Testing the safety and effectiveness of a new cream in men with seborrheic dermatitis of the face and chest

ISRCTN ISRCTN77871064
DOI https://doi.org/10.1186/ISRCTN77871064
EudraCT/CTIS number 2019-003813-32
Secondary identifying numbers ISD-CL-DE-1058-01-2017
Submission date
16/10/2019
Registration date
17/10/2019
Last edited
11/11/2019
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

Background and study aims
Seborrheic dermatitis (SD) is a common condition that causes redness of the skin, flaking/scaling and dandruff. It is thought that excess oil production in the skin and overgrowth of Malassezia furfur (a type of yeast fungus that is normally found on the skin) can contribute to SD. Nutradeica is a cream that contains agents that reduce fungal growth, oil production and inflammation. This study aims to investigate whether Nutradeica can treat SD.

Who can participate?
Men aged 21-65 years who have SD on their face and chest, but otherwise are in good health.

What does the study involve?
All participants will apply the cream to their face and chest twice daily for 14 days. Before the start of treatment, at 7 days after the start of treatment and at 14 days after the start of treatment, they will have skin scrapings and small skin samples taken, fill in some forms to assess their SD symptoms and be assessed by the researchers.

What are the possible benefits and risks of participating?
The possible benefit to participants is that the cream may improve their SD symptoms and their microbial skin flora may be re-balanced. The possible risks related to the skin sample procedure are represented, in the worst cases, by a spot about 2 mm of slightly different complexion (lighter or darker) than the surrounding skin or a small scar of 2 mm, similar to a chicken pox scar

Where is the study run from?
Dermatology Unit of University of Naples Federico II (Italy)

When is the study starting and how long is it expected to run for?
May 2017 to April 2019

Who is funding the study?
ISDIN, the company that makes Nutradeica

Who is the main contact?
Javier Bustos, javier.bustos@isdin.com

Contact information

Mr Javier Bustos
Public

ISDIN S.A.
Provençals 33
Barcelona
08019
Spain

Phone +34 (0)932402020
Email javier.bustos@isdin.com

Study information

Study designSingle-centre prospective open-label trial
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a participant information sheet.
Scientific titleExperimental, prospective, open, monocenter, clinical trial for the evaluation of a novel cream used to improve the condition of seborrheic dermatitis topically applied on face and chest in patients with seborrheic dermatitis
Study hypothesisThe pathogenesis of seborrheic dermatitis (SD) is multifactorial and traditional treatments may not target all aspects of them.The aim of this study was to evaluate short term anti-fungal, anti-microbial, anti-inflammatory and anti-pruritus properties of a novel non-steroidal cream (NSC) containing piroctone olamine, zinc PCA, hydroxyphenyl propamidobenzoic acid, biosaccharide gum-2 and stearyl glycyrrhetinate in patients with face and chest SD.
Ethics approval(s)Approved 19/03/2018, Ethics Committee for Biomedical Activities “Carlo Romano” of University of Naples Federico II (Dipartimento di Scienze Biomediche Avanzate, Via S. Pansini, 5-80131 Napoli, Italy; +39 (081)7463468 e-mail: comitato.etico@unina.it), ref: 35/18
ConditionSeborrheic dermatitis
InterventionPatients were instructed to apply Nutradeica cream twice daily on the face and on the chest for 14 days. The investigator evaluated their skin condition at first visit and after 7 and 14 days of product use. A physican will perform skin scale scraping from the face (wings of the nose) and the chest through the study. In addition, the physician will perfom a biopsy (2 mm diameter) in the same area on the chest at first visit and after 7 days product use.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Nutradeica (containing active agents piroctone olamine , zinc PCA, hydroxyphenyl propamidobenzoic acid, biosaccharide gum-2 and stearyl glycyrrhetinate)
Primary outcome measure1. Severity of seborrheic dermatitis assessed using a scoring index (SI) evaluating erythema, desquamation, itching and irritation at baseline and after 7 and 14 days of treatment
2. Seborrheic dermatitis severity assessed using the Investigator's Global Assessment Score (IGA) at baseline and after 7 and 14 days of treatment
Secondary outcome measures1. Patient evaluation of erythema assessed using a visual analog scale at baseline and after 7 and 14 days of treatment
2. Patient evaluation of scaling assessed using a visual analog scale at baseline and after 7 and 14 days of treatment
3. Patient evaluation of itching assessed using a visual analog scale at baseline and after 7 and 14 days of treatment
4. Patient evaluation of sensation of heat assessed using a visual analog scale at baseline and after 7 and 14 days of treatment
5. Patient evaluation of pain assessed using a visual analog scale at at baseline and after 7 and 14 days of treatment
6. Patient evaluation of irritation assessed using a visual analog scale at baseline and after 7 and 14 days of treatment
7. Patient evaluation of seborrheic dermatitis severity change assessed using the Patient Global Assessment (PGA) after 7 and 14 days of treatment
8. Antifungal effect assessed by quantifying Malassezia furfur colony-forming units from skin scrapings at baseline and after 7 and 14 days of treatment
9. Antimicrobial effect assessed by quantifying Staphylococcus epidermidis colony-forming units from skin scrapings and gene expression of antimicrobial peptides (HBD2 and HBD3) at baseline and after 7 and 14 days of treatment
10. Anti-inflammatory effect assessed by quantifying gene expression of IL-1α, IL-1β, IL-6, IL-8 and TNF-α in skin biopsies at baseline and after 7 and 14 days of treatment
11. Anti-pruritic effect assessed by quantifying gene expression of cathepsin S (CTS) and L-histidine decarboxylase (HDC) in skin biopsies at baseline and after 7 and 14 days of treatment
12. Tolerability assessed by quantifying adverse events recorded by the investigator or reported by patients during the study
Overall study start date01/05/2017
Overall study end date01/04/2019

Eligibility

Participant type(s)Patient
Age groupAdult
SexMale
Target number of participants12
Total final enrolment12
Participant inclusion criteria1. Males in otherwise good health
2. Aged 21-65 years at time of enrollment
3. Mild to moderate visible SD on face and chest area
Participant exclusion criteria1. Acute or chronic disease or medical condition that could put participant at risk in the opinion of the Principal Investigator or compromise study outcomes
2. History of allergic reactions, skin sensitization and/or known allergies to cosmetic ingredients, toiletries, sunscreens, etc.
3. Immunocompromised
4. Taking other medications (oral or topical) that could interfere with the interpretation of the results
Recruitment start date11/04/2018
Recruitment end date22/02/2019

Locations

Countries of recruitment

  • Italy

Study participating centre

Dermatology Unit of University of Naples Federico II
Universita Di Napoli Federico II
Azienda Ospedaliera Universitaria Federico II
Dip. Ad Attivita Integrata di Medicina Clinica
Via S. Pansini, 5
Naples
80131
Italy

Sponsor information

ISDIN S.A.
Industry

Provençals 33
Barcelona
08019
Spain

Phone +34 (0)932402020
Email javier.bustos@isdin.com
ROR logo "ROR" https://ror.org/04dg86p75

Funders

Funder type

Industry

ISDIN S.A.

No information available

Results and Publications

Intention to publish date01/11/2019
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planThe researchers intend to publish the study results in an international peer-reviewed indexed scientific journal.
IPD sharing planAll data generated or analysed during this study will be included in the subsequent results publication.
Written informed consent from participants was obtained.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/02/2020 11/11/2019 Yes No

Editorial Notes

11/11/2019: Publication reference, total final enrolment number and EudraCT number added.
17/10/2019: Trial's existence confirmed by the University of Naples Federico II Ethics Committee.