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Seal, Stopping Eczema and Allergy Study

Study Purpose

This is a randomized, controlled trial designed for children who are have already developed atopic dermatitis (AD or eczema) by 12 weeks of age. The aim is to compare the effect of proactive sequential skin care, including the twice-daily use of a tri-lipid skin barrier cream (Epiceram) and proactive use of fluticasone propionate cream, against reactive AD therapy, to reduce the occurrence and severity of AD in early infancy and thereby prevent food allergy (FA).

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 1 Week - 12 Weeks
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. Participants who develop early onset visible dry skin or atopic dermatitis up to and equal to 12 weeks of age. 2. Stated willingness to comply with all study procedures and availability for the duration of the study. 3. In good general health as evidenced by medical history. 4. No known adverse reaction to any of the study medications, their components or excipients.

Exclusion Criteria:

1. Infants <3kg body weight. 2. Infants with a chronic disease requiring therapy (e.g. heart disease, diabetes, serious neurological defects, immunodeficiency) 3. Known moderate to severe cutaneous skin disorder other than AD, including but not limited to cutaneous mastocytosis, bullous skin disease, pustular skin disease, neonatal HSV, aplasia, and albinism. 4. Parents or guardians unwilling to sign consent. 5. Current participant or participation since birth in any interventional study. 6. Investigator or designee considers that the participant or parent/guardian would be unsuitable for inclusion in the study (for ex/ long stay in NICU) 7. A course of antibiotics in infant within 7 days of enrollment. 8. Any known food allergies

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT03742414
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Kari Nadeau, MD, PhD
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Kari Nadeau, MD, PhD
Principal Investigator Affiliation Harvard
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries United Kingdom, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Eczema, Infantile, Eczema, Atopic Dermatitis Eczema, Atopic Dermatitis
Study Website: View Trial Website
Additional Details

This is a randomized, controlled, parallel design, open-label phase 2 clinical study to compare the efficacy of a proactive treatment arm versus the reactive arm, for the prevention of atopic dermatitis in children at high risk of food allergy. We will recruit 312 infants who have signs of dry skin or atopic dermatitis between 0-12 weeks of life. The aim is to compare the effect of proactive sequential skin care, including the twice-daily use of a tri-lipid skin barrier cream (Epiceram) and proactive use of fluticasone propionate cream, against reactive AD therapy, to reduce the occurrence and severity of AD in early infancy and thereby prevent food allergy (FA).

Arms & Interventions

Arms

Active Comparator: Control arm (Standard of care)

The study doctors will provide standard of care with routine reactive topical products for atopic dermatitis flares

Experimental: Active Intervention arm (proactive treatment)- Epiceram

Participants will receive proactive sequential skin care with the twice-daily use of a tri-lipid skin barrier cream (SBC). Clinically apparent eczema in this group will be managed with a short course of topical steroids (fluticasone propionate cream and/or hydrocortisone).

Interventions

Combination Product: - Tri-lipid skin barrier cream (Epiceram)

The aim is to compare the effect of proactive sequential skin care, including the twice daily use of a tri-lipid skin barrier cream (Epiceram) and proactive use of fluticasone proprionate cream, against reactive AD therapy, to reduce the occurrence and severity of AD in early infancy and thereby prevent food allergy (FA).

Combination Product: - Fluticasone propionate Cream 0.05%

Proactive use of fluticasone proprionate cream for inflammation of the skin, to reduce the occurrence and severity of AD in early infancy and thereby prevent food allergy (FA).

Other: - Standard of Care

Participants' eczema will be managed by their primary physician, i.e. standard of care with routine reactive topical products for atopic dermatitis flares.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Palo Alto, California

Status

Recruiting

Address

Sean N. Parker Center for Allergy & Asthma Research at Stanford University

Palo Alto, California, 94304

Site Contact

SNP Center Inquiry

snpcenterallergy_inquiry@stanford.edu

650-521-7237

Denver, Colorado

Status

Recruiting

Address

Division of Pediatric Allergy and Clinical Immunology, National Jewish Health

Denver, Colorado, 80206

Site Contact

Jane Rice, RN

ricej@njhealth.org

303-398-1317

University of Chicago, Chicago, Illinois

Status

Recruiting

Address

University of Chicago

Chicago, Illinois, 60637

Site Contact

Matthew Moy

mattmoy@bsd.uchicago.edu

773-702-9173

Cincinnati, Ohio

Status

Recruiting

Address

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229

Site Contact

Shelley Randall

Shelley.Randall@cchmc.org

513-636-2362

International Sites

London, United Kingdom

Status

Recruiting

Address

• King's College London and Guy's and St. Thomas' NHS Foundation Trust, UK

London, ,

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