete abstinence from intercourse from two weeks prior to the first dose of study medication until at least 72 hours after the last pollen challenge -, implants, injectables, combined oral contraceptives, hormonal Intra Uterine Devices (IUD) or double-barrier methods, i.e. any double combination of IUD, condom with spermicidal gel, diaphragm, sponge, and cervical cap).

  • For patient groups 1 and 2: Positive Immunglobulin E (IgE) level for Dactylis glomerata of at least ImmunoCAP fluoroenzyme immunoassay (CAP FEIA) class 3 at screening or within the last 12 months.
  • atopic dermatitis fulfilling the United Kingdom (UK) criteria of AD
  • SCORAD index between 20 and 50 points.
  • Forced expiratory Volume in 1 second (FEV1) ≥ 80% pred. at screening.
  • Smokers or non-smokers
  • Applicable only for patients of the control group: No IgE-sensitization to grass pollen (including Dactylis glomerata)

Exclusion Criteria:

  • Past or present disease, which as judged by the investigator, may affect the outcome of this study. These diseases include, but are not limited to, cardiovascular disease, malignancy, hepatic disease, renal disease, hematological disease, neurological disease, endocrine disease or pulmonary disease.
  • Asthma other than mild asthma which is treated with short acting beta-2-agonists only and which is controlled according to the current GINA (Global Initiative for Asthma) guidelines
  • Clinically relevant abnormalities in hematology or blood chemistry at screening.
  • Positive Human Immunodeficiency Virus Antibody (HIV-1/2Ab), hepatitis B surface antigen (HBsAg) or hepatitis C virus antibodies (HCV-Ab) test at screening.
  • Treatment with medication that might interfere with rescue medication for anaphylactic reactions (e.g. beta blocker).
  • Topical steroid treatment of air exposed skin (wash out phase: 2 weeks)
  • Topical calcineurin inhibitor treatment of air exposed skin (wash out phase: 2 weeks)
  • Ultraviolet (UV) radiation treatment (wash out phase: 4 weeks)
  • Systemic immunosuppression treatment (steroids, cyclosporine, azathioprine, Mycophenolate Mofetil (MMF); wash out phase: 4 weeks)
  • Treatment with antihistamines (wash out phase: 1 week)
  • Specific immunotherapy (SIT) with grass pollen allergens within the last 5 years
  • Diastolic blood pressure above 95 mmHg.
  • Febrile illness within 2 weeks prior to screening.
  • Alcohol or drug abuse within 12 month prior to screening.
  • Regular daily consumption of more than 1 liter of usual beer or the equivalent quantity of approximately 40 g of alcohol in another form.
  • Participation in another clinical trial 30 days prior to enrolment.
  • Risk of non-compliance with study procedures.

Sites / Locations

  • Fraunhofer ITEM

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Experimental

Experimental

Arm Label

AD, sensitized, treated

AD, not sensitized, not treated

AD, sensitized, not treated

Arm Description

Allergen challenge chamber and Treatment for 12 day with 'Eucerin AtopiControl Lotion' (for the body) and 'Eucerin AtopiControl facial cream' (for the face): 1,2 g twice daily.

Allergen challenge chamber

Allergen challenge chamber

Outcomes

Primary Outcome Measures

SCORAD Day 3
Difference of change in objective SCORAD in treated versus untreated patients

Secondary Outcome Measures

SCORAD Day 1,2,4,5
Difference of change in objective SCORAD in treated versus untreated patients

Full Information

First Posted
October 2, 2017
Last Updated
May 11, 2018
Sponsor
Fraunhofer-Institute of Toxicology and Experimental Medicine
Collaborators
Hannover Medical School
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1. Study Identification

Unique Protocol Identification Number
NCT03315611
Brief Title
Study to Assess the Effect of "Eucerin AtopiControl" on Dermal Symptoms in Patients With Atopic Dermatitis
Official Title
Study to Assess the Effect of "Eucerin AtopiControl" on Dermal Symptoms in Patients With Atopic Dermatitis After Challenges With Grass Pollen in the Fraunhofer Allergen Challenge Chamber
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
October 2, 2017 (Actual)
Primary Completion Date
April 25, 2018 (Actual)
Study Completion Date
April 25, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fraunhofer-Institute of Toxicology and Experimental Medicine
Collaborators
Hannover Medical School

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 objective of this study is to assess the effect of 'Eucerin AtopiControl LOTION' and 'Eucerin AtopiControl facial cream' on dermal symptoms in patients with Atopic Dermatitis (AD) after two 4 h challenges with grass pollen on two consecutive days. In addition, this clinical study with exposure of Dactyls glomerate-sensitized Patients with AD shall be used to compare the skin response with AD Patients not-sensitized to Dactylis glomerata to understand the specificity of the grass pollen exposure.
Detailed Description
After the screening assessments the subject's whole skin will be treated for a period of 12 days with either 'Eucerin AtopiControl LOTION' or 'Eucerin AtopiControl facial cream' or will receive no treatment until Day 1 of the study. All patients will be challenged for 4 hours on two consecutive days (Day1 and 2) with 4000 pollen grains/m³ of Dactylis glomerata pollen. In this study approximately 9 subjects will be placed in the Environmental Exposure Chamber (ECC) at a time. At screening a blood sample will be taken for determination mutations of genes encoding for skin barrier proteins (e.g. filaggrin mutation). At day 1 and day 5 blood samples (serum) will be taken for biomarker assessments and lymphocyte proliferation assays (peripheral blood). The severity of atopic dermatitis will be rated (blinded observer, trained dermatologist) applying the 'SCORing Atopic Dermatitis (SCORAD) index, the objective SCORAD, local SCORAD and Investigator Global assessment (IGA). Assessment of itch and sleeplessness referring to the past 24 hous will be done by a blinded observer on each day including baseline assessments.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
The working hypothesis fo this study is, that local treatment with 'Eucerin AtopiControl Lotion' and 'Eucerin AtopiControl Gesichtscreme' compared to no treatment signifixantly reduces the increase of SCORAD that is elicited during challenge in an environmental challenge chamber (ECC) with grass pollen.
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
23 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AD, sensitized, treated
Arm Type
Active Comparator
Arm Description
Allergen challenge chamber and Treatment for 12 day with 'Eucerin AtopiControl Lotion' (for the body) and 'Eucerin AtopiControl facial cream' (for the face): 1,2 g twice daily.
Arm Title
AD, not sensitized, not treated
Arm Type
Experimental
Arm Description
Allergen challenge chamber
Arm Title
AD, sensitized, not treated
Arm Type
Experimental
Arm Description
Allergen challenge chamber
Intervention Type
Drug
Intervention Name(s)
'Eucerin AtopiControl Lotion' (for the body)
Other Intervention Name(s)
'Eucerin AtopiControl facial cream' (for the face), Two 4h-challenges with grass pollen on two consecutive days
Intervention Description
Treatment with Eucerin AtopiControl Lotion
Intervention Type
Other
Intervention Name(s)
Allergen challenge chamber
Intervention Description
Exposure to Dactylis glomerata pollen in an environmental challenge chamber
Primary Outcome Measure Information:
Title
SCORAD Day 3
Description
Difference of change in objective SCORAD in treated versus untreated patients
Time Frame
Day 3: pre- 4 hour-challenge with grass pollen and post-4 hour-challenge with grass pollen
Secondary Outcome Measure Information:
Title
SCORAD Day 1,2,4,5
Description
Difference of change in objective SCORAD in treated versus untreated patients
Time Frame
Day 1,2,4,5: pre- 4 hour -challenge with grass pollen and post-4 hour-challenge with grass pollen

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: Women will be considered for inclusion if they are: not pregnant, as confirmed by pregnancy test (see flow chart) and not nursing. Of non-child bearing potential (i.e. physiologically incapable of becoming pregnant, including any female who is pre-menarchial or post-menopausal, with documented proof of hysterectomy or tubal ligation, or meet clinical criteria for menopause and has been amenorrhoeic for more than 1 year prior to the screening visit). Of childbearing potential and using a highly effective method of contraception during the entire study (vasectomised partner, sexual abstinence - the lifestyle of the female should be such that there is complete abstinence from intercourse from two weeks prior to the first dose of study medication until at least 72 hours after the last pollen challenge -, implants, injectables, combined oral contraceptives, hormonal Intra Uterine Devices (IUD) or double-barrier methods, i.e. any double combination of IUD, condom with spermicidal gel, diaphragm, sponge, and cervical cap). For patient groups 1 and 2: Positive Immunglobulin E (IgE) level for Dactylis glomerata of at least ImmunoCAP fluoroenzyme immunoassay (CAP FEIA) class 3 at screening or within the last 12 months. atopic dermatitis fulfilling the United Kingdom (UK) criteria of AD SCORAD index between 20 and 50 points. Forced expiratory Volume in 1 second (FEV1) ≥ 80% pred. at screening. Smokers or non-smokers Applicable only for patients of the control group: No IgE-sensitization to grass pollen (including Dactylis glomerata) Exclusion Criteria: Past or present disease, which as judged by the investigator, may affect the outcome of this study. These diseases include, but are not limited to, cardiovascular disease, malignancy, hepatic disease, renal disease, hematological disease, neurological disease, endocrine disease or pulmonary disease. Asthma other than mild asthma which is treated with short acting beta-2-agonists only and which is controlled according to the current GINA (Global Initiative for Asthma) guidelines Clinically relevant abnormalities in hematology or blood chemistry at screening. Positive Human Immunodeficiency Virus Antibody (HIV-1/2Ab), hepatitis B surface antigen (HBsAg) or hepatitis C virus antibodies (HCV-Ab) test at screening. Treatment with medication that might interfere with rescue medication for anaphylactic reactions (e.g. beta blocker). Topical steroid treatment of air exposed skin (wash out phase: 2 weeks) Topical calcineurin inhibitor treatment of air exposed skin (wash out phase: 2 weeks) Ultraviolet (UV) radiation treatment (wash out phase: 4 weeks) Systemic immunosuppression treatment (steroids, cyclosporine, azathioprine, Mycophenolate Mofetil (MMF); wash out phase: 4 weeks) Treatment with antihistamines (wash out phase: 1 week) Specific immunotherapy (SIT) with grass pollen allergens within the last 5 years Diastolic blood pressure above 95 mmHg. Febrile illness within 2 weeks prior to screening. Alcohol or drug abuse within 12 month prior to screening. Regular daily consumption of more than 1 liter of usual beer or the equivalent quantity of approximately 40 g of alcohol in another form. Participation in another clinical trial 30 days prior to enrolment. Risk of non-compliance with study procedures.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jens Hohlfeld, MD
Organizational Affiliation
Fraunhofer Gesellschaft
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fraunhofer ITEM
City
Hannover
State/Province
Niedersachsen
ZIP/Postal Code
30625
Country
Germany

12. IPD Sharing Statement

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Study to Assess the Effect of "Eucerin AtopiControl" on Dermal Symptoms in Patients With Atopic Dermatitis

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