The ability of anti-dandruff shampoo to reduce dandruff, itching, scalp histamine, and scalp microbiome in subjects with moderate to severe dandruff

ISRCTN ISRCTN79977393
DOI https://doi.org/10.1186/ISRCTN79977393
Submission date
17/11/2024
Registration date
27/11/2024
Last edited
26/11/2024
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
Record updated in last year

Plain English Summary

Background and study aims
Dandruff is a common chronic scalp condition that affects more than half of the world's population and has been known since antiquity. Despite its high prevalence, the exact pathophysiology is not well established and is understood to be multifactorial, with factors such as fungal colonization, sebaceous gland activity, and individual factors being implicated. There is a need for an effective and safe shampoo that can target the above factors. The aim of this study is comparing the effects of an anti-dandruff shampoo containing selenium sulfide with a shampoo containing selenium sulfide and piroctone olamine on dandruff, itching, histamine levels or inflammatory markers, and the scalp microbiome in subjects with moderate to severe dandruff.

Who can participate?
The participants of this study are healthy males and females aged 18-65 years old who had not undergone menopause (female) with moderate to severe dandruff.

What does the study involve?
Participants would be instructed to use the randomly assigned shampoo three times a week. Scalp dandruff and itching will be measured at baseline, day 14, and 28. Scalp histamine levels or inflammation markers and scalp microbiome will be measured at baseline and day 28.

What are the possible benefits and risks of participating?
The possible benefits are shampoo and laboratory tests to determine the severity of dandruff, histamine levels or inflammatory markers, and the condition of the microbiome on the scalp, while the risks are a feeling of burning, stinging or pain, accompanied by changes to the scalp in the form of redness, pimples, lumps and/ or discharge.

Where is the study run from?
Faculty of Medicine, Universitas Kristen Duta Wacana (Indonesia).

When is the study starting and how long is it expected to run for?
July 2024 to February 2025

Who is funding the study?
Rohto Mentholatum (Vietnam) Co., Ltd.

Who is the main contact?
Arum Krismi, penelitian.arumkrismi@gmail.com

Contact information

Dr Arum Krismi
Public, Scientific, Principal Investigator

Sekar Bakung Residence no. E1
Jl. Imogiri Barat, Semail, Kel. Bangunharjo, Kec. Sewon, Daerah Istimewa Yogyakarta
Bantul
55188
Indonesia

ORCiD logoORCID ID 0000-0003-4276-3025
Phone +62 811254861
Email dr_arumkrismi@staff.ukdw.ac.id

Study information

Study designSingle-centre interventional double-blinded randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)University/medical school/dental school
Study typeTreatment
Participant information sheet 46416 PIS 27.09.2024.pdf
Scientific titleThe effect of anti-dandruff shampoo on scalp dandruff, itch, histamine, and microbiome
Study hypothesisAnti-dandruff shampoo could reduce dandruff, itch, histamine levels, and improve scalp microbiome
Ethics approval(s)

Approved 15/10/2024, Health Research Ethics Committee of Faculty of Medicine, Universitas Kristen Duta Wacana (GEDUNG KOINONIA Jl. Dr. Wahidin Sudirohusodo 5-25 Kotabaru, Gondokusuman, Yogyakarta, 55224, Indonesia; +62 89511803304; kepk@staff.ukdw.ac.id), ref: 1663/C.16/FK/2O24

ConditionModerate to severe dandruff
InterventionInterventions: anti-dandruff shampoo containing selenium sulfide, selenium sulfide and piroctone olamine, and placebo
Randomization: simple randomization
Details of interventions: Shampooing 3 times a week with one of the products, about 10 mL shampoo on every shampooing, for 4 weeks
Intervention typeOther
Primary outcome measureScalp dandruff measured using Adherent Scalp Flaking Score (ASFS) at baseline, day 14, and 28
Secondary outcome measures1. Itch intensity measured using Worst Itching Intensity-Numerical Rating Scale (WI-NRS) at baseline, day 14, and 28
2. Scalp histamine levels or inflammation markers measured using ELISA at baseline and day 28
3. Scalp microbiome measured using Nanopore® Next Generation Sequencer at baseline and day 28
Overall study start date01/07/2024
Overall study end date28/02/2025

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participants99
Participant inclusion criteria1. Had not undergone menopause for female
2. Have Adherent Scalp Flaking Score (ASFS) of ≥ 24 at the baseline visit
3. Comply with the procedure, agree to complete the study, and provide written informed consent
Participant exclusion criteria1. Having scalp diseases or scalp scarring
2. Having history of contact dermatitis at the scalp
3. Having difficulties in verbal and written communication
4. Having difficulties in mobility
5. Using medication of oral anti-fungal, immunosuppressant agents, anti-inflammatory, or chronic antihistamine drugs within 4 weeks prior to baseline
6. Using medication of anti-dandruff, anti-psoriatic, or anti-seborrhoeic dermatitis shampoos within 2 weeks prior to baseline; and any other significant medical condition
Recruitment start date07/12/2024
Recruitment end date11/01/2025

Locations

Countries of recruitment

  • Indonesia

Study participating centre

Faculty of Medicine, Universitas Kristen Duta Wacana
Gedung Logos
Jl. Dr. Wahidin Sudirohusodo no. 5-25, Kotabaru, Kel. Gondokusuman
Yogyakarta
55224
Indonesia

Sponsor information

Faculty of Medicine, Universitas Kristen Duta Wacana
University/education

Logos Building, 1st Floor
Jl. Dr. Wahidin Sudirohusodo no. 5-25, Kec. Kotabaru, Kel. Gondokusuman, Daerah Istimewa Yogyakarta
Yogyakarta
55224
Indonesia

Phone +62-274-563929 ext. 606; + 62-8289-2001-888
Email kedokteran@staff.ukdw.ac.id
Website https://ukdw.ac.id/akademik/fakultas-kedokteran/pendidikan-dokter/

Funders

Funder type

Industry

Rohto Mentholatum (Vietnam) Co., Ltd

No information available

Results and Publications

Intention to publish date30/09/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe datasets generated and/ or analysed during the current study are/ will be available upon request from Arum Krismi (dr_arumkrismi@staff.ukdw.ac.id). The type of data will be shared as requested in the format of excel, when all of the results are already published for about 5 years since the end of the study, to view only, with other investigators of the same field of study (dandruff), without consent from participants because the data would not contain participants' identity except their age and sex.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 27/09/2024 26/11/2024 No Yes

Additional files

46416 PIS 27.09.2024.pdf

Editorial Notes

26/11/2024: Trial's existence confirmed by Health Research Ethics Committee of Faculty of Medicine, Universitas Kristen Duta Wacana.