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Epiceram™ Device Versus Mid-Strength Topical Steroid (Fluticasone Propionate 0.05%) for Treatment of Atopic Dermatitis

Information source: Ceragenix Pharmaceuticals
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Atopic Dermatitis

Intervention: Epiceram(r) (Device); Fluticasone Propionate 0.05% (Drug)

Phase: Phase 4

Status: Completed

Sponsored by: Ceragenix Pharmaceuticals

Official(s) and/or principal investigator(s):
Jeffrey Sugarman, MD, Principal Investigator, Affiliation: University of California, San Francisco, CA
Lawrence Parrish, MD, Principal Investigator, Affiliation: Medical College of Thomas Jefferson University, Philadelphia, PA

Summary

Novel therapies for AD that avoid immunosuppression and potential carcinogensis are needed. EpiCeram™ , a topical cream, represents a novel class of therapy for skin disorders that does not contain corticosteroids or other anti-inflammatory drugs. The objective of the present study is to demonstrate the safety and efficacy of EpiCeram ™ in the treatment of moderate to severe atopic dermatitis as compared to mid-strength topical steroid cream following twice daily dosing for four weeks in pediatric patients with AD. The potential benefit to patients lies in the potential for EpiCeram ™ to provide restoration of the normal skin barrier as shown in previous studies and eliminate or reduce the requirement for supplemental topical steroid administration.

Clinical Details

Official title: Prospective, Randomized, Investigator-Blind, Controlled, Pilot Study Comparing Effect of Epiceram™ Device vs Standard of Care Therapy of Mid-Strength Topical Steroid (Fluticasone Propionate 0.05%) in Treatment of Atopic Dermatitis in Pediatric Subjects

Study design: Treatment, Randomized, Single Blind (Investigator), Active Control, Parallel Assignment

Primary outcome: Change in the mean Severity Scoring for Atopic Dermatitis (SCORAD)

Secondary outcome:

Percentage of subjects reaching clear or almost clear on Investigator's Global Assessment (IGA)

Change in assessments of Pruritus and sleep habits

Eligibility

Minimum age: 6 Months. Maximum age: 18 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Subjects willing to provide written informed consent (i. e. assent with

parental/guardian consent for ages > 7 to 18 years and parental consent for ages 6 months to 7 years) to participate in the study

- Males or Females

- Age: 6 months to 18 years

- Diagnosis of Moderate to Severe Atopic Dermatitis (AD) on the basis of criteria

defined by the Rajka-Langland Severity Index

Exclusion Criteria:

- Subjects with mild AD as defined by the Rajka-Laneland Severity Index.

- Subjects having greater than 20% BSA as measured by SCORAD "Extent" (A) score (total

amount of body surface area requiring application of either Cutivate® or EpiCeram® exceeds 20%)

- Subjects with unstable or uncontrolled medical conditions that could require intensive

treatment during the course of the study.

- Subjects who require greater than 2mg per day of inhaled or intranasal steroids.

- Subjects who are currently participating in, or have participated in another

investigational drug/device trial within the past month.

- Subjects with known allergy to or hypersensitivity to EpiCeram™ or Fluticasone or

Cetaphil.

- Active infection of any type at the start of the study.

Locations and Contacts

Additional Information

Starting date: December 2006
Last updated: February 5, 2008

Page last updated: June 20, 2008

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