Barrier Enhancement for Eczema Prevention

NCT ID: NCT04680520

Last Updated: 2022-11-28

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

1394 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-01

Study Completion Date

2022-01-01

Brief Summary

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The primary objective is to determine whether advising parents to apply emollient (moisturiser) to their child's skin for the first year of life in addition to best practice infant skin care advice can prevent or delay the onset of eczema in high-risk children, when compared with a control group who are given the best practice infant skin care advice only.

Detailed Description

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Conditions

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Eczema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Best practice skin care advice booklet plus emollient (Doublebase Gel® or Diprobase Cream®)

Use of emollient (Doublebase Gel® or Diprobase Cream®) plus best practice skin care advice. The advice is given in the form of a booklet containing advice on skin care. This will contain information on avoiding soap etc. It will also explain how to apply the emollient i.e. in the direction of the hair, all over the child's skin daily for the first year of life. Intervention group will receive both emollients and parents are asked to choose their preferred.

Group Type EXPERIMENTAL

Experimental (Doublebase Gel® or Diprobase Cream®)

Intervention Type OTHER

Emollient (Doublebase Gel® or Diprobase Cream®) use on the skin. The emollient should be applied at least once a day.

Best practice skin care advice booklet

Intervention Type OTHER

This is a booklet containing advice on best practice skin care. This will contain information on avoiding soap etc.

Best practice skin care advice booklet

This is a booklet containing advice on best practice skin care. This will contain information on avoiding soap etc.

Group Type ACTIVE_COMPARATOR

Best practice skin care advice booklet

Intervention Type OTHER

This is a booklet containing advice on best practice skin care. This will contain information on avoiding soap etc.

Interventions

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Experimental (Doublebase Gel® or Diprobase Cream®)

Emollient (Doublebase Gel® or Diprobase Cream®) use on the skin. The emollient should be applied at least once a day.

Intervention Type OTHER

Best practice skin care advice booklet

This is a booklet containing advice on best practice skin care. This will contain information on avoiding soap etc.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* child has a first degree relative with parental reported doctor diagnosis of eczema, allergic rhinitis or asthma
* child up to 21 days old
* consenting adult has the ability to understand English

Exclusion Criteria

* preterm birth (defined as birth prior to 37 weeks gestation)
* sibling (including twin) previously randomized to this trial. If multiple births, the first child will be randomized into the trial.
* child has a severe widespread skin condition that would make the detection and/or assessment or eczema difficult
* child has a serious health issue, which, at parent or investigator discretion, would make it difficult for the family to take part in the trial
* any condition that would make the use of emollient inadvisable or not possible
Maximum Eligible Age

21 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute for Health Research, United Kingdom

OTHER_GOV

Sponsor Role collaborator

University of Nottingham

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hywel Williams

Role: PRINCIPAL_INVESTIGATOR

Centre of Evidence-Based Dermatology, University of Nottingham.

Locations

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School of Social and Community Medicine, University of Bristol

Bristol, , United Kingdom

Site Status

Queens Hospital

Burton, , United Kingdom

Site Status

Derby Childrens Hosptia

Derby, , United Kingdom

Site Status

Harrogate District Hospital

Harrogate, , United Kingdom

Site Status

Leicester Royal Infirmary

Leicester, , United Kingdom

Site Status

Clapham Park Group Practice

London, , United Kingdom

Site Status

Francis Grove Medical Practice

London, , United Kingdom

Site Status

Park Group Practice

London, , United Kingdom

Site Status

St John's Institute of Dermatology

London, , United Kingdom

Site Status

St Mary's Hospital

London, , United Kingdom

Site Status

Streatham Common Medical Practice

London, , United Kingdom

Site Status

Nottingham University Hospitals NHS Trust

Nottingham, , United Kingdom

Site Status

St Mary's Hospital

Portsmouth, , United Kingdom

Site Status

Academic Unit of Dermatology Research, Univeristy of Sheffield

Sheffield, , United Kingdom

Site Status

Kings Mill Hospital

Sutton in Ashfield, , United Kingdom

Site Status

York Hospital

York, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Bradshaw LE, Wyatt LA, Brown SJ, Haines RH, Montgomery AA, Perkin MR, Lawton S, Sach TH, Chalmers JR, Ridd MJ, Flohr C, Brooks J, Swinden R, Mitchell EJ, Tarr S, Jay N, Thomas KS, Allen H, Cork MJ, Kelleher MM, Simpson EL, Lartey ST, Davies-Jones S, Boyle RJ, Williams HC. Emollients for prevention of atopic dermatitis: 5-year findings from the BEEP randomized trial. Allergy. 2023 Apr;78(4):995-1006. doi: 10.1111/all.15555. Epub 2022 Nov 3.

Reference Type RESULT
PMID: 36263451 (View on PubMed)

Chalmers JR, Haines RH, Bradshaw LE, Montgomery AA, Thomas KS, Brown SJ, Ridd MJ, Lawton S, Simpson EL, Cork MJ, Sach TH, Flohr C, Mitchell EJ, Swinden R, Tarr S, Davies-Jones S, Jay N, Kelleher MM, Perkin MR, Boyle RJ, Williams HC; BEEP study team. Daily emollient during infancy for prevention of eczema: the BEEP randomised controlled trial. Lancet. 2020 Mar 21;395(10228):962-972. doi: 10.1016/S0140-6736(19)32984-8. Epub 2020 Feb 19.

Reference Type RESULT
PMID: 32087126 (View on PubMed)

Bradshaw LE, Montgomery AA, Williams HC, Chalmers JR, Haines RH. Two-by-two factorial randomised study within a trial (SWAT) to evaluate strategies for follow-up in a randomised prevention trial. Trials. 2020 Jun 8;21(1):529. doi: 10.1186/s13063-020-04373-4.

Reference Type RESULT
PMID: 32546180 (View on PubMed)

Other Identifiers

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14044

Identifier Type: -

Identifier Source: org_study_id

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