A Phase 3 interventional study of Pimecrolimus and Topical corticosteroids in Atopic Dermatitis, sponsored by MEDA Pharma GmbH & Co. KG. Completed at 31 sites in 2 countries. Open to participants aged 3 Months to 12 Months. Per ClinicalTrials.gov, last updated 2022-02-11.
Sponsored by MEDA Pharma GmbH & Co. KG · Phase 3, Interventional, and Treatment
The primary purpose of this study is to investigate the safety of pimecrolimus cream 1% in the long-term treatment (up to 5 years) of atopic dermatitis (eczema) in patients less than 12 months of age compared to topical corticosteroids (TCS).
1,419 studies on the registry are indexed under Dermatitis, Atopic; 258 are open to participants now.
This study's enrollment of 2,418 is above the median of 83 across 1,125 interventional studies indexed under Dermatitis, Atopic.
Browse Dermatitis, Atopic studies →MEDA Pharma GmbH & Co. KG is the lead sponsor of 23 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Pimecrolimus
Drug: Pimecrolimus
Topical corticosteroids
Drug: Topical corticosteroids
Pimecrolimus cream 1 %
Also known as: Elidel
TCS
Safety Assessed by Adverse Events
crude incidence of adverse events of primary interest and most frequent adverse events (greater than or equal to 5% crude incidence in either treatment group) in the treatment period
Time frame: throughout the 5-year study
Growth Velocity (Height)
Time frame: throughout the 5-year study
Growth Velocity (Weight)
Time frame: throughout the 5-year study
Potential Effect on the Developing Immune System
number (%) of patients with positive antibody titers to tetanus, hepatitis B, and measles vaccines at baseline, weeks 26 (6 months), 52 (1 year), 104 (2 years), 156 (3 years), 208 (4 years) and 260 (5 years) Varicella antibody titers were measured at the above time points in US patients only.
Time frame: throughout the 5-year study
Investigator's Global Assessment (to Assess Disease Severity) of the Whole Body and of the Face: Treatment Success Rate
IGA = Investigator's global Assessment. CI = Confidence interval for treatment success using binomial distribution: lower CI\<0 is set to 0, upper CI\>100 is set to 100. Treatment success (n): IGA score of 0 or 1 (clear or almost clear). Outcome gives percentage of patients with treatment success.
Time frame: throughout the 5-year study
Body Surface Area Involved With Atopic Dermatitis
TBSA = Total body surface area; percent BSA affected = (BSA affected/TBSA) x 100.
Time frame: throughout the 5-year study
Parent's Index of Quality of Life - Atopic Dermatitis (PIQoL-AD)
PIQoL-AD questionnaire (28 questions) was only done in countries where validated questionnaire was available: Germany, Hungary, Netherlands, Spain, UK and US. For the purposes of data presentation, a "Not True" response was coded a value of zero and a "True" a value of one. The total score (i.e., sum of individual questions) was calculated; lower the score, better the QoL. Minimum score = 0; maximum score = 28. If the patient has answered ≤14 questions at a time point, then the patient's total score at the time point was set to missing.
Time frame: throughout the 5-year study
Vital Signs and Physical Examinations: Blood Pressure (BP)
Significant findings are included in the relevant medical history/current medical conditions (prior to study start) or in the AE documentation (after study start.
Time frame: throughout the 5-year study
Vital Signs and Physical Examinations: Pulse
Significant findings are included in the relevant medical history/current medical conditions (prior to study start) or in the AE documentation (after study start.
Time frame: throughout the 5-year study
First patient was enrolled into the study on 05 Apr 2004, last patient completed on 04 Oct 2010.
| Milestone | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| Started | 1205 | 1213 |
| Completed | 836 | 874 |
| Not completed | 369 | 339 |
| Milestone | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| Started | 120 | 70 |
| Completed | 90 | 46 |
| Not completed | 30 | 24 |
crude incidence of adverse events of primary interest and most frequent adverse events (greater than or equal to 5% crude incidence in either treatment group) in the treatment period
| percentage of participants | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| Acute tonsillitis | 8.6 | 7.8 |
| Allergy to arthropod bite | 5.9 | 4.9 |
| Arthropod bite | 7.1 | 8.8 |
| Asthma | 15.1 | 14.6 |
| Bronchiolitis | 5.4 | 5.7 |
| Bronchitis | 36.3 | 33.8 |
| Bronchospasm | 5.2 | 6.7 |
| Conjunctivitis | 16.5 | 16.2 |
| Conjunctivitis allergic | 5.0 | 6.3 |
| Constipation | 6.9 | 6.7 |
| Cough | 29.9 | 30.4 |
| Dermatitis diaper | 12.5 | 11.3 |
| Diarrhoea | 31.9 | 31.4 |
| Eczema infected | 7.4 | 4.5 |
| Eye infection | 0.3 | 0.3 |
| Food allergy | 7.4 | 6.0 |
| Gastroenteritis | 28.2 | 27.1 |
| Gastroenteritis viral | 6.1 | 5.2 |
| Heat rash | 5.5 | 4.8 |
| Hypersensitivity | 2.0 | 1.9 |
| Immunisation reaction | 6.5 | 5.5 |
| Impetigo | 11.9 | 10.4 |
| Influenza | 6.9 | 5.7 |
| Influenza like illness | 16.7 | 16.6 |
| Laryngitis | 5.4 | 4.9 |
| Lower respiratory tract infection | 3.7 | 4.5 |
| Molluscum contagiosum | 9.0 | 8.2 |
| Nasopharyngitis | 59.0 | 58.9 |
| Otitis media | 34.7 | 31.7 |
| Otitis media acute | 12.4 | 11.6 |
| Pharyngitis | 17.8 | 19.0 |
| Pneumonia | 11.0 | 10.8 |
| Pyrexia | 48.9 | 49.9 |
| Rhinitis | 13.9 | 13.4 |
| Rhinitis allergic | 13.2 | 12.7 |
| Rhinorrhoea | 6.8 | 6.8 |
| Sinusitis | 7.6 | 8.1 |
| Teething | 14.9 | 14.9 |
| Tonsillitis | 16.9 | 16.5 |
| Upper respiratory tract infection | 32.0 | 31.2 |
| Urinary tract infection | 4.3 | 5.2 |
| Urticaria | 9.5 | 10.6 |
| Varicella | 25.4 | 23.4 |
| Viral rash | 3.0 | 4.1 |
| Viral upper respiratory tract infection | 10.5 | 10.4 |
| Vomiting | 22.5 | 21.3 |
| Wheezing | 5.6 | 5.3 |
| cm | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| Baseline (n=1204, n=1208) | 68.8 ± 5.26 | 68.8 ± 5.14 |
| Week 6 (n=1144, n=1141) | 71.3 ± 4.82 | 71.3 ± 4.76 |
| Week 26 (n=1092, n=1114) | 77.0 ± 4.37 | 76.9 ± 4.46 |
| Week 52 (n=999, n=1052) | 83.1 ± 4.23 | 83.1 ± 4.30 |
| Week 104 (n=924, n=975) | 93.0 ± 4.31 | 92.9 ± 4.30 |
| Week 156 (n=871, n=919) | 100.5 ± 4.70 | 100.6 ± 4.72 |
| Week 208 (n=843, n=869) | 107.7 ± 5.46 | 107.8 ± 5.25 |
| Week 260 (n=833, n=871) | 114.4 ± 5.26 | 114.5 ± 5.90 |
| kg | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| Baseline (n=1203, n=1213) | 8.2 ± 1.51 | 8.2 ± 1.51 |
| Week 6 (n=1144, n=1144) | 8.8 ± 1.45 | 8.7 ± 1.41 |
| Week 26 (n=1093, n=1114) | 10.2 ± 1.43 | 10.1 ± 1.39 |
| Week 52 (n=1003, n=1054) | 11.6 ± 1.52 | 11.6 ± 1.54 |
| Week 104 (n=928, n=978) | 14.1 ± 1.90 | 14.1 ± 1.83 |
| Week 156 (n=873, n=924) | 16.3 ± 2.32 | 16.3 ± 2.29 |
| Week 208 (n=843, n=870) | 18.6 ± 2.80 | 18.7 ± 2.88 |
| Week 260 (n=833, n=871) | 21.1 ± 3.51 | 21.4 ± 3.70 |
IGA = Investigator's global Assessment. CI = Confidence interval for treatment success using binomial distribution: lower CI\<0 is set to 0, upper CI\>100 is set to 100. Treatment success (n): IGA score of 0 or 1 (clear or almost clear). Outcome gives percentage of patients with treatment success.
| percentage of participants | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| Overall IGA Week 6 | 61.4 (58.5 to 64.2) | 59.6 (56.8 to 62.5) |
| Overall IGA Week 26 | 66.4 (63.6 to 69.2) | 74.5 (71.9 to 77.0) |
| Overall IGA Week 52 | 73.9 (71.2 to 76.6) | 79.6 (77.2 to 82.1) |
| Overall IGA Week 104 | 79.9 (77.3 to 82.4) | 83.4 (81.0 to 85.7) |
| Overall IGA Week 156 | 81.9 (79.3 to 84.4) | 86.1 (83.9 to 88.3) |
| Overall IGA Week 208 | 86.2 (83.8 to 88.5) | 88.1 (86.0 to 90.2) |
| Overall IGA Week 260 | 88.7 (86.6 to 90.9) | 92.3 (90.5 to 94.1) |
| Facial IGA Week 6 | 68.9 (66.3 to 71.6) | 71.0 (68.4 to 73.6) |
| Facial IGA Week 26 | 79.5 (77.1 to 81.9) | 83.8 (81.6 to 86.0) |
| Facial IGA Week 52 | 85.6 (83.4 to 87.7) | 88.5 (86.6 to 90.4) |
| Facial IGA Week 104 | 92.1 (90.4 to 93.9) | 94.1 (92.6 to 95.6) |
| Facial IGA Week 156 | 94.2 (92.6 to 95.7) | 94.3 (92.8 to 95.8) |
| Facial IGA Week 208 | 96.0 (94.7 to 97.3) | 96.2 (95.0 to 97.5) |
| Facial IGA Week 260 | 96.6 (95.4 to 97.9) | 97.2 (96.2 to 98.3) |
TBSA = Total body surface area; percent BSA affected = (BSA affected/TBSA) x 100.
| percentage of TBSA affected | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| Baseline (n=1205, n=1213) | 21.1 ± 16.50 | 21.3 ± 17.19 |
| Week 6 (n=1142, n=1138) | 5.5 ± 8.72 | 6.0 ± 9.10 |
| Week 26 (n=1091, n=1113) | 4.3 ± 8.30 | 3.7 ± 8.50 |
| Week 52 (n=997, n=1048) | 3.5 ± 7.69 | 2.7 ± 6.27 |
| Week 104 (n=922, n=975) | 2.4 ± 6.53 | 1.8 ± 5.17 |
| Week 156 (n=871, n=918) | 2.0 ± 5.46 | 1.4 ± 4.65 |
| Week 208 (n=843, n=868) | 1.5 ± 5.16 | 1.2 ± 4.33 |
| Week 260 (n=833, n=870) | 1.1 ± 3.31 | 0.9 ± 3.69 |
PIQoL-AD questionnaire (28 questions) was only done in countries where validated questionnaire was available: Germany, Hungary, Netherlands, Spain, UK and US. For the purposes of data presentation, a "Not True" response was coded a value of zero and a "True" a value of one. The total score (i.e., sum of individual questions) was calculated; lower the score, better the QoL. Minimum score = 0; maximum score = 28. If the patient has answered ≤14 questions at a time point, then the patient's total score at the time point was set to missing.
| units on a scale | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| Baseline (n=406, n=405) | 8.1 ± 5.04 | 8.4 ± 5.25 |
| Week 6 (n=378, n=360) | 5.8 ± 4.76 | 6.0 ± 5.09 |
| Week 26 (n=368, n=363) | 4.8 ± 4.73 | 5.0 ± 4.85 |
| Week 52 (n=327, n=334) | 4.2 ± 4.45 | 4.4 ± 4.94 |
| Week 104 (n=302, n=296) | 3.7 ± 4.69 | 3.9 ± 5.14 |
| Week 156 (n=269, n=266) | 3.2 ± 4.67 | 3.4 ± 5.02 |
| Week 208 (n=254, n=256) | 2.7 ± 3.93 | 3.0 ± 4.88 |
| Week 260 (n=249, 249) | 2.1 ± 3.22 | 2.3 ± 3.80 |
Significant findings are included in the relevant medical history/current medical conditions (prior to study start) or in the AE documentation (after study start.
| mmHg | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| Systolic BP - Baseline | 94.3 ± 12.40 | 94.7 ± 12.79 |
| Systolic BP- Week 6 | 96.1 ± 11.70 | 96.3 ± 11.33 |
| Systolic BP- Week 26 | 98.6 ± 11.46 | 98.4 ± 11.49 |
| Systolic BP- Week 52 | 99.0 ± 11.33 | 99.3 ± 11.02 |
| Systolic BP- Week 104 | 98.8 ± 10.01 | 97.9 ± 9.85 |
| Systolic BP- Week 156 | 99.0 ± 9.47 | 98.6 ± 9.75 |
| Systolic BP- Week 208 | 99.8 ± 10.10 | 99.4 ± 9.74 |
| Systolic BP- Week 260 | 100.0 ± 9.51 | 100.1 ± 9.63 |
| Diastolic BP - Baseline | 59.2 ± 10.40 | 59.1 ± 10.26 |
| Diastolic BP - Week 6 | 60.4 ± 9.47 | 61.0 ± 9.59 |
| Diastolic BP - Week 26 | 61.7 ± 9.90 | 61.6 ± 9.78 |
| Diastolic BP - Week 52 | 61.9 ± 9.12 | 61.9 ± 9.23 |
| Diastolic BP - Week 104 | 61.8 ± 8.14 | 61.7 ± 7.72 |
| Diastolic BP - Week 156 | 62.0 ± 8.11 | 62.0 ± 8.29 |
| Diastolic BP - Week 208 | 62.4 ± 8.52 | 61.8 ± 7.77 |
| Diastolic BP - Week 260 | 61.9 ± 7.24 | 62.2 ± 7.38 |
number (%) of patients with positive antibody titers to tetanus, hepatitis B, and measles vaccines at baseline, weeks 26 (6 months), 52 (1 year), 104 (2 years), 156 (3 years), 208 (4 years) and 260 (5 years) Varicella antibody titers were measured at the above time points in US patients only.
| % of patients with positive ab titer | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| Tetanus Baseline | 81.8 | 85.2 |
| Tetanus week 26 | 89.5 | 90.4 |
| Tetanus week 52 | 91.9 | 94.0 |
| Tetanus week 104 | 91.9 | 94.7 |
| Tetanus week 156 | 93.5 | 92.5 |
| Tetanus week 208 | 89.0 | 89.5 |
| Tetanus week 260 | 91.1 | 88.9 |
| Hepatitis B Baseline | 57.5 | 53.6 |
| Hepatitis B week 26 | 60.7 | 58.6 |
| Hepatitis B week 52 | 59.0 | 58.5 |
| Hepatitis B week 104 | 51.5 | 51.3 |
| Hepatitis B week 156 | 48.5 | 45.0 |
| Hepatitis B week 208 | 39.7 | 38.5 |
| Hepatitis B week 260 | 34.6 | 38.2 |
| Measles Baseline | 11.4 | 14.4 |
| Measles week 26 | 37.4 | 31.6 |
| Measles week 52 | 86.3 | 86.1 |
| Measles week 104 | 97.3 | 97.4 |
| Measles week 156 | 98.5 | 97.0 |
| Measles week 208 | 97.8 | 95.6 |
| Measles week 260 | 98.9 | 96.3 |
| Varicella Baseline | 32.1 | 17.8 |
| Varicella week 26 | 46.5 | 45.2 |
| Varicella week 52 | 72.2 | 74.2 |
| Varicella week 104 | 78.4 | 88.7 |
| Varicella week 156 | 68.4 | 81.8 |
| Varicella week 208 | 86.1 | 89.4 |
| Varicella week 260 | 87.1 | 84.1 |
Significant findings are included in the relevant medical history/current medical conditions (prior to study start) or in the AE documentation (after study start.
| bpm | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| Baseline | 116.7 ± 19.43 | 116.0 ± 19.69 |
| Week 6 | 114.2 ± 18.19 | 114.5 ± 19.45 |
| Week 26 | 111.4 ± 18.09 | 111.7 ± 18.44 |
| Week 52 | 107.7 ± 18.63 | 107.0 ± 17.92 |
| Week 104 | 101.7 ± 15.97 | 101.8 ± 15.91 |
| Week 156 | 97.4 ± 13.45 | 97.0 ± 13.72 |
| Week 208 | 93.4 ± 12.78 | 93.4 ± 12.56 |
| Week 260 | 90.2 ± 12.82 | 90.4 ± 12.25 |
Collected over Adverse event data were collected throughout the study period of 5 years.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Pimecrolimus | — | 247/1,205 (20.5%) | 1,162/1,205 (96.4%) |
| Topical Corticosteroids | — | 210/1,213 (17.3%) | 1,160/1,213 (95.6%) |
| Event | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| PneumoniaInfections and infestations | 22/1205 | 28/1213 |
| AsthmaRespiratory, thoracic and mediastinal disorders | 25/1205 | 19/1213 |
| GastroenteritisInfections and infestations | 20/1205 | 24/1213 |
| BronchitisInfections and infestations | 23/1205 | 16/1213 |
| DehydrationMetabolism and nutrition disorders | 18/1205 | 9/1213 |
| BronchopneumoniaInfections and infestations | 9/1205 | 18/1213 |
| VomitingGastrointestinal disorders | 17/1205 | 5/1213 |
| DiarrhoeaGastrointestinal disorders | 15/1205 | 4/1213 |
| Gastroenteritis rotavirusInfections and infestations | 12/1205 | 6/1213 |
| BronchiolitisInfections and infestations | 7/1205 | 12/1213 |
| Event | Pimecrolimus | Topical Corticosteroids |
|---|---|---|
| NasopharyngitisInfections and infestations | 711/1205 | 715/1213 |
| PyrexiaGeneral disorders | 589/1205 | 605/1213 |
| BronchitisInfections and infestations | 438/1205 | 410/1213 |
| Otitis mediaInfections and infestations | 418/1205 | 385/1213 |
| Upper respiratory tract infectionInfections and infestations | 386/1205 | 378/1213 |
| DiarrhoeaGastrointestinal disorders | 384/1205 | 381/1213 |
| CoughRespiratory, thoracic and mediastinal disorders | 360/1205 | 369/1213 |
| GastroenteritisInfections and infestations | 340/1205 | 329/1213 |
| VaricellaInfections and infestations | 306/1205 | 284/1213 |
| VomitingGastrointestinal disorders | 271/1205 | 258/1213 |
| Age, Categorical(Participants) | Pimecrolimus | Topical Corticosteroids | Total |
|---|---|---|---|
| <=18 years | 1205 | 1213 | 2418 |
| Between 18 and 65 years | 0 | 0 | 0 |
| >=65 years | 0 | 0 | 0 |
| Age, Continuous(months) | Pimecrolimus | Topical Corticosteroids | Total |
|---|---|---|---|
| Mean | 7.1 ± 2.71 | 7.1 ± 2.66 | 7.1 ± 2.69 |
| Sex: Female, Male(Participants) | Pimecrolimus | Topical Corticosteroids | Total |
|---|---|---|---|
| Female | 461 | 471 | 932 |
| Male | 744 | 742 | 1486 |
| Region of Enrollment(participants) | Pimecrolimus | Topical Corticosteroids | Total |
|---|---|---|---|
| United States | 106 | 110 | 216 |
| Germany | 130 | 131 | 261 |
| Argentina | 40 | 40 | 80 |
| Belgium | 20 | 16 | 36 |
| Canada | 52 | 64 | 116 |
| Chile | 25 | 22 | 47 |
| China | 60 | 59 | 119 |
| Colombia | 48 | 52 | 100 |
| Czech Republic | 26 | 23 | 49 |
| Ecuador | 15 | 13 | 28 |
| Spain | 51 | 48 | 99 |
| United Kingdom | 32 | 27 | 59 |
| Greece | 19 | 16 | 35 |
| Guatemala | 53 | 56 | 109 |
| Hong Kong | 5 | 4 | 9 |
| Hungary | 39 | 40 | 79 |
| Iceland | 97 | 98 | 195 |
| Netherlands | 51 | 55 | 106 |
| Peru | 55 | 51 | 106 |
| Poland | 37 | 36 | 73 |
| Portugal | 5 | 5 | 10 |
| Russian Federation | 54 | 53 | 107 |
| Singapore | 12 | 13 | 25 |
| Sweden | 29 | 29 | 58 |
| Turkey | 26 | 28 | 54 |
| Taiwan | 30 | 30 | 60 |
| Venezuela | 39 | 39 | 78 |
| South Africa | 49 | 55 | 104 |
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MEDA Pharma GmbH & Co. KG