Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Atopic dermatitis is a common multifactorial skin disease. Topicals are the mainstay of treatment, but adherence to topicals is often abysmal, possibly worsened by the complexity of recommended treatment algorithms. Giving patients a simple, one drug approach may be advantageous.
Patients' adherence to even one topical treatment is often poor. Even giving patients two treatments reduces treatment adherence compared to one treatment alone. Complicating the treatment with numerous medications along with lifestyle changes may be overwhelming and counterproductive to patients' outcomes. The availability of topical ruxolitinib (Opzelura) provides an opportunity to give patients a highly effective treatment that, unlike standard topical steroids of variable potency, can be used on all areas, even on the face and body folds, and without long-term adverse outcomes. In theory, this offers an opportunity to improve atopic dermatitis (AD) outcomes by simplifying patients' treatment.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| topical ruxolitinib (Opzelura) | Experimental | patients are directed to apply topical ruxolitinib (Opzelura) twice daily to all affected areas until clear, then as needed. |
|
| topical ruxolitinib (Opzelura) and Complex Regimen | Active Comparator | patients will be directed to apply topical ruxolitinib (Opzelura) twice daily to all affected areas until clear, then as needed. Patients will also be provided an Eczema Action Plan (EAP) with recommended lifestyle recommendations, including what cleanser to use, allergen avoidance, use of moisturizers, and bathing practices as determined by disease severity. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ruxolitinib | Drug | patients are directed to apply topical ruxolitinib (Opzelura) twice daily to all affected areas until clear, then as needed |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adherence percentage | Percentage of expected study medication applications completed during the 8-week treatment period, based on study-collected medication-use data. | Week 8 |
| Measure | Description | Time Frame |
|---|---|---|
| Adult Dermatology Life Quality Index (DQLI) scores | Total scores range from 0 to 30. The higher the score, the more significantly the skin disease impairs the patient's quality of life | Weeks 4 and 8 |
| Children's Dermatology Life Quality Index (CDLQI) scores |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Irma Richardson, MHA | Contact | 336-716-2903 | irma.richardson@advocatehealth.org |
| Name | Affiliation | Role |
|---|---|---|
| Steven R Feldman, MD, PhD | Wake Forest University Health Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wake Forest University Health Sciences | Winston-Salem | North Carolina | 27157 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D003876 | Dermatitis, Atopic |
| D000074822 | Treatment Adherence and Compliance |
| ID | Term |
|---|---|
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
Not provided
Not provided
| ID | Term |
|---|---|
| C540383 | ruxolitinib |
Not provided
Not provided
Not provided
multicenter, prospective, randomized parallel-arm study over 8 weeks. Participants will be randomized at baseline to one of two treatment arms.
In Arm 1, patients are directed to apply topical ruxolitinib (Opzelura) twice daily to all affected areas until clear, then as needed.
In Arm 2, patients will be directed to apply topical ruxolitinib (Opzelura) twice daily to all affected areas until clear, then as needed. Patients will also be provided an Eczema Action Plan (EAP) with recommended lifestyle recommendations, including what cleanser to use, allergen avoidance, use of moisturizers, and bathing practices as determined by disease severity.
Not provided
Not provided
The investigator assessing the clinical photographs will be blinded to treatment assignment. Participants will know whether they received the Eczema Action Plan
|
| ruxolitinib and an Eczema Action Plan | Drug | patients will be directed to apply topical ruxolitinib (Opzelura) twice daily to all affected areas until clear, then as needed. Patients will also be provided an Eczema Action Plan (EAP) with recommended lifestyle recommendations, including what cleanser to use, allergen avoidance, use of moisturizers, and bathing practices as determined by disease severity |
|
|
The total score ranges from 0 to 30. Higher scores indicate a greater impairment in the child's quality of life |
| Weeks 4 and 8 |
| Patient Oriented Eczema Measure (POEM) scores | The maximum total score is 28 - Higher scores indicate more severe eczema | Weeks 4 and 8 |
| Patient Satisfaction Survey scores | responses to each Patient Satisfaction Survey question will be analyzed separately. Mean scores for the 1-10 questions will be compared between treatment arms. | Weeks 4 and 8 |
| 2-point Patient Global Assessment scores | A patient-reported outcome (PRO) used to gauge overall disease severity and response to treatment. The Patient Global Assessment is a binary outcome, happy/satisfied versus unhappy/unsatisfied, and will be assessed ats 4 and Weeks 4 and 8. | Weeks 4 and 8 |
| Eczema Area and Severity Index (EASI) scores | Scores range from 0-72 - Higher scores indicate more severe eczema - The Eczema Area and Severity Index (EASI) is a standard clinical tool that measures the extent and severity of atopic dermatitis (eczema). It calculates a total score ranging from 0 (clear skin) to 72 (maximum severity), helping doctors track disease progression and treatment effectiveness over time. | Weeks 4 and 8 |
| Percentage Change in Body Surface Area | Percentage Change in Body Surface Area affected | Weeks 4 and 8 |
| Treatment-blinded Investigator Global Assessment (IGA) scores | a clinical trial metric where a physician assesses a patient's disease severity (often for skin conditions like atopic dermatitis or psoriasis) without knowing which intervention the patient received. This eliminates observer bias, ensuring objective, standardized evaluations. Scores range from 0-4 Higher scores indicate more severe dermatitis | Weeks 4 and 8 |
| Investigator Likert scale assessment scores | Describes the investigator's response to the statement, "I feel this patient needs to be prescribed a systemic treatment," using a five-point scale from strongly disagree to strongly agree. | Baseline, Week 4, and Week 8 |
| Adherence percentage | Percentage of expected study medication applications completed during the 8-week treatment period, based on study-collected medication-use data. | Day 3 |
| Adherence percentage | Percentage of expected study medication applications completed during the 8-week treatment period, based on study-collected medication-use data. | Day 7 |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D015438 | Health Behavior |
| D001519 | Behavior |