Atopic DermatitisPhase 1NCT02241174
0.005% Sodium Hypochlorite Final Rinse Solution in Atopic Dermatitis
A Phase 1 study testing Sodium Hypochlorite in people with Atopic Dermatitis, run by Makati Medical Center at 1 site in Philippines.
Trial summary
This study will determine the safety and efficacy of diluted bleach bath solution as final rinse on the reduction of Staphylococcus aureus colonization among children and adult Filipinos with mild to moderate atopic dermatitis.. Read more about this study
- Who is it for?
- Ages 8 years and olderHealthy volunteers can take part
- Conditions the study is for
- Atopic Dermatitis
- What is being tested?
- Sodium Hypochlorite
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 0 participants
- Where
- 1 sitePhilippines
- Study dates
- Jul 2014to Feb 2015
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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 8 years and older
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Males and females more than 8 years old.
- Subjects with clinical diagnosis of atopic dermatitis (based on Hannifin and Rajka criteria).
- Healthy subjects with no other skin disease.
- Subjects without any prior topical or oral antibiotic two weeks prior to the enrollment period. Those who had undergone course of topical and oral antibiotic are given at least 2 weeks washout period.
Who cannot join
- Severe Atopic dermatitis requiring hospitalization.
- Hospitalized and debilitated patients.
- Subjects with other serious skin disorder, pigmentation or extensive scarring in affected areas.
- Subjects who have a known history or clinically relevant allergy, in particular to chlorine containing compounds.
- Pregnant women and nursing mothers.
- Subjects who are in a situation, which, in the opinion of the investigator, may interfere with optimal participation in the study.
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- Subjects participating or having participated in a clinical trial within 1 month before enrollment in the study.
- Subjects who cannot communicate with the investigator (>18 years old) or are unaccompanied by parent or legal guardian (<18 years old).
- Subjects who are unable to follow-up.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Efficacy of 0.005% Sodium Hypochlorite Final Rinse Solution on the Reduction of Staphylococcus Aureus Colonization in Atopic Dermatitis: A Randomized Controlled Trial
This study will determine the safety and efficacy of diluted bleach bath solution as final rinse on the reduction of Staphylococcus aureus colonization among children and adult Filipinos with mild to moderate atopic dermatitis..
Read the detailed description
Objective: To determine the safety and efficacy of 0.005% sodium hypochlorite final rinse solution on the reduction of Staphylococcus aureus colonization among children and adult Filipinos with mild to moderate atopic dermatitis.
Design: Randomized, double blind, controlled clinical trial. Setting: Makati Medical Center, Dermatology Outpatient Department Participants: Patients with mild to moderate atopic dermatitis, seen at Makati Medical Center Dermatology Outpatient Department.
Sample size: 68 (34 treatment group, 34 placebo group) Intervention: Eligible patients will be randomly allocated to two groups. The subjects will either be in the treatment group (0.005% sodium hypochlorite) or in the placebo group (bath water). Subjects will use a liter of 0.005% sodium hypochlorite as a final rinse solution during bathing for the treatment group and a liter of bath water for the placebo group. This intervention will be done twice a week for 12 weeks. Both patients and assessors will be blinded to the treatment assignments.
Assessment of Outcome: The outcomes will be assessed at weeks 4 and 12. Primary outcome measure will use culture findings, physician's global assessment (PGA) of severity of disease and eczema area and severity index (EASI) score. Secondary outcome measure will assess adverse effects during follow-up at weeks 4 and 12.
Data Analysis: Kruskal-Wallis Test will be used to compare the significant difference in scores between the two groups and Wilcoxon Signed Rank Test will be used to compare significant difference of before and after scores within each group.
- Conditions
- Atopic Dermatitis
- Being tested
- Sodium Hypochlorite
- Keywords
- Atopic Dermatitis
- Medical subject headings
- Dermatitis, Atopic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sodium HypochloriteDrug
The 0.005% sodium hypochlorite solutions will be prepared from the commercially available Clorox® at 6% solution. 0.83ml of the 6% sodium hypochlorite solution will be taken and incorporated to a-100ml absolute distilled water. This 100ml solution will be stored in an amber glass bottle at room temperature unexposed to light at a maximum of 23 months
| Study group | Role | What they receive |
|---|---|---|
| Sodium Hypochlorite | Experimental | The 0.005% sodium hypochlorite solutions will be prepared from the commercially available Clorox® at 6% solution. 0.83ml of the 6% sodium hypochlorite solution will be taken and incorporated to a-100ml absolute distilled water. Receives: Drug: Sodium Hypochlorite |
| Placebo | Placebo comparator | 100ml distilled water will be used as a placebo and will be stored on amber bottles identical with the treatment group Receives: Drug: Sodium Hypochlorite |
What is being measured
The primary outcome is the main question the study is designed to answer.
Culture and sensitivity findings
The primary outcome of interest is the reduction of S. aureus colonization in skin lesion and the clinical improvement at week 4 and week 12.
Measured: 12 weeks
Eczema Assessment Severity Index (EASI)
Clinical decrease in the disease severity of atopic dermatitis Eczema Assessment Severity Index (EASI) b. Clinical decrease in the disease severity of atopic dermatitis Eczema Assessment Severity Index (EASI)
Body regions to be assessed:
- Head/Neck
- Upper extremities
- Trunk
- Lower extremities
In each of the body areas, the following key signs will be assessed:
- Erythema (E)
- Induration (I)
- Excoriation (Ex)
- Lichenification (L)
Scoring from the above features:
- 0 - none
- 1 - mild
- 2 - moderate
- 3 - severe
Body Surface Area involvement score:
- 0 = no eruption
- 1 = <10%
- 2 = 10%-29%
- 3 = 30% - 49%
- 4 = 50% - 69%
- 5 = 70% - 89%
- 6 = 90% - 100%
EASI Score Body region EASI Score Head/neck (E + I + Ex + L) x Area x 0.1 Upper extremities (E + I + Ex + L) x Area x 0.2 Trunk (E + I + Ex + L) x Area x 0.3 Lower extremities (E + I + Ex + L) x Area x 0.4 EASI Sum of above scores
Measured: 12 weeks
Physician Global Assessment (PGA) Scale
Severity of disease at baseline
Mild:
Moderate:
Severe:
Rating scale for PGA of Clinical Response at the end of the treatment
Rating % Improvement Week 4 Week 12
Cleared 100%
Excellent improvement 90-99%
Marked improvement 75-89%
Moderate improvement 50-74%
Slight improvement 30-49% No appreciable improvement 0-29%
Measured: 12 weeks
Secondary outcomes (1)
Adverse Effect
An adverse effect is an adverse event for which the causal relation between the intervention and the event is at least a reasonable possibility. The term 'adverse effect' applies to all interventions, while 'adverse drug reaction' (ADR) is used only with drugs. Both will be measured in the study. All subjects will be asked if they have experienced any untoward effects from the intervention. In the event that any adverse events and adverse effects will be noted, immediate medical attention will be given to the participant(s) and the expenses of which, will be shouldered by the investigators.
Measured: 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Sep 2014 (estimated)
- Study startJul 2014
- Primary completionDec 2014 (estimated)
- Study completionFeb 2015 (estimated)
Why it stopped: study materials have expired, no patients were enrolled
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Atopic DermatitisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Makati Medical Center
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Jamaine Cruz, MD, Makati Medical Center
- Investigators
- Donna Marie L. Sarrosa, MD, FPDS, Principal investigator, Makati Medical CenterJamaine Melisse L Cruz, MD, Principal investigator, Makati Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02241174
- Sponsor's protocol ID
- SodiumHypochloriteAD
- Status last verified
- Oct 2015
- First submitted
- 12 Sep 2014
- Last updated
- 20 Oct 2015
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Oct 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of 0.005% Sodium Hypochlorite Final Rinse Solution on the Reduction of Staphylococcus Aureus Colonization in Atopic Dermatitis: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT02241174
- Acronym / sponsor ID
- SodiumHypochloriteAD
- Conditions
- Atopic Dermatitis
- Keywords
- Atopic Dermatitis
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: study materials have expired, no patients were enrolled
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Makati Medical CenterUniversity, hospital or other
- Study start
- Jul 2014
- Primary completion
- Dec 2014 (estimated)
- Study completion
- Feb 2015 (estimated)
- First posted
- 16 Sep 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will determine the safety and efficacy of diluted bleach bath solution as final rinse on the reduction of Staphylococcus aureus colonization among children and adult Filipinos with mild to moderate atopic dermatitis..
Detailed description
Objective: To determine the safety and efficacy of 0.005% sodium hypochlorite final rinse solution on the reduction of Staphylococcus aureus colonization among children and adult Filipinos with mild to moderate atopic dermatitis.
Design: Randomized, double blind, controlled clinical trial. Setting: Makati Medical Center, Dermatology Outpatient Department Participants: Patients with mild to moderate atopic dermatitis, seen at Makati Medical Center Dermatology Outpatient Department.
Sample size: 68 (34 treatment group, 34 placebo group) Intervention: Eligible patients will be randomly allocated to two groups. The subjects will either be in the treatment group (0.005% sodium hypochlorite) or in the placebo group (bath water). Subjects will use a liter of 0.005% sodium hypochlorite as a final rinse solution during bathing for the treatment group and a liter of bath water for the placebo group. This intervention will be done twice a week for 12 weeks. Both patients and assessors will be blinded to the treatment assignments.
Assessment of Outcome: The outcomes will be assessed at weeks 4 and 12. Primary outcome measure will use culture findings, physician's global assessment (PGA) of severity of disease and eczema area and severity index (EASI) score. Secondary outcome measure will assess adverse effects during follow-up at weeks 4 and 12.
Data Analysis: Kruskal-Wallis Test will be used to compare the significant difference in scores between the two groups and Wilcoxon Signed Rank Test will be used to compare significant difference of before and after scores within each group.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Sodium Hypochlorite | Experimental | Drug: Sodium HypochloriteThe 0.005% sodium hypochlorite solutions will be prepared from the commercially available Clorox® at 6% solution. 0.83ml of the 6% sodium hypochlorite solution will be taken and incorporated to a-100ml absolute distilled water. |
| Placebo | Placebo comparator | Drug: Sodium Hypochlorite100ml distilled water will be used as a placebo and will be stored on amber bottles identical with the treatment group |
Who may qualify
- Ages
- 8 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (4 listed)
- Males and females more than 8 years old.
- Subjects with clinical diagnosis of atopic dermatitis (based on Hannifin and Rajka criteria).
- Healthy subjects with no other skin disease.
- Subjects without any prior topical or oral antibiotic two weeks prior to the enrollment period. Those who had undergone course of topical and oral antibiotic are given at least 2 weeks washout period.
Key exclusion criteria (9 listed)
- Severe Atopic dermatitis requiring hospitalization.
- Hospitalized and debilitated patients.
- Subjects with other serious skin disorder, pigmentation or extensive scarring in affected areas.
- Subjects who have a known history or clinically relevant allergy, in particular to chlorine containing compounds.
- Pregnant women and nursing mothers.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sodium HypochloriteThe 0.005% sodium hypochlorite solutions will be prepared from the commercially available Clorox® at 6% solution. 0.83ml of the 6% sodium hypochlorite solution will be taken and incorporated to a-100ml absolute distilled water. This 100ml solution will be stored in an amber glass bottle at room temperature unexposed to light at a maximum of 23 months | Drug | Placebo, Sodium Hypochlorite |
Primary outcome
Culture and sensitivity findings
Time frame: 12 weeks
The primary outcome of interest is the reduction of S. aureus colonization in skin lesion and the clinical improvement at week 4 and week 12.
Eczema Assessment Severity Index (EASI)
Time frame: 12 weeks
Clinical decrease in the disease severity of atopic dermatitis Eczema Assessment Severity Index (EASI) b. Clinical decrease in the disease severity of atopic dermatitis Eczema Assessment Severity Index (EASI) Body regions to be assessed: 1. Head/Neck 2. Upper extremities 3. Trunk 4. Lower extremities In each of the body areas, the following key signs will be assessed: 1. Erythema (E) 2. Induration (I) 3. Excoriation (Ex) 4. Lichenification (L) Scoring from the above features: 1. 0 - none 2. 1 - mild 3. 2 - moderate 4. 3 - severe Body Surface Area involvement score: 1. 0 = no eruption 2. 1 = <10% 3. 2 = 10%-29% 4. 3 = 30% - 49% 5. 4 = 50% - 69% 6. 5 = 70% - 89% 7. 6 = 90% - 100% EASI Score Body region EASI Score Head/neck (E + I + Ex + L) x Area x 0.1 Upper extremities (E + I + Ex + L) x Area x 0.2 Trunk (E + I + Ex + L) x Area x 0.3 Lower extremities (E + I + Ex + L) x Area x 0.4 EASI Sum of above scores
Physician Global Assessment (PGA) Scale
Time frame: 12 weeks
Severity of disease at baseline Mild: Moderate: Severe: Rating scale for PGA of Clinical Response at the end of the treatment Rating % Improvement Week 4 Week 12 Cleared 100% Excellent improvement 90-99% Marked improvement 75-89% Moderate improvement 50-74% Slight improvement 30-49% No appreciable improvement 0-29%
1 secondary outcome
Adverse Effect
Time frame: 12 weeks
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Oct 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Donna Marie L. Sarrosa, MD, FPDS principal investigator
Makati Medical Center
Jamaine Melisse L Cruz, MD principal investigator
Makati Medical Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Sodium Hypochlorite in people with Atopic Dermatitis, run by Makati Medical Center at 1 site in Philippines.
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 4 inclusion and 9 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: withdrawn, as of the sponsor's last update on 20 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Philippines. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
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?
Culture and sensitivity findings (time frame: 12 weeks). The study lists 3 primary outcomes in all. 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 20 Oct 2015.