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Dermatitis, AtopicPhase 4NCT00671528

Safety and Efficacy of Quadriderme® in the Treatment of Impetiginous Eczema (Study P05134AM4)

A Phase 4 study testing Cream (betamethasone diproprionate, clotrimazole, and gentamicin sulfate), Cream (betamethasone diproprionate and gentamicin) and Cream (betamethasone diproprionate) in people with Dermatitis, Atopic and Eczema, Atopic, run by Organon and Co.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a parallel-group, randomized, active-controlled, double-blind, Phase 4 trial comparing three creams in the treatment of impetiginous eczema: Arm A: QUADRIDERME® cream (betamethasone diproprionate, clotrimazole, and gentamicin sulfate) Arm B: Combination of betamethasone diproprionate cream and gentamicin… Read more about this study

Who is it for?
Ages 12 years and older
What is being tested?
Cream (betamethasone diproprionate, clotrimazole, and gentamicin sulfate), Cream (betamethasone diproprionate and gentamicin) and Cream (betamethasone diproprionate)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3 participants
Where
No sites listed yet
Study dates
Jul 2009to May 2010
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Minimum age: 12 years
  • Good general health confirmed by clinical history and a physical and skin examination (excluding area of skin with impetiginous eczema).
  • Diagnosis of impetiginous eczema.
  • Ability to understand the procedures of the protocol and follow the requirements during the course of the study.
  • Results of routine laboratory tests - hemogram with leukogram and platelet count, creatinine, glucose, sed. rate, IgE level and transaminases; along with plasma cortisol and adrenocorticotropic hormone (ACTH) levels prior to the start of the treatment. These results must all be within normal limits or not clinically relevant in order to be included in the trial.

Who cannot join

  • Pregnant participants or women of childbearing age who are not using birth control methods considered reliable by the attending physician.
  • Participants with a history of hypersensitivity to any of the components of the medication being studied.
  • Participants in whom the extent or severity of the lesions requires treatment of a different type than what is planned for this trial.
  • Participants who need any other type of topical or systemic medication during the trial that might affect the course of the disease.
  • Participants who have been treated with other topical medications during the 14-day period prior to the start of the trial.
  • Participants who have received systemic corticosteroids or any other immunosuppressant medication during the 28-day period prior to the start of the study.

About this study

Official title: Double-blind Evaluation of the Safety and Efficacy of Quadriderme® (Betamethasone Diproprionate, Clotrimazole and Gentamicin) Compared With Betamethasone Diproprionate Combined With Gentamicin Sulfate and With Betamethasone Diproprionate in the Treatment of Impetiginous Eczema

This is a parallel-group, randomized, active-controlled, double-blind, Phase 4 trial comparing three creams in the treatment of impetiginous eczema:

  • Arm A: QUADRIDERME® cream (betamethasone diproprionate, clotrimazole, and gentamicin sulfate)
  • Arm B: Combination of betamethasone diproprionate cream and gentamicin sulfate cream
  • Arm C: Betamethasone diproprionate cream
Read more

At 7 sites, in Portugal, a total of 207 subjects will be randomized using a 1:1:1 randomization ratio to receive one of the three possible treatments for a maximum period of 28 days or until 5 days after total remission of the signs and symptoms, but never more than 28 days. Assessments will be made of level of improvement of the target area in each treatment group, number of days for total remission, and safety profile.

Note: This study was terminated early due to lack of recruitment (only 3 of the 207 planned participants were enrolled). Statistical analyses were not performed.

Further, 7 sites were planned, but only 4 sites were approved out of which 3 sites were initiated.

Being tested
Cream (betamethasone diproprionate, clotrimazole, and gentamicin sulfate), Cream (betamethasone diproprionate and gentamicin), Cream (betamethasone diproprionate)
Keywords
Impetiginous
Medical subject headings
Dermatitis, Atopic, Skin Diseases, Eczematous

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cream (betamethasone diproprionate, clotrimazole, and gentamicin sulfate)Drug

    Also called QUADRIDERME® cream, SCH 000411

    Betamethasone diproprionate 0.05%, clotrimazole 1%, and gentamicin sulfate 0.1% cream applied in a thin layer that covers the affected and surrounding area 2 times a day (BID), morning and night for a maximum period of 28 days or until 5 days after total remission of the signs and symptoms, but never more than 28 days.

  • Cream (betamethasone diproprionate and gentamicin)Drug

    Betamethasone diproprionate 0.05% and gentamicin sulfate 0.1% cream applied in a thin layer that covers the affected and surrounding area BID, morning and night for a maximum period of 28 days or until 5 days after total remission of the signs and symptoms, but never more than 28 days.

  • Cream (betamethasone diproprionate)Drug

    Betamethasone diproprionate 0.05% cream applied in a thin layer that covers the affected and surrounding area BID, morning and night for a maximum period of 28 days or until 5 days after total remission of the signs and symptoms, but never more than 28 days.

Study groups in NCT00671528
Study groupRoleWhat they receive
QUADRIDERME® creamExperimentalQUADRIDERME® cream (betamethasone diproprionate, clotrimazole, and gentamicin sulfate)
Receives: Drug: Cream (betamethasone diproprionate, clotrimazole, and gentamicin sulfate)
Betamethasone and GentamicinActive comparatorCombination of betamethasone diproprionate cream and gentamicin sulfate cream
Receives: Drug: Cream (betamethasone diproprionate and gentamicin)
BetamethasoneActive comparatorBetamethasone diproprionate cream
Receives: Drug: Cream (betamethasone diproprionate)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Improvement of Individually Measured Signs of the Disease

    Percent improvement of individually measured signs of the disease (erythema, vesiculation, scaling, pruritis) in a given target area that was chosen by the investigator was assessed objectively \& quantified on a scale of 0-5 (0-absent, 5-very intense). Overall assessment reflected the changes in the disease \& was carried out by the investigator.

    The following scale was used:

    1. Cure- Complete remission
    2. > 75% reduction: Marked improvement
    3. 50-75% reduction: Moderate improvement
    4. 25-50% reduction: Slight improvement
    5. <25% reduction: Ineffectiveness
    6. Worsening of signs \& symptoms

    Measured: Days 1 (prior to start of treatment), 8, 15, 21, and 28.

Secondary outcomes (1)
  1. Number of Days Required to Achieve Total Remission

    The speed of action, measured as the number of days required to achieve total remission of all signs and symptoms of the disease.

    Measured: Up to 28 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 May 2008 (estimated)
  2. Study startJul 2009
  3. Primary completionMay 2010
  4. Study completionMay 2010

Why it stopped: terminated early due to lack of recruitment \[only 3 of 207 subjects were enrolled\]

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00671528
Sponsor's protocol ID
P05134
Other IDs
EudraCT No.: 2007-004980-23
Status last verified
Feb 2022
First submitted
1 May 2008
Last updated
9 Feb 2022
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Cream (betamethasone diproprionate, clotrimazole, and gentamicin sulfate), Cream (betamethasone diproprionate and gentamicin) and Cream (betamethasone diproprionate) in people with Dermatitis, Atopic and Eczema, Atopic, run by Organon and Co.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 9 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 16 Jun 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Improvement of Individually Measured Signs of the Disease (time frame: Days 1 (prior to start of treatment), 8, 15, 21, and 28.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Feb 2022.

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