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CompletedNCT00654355Updated Aug 1, 2018Results posted

Measuring Adherence to Topical Therapy in Children With Atopic Dermatitis and the Impact of a Return Visit

A Phase 4 interventional study of tacrolimus ointment in Atopic Dermatitis, sponsored by Wake Forest University. Completed at 1 site in United States. Open to participants aged 2 Years to 15 Years. Per ClinicalTrials.gov, last updated 2018-08-01.

Sponsored by Wake Forest University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
2 Years to 15 Years
Sex
All
01

Study summary

The purpose of this research study is to better understand how the study drug works when people use it to treat atopic dermatitis.

Read the detailed description

To evaluate adherence to topical therapy using adherence data collected by the MEMS cap (Medication Electronic Monitoring System) in pediatric patients with atopic dermatitis (AD) and the impact of a return visit.

02

Conditions studied

  • Atopic Dermatitis

Keywords

  • atopic dermatitis
  • eczema
03

In context

Dermatitis, Atopic

1,419 studies on the registry are indexed under Dermatitis, Atopic; 258 are open to participants now.

This study's enrollment of 30 is below the median of 83 across 1,125 interventional studies indexed under Dermatitis, Atopic.

Browse Dermatitis, Atopic studies →

Lead sponsor

Wake Forest University is the lead sponsor of 116 studies on the registry; 7 are open to participants now.

Of its 31 completed or terminated interventional studies of FDA-regulated products, 27 (87%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
2 Years to 15 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Male or female subjects age 2-15.
  2. Stable or worsening atopic dermatitis affecting 5% or greater body surface area. Face and genital areas can be included in the body surface area determination and treatment area.
  3. The ability and willingness to follow all study procedures, attend all scheduled visits, and successfully complete the study.
  4. The ability to understand and sign a written informed consent/assent form, which must be obtained prior to treatment.

Exclusion criteria

Exclusion Criteria:

  1. Known allergy to tacrolimus or to any component of the formulations.
  2. The use of systemic therapy for atopic dermatitis within the past 4 weeks.
  3. Use of prescription topical therapy for atopic dermatitis (e.g., corticosteroids or retinoids) within the past 2 weeks.
  4. Use of any investigational therapy within the past 4 weeks.
  5. Pregnant females, females who are breast feeding, or females of childbearing potential who are not practicing an acceptable method of birth control (abstinence, birth control pill/patch, barrier with spermicidal jelly, IUD, etc.), as determined by the investigator. Acceptable contraception must be used during the entire study. A pregnancy test will be performed on females of childbearing potential at baseline and at week 4.
  6. Any other condition which, in the judgment of the investigator, would put the subject at unacceptable risk for participation in the study.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Active Drug

    tacrolimus ointment

    Drug: tacrolimus ointment

Interventions

  • Drugtacrolimus ointment

    tacrolimus ointment to be applied twice daily to affected areas during duration of study

    Also known as: Protopic Ointment

06

What researchers measure

Primary outcomes

  1. Adherence

    adherence to topical therapy in children via MEMS cap in a "real-life" clinic population measured as the % of required applications completed

    Time frame: Week 4

Secondary outcomes

  1. The % Change From Baseline to Week 4 (or End of Treatment) in the IGA.

    Investigator Global Assessment: Investigator's Global Assessment of severity integrates all lesions for overall score. This measure is commonly used as a quick and simple way to quantify disease severity both for clinical studies and in a non-study clinic setting. Score ranges from '0' = clear or "No inflammatory signs of AD" to '4' = Very Severe Disease with "severe erythema and severe papulation/infiltration with oozing/crusting."

    Time frame: Week 4

  2. EASI

    Eczema Area and Severity Index (EASI): Disease severity will be assessed by a physician with the Eczema Area and Severity Index (EASI). This measure is commonly used and well validated instrument of eczema severity. It is weighted for area in each of the four body regions (which differs for adults and children under 7) and scores erythema, excoriation, induration/papulation, and lichenification. The total scores range from 0-72. Higher scores represent more severe eczema.

    Time frame: Week 4

07

Results

Posted Jun 6, 2017

Participant flow

Subjects were recruited from the Dermatology Studies Center and IRB approved advertising.

Participant flow — Overall Study
MilestoneControl GroupExtra Visit Group
Started1515
Completed1313
Not completed22
Withdrew: Lost to follow-up22

Outcome measures

PrimaryAdherence

adherence to topical therapy in children via MEMS cap in a "real-life" clinic population measured as the % of required applications completed

Time frame:
Week 4
Reported as:
Median · percentage of required applicaitons
Adherence
percentage of required applicaitonsControl GroupExtra Visit Group
Adherence56 (15 to 79)72 (39 to 114)
SecondaryThe % Change From Baseline to Week 4 (or End of Treatment) in the IGA.

Investigator Global Assessment: Investigator's Global Assessment of severity integrates all lesions for overall score. This measure is commonly used as a quick and simple way to quantify disease severity both for clinical studies and in a non-study clinic setting. Score ranges from '0' = clear or "No inflammatory signs of AD" to '4' = Very Severe Disease with "severe erythema and severe papulation/infiltration with oozing/crusting."

Time frame:
Week 4
Reported as:
Median · % change in IGA
The % Change From Baseline to Week 4 (or End of Treatment) in the IGA.
% change in IGAControl GroupExtra Visit Group
The % Change From Baseline to Week 4 (or End of Treatment) in the IGA.-33 (-44 to -18)-33 (-54 to -30)
SecondaryEASI

Eczema Area and Severity Index (EASI): Disease severity will be assessed by a physician with the Eczema Area and Severity Index (EASI). This measure is commonly used and well validated instrument of eczema severity. It is weighted for area in each of the four body regions (which differs for adults and children under 7) and scores erythema, excoriation, induration/papulation, and lichenification. The total scores range from 0-72. Higher scores represent more severe eczema.

Time frame:
Week 4
Reported as:
Mean · units on a scale
EASI
units on a scaleControl GroupExtra Visit Group
EASI2.1 ± 5.71 ± 2.6

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Control Group0/15 (0%)0/15 (0%)3/15 (20%)
Extra Visit Group0/15 (0%)0/15 (0%)2/15 (13.3%)
Most frequent other events
Most frequent other events
EventControl GroupExtra Visit Group
Upper respiratory InfectionRespiratory, thoracic and mediastinal disorders3/152/15

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Control GroupExtra Visit GroupTotal
<=18 years151530
Between 18 and 65 years000
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Control GroupExtra Visit GroupTotal
Female9817
Male6713
Region of Enrollment
Region of Enrollment(participants)Control GroupExtra Visit GroupTotal
United States151530
08

Study locations

1 site
  • Dept of Dermatology, WFUHS
    Winston-Salem, North Carolina 27157, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 1, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00654355
Lead sponsor
Wake Forest University
Responsible party
Sponsor
First posted
Apr 8, 2008
Start date
Apr 2008
Primary completion
Sep 2009
Completion
Sep 2009
Results posted
Jun 6, 2017
Last update
Aug 1, 2018

Study contacts

Steve Feldman, MD, PHD
principal investigator · WFUHS

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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