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Trial registered on ANZCTR
Registration number
ACTRN12609000727246
Ethics application status
Approved
Date submitted
19/08/2009
Date registered
24/08/2009
Date last updated
2/12/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Prevention of Eczema By a Barrier Lipid Equilibrium Strategy (PEBBLES) pilot study - Testing the compliance and saftey of a strategy for improving infant skin function.
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Scientific title
In infants with a family history of allergic disease, is daily application of a ceramide dominant emollient for six weeks safe?
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Secondary ID [1]
960
0
Nil
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Universal Trial Number (UTN)
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Trial acronym
PEBBLES pilot study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
eczema
243515
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Condition category
Condition code
Skin
239811
239811
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0
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Dermatological conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Daily use of a ceramide dominant cream (EpiCeram) to infants skin (excluding the infants face and hands). Ingredients in the formulation are Capric Acid, Cholesterol, Citric Acid, Conjugated Linoleic Acid, Dimethicone, Disodium EDTA, E. Cerifera (Candelilla)
Wax, Food Starch Modified Corn Syrup Solids, Glycerin, Glyceryl Stearate, Hydroxypropyl Bispalmitamide MEA
(Ceramide), Palmitic Acid, PEG-100 Stearate, Petrolatum, Phenoxyethanol, Potassium Hydroxide, Purified Water,
Sorbic Acid, Squalane, Xanthan Gum. Approximatly six grams will be applied once per day. Duration of treatment is 6 weeks.
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Intervention code [1]
241126
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Treatment: Drugs
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Intervention code [2]
241127
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Prevention
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Comparator / control treatment
No comparator group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Safety, measured by completion of a daily diary card for the 6-week treatment period (documenting any skin or other symptoms), response at six weeks to the question "Do you believe that your baby reacted badly to the cream at any time during the study?", and response to the question "How has your baby's health been since birth" at 4 and 6 weeks following the initiation of treatment.
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Assessment method [1]
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Timepoint [1]
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6 weeks post randomisation
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Secondary outcome [1]
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compliance with treatment
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Assessment method [1]
257194
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Timepoint [1]
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4 weeks post randomisation telephone interview, and 6 weeks post randomisation skin assessment and survey
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Secondary outcome [2]
257195
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Adverse reaction to the treatment, as defined as one or more of the following skin symptoms: rash, red or discolored, swelling, dryness, itch, tender, or flaking (scaling)
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Assessment method [2]
257195
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Timepoint [2]
257195
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4 weeks post randomisation telephone interview, and 6 weeks post randomisation skin assessment and survey
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Eligibility
Key inclusion criteria
Either mother and/or father has a self reported history of:
- asthma and/or
- eczema/atopic dermatitis and/or
- hayfever/allergic rhinitis and/or
- food allergy
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Minimum age
1
Weeks
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Maximum age
3
Weeks
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- A parent who has a known hypersensitivity to any of the ingredients of EpiCeram.
- Multiple births (twins, triplets etc.)
- Premature infants (<36 weeks)
- Infants with major birth or early life medical complications that require admission into a special care nursery.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All children were allocated to the active treatment arm
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
24/08/2009
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Actual
9/03/2010
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Date of last participant enrolment
Anticipated
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Actual
16/06/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Australasian College of Dermatology
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Address [1]
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Suite 2A, Level 2, 9 Blaxland Road, RHODES NSW 2138
PO Box 2065 BORONIA PARK NSW 2111
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Country [1]
237501
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Australia
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Funding source category [2]
237502
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Commercial sector/Industry
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Name [2]
237502
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Ceragenix
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Address [2]
237502
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Ceragenix Pharmaceuticals, Inc.
1444 Wazee Street, Suite 210
Denver CO 80202
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Country [2]
237502
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United States of America
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Primary sponsor type
Charities/Societies/Foundations
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Name
Murdoch Childrens Research Institute
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Address
Murdoch Childrens Research Institute
Royal Children's Hospital
Flemington Road Parkville Victoria 3052 Australia
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
236983
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Country [1]
236983
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
239621
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Royal Childrens Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Royal Childrens Hospital Flemington Rd Parkville 3052 VIC
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Ethics committee country [1]
239621
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Australia
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Date submitted for ethics approval [1]
239621
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Approval date [1]
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16/07/2009
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Ethics approval number [1]
239621
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29043
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Ethics committee name [2]
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Royal Womens Hospital Human Research Ethics Committee
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Ethics committee address [2]
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Flemington Rd Parkville 3052 VIC
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Ethics committee country [2]
243622
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Australia
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Date submitted for ethics approval [2]
243622
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Approval date [2]
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31/07/2009
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Ethics approval number [2]
243622
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09/30
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Summary
Brief summary
Asthma affects approximately 20% of children, is a common cause of hospital admissions, and we do not know how to stop children developing it. Infantile eczema is also common, affecting about a third of children. Infants with eczema often later develop asthma. It is hypothesised sensitisation to allergens can occur via damaged skin associated with eczema, which then increases the risk of asthma. If this hypothesis is correct, it may be possible to prevent asthma by improving the skin barrier function in infants. There is evidence that a ceramide based emollient (which contains the major components of skin) can improve skin barrier function, while current treatments for eczema do not. This pilot study is aims to determine if a daily application of a ceramide dominant emollient can improve infant skin barrier function.
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Trial website
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Trial related presentations / publications
1. Lowe AJ, Tang ML, Dharmage SC, Varigos G, Forster D, Gurrin LC, et al. A phase I study of daily treatment with a ceramide-dominant triple lipid mixture commencing in neonates. BMC Dermatol 2012; 12:3.
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Public notes
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Contacts
Principal investigator
Name
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Dr Adrian Lowe
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Address
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Level 3, 207 Bouverie St
Carlton, 3010
University of Melbourne
Victoria
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Country
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Australia
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Phone
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+61 3 8344 0878
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr. Adrian Lowe
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Address
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Centre for Molecular, Environmental, Genetic, Analytic (MEGA) Epidemiology
School of Population Health
The University of Melbourne
Level 1, 723 Swanston Street,
Carlton VIC 3053
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Country
13294
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Australia
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Phone
13294
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+61 3 8344 0878
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Fax
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+61 3 9349 5815
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Adrian Lowe
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Address
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Centre for MEGA Epidemiology
School of Population Health
The University of Melbourne
Level 1, 723 Swanston Street,
Carlton VIC 3053
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Country
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Australia
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Phone
4222
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+61 3 8344 0878
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Fax
4222
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+61 3 9349 5815
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Email
4222
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
A phase i study of daily treatment with a ceramide-dominant triple lipid mixture commencing in neonates.
2012
https://dx.doi.org/10.1186/1471-5945-12-3
N.B. These documents automatically identified may not have been verified by the study sponsor.
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