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Pierre Fabre Laboratories have developed a cream with medical device status, RV4421B-EV0407 indicated for the treatment of eczemas, including atopic eczema, contact eczema and chronic hand eczema.
This product is already marketed in several countries. The objective of this clinical study is to evaluate the safety and efficacy of the study product when used alone or in association with topical corticosteroid therapy, in an ethnically diverse adult and pediatric population (including dark skin) and over a long period of time with a 12-week follow-up.
5 visits are planned:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Infant group | Experimental | Subjects aged from 3 months to 23 months old included Medical device: RV4421B- EV0407 the test product will be applied twice daily alone or in association with topical corticosteroids. |
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| Children group | Experimental | Subjects aged from 24 months to 12 years old included Medical device: RV4421B- EV0407 the test product will be applied twice daily alone or in association with topical corticosteroids. |
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| Teenagers & adults group | Experimental | Subjects aged from 13 years old Medical device: RV4421B- EV0407 the test product will be applied twice daily alone or in association with topical corticosteroids. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RV4421B- EV0407 | Device | Medical device. Product application on studied areas, 5 to 15 minutes after corticosteroids application, if applicable. The maximum duration of application of medical device is 87 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Local tolerance of the product RV4421B-EV0407 on studied areas | The results of the local tolerance will take into account the clinical signs observed by the investigators and the signs reported by the subject and/or the subjects' parent(s) or guardian(s), based on a 5-point scale (From 1 = Excellent tolerance to 5 = Bad tolerance) | Day 85 |
| Measure | Description | Time Frame |
|---|---|---|
| Local tolerance of the product RV4421B-EV0407 on studied areas at several timepoints | using the same 5-point scale as the primary criterion and same rules. | Day 1, 10 to 30 minutes after the first application, Day 29 & Day 57 |
| Recording of adverse events |
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Inclusion criteria:
Criteria related to treatments and/or products:
• Topical corticosteroids treatments (following international treatment guidelines for each age sub-group and including investigator agreement) applied on AD lesions areas since 1 to 5 days before the inclusion and ongoing at the time of inclusion. *
*The investigator will be authorized to adjust the treatment during the study.
Exclusion criteria:
Criteria related to the skin condition or the disease:
Criteria related to treatments and/or products:
Treatment of the mother if the subject of group 1 and 2 is breastfed:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Adeline Bacquey | Contact | +33534506533 | adeline.bacquey@pierre-fabre.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Insight Research Ltd | Recruiting | Quatre Bornes | Mauritius | 742CU001 | Mauritius |
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| ID | Term |
|---|---|
| D003876 | Dermatitis, Atopic |
| D004485 | Eczema |
| D003872 | Dermatitis |
| D011537 | Pruritus |
| D004890 | Erythema |
| D010292 | Paresthesia |
| ID | Term |
|---|---|
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D012871 | Skin Diseases |
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At each visit, the occurrence of Adverse Events since the last visit will be determined by the subject's / parent(s) or guardian(s) spontaneous reporting, the investigator's non-leading questioning and his/her clinical evaluation. All AEs will be reported on the CRF |
| From Day 1 to Day 85 |
| Local-SCORAD (SCORing Atopic Dermatitis) | Local -SCORAD (SCORing Atopic Dermatitis) will be assessed by the investigator on target area (= area most representative of Atopic Dermatitis severity of the whole body) on a scale ranged from 0 to 15, at each visit (except the Visit 2). Each of 5 objective signs of the SCORAD (Erythema, Oedema/papulation, Oozing/Crusts, Excoriation, and Lichenification) will be rated from 0 (absent) to 3 (severe) independently | Day 1, Day 29, Day 57 & Day 85 |
| SCORAD (SCORing Atopic Dermatitis) | SCORAD will be assessed by the investigator at each visit (except the Visit 2). The SCORAD is a scoring system based on the assessment of extent and intensity in a standardized manner. The complete system is called SCORAD index and takes into account the extent of the lesions, the severity of the clinical signs (objective signs) and the subjective symptoms (pruritus, sleep loss) reported on a Visual Analogue Scale (VAS). The extent of lesions is scored on an evaluation form. The intensity is determined by grading each of the six items on a scale from 0 to 3 (erythema, oedema/papulation, oozing/crusts, excoriation, lichenification and dryness). Each item should be scored on the most representative area for a given intensity item. | Day 1, Day 29, Day 57 & Day 85 |
| IGA (Investigator's Global Assessment) | IGA (Investigator's Global Assessment) will be assessed by the investigator on a 6-point scale ranged from 0 (= clear) to 5 (=very severe disease), at each visit (except the Visit 2). | Day 1, Day 29, Day 57 & Day 85 |
| PO-SCORAD (Patient Oriented SCORing Atopic Dermatitis) | PO-SCORAD (Patient Oriented SCORing Atopic Dermatitis) will be assessed by the subject / subject's parent(s) or guardian(s) every 2 weeks* from Day 1 to Day 85 (± 3 days) The PO-SCORAD index and each of its intensity items components will be assessed on a scale ranged from 0 to 3 (0=none; 1=mild; 2=moderate; 3=severe). The PO-SCORAD is composed of 3 parts:
| Every 2 weeks ± 2 days (or during the visit at site for sequences close to visit at site) from Day 1 to Day 85 |
| SGA (Subject's Global Assessment) | SGA (Subject's Global Assessment) will be assessed by the subject / subject's parent(s) or guardian(s) on a 5-point scale ranged from -2 (=Significant worsening) to +2 (=Significant improvement), every 2 weeks in comparison to Atopic Dermatitis intensity baseline: Day 1. | Every 2 weeks ± 2 days (or during the visit at site for sequences close to visit at site) from Day 15 to Day 85 |
| Subject quality of life DLQI for subjects from 16 years | Subject quality of life will be assessed by the subject by means of the Dermatology Life Quality Index (DLQI) questionnaire every 4 weeks This questionnaire of quality of life is designed to be completed with a one-week recall period. It is calculated by summing the score of 10 questions, resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. | Every 4 weeks ± 2 days (or during the visit at site for sequences close to visit at site) from Day 29 to Day 85 |
| Subject quality of life CDLQI for subjects from 4 years to 15 years included | Subject quality of life will be assessed by the subject by means of the Children's Dermatology Life Quality Index (CDLQI) questionnaire every 4 weeks This questionnaire of quality of life is designed to be completed with a one-week recall period. It is calculated by summing the score of 10 questions, resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. | Every 4 weeks ± 2 days (or during the visit at site for sequences close to visit at site) from Day 29 to Day 85 |
| Subject quality of life IDQOL for subjects from 3 months to 3 years included | Subject quality of life will be assessed by the subject by means of the Infant Dermatology Quality of Life Index (IDQOL) questionnaire every 4 weeks This questionnaire of quality of life is designed to be completed with a one-week recall period. It is calculated by summing the score of 10 questions, resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. | Every 4 weeks ± 2 days (or during the visit at site for sequences close to visit at site) from Day 29 to Day 85 |
| Subject's satisfaction questionnaire | Satisfaction as regards to the use of the test product will be assessed by the subject / subject's parent(s) or guardian(s) through a specific questionnaire. | at Day 1 (10 to 30 minutes after the 1st product application), within 2 days before Day 29 or at Day 29 (± 3 days), within 2 days before Day 85 or at Day 85 (± 3 days) |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020886 | Somatosensory Disorders |
| D012678 | Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |