A Study to Evaluate CLn® BodyWash As Added Therapy in Eczema Patients (CLeaN)
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Purpose
The purpose of this study is to determine if CLn BodyWash, a novel new gel cleanser formulated with surfactants and preserved with sodium hypochlorite, is effective at decreasing severity, body surface area and itching for patients with Atopic Dermatitis, or eczema.
| Condition |
|---|
|
Eczema Atopic Dermatitis |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | A Multicenter, Prospective Study to Evaluate CLn® BodyWash As An Adjunctive Therapy in Pediatric Subjects With Moderate to Severe, Staphylococcus Aureus Colonized Atopic Dermatitis |
- Improvement in Health of Skin [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]Change from baseline in Eczema Area Severity Index (EASI) Score.
- Improvement in Health of Skin [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]Change from baseline in Investigator Global Assessment (IGA) Score.
- Improvement in Health of Skin [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]Change from baseline in Body Surface Area (BSA) Score.
- Patient satisfaction [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]Quality of Life Questionnaires will be reviewed for a patient and family satisfaction.
- Decreased itching [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]Visual Analog Scale will be reviewed for decrease in pruritus.
- Reduction of bacteria [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]Bacterial cultures will be evaluated for decreased quantitative numbers.
| Estimated Enrollment: | 50 |
| Study Start Date: | November 2012 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
Staphylococcus aureus colonization and potential infection represent a common clinical finding in patients with atopic dermatitis (AD) and may contribute to exacerbation of the disease. Atopic patients are commonly colonized with S. aureus on both lesional and non-lesional skin. Antibiotic treatment of clinically infected patients can often improve the bacterial infection as well as reduce the overall severity of AD. More recently, measures to reduce S. aureus colonization have been shown to decrease the clinical severity of Atopic Dermatitis in patients with clinical signs of secondary bacterial infection of the skin.
Given the increasing incidence of recurrent skin infections caused by S. aureus, measures such as dilute sodium hypochlorite (bleach) baths have been adopted by many physicians in an effort to decrease infection rates and disease severity in patients with atopic dermatitis, recurrent impetigo, cellulitis, folliculitis, boils and abscesses. There is some controversy in the literature regarding the efficacy of anti-staphylococcal treatments in improving AD in patients without active clinical infection as one review noted limited benefit while another study showed that dilute bleach baths improved AD.
Bleach baths are widely used in pediatrics and adult medicine. A common regimen consists of adding ½ cup of household bleach into ½ tub of warm bath water, resulting in a 0.009% sodium hypochlorite concentration. (www.bleachbath.com) CLn® BodyWash contains several common surfactants to clean the skin and 0.006% sodium hypochlorite concentration for preservation, and is further diluted when lathered onto the skin with water. This over the counter product is delivered in a sealed, easy to use dispenser, which can be used in the bath or shower, lathered on and rinsed off after 1-2 minutes of skin contact. CLn® BodyWash may be a convenient alternative to bleach baths.
Eligibility| Ages Eligible for Study: | 6 Months to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Pediatric patients with Atopic Dermatitis
Inclusion Criteria:
- 6 months to 18 years
- moderate to severe Atopic Dermatitis
- positive staphylococcus aureus skin culture
Exclusion Criteria:
- active clinical infection
- on antibiotics in the last 4 weeks
- on immunosuppression drug in the last 4 weeks
- using bleach bath in the last 2 weeks
- able to maintain current regimen
Contacts and Locations| United States, Illinois | |
| Northwestern University, Department of Dermatology | Recruiting |
| Chicago, Illinois, United States, 60611 | |
| Contact: Benjamin Bohaty, MD 312-227-6486 benjamin.bohaty@northwestern.edu | |
| Principal Investigator: Amy S Paller, MD | |
| Sub-Investigator: Dennis P West, PhD | |
| United States, Texas | |
| University of Texas Medical School - Houston | Recruiting |
| Houston, Texas, United States, 77030 | |
| Contact: Maria Lopez 713-500-8266 maria.d.lopez@uth.tmc.edu | |
| Principal Investigator: Adelaide A Hebert, MD | |
| Principal Investigator: | Adelaide A. Hebert, MD | University of Texas Medical School - Houston |
More Information
No publications provided
| Responsible Party: | TopMD Skin Care, Inc. |
| ClinicalTrials.gov Identifier: | NCT01714245 History of Changes |
| Other Study ID Numbers: | CLN 003.6 |
| Study First Received: | October 18, 2012 |
| Last Updated: | February 20, 2013 |
| Health Authority: | United States: Data and Safety Monitoring Board |
Keywords provided by TopMD Skin Care, Inc.:
|
Eczema Atopic Dermatitis Compromised Skin Inflamed Skin |
Additional relevant MeSH terms:
|
Dermatitis Dermatitis, Atopic Eczema Skin Diseases Skin Diseases, Genetic |
Genetic Diseases, Inborn Skin Diseases, Eczematous Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
ClinicalTrials.gov processed this record on May 23, 2013