Intervention Study to Evaluate a Probiotic in Mild Atopic Dermatitis Young Patients

NCT ID: NCT02585986

Last Updated: 2016-09-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2016-08-31

Brief Summary

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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

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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.

Conditions

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Dermatitis, Atopic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Probiotic

daily intake of 1 capsule containing probiotic.

Group Type ACTIVE_COMPARATOR

Probiotic

Intervention Type DIETARY_SUPPLEMENT

daily intake of 1 capsule probiotic

Placebo

daily intake of 1 capsule containing placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

daily intake of 1 capsule containing placebo

Interventions

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Probiotic

daily intake of 1 capsule probiotic

Intervention Type DIETARY_SUPPLEMENT

Placebo

daily intake of 1 capsule containing placebo

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Active formulation

Eligibility Criteria

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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.
Minimum Eligible Age

4 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Korott, S.L.

INDUSTRY

Sponsor Role collaborator

Biopolis S.L.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vicente Navarro-López, MD

Role: PRINCIPAL_INVESTIGATOR

Universidad Católica San Antonio de Murcia

Ana A. Ramirez-Boscá, MD

Role: PRINCIPAL_INVESTIGATOR

Universidad Católica San Antonio de Murcia

Locations

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Centro Dermatologico Estetico de Alicante

Alicante, Alicante, Spain

Site Status

Countries

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Spain

References

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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.

Reference Type BACKGROUND
PMID: 12694268 (View on PubMed)

Leung DY, Bieber T. Atopic dermatitis. Lancet. 2003 Jan 11;361(9352):151-60. doi: 10.1016/S0140-6736(03)12193-9.

Reference Type BACKGROUND
PMID: 12531593 (View on PubMed)

Bieber T. Atopic dermatitis. N Engl J Med. 2008 Apr 3;358(14):1483-94. doi: 10.1056/NEJMra074081. No abstract available.

Reference Type BACKGROUND
PMID: 18385500 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 12706328 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 9068310 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 15965431 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 16455350 (View on PubMed)

Ridao M. Dermatitis atópica: clínica, diagnóstico diferencial y tratamiento. Pediatr Integral 2004:8:204-10.

Reference Type BACKGROUND

Hanifin JM, Rajka G. Diagnosis features of atopic dermatitis. Acta Derm Venereol 1980;92:44-7.

Reference Type BACKGROUND

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.

Reference Type BACKGROUND
PMID: 8435513 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 9298180 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 10871941 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 15575941 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 16880586 (View on PubMed)

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.

Reference Type BACKGROUND

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.

Reference Type BACKGROUND
PMID: 16815136 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 16689857 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 17136292 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 12399676 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 15178928 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 18782118 (View on PubMed)

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.

Reference Type DERIVED
PMID: 33921166 (View on PubMed)

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.

Reference Type DERIVED
PMID: 29117309 (View on PubMed)

Other Identifiers

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ATO/PRO1

Identifier Type: -

Identifier Source: org_study_id

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