Moisturiser effect on the skin barrier in atopic dermatitis

2023-508560-29-00 Protocol CSCI-SKT-B1001 Therapeutic exploratory (Phase II) Ended

Start 7 Dec 2023 · End 14 Mar 2024 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol CSCI-SKT-B1001

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 55
Countries 1
Sites 1

Atopic dermatitis

To determine whether applying a new moisturiser (Propyduo®; test product) for 4 weeks is superior in terms of skin barrier strengthening, when compared with (1) no treatment and (2) a reference product (Propyless®; reference product 1) in adults with a history of atopic dermatitis.

Key facts

Sponsor
ACO Hud Nordic AB
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Skin and Connective Tissue Diseases [C17]
Trial duration
7 Dec 2023 → 14 Mar 2024
Decision date (initial)
2023-12-07
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2023-508560-29-00
WHO UTN
U1111-1296-8592

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Prophylaxis, Safety, Efficacy, Therapy

To determine whether applying a new moisturiser (Propyduo®; test product) for 4 weeks is superior in terms of skin barrier strengthening, when compared with (1) no treatment and (2) a reference product (Propyless®; reference product 1) in adults with a history of atopic dermatitis.

Secondary objectives 1

  1. To assess the skin barrier strengthening effects of the test product compared with a reference product (Canoderm®; reference product 2) in adults with a history of atopic dermatitis. To determine whether there is a difference between the test product and (1) no treatment and (2) the two reference products in: 1. Resting skin barrier function 2. Skin redness 3. Irritant reactions 4. Skin capacitance 5. Skin pH 6. Product consumption

Conditions and MedDRA coding

Atopic dermatitis

Regulatory references

EU CT numberTitleSponsor
2023-507818-27-00 A randomised controlled trial of a moisturiser for treatment of dry skin in atopic dermatitis: effect on the skin barrier in adults with a history of eczema ACO Hud Nordic AB

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Participants ≥ 18 years old
  2. A history of atopic dermatitis according to UK working party criteria
  3. Willing and able to provide informed consent

Exclusion criteria 9

  1. Substantial flare-up of atopic dermatitis more than minimal (not manageable with moisturiser only) during ideally within the last 6 months
  2. Eczema on the volar forearms
  3. Participants with known or suspected allergies or contraindications to any of the IPs and AxMP ingredients
  4. Participants unwilling to refrain from using prohibited medication including moisturisers (other than the IP, the AxMP and the standard soap for washing)
  5. Female participants who, according to the participant, is pregnant or breast-feeding, or plans to become pregnant during the study
  6. Participants judged by the investigator to be inappropriate for the trial.
  7. Any serious current medical condition which, in the opinion of the investigator, may interfere with the evaluation of the results or may be contraindicated by the use of the investigational products
  8. Atopic dermatitis targeted systemic therapy as well as any other immunomodulatory systemic therapy over more than 8 days in past 12 months (glucocorticoids, biologicals, cyclosporines, JAK inhibitors, off-label azathioprine, mycophenolate-mofetil, alitretionin, photo therapy)
  9. Any treatment with TCS' or other established topical treatment for AD within the last 6 months prior screening and throughout the study. Except the two allowed corticosteroids for treatment of flare-up during the study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Comparison of IPs on Trans Epidermal Water Loss (TEWL) on visit 3 and visit 5 between: • test product vs no treatment • test product vs Propyless®

Secondary endpoints 13

  1. Comparison of test product vs 1) no treatment; 2) Propyless®; 3) Canoderm® for each of the following parameters:
  2. Comparison of TEWL on Visit 3 and Visit 5 between test product vs Canoderm®.
  3. 2. Comparison of TEWL on Visit 3 between test product and comparators as well as no treatment.
  4. Comparison of difference to baseline (Visit 2) of TEWL on Visit 3 between test product and comparators as well as no treatment.
  5. Comparison of TEWL on Visit 5 between test product and comparators as well as no treatment.
  6. Comparison of difference to Visit 3 for scoring of SLS irritant reactions on Visit 5 between test product and comparators as well as no treatment.
  7. Comparison of scoring of SLS irritant reactions on Visit 5 between test product and comparators as well as no treatment.
  8. Comparison of redness assessment based on images [Picture analysis, USR-Clip] (redness on Visit 5 minus redness on Visit 3) between test product and comparators as well as no treatment.
  9. Comparison of capacitance measurements on Visit 3 between test product and comparators as well as no treatment.
  10. Comparison of difference to baseline (Visit 2) of capacitance measurements on Visit 3 between test product and comparators as well as no treatment.
  11. Comparison of skin pH on Visit 3 between test product and comparators as well as no treatment.
  12. Comparison of difference to baseline (Visit 2) of skin pH on Visit 3 between test product and comparators as well as no treatment.
  13. Comparison of product consumption (in gram) over 28 days of treatment between test product and comparators.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Glycerol

SCP49603785 · ATC

Active substance
Glycerol
Substance synonyms
GLYCERINE, GLYCERIN, GLYCEROL (E 422)
Route of administration
TOPICAL
Max daily dose
2 ml millilitre(s)
Max total dose
56 ml millilitre(s)
Max treatment duration
4 Week(s)
Authorisation status
Authorised
ATC code
D02AE51 — CARBAMIDE, COMBINATIONS
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
new moisturiser

Comparator 2

Canoderm 5 % kräm

PRD533938 · Product

Active substance
Urea
Pharmaceutical form
CREAM
Route of administration
TOPICAL
Max daily dose
2 ml millilitre(s)
Max total dose
56 ml millilitre(s)
Max treatment duration
4 Week(s)
Authorisation status
Authorised
ATC code
D02AE01 — CARBAMIDE
Marketing authorisation
13757
MA holder
ACO HUD NORDIC AB
MA country
Sweden
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Propyless 200 mg/g kutan emulsion

PRD8812731 · Product

Active substance
Propylene Glycol
Substance synonyms
PROPYLENGLYCOLUM, PROPYLENEGLYCOL, PROPYLENE GLYCOL (E 1520), PROPYLENE GLYCOL (E1520), 1,2-PROPYLENE GLYCOL
Pharmaceutical form
CUTANEOUS EMULSION
Route of administration
TOPICAL
Max daily dose
2 ml millilitre(s)
Max total dose
56 ml millilitre(s)
Max treatment duration
4 Week(s)
Authorisation status
Authorised
ATC code
D02AX — OTHER EMOLLIENTS AND PROTECTIVES
Marketing authorisation
15241
MA holder
KARO PHARMA AB
MA country
Sweden
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 3

Aqua ad iniectabilia Braun Lösungsmittel zur Herstellung von Parenteralia

PRD534141 · Product

Active substance
Water for Injection
Pharmaceutical form
SOLVENT FOR PARENTERAL USE
Route of administration
TOPICAL
Max daily dose
250 µl microlitre(s)
Max total dose
250 µl microlitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V07AB — SOLVENTS AND DILUTING AGENTS, INCL. IRRIGATING SOLUTIONS
Marketing authorisation
6724092.00.00
MA holder
B.BRAUN MELSUNGEN AG
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sodium Laurilsulfate

SUB72702 · Substance

Active substance
Sodium Laurilsulfate
Pharmaceutical form
CUTANEOUS SOLUTION
Route of administration
TOPICAL
Max daily dose
250 µl microlitre(s)
Max total dose
250 µl microlitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Miniderm 20 % kräm

PRD533923 · Product

Active substance
Glycerol
Pharmaceutical form
CREAM
Route of administration
TOPICAL
Max daily dose
4 ml millilitre(s)
Max total dose
196 ml millilitre(s)
Max treatment duration
7 Week(s)
Authorisation status
Authorised
ATC code
D02AX — OTHER EMOLLIENTS AND PROTECTIVES
Marketing authorisation
16221
MA holder
ACO HUD NORDIC AB
MA country
Sweden
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

ACO Hud Nordic AB

2 Total trials 2 Ended
Academic / Non-commercial
Sponsor organisation
ACO Hud Nordic AB
Address
P. O. Box 622
City
Upplands Vasby
Postcode
194 26
Country
Sweden

Scientific contact point

Organisation
ACO Hud Nordic AB
Contact name
Tina Holm

Public contact point

Organisation
ACO Hud Nordic AB
Contact name
Tina Holm

Third parties 3

OrganisationCity, countryDuties
Clinical Microbiomics, Symbion
ORL-000002759
Copenhagen, Denmark Code 11, Laboratory analysis
SGS proderm GmbH
ORG-100032457
Schenefeld, Germany On site monitoring, Code 10, Code 11, Code 12, Code 13, Code 2, Code 5, Data management, E-data capture
Myonex GmbH
ORG-100043534
Berlin, Germany Code 14

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ended 55 1
Rest of world 0

Investigational sites

Germany

1 site · Ended
SGS proderm GmbH
Clinical Research Unit, Kiebitzweg 2, 22869, Schenefeld

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2023-12-07 2024-03-14 2024-01-22 2024-01-31

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Moisturiser effect on the skin barrier in atopic dermatitis_Summary of results
SUM-74952
2025-03-14T16:56:46 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Moisturiser effect on the skin barrier in atopic dermatitis_lay person summary 2025-03-14T16:58:18 Submitted Laypersons Summary of Results

Documents 2 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) ATOMIC_Lay summary 1
Summary of results (for publication) ATOMIC_Summary report 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-10-08 Germany Acceptable
2023-12-06
2023-12-07
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-01-29 Germany Acceptable
2023-12-06
2024-01-29
3 SUBSTANTIAL MODIFICATION SM-1 2024-03-19 Germany Acceptable
2024-04-08
2024-04-15