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MicrobiotaNCT03673059

Clinical Trial to Assess the Effects of Topical Lotions on Changes in the Skin Microbiome and Associations With Itch

A study testing OTC Eczema Moisturizer Regimen and Cosmetic Moisturizer Regimen in people with Microbiota, run by Johnson & Johnson Consumer Products Company Division of Johnson & Johnson Consumer Companies, Inc. at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This was a multi-center, 14-day clinical use study with a 7-day regression period, being conducted to assess the changes in the skin microbiome with two moisturizers in female and male subjects 16-50 years of age with mild to moderate eczema that experienced a recent itch flare up. Read more about this study

Who is it for?
Ages 16 to 50 years
Conditions the study is for
Microbiota
What is being tested?
OTC Eczema Moisturizer Regimen and Cosmetic Moisturizer Regimen
Could I receive a placebo?
No, everyone receives an active treatment
How many people
91 participants
Where
2 sitesUnited States
Study dates
27 Mar 2015to 13 Jun 2016
Phase
Interventional
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 16 to 50 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Mild to moderate eczema, as determined by the investigator (score of 2.0-7.5 on Rajka-Langeland severity index).
  • Has 1 target lesion, as determined by the investigator (score of 6-12 on Atopic Dermatitis Severity Index (ADSI) and sub-score of at least 2 on erythema and pruritus).
  • Experienced a recent itch flare up and is experiencing pre-flare up symptoms at screening.
  • Did not use moisturizer on the face and body for 3 days prior to screening.
  • Has a score of at least 4.0 on Visual Analog Scale (VAS) Itch Assessment scale at baseline.
  • Generally in good health.
Show all 10Show fewer
  • Willing to stop using all topical emollients, moisturizers, and/or other skin barrier creams and/or emulsion treatments for the eczema condition during the test period.
  • Willing and able to follow all study directions, including avoiding excessive sun exposure (including tanning beds), and to commit to all follow up visits for the duration of the study.
  • Completed informed consent/assent process and signed photograph release.
  • Must agree to practice a medically acceptable form of birth control.

Who cannot join

  • Known allergies or sensitivities to test product ingredients.
  • Severe eczema.
  • Using a therapeutic (over the counter or prescription) body wash that contains an active ingredient for eczema.
  • Has a health condition or skin condition that the study investigator thinks could increase risk to the subject or confuse study results (e.g. immune deficiency disorders).
  • Has been using that the study investigator thinks could increase risk to the subject or confuse study results (e.g. corticosteroids, immunosuppressive medications).
  • Currently participating in another study.
  • Subjects who have clinically active bacterial, fungal, or viral skin infections or those who are susceptible to cutaneous infections.
  • Has any planned surgery and/or invasive medical procedures scheduled during the course of the study.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Thomas J. Stephens & Associates, Inc.

    Colorado Springs, Colorado, 80915

  • Thomas J. Stephens and Associates, Inc.

    Richardson, Texas, 75081

Other trials in United States

About this study

Official title: A Multi-Center, Controlled Clinical Trial to Assess the Effects of Topical Lotions on Changes in the Skin Microbiome and Associations With Itch

This was a multi-center, 14-day clinical use study with a 7-day regression period, being conducted to assess the changes in the skin microbiome with two moisturizers in female and male subjects 16-50 years of age with mild to moderate eczema that experienced a recent itch flare up.

Read the detailed description

In this study, subjects were divided into two groups, one group was supplied with a test product containing an over-the-counter (OTC) drug monographed ingredient for treatment of eczema. The other group was supplied with a cosmetic test product which is a standard dry skin daily moisturizer. Both groups were also provided with a cosmetic test cleanser to use in place of their normal cleanser. Subjects used the products for 14 days, followed by a 7-day regression period (no product use).

Subjects were assessed at Baseline and at Day 1, Day 3, Day 7, and Day 14 of product use. They were assessed again 7 days after stopping product use. Only the group provided with the test product containing the monograph ingredient for treatment of eczema were assessed for eczema endpoints after the Baseline visit.

Conditions
Microbiota
Being tested
OTC Eczema Moisturizer Regimen, Cosmetic Moisturizer Regimen
Keywords
Microbiome, Eczema, Itching, Quality of life, Moisturization
Medical subject headings
Eczema, Pruritus

What participants receive

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

  • OTC Eczema Moisturizer RegimenDrug

    Also called Group A

    Subjects were assigned to use an OTC, oatmeal-containing eczema therapy moisturizing cream twice daily on their face and entire body for the 14-day treatment period of the study, in place of any other moisturizers/emollients. Subjects were also provided with a mild cleanser to use in place of their normal body wash and/or soap (same cleanser as used by Group B) per their usual cleansing routine. After the 14-day treatment period, subjects discontinued use of the moisturizer for the 7-day regression period.

  • Cosmetic Moisturizer RegimenOther

    Also called Group B

    Subjects were assigned to use a non-fragranced, dry skin daily moisturizer twice daily on their face and entire body for the 14-day treatment period of the study, in place of any other moisturizers/emollients. Subjects were also provided with a mild cleanser to use in place of their normal body wash and/or soap (same cleanser as used by Group A) per their usual cleansing routine. After the 14-day treatment period, subjects discontinued use of the moisturizer for the 7-day regression period.

Study groups in NCT03673059
Study groupRoleWhat they receive
OTC Eczema Moisturizer RegimenExperimentalSubjects who were assigned to use an over-the-counter (OTC), oatmeal-containing eczema therapy moisturizing cream. The product is classified as an OTC monograph drug.
Receives: Drug: OTC Eczema Moisturizer Regimen
Cosmetic Moisturizer RegimenExperimentalSubjects who were assigned to use a non-fragranced, dry skin daily moisturizer classified as a cosmetic (i.e. non-OTC).
Receives: Other: Cosmetic Moisturizer Regimen

What is being measured

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

  1. Microbiome Composition Changes in Lesion Skin - Baseline to Day 14

    Changes in the composition (abundance and diversity) of the microbiome communities present on the lesional skin from Baseline to Day 14. The microbiome of the skin of interest was sampled using a sterile swab, sequenced to amplify genomic regions, and analyzed using standard protocols to determine associated organisms, both known and novel, between the two time points.

    Measured: 2 weeks

Secondary outcomes (29)
  1. Microbiome Composition Changes in Lesion Skin - Baseline to Day 7

    Changes in the composition (abundance and diversity) of the microbiome communities present on the lesional skin from Baseline to Day 7. The microbiome of the skin of interest was sampled using a sterile swab, sequenced to amplify genomic regions, and analyzed using standard protocols to determine associated organisms, both known and novel, between the two time points.

    Measured: 1 week

  2. Microbiome Composition Changes in Lesion Skin - Baseline to Day 3

    Changes in the composition (abundance and diversity) of the microbiome communities present on the lesional skin from Baseline to Day 3. The microbiome of the skin of interest was sampled using a sterile swab, sequenced to amplify genomic regions, and analyzed using standard protocols to determine associated organisms, both known and novel, between the two time points.

    Measured: 3 days

  3. Microbiome Composition Changes in Lesion Skin - Baseline to Day 1

    Changes in the composition (abundance and diversity) of the microbiome communities present on the lesional skin from Baseline to Day 1. The microbiome of the skin of interest was sampled using a sterile swab, sequenced to amplify genomic regions, and analyzed using standard protocols to determine associated organisms, both known and novel, between the two time points.

    Measured: 1 day

  4. Microbiome Composition Changes in Lesion Skin - Regression Baseline to Day Regression Day 7

    Changes in the composition (abundance and diversity) of the microbiome communities present on the lesional skin from Regression Baseline (Study Day 14) to Regression Day 7 (Study Day 21). The microbiome of the skin of interest was sampled using a sterile swab, sequenced to amplify genomic regions, and analyzed using standard protocols to determine associated organisms, both known and novel, between the two time points.

    Measured: 1 week

  5. Skin pH - Change - Baseline to Day 14

    Change from baseline in pH of lesional skin at Day 14.

    Measured: 2 weeks

  6. Skin pH - Change - Baseline to Day 7

    Change from baseline in pH of lesional skin at Day 7.

    Measured: 1 week

  7. Skin pH - Change - Baseline to Day 3

    Change from baseline in pH of lesional skin at Day 3.

    Measured: 3 days

  8. Skin pH - Change - Baseline to Day 1

    Change from baseline in pH of lesional skin at Day 1.

    Measured: 1 day

  9. Skin pH - Change - Regression Baseline to Regression Day 7

    Change from regression baseline (Study Day 14) in pH of lesion skin at Regression Day 7 (Study Day 21).

    Measured: 1 week

  10. Skin Transepidermal Water Loss (TEWL) - Change - Baseline to Day 14

    Change from baseline in TEWL of lesional skin at Day 14.

    Measured: 2 weeks

  11. Skin Transepidermal Water Loss (TEWL) - Change - Baseline to Day 7

    Change from baseline in TEWL of lesional skin at Day 7.

    Measured: 1 week

  12. Skin Transepidermal Water Loss (TEWL) - Change - Baseline to Day 3

    Change from baseline in TEWL of lesional skin at Day 3.

    Measured: 3 days

  13. Skin Transepidermal Water Loss (TEWL) - Change - Baseline to Day 1

    Change from baseline in TEWL of lesional skin at Day 1.

    Measured: 1 day

  14. Skin Transepidermal Water Loss (TEWL) - Change - Regression Baseline to Regression Day 7

    Change from regression baseline (Study Day 14) in TEWL of lesional skin at Regression Day 7 (Study Day 21).

    Measured: 1 week

  15. Skin Hydration - Change - Baseline to Day 14

    Change from baseline in Skin Hydration via conductance of lesional skin at Day 14.

    Measured: 2 weeks

  16. Skin Hydration - Change - Baseline to Day 7

    Change from baseline in Skin Hydration via conductance of lesional skin at Day 7.

    Measured: 1 week

  17. Skin Hydration - Change - Baseline to Day 3

    Change from baseline in Skin Hydration via conductance of lesional skin at Day 3.

    Measured: 3 days

  18. Skin Hydration - Change - Baseline to Day 1

    Change from baseline in Skin Hydration via conductance of lesional skin at Day 1.

    Measured: 1 day

  19. Skin Hydration - Change - Regression Baseline (Day 14) to Regression Day 7 (Day 21)

    Change from regression baseline (Day 14) in Skin Hydration via conductance of lesional skin at Regression Day 7 (Day 21).

    Measured: 1 week

  20. Eczema Area Severity Index (EASI) - Change - Baseline to Day 14

    Change from baseline in total EASI score at Day 14. Group A only. The EASI scoring system provides a score that reflects the severity of clinical signs of eczema based on the percentage of affected area in each of 4 body regions - the head/neck, trunk, upper extremities, and lower extremities. Each body region is scored for 4 parameters: erythema, edema, excoriations, and lichenification on a 0 (none) to 3 (severe) scale. The score for these parameters is summed and then multiplied by a constant that reflects the relative body area of that body region (head/neck = 0.10; trunk = 0.30; upper extremities = 0.20, lower extremities = 0.40). The total EASI score is calculated as a sum of the scores for the 4 individual body regions. The total possible score ranges from 0 (no eczema anywhere on the body) to 72 (severest eczema symptoms on all body areas).

    Measured: 2 weeks

  21. Eczema Area Severity Index (EASI) - Change - Baseline to Day 7

    Change from baseline in total EASI score at Day 7. Group A only. The EASI scoring system provides a score that reflects the severity of clinical signs of eczema based on the percentage of affected area in each of 4 body regions - the head/neck, trunk, upper extremities, and lower extremities. Each body region is scored for 4 parameters: erythema, edema, excoriations, and lichenification on a 0 (none) to 3 (severe) scale. The score for these parameters is summed and then multiplied by a constant that reflects the relative body area of that body region (head/neck = 0.10; trunk = 0.30; upper extremities = 0.20, lower extremities = 0.40). The total EASI score is calculated as a sum of the scores for the 4 individual body regions. The total possible score ranges from 0 (no eczema anywhere on the body) to 72 (severest eczema symptoms on all body areas).

    Measured: 1 week

  22. Eczema Area Severity Index (EASI) - Change - Baseline to Day 3

    Change from baseline in total EASI score at Day 3. Group A only. The EASI scoring system provides a score that reflects the severity of clinical signs of eczema based on the percentage of affected area in each of 4 body regions - the head/neck, trunk, upper extremities, and lower extremities. Each body region is scored for 4 parameters: erythema, edema, excoriations, and lichenification on a 0 (none) to 3 (severe) scale. The score for these parameters is summed and then multiplied by a constant that reflects the relative body area of that body region (head/neck = 0.10; trunk = 0.30; upper extremities = 0.20, lower extremities = 0.40). The total EASI score is calculated as a sum of the scores for the 4 individual body regions. The total possible score ranges from 0 (no eczema anywhere on the body) to 72 (severest eczema symptoms on all body areas).

    Measured: 3 days

  23. Eczema Area Severity Index (EASI) - Change - Baseline to Day 1

    Change from baseline in total EASI score at Day 1. Group A only. The EASI scoring system provides a score that reflects the severity of clinical signs of eczema based on the percentage of affected area in each of 4 body regions - the head/neck, trunk, upper extremities, and lower extremities. Each body region is scored for 4 parameters: erythema, edema, excoriations, and lichenification on a 0 (none) to 3 (severe) scale. The score for these parameters is summed and then multiplied by a constant that reflects the relative body area of that body region (head/neck = 0.10; trunk = 0.30; upper extremities = 0.20, lower extremities = 0.40). The total EASI score is calculated as a sum of the scores for the 4 individual body regions. The total possible score ranges from 0 (no eczema anywhere on the body) to 72 (severest eczema symptoms on all body areas).

    Measured: 1 day

  24. Eczema Area Severity Index (EASI) - Change - Regression Baseline to Regression Day 7

    Change from regression baseline (Study Day 14) in total EASI score at Regression Day 7 (Study Day 21). Group A only. The EASI scoring system provides a score that reflects the severity of clinical signs of eczema based on the percentage of affected area in each of 4 body regions - the head/neck, trunk, upper extremities, and lower extremities. Each body region is scored for 4 parameters: erythema, edema, excoriations, and lichenification on a 0 (none) to 3 (severe) scale. The score for these parameters is summed and then multiplied by a constant that reflects the relative body area of that body region (head/neck = 0.10; trunk = 0.30; upper extremities = 0.20, lower extremities = 0.40). The total EASI score is calculated as a sum of the scores for the 4 individual body regions. The total possible score ranges from 0 (no eczema anywhere on the body) to 72 (severest eczema symptoms on all body areas).

    Measured: 1 week

  25. Atopic Dermatitis Severity Index (ADSI) - Change - Baseline to Day 14

    Change from baseline in total ADSI score at Day 14. Group A only. ADSI is a scoring system that reflects the severity of a target eczema lesion. The ADSI score is a sum of scores for 5 different parameters - erythema, itching, exudation, excoriation, lichenification - which are each measured on a 0 (none) to 3 (scale). The total score can range from 0 (no eczema signs) to 15 (very severe eczema lesion).

    Measured: 2 weeks

  26. Atopic Dermatitis Severity Index (ADSI) - Change - Baseline to Day 7

    Change from baseline in total ADSI score at Day 7. Group A only. ADSI is a scoring system that reflects the severity of a target eczema lesion. The ADSI score is a sum of scores for 5 different parameters - erythema, itching, exudation, excoriation, lichenification - which are each measured on a 0 (none) to 3 (scale). The total score can range from 0 (no eczema signs) to 15 (very severe eczema lesion).

    Measured: 1 week

  27. Atopic Dermatitis Severity Index (ADSI) - Change - Baseline to Day 3

    Change from baseline in total ADSI score at Day 3. Group A only. ADSI is a scoring system that reflects the severity of a target eczema lesion. The ADSI score is a sum of scores for 5 different parameters - erythema, itching, exudation, excoriation, lichenification - which are each measured on a 0 (none) to 3 (scale). The total score can range from 0 (no eczema signs) to 15 (very severe eczema lesion).

    Measured: 3 days

  28. Atopic Dermatitis Severity Index (ADSI) - Change - Baseline to Day 1

    Change from baseline in total ADSI score at Day 1. Group A only. ADSI is a scoring system that reflects the severity of a target eczema lesion. The ADSI score is a sum of scores for 5 different parameters - erythema, itching, exudation, excoriation, lichenification - which are each measured on a 0 (none) to 3 (scale). The total score can range from 0 (no eczema signs) to 15 (very severe eczema lesion).

    Measured: 1 day

  29. Atopic Dermatitis Severity Index (ADSI) - Change - Regression Baseline to Regression Day 7

    Change from regression baseline (Study Day 14) in total ADSI score at Regression Day 7 (Study Day 21). Group A only. ADSI is a scoring system that reflects the severity of a target eczema lesion. The ADSI score is a sum of scores for 5 different parameters - erythema, itching, exudation, excoriation, lichenification - which are each measured on a 0 (none) to 3 (scale). The total score can range from 0 (no eczema signs) to 15 (very severe eczema lesion).

    Measured: 1 week

Timeline

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

  1. First posted17 Sep 2018
  2. Study start27 Mar 2015
  3. Primary completion13 Jun 2016
  4. Study completion13 Jun 2016

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 N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
Subjects were randomly assigned to two groups. One group was supplied with a test product containing an OTC drug monographed ingredient for treatment of eczema and the other group was supplied with a cosmetic test product which is a standard dry skin daily moisturizer. Both groups were also provided with a cosmetic test cleanser to use in place of their normal cleanser. There was a 7-day regression period following the 14 days of product use.
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
91 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03673059
Sponsor's protocol ID
PS-141014142040-THCT
Status last verified
Sep 2018
First submitted
17 Aug 2018
Last updated
17 Sep 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Phan NQ, Blome C, Fritz F, Gerss J, Reich A, Ebata T, Augustin M, Szepietowski JC, Stander S. Assessment of pruritus intensity: prospective study on validity and reliability of the visual analogue scale, numerical rating scale and verbal rating scale in 471 patients with chronic pruritus. Acta Derm Venereol. 2012 Sep;92(5):502-7. doi: 10.2340/00015555-1246.

    PubMed 22170091
  • Desai NS, Poindexter GB, Monthrope YM, Bendeck SE, Swerlick RA, Chen SC. A pilot quality-of-life instrument for pruritus. J Am Acad Dermatol. 2008 Aug;59(2):234-44. doi: 10.1016/j.jaad.2008.04.006. Epub 2008 Jun 11.

    PubMed 18550210
  • Lipozencic J, Wolf R. Atopic dermatitis: an update and review of the literature. Dermatol Clin. 2007 Oct;25(4):605-12, x. doi: 10.1016/j.det.2007.06.009.

    PubMed 17903619
  • Elman S, Hynan LS, Gabriel V, Mayo MJ. The 5-D itch scale: a new measure of pruritus. Br J Dermatol. 2010 Mar;162(3):587-93. doi: 10.1111/j.1365-2133.2009.09586.x. Epub 2009 Dec 1.

    PubMed 19995367
  • Kong HH, Oh J, Deming C, Conlan S, Grice EA, Beatson MA, Nomicos E, Polley EC, Komarow HD; NISC Comparative Sequence Program; Murray PR, Turner ML, Segre JA. Temporal shifts in the skin microbiome associated with disease flares and treatment in children with atopic dermatitis. Genome Res. 2012 May;22(5):850-9. doi: 10.1101/gr.131029.111. Epub 2012 Feb 6.

    PubMed 22310478
  • Rajka G, Langeland T. Grading of the severity of atopic dermatitis. Acta Derm Venereol Suppl (Stockh). 1989;144:13-4. doi: 10.2340/000155551441314.

    PubMed 2800895
  • Hanifin JM, Thurston M, Omoto M, Cherill R, Tofte SJ, Graeber M. The eczema area and severity index (EASI): assessment of reliability in atopic dermatitis. EASI Evaluator Group. Exp Dermatol. 2001 Feb;10(1):11-8. doi: 10.1034/j.1600-0625.2001.100102.x.

    PubMed 11168575

Questions about this trial

What is this clinical trial studying?

A study testing OTC Eczema Moisturizer Regimen and Cosmetic Moisturizer Regimen in people with Microbiota, run by Johnson & Johnson Consumer Products Company Division of Johnson & Johnson Consumer Companies, Inc. at 2 sites in United States.

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 10 inclusion and 8 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: finished, as of the sponsor's last update on 17 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Microbiome Composition Changes in Lesion Skin - Baseline to Day 14 (time frame: 2 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03673059, which also lists 7 linked publications.

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 17 Sep 2018.

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