Atopic Dermatitis Clinical Trial
Official title:
Randomized, Placebo-Controlled Trial of Treatment of Atopic Dermatitis With Concurrent Altabax® and Topical Low-Potency Corticosteroids vs. Low-Potency Corticosteroid Mono-therapy
This study is designed to determine whether the addition of topical Altabax (R) to a treatment regimen of topical corticosteroid therapy speeds clearance of atopic dermatitis and improves quality of life.
Background: Atopic dermatitis is a pruritic skin disorder which affects more than 10% of the
United States population, one-third of whom report sleep disturbance and a quarter with
chronic unremitting disease. Atopic dermatitis is a recurrent pruritic skin disorder which
has a significant morbidity and extensive costs for the health care system. Quality of life
is often impaired for patients with atopic dermatitis due to sleep disturbance, pruritus and
the physical impairment of visible skin lesions.
The rapidity in which pruritus and lesional appearance are noted to resolve correlates
strongly with improved patient satisfaction and improved quality of life.
Recently, a clinical trial of adding mupirocin into a regimen of topical corticosteroids has
shown a significant enhancement in lesional clearance and symptom reduction with addition of
mupirocin to the topical corticosteroid. These improvements were most notable within the
first week of treatment.
Proposal: A 4-week clinical trial of 60 atopic dermatitis patients (ages 9 months to 17
years) would be conducted. All sixty patients would be given topical mid-potency
corticosteroid (Locoid lipocream®) to be mixed with a second product. Half the patients
would receive Altabax® and the other half would receive vehicle (blinded to subject and
investigator). Patients would be advised to apply the topical randomized product first, let
dry and then apply topical Locoid lipocream ® to affected areas, and then apply the topical
randomized ointment product to each of the sites of skin disease on top of the Locoid
lipocream ®. Treatment of affected areas would continue for 4 weeks or until lesions have
cleared, which ever comes first. Parents of patients will be asked to maintain a written
diary of drug application.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
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