Evaluation of Dermasectan cream versus standard of care to compare their effectiveness and safety in treating atopic dermatitis (eczema) in children

ISRCTN ISRCTN11118799
DOI https://doi.org/10.1186/ISRCTN11118799
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Protocol serial number DERCBS1806
Sponsor Novintethical Pharma (Switzerland)
Funder Novintethical Pharma SA
Submission date
16/11/2021
Registration date
24/11/2021
Last edited
25/09/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Atopic dermatitis (eczema) is a condition that makes the skin red and itchy that can appear during early childhood and often before the age of 2 years. This study aims to evaluate the effectiveness and safety of Dermasectan cream in pediatric patients with atopic dermatitis. The study also aims to evaluate the effectiveness of Dermasectan cream, compared to the Standard of Care, in reducing the symptoms of this condition.

Who can participate?
Children aged between 6 months and 12 years old with atopic dermatitis on the standard of care treatment (e.g. hydrocortisone) or on Dermasectan

What does the study involve?
The study lasts for 28 days, with two applications per day for 14 consecutive days of treatment with one of the study products: Dermasectan cream or the standard of care (e.g. hydrocortisone). There are four study visits at day 0, day 8 (after 7 days of treatment), day 15 (after 14 days of treatment), and day 29 (14 days after the end of treatment, a phone-call visit).

What are the possible benefits and risks of participating?
This treatment could be very helpful for the treatment of atopic dermatitis by reducing the symptoms associated with this diagnosis. The treatment may bring personal benefits or this may not be the case. The results of this study could help discover new treatments for atopic dermatitis. There is no information regarding risks or inconveniences.

Where is the study run from?
Novintethical Pharma SA (Switzerland)

When is the study starting and how long is it expected to run for?
March 2019 to May 2020

Who is funding the study?
Novintethical Pharma SA (Switzerland)

Who is the main contact?
Alina Iordache
alina.iordache@cebis-int.com

Contact information

Mrs Alina Iordache
Scientific

222 Calea Plevnei 3rd Floor
Bucharest
060016
Romania

ORCiD logoORCID ID 0000-0002-5931-0463
Phone +40 (0)737 640 721
Email alina.iordache@cebis-int.com

Study information

Primary study designObservational
Study designProspective multicenter comparative study
Secondary study designCohort study
Study type Participant information sheet
Scientific titleA prospective, multicenter, comparative study of Dermasectan versus standard of care (e.g. hydrocortisone) in the current clinical practice using subjective assessment in children with atopic dermatitis
Study acronymADVANCE
Study objectivesTo evaluate the clinical efficacy of Dermasectan in alleviating the symptomatology of atopic dermatitis, based on the patient’s subjective assessment.
Ethics approval(s)Approved 13/06/2019, The National Committee of Bioethics for Medicine and Medical Devices (Stefan Cel Mare 19-21 Road, District 2, Bucharest, Romania; +40 (0)212102880; comisia.bioetica@adsm.ro), ref: 7SNI
Health condition(s) or problem(s) studiedAtopic dermatitis
InterventionEach patient was enrolled after the doctor decided to prescribe Dermasectan or SoC (e.g. hydrocortisone 10 mg / g ointment) and met the eligibility criteria in a 1:1 ratio. Dermasectan was provided by the Study Sponsor.

After signing the informed consent, each subject was evaluated for eligibility criteria. All subjects included in the study were diagnosed, by their doctor, with atopic dermatitis. The study lasted for 28 days, with two applications/day for 14 consecutive days of treatment with one of the study products: Dermasectan or SoC (e.g. hydrocortisone).

Each subject was physically examined (weight, height). The investigator evaluated the atopic dermatitis status evolution by using the following questionnaires during each visit: ADSI, SCORAD and POEM. Medical history and demographic data (including subject’s initials, date of birth) and medication used was recorded into the patient file. All subjects attended four visits during the study:
Visit 1 – Day 0
Visit 2 – Day 8 (after 7 days of treatment)
Visit 3 – Day 15 (after 14 days of treatment)
Visit 4 – Day 28 (14 days after the end of treatment) – phone-call visit
Intervention typeDevice
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Dermasectan
Primary outcome measure(s)

Efficacy assessed by:
1. Erythema, pruritus, exudation, excoriation, crusted erosions and lichenification assessed using a 4-point (0-3) scale - the Atopic Dermatitis Severity Index (ADSI) - recorded at visits on day 0, day 8 and day 15
2. Redness, swelling, oozing/crusting, scratch marks, skin thickening (lichenification) and dryness measured using the SCORAD (Score Atopic Dermatitis) Calculator at the doctor’s office at the time of the visits on day 0, day 8 and day 15
3. Patient chart assessment by the Patient Oriented Eczema Measure (POEM) recorded at visits on day 0, day 8 and day 15

Key secondary outcome measure(s)

Safety outcomes (percentage of participants who experienced an adverse event, number of drop-outs due to side effects, disease progression) evaluated during the study visit on day 8, day 15 and day 28

Completion date01/05/2020

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit6 Months
Upper age limit12 Years
SexAll
Target sample size at registration42
Total final enrolment42
Key inclusion criteria1. Children aged between 6 months and 12 years old
2. Children with a confirmed diagnostic of atopic dermatitis
3. Patients initiated on standard of care for atopic dermatitis (e.g. hydrocortisone) or children initiated on Dermasectan at the moment of signing the informed consent
4. Informed consent signed according to local legislation
Key exclusion criteria1. Illness within the past 4 days before study enrollment or any medical condition that may affect the risk of study participation
2. Active diagnosis or history of other severe dermatological conditions
3. Concomitant use of medications that may affect the study; products that could have a similar effect as the investigated products (e.g. corticosteroids, anti-inflammatories)
4. Previous allergic reaction or known sensitivity to ingredients in study agents
Date of first enrolment20/08/2019
Date of final enrolment10/04/2020

Locations

Countries of recruitment

  • Romania

Study participating centres

County Emergency Clinica Hospital “Sf. Apostol Andrei”
Tomis Boulevard, 145
Constanta
900591
Romania
Mures County Clinical Hospital
Bernády György Square, 6
Targu Mures
540072
Romania
Elias University Emergency Hospital
Mărăști Boulevard, 17
Bucharest
011461
Romania
Medical Office of Dermatology Prof. Dr. Orasan Remus Ioan
21 Decembrie 1989 Boulevard, 23-25
Cluj Napoca
400105
Romania
Family Medicine Dispensary Dr. Cristian Gainaru
Dambovita
-
Romania

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing planThe data will be collected under the study confidentiality and for study purposes only, according to the approved informed consent form. The study data will be archived according to the sponsor requirements and local regulatory requirements.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 23/09/2023 25/09/2023 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

25/09/2023: Publication reference added.
23/11/2021: Trial's existence confirmed by the National Committee of Bioethics for Medicine and Medical Devices (Romania).