CClinicalTrials.gg
TerminatedNCT03775590ASPIREUpdated May 12, 2021

The Role of Bathing Additives in the Treatment of Pediatric Atopic Dermatitis

An interventional study of Water and Bleach in Atopic Dermatitis and Eczema, sponsored by Mayo Clinic. Terminated at 2 sites in United States. Open to participants aged 6 Months to 17 Years. Per ClinicalTrials.gov, last updated 2021-05-12.

Sponsored by Mayo Clinic · Not applicable, Interventional, and Treatment

Why this study was terminated
Study closed due to lack of enrollment.
Phase
Not applicable
Study type
Interventional
Enrollment
5
Allocation
Randomized
Ages
6 Months to 17 Years
Sex
All
01

Study summary

To evaluate the efficacy of water bath, water + bleach, and water + vinegar (acetic acid) in the treatment of atopic dermatitis (eczema)

Read the detailed description

To perform a randomized controlled study to evaluate the efficacy of adding dilute acetic acid to the bath twice weekly on the Eczema Area and Severity Index (EASI) score as compared to adding dilute bleach to the bath including a control arm in which no solution is added to the bath.

02

Conditions studied

  • Atopic Dermatitis
  • Eczema

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 5 is below the median of 83 across 1,125 interventional studies indexed under Dermatitis, Atopic.

Browse Dermatitis, Atopic studies →

Lead sponsor

Mayo Clinic is the lead sponsor of 3,218 studies on the registry; 670 are open to participants now.

Of its 445 completed or terminated interventional studies of FDA-regulated products, 313 (70%) have results posted.

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

04

Who can participate

Ages eligible
6 Months to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Currently reside in the USA
  • Ability to comply with follow up visits at 2-4 months and at 6 months
  • Come to the last follow-up at 6 months in the clinic
  • At least 5% Body Surface Area (BSA) affected with AD

Exclusion criteria

Exclusion Criteria:

  • Unclear diagnosis of atopic dermatitis
  • Inability to comply with additive baths
  • Inability to comply with follow-up visits
  • Lack of residence in the United States
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Care provider, Investigator, Outcomes assessor)
Enrollment
5 participants (actual)

Study arms

  • Active comparator
    Water

    Subjects will bathe at least twice a week in a water bath for 6 months and keep a record of their bathing regimen

    Procedure: Water

  • Active comparator
    Bleach

    Subjects will bathe at least twice a week in a water + dilute bleach bath for 6 months and keep a record of their bathing regimen

    Procedure: Bleach

  • Active comparator
    Acetic acid

    Subjects will bathe at least twice a week in a water bath + vinegar for 6 months and keep a record of their bathing regimen

    Procedure: Acetic acid

Interventions

  • ProcedureWater

    To evaluate using water in the treatment of atopic dermatitis

  • ProcedureBleach

    To evaluate using water + dilute bleach in the treatment of atopic dermatitis

  • ProcedureAcetic acid

    To evaluate using water + vinegar in the treatment of atopic dermatitis

    Also known as: vinegar

06

What researchers measure

Primary outcomes

  1. Eczema Area and Severity Index (EASI) score improvement from baseline

    The EASI score is a validated composite score that ranges from 0 (clear) to 72 (very severe). The EASI is assessed and calculated as: the proportion of affected body surface area (BSA) was estimated from 4 designated body regions (head/neck, upper limbs, trunk, and lower limbs), and the Physician's Assessment of Individual Signs was determined for each region. The Physician's Assessment of Individual Signs grades signs of AD (erythema, edema/induration/papulation, excoriation, oozing/weeping/crusting, scaling, and lichenification) on a 4-point scale, ranging from absent to severe. Both the proportion of affected BSA and the Physician's Assessment of Individual Signs score are used to calculate the EASI score.

    Time frame: At each visit until the last visit at 6 months

Secondary outcomes

  1. Patient Oriented Eczema Measure (POEM)

    The POEM measures the severity of eczema from a scale of 0-28 with 0 being clear and 28 as having severe eczema. * 0 to 2 = Clear or almost clear * 3 to 7 = Mild eczema * 8 to 16 = Moderate eczema * 17 to 24 = Severe eczema * 25 to 28 = Very severe eczema

    Time frame: At each visit until the last visit at 6 months

  2. Infant Dermatitis Quality of Life (IDQOL) for children under 4 years old

    This quality of life (QoL) measures the patient quality of life from 0 - 30 with 0 being the patient's eczema doesn't have an affect on the patient's QoL while 30 means it has a profound effect on the patient's QoL.

    Time frame: At each visit until the last visit at 6 months

  3. Children's Dermatitis Quality of Life Index (CDQLI) for children at 4 years old or greater

    This quality of life (QoL) measures the patient quality of life from 0 - 30 with 0 being the patient's eczema doesn't have an affect on the patient's QoL while 30 means it has a profound effect on the patient's QoL.

    Time frame: At each visit until the last visit at 6 months

  4. Rate of oral antibiotic prescribing

    The number of oral courses of antibiotics given for skin related concerns at 2-4 months and at 6 months in each group.

    Time frame: At each visit until the last visit at 6 months

  5. Presence of staphylococcus aureus on involved skin

    Differences in S. aureus colonization rates between each study arm at 2-4 months and at 6 months.

    Time frame: At each visit until the last visit at 6 months

  6. Changes in Investigator's Global Assessment (IGA) score from baseline

    The IGA score (clear, almost clear, mild, moderate, severe, very severe; on numbered scaled where 0 = clear and 5 = very severe) at each visit

    Time frame: At each visit until the last visit at 6 months

  7. Frequency and severity of atopic dermatitis flares

    Number and severity of flares in each group within 2-4 months and within 6 months

    Time frame: At each visit until the last visit at 6 months

  8. pH of the skin

    Differences between the pH of the skin between the three study arms at 2-4 months and at 6 months

    Time frame: At each visit until the last visit at 6 months

07

Study locations

2 sites
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • HealthPartners
    Saint Paul, Minnesota 55130, United States
08

References and documents

Publications

  • Eichenfield LF, Tom WL, Berger TG, Krol A, Paller AS, Schwarzenberger K, Bergman JN, Chamlin SL, Cohen DE, Cooper KD, Cordoro KM, Davis DM, Feldman SR, Hanifin JM, Margolis DJ, Silverman RA, Simpson EL, Williams HC, Elmets CA, Block J, Harrod CG, Smith Begolka W, Sidbury R. Guidelines of care for the management of atopic dermatitis: section 2. Management and treatment of atopic dermatitis with topical therapies. J Am Acad Dermatol. 2014 Jul;71(1):116-32. doi: 10.1016/j.jaad.2014.03.023. Epub 2014 May 9. PubMed 24813302 ↗
  • Huang JT, Abrams M, Tlougan B, Rademaker A, Paller AS. Treatment of Staphylococcus aureus colonization in atopic dermatitis decreases disease severity. Pediatrics. 2009 May;123(5):e808-14. doi: 10.1542/peds.2008-2217. PubMed 19403473 ↗
  • Hon KL, Tsang YC, Lee VW, Pong NH, Ha G, Lee ST, Chow CM, Leung TF. Efficacy of sodium hypochlorite (bleach) baths to reduce Staphylococcus aureus colonization in childhood onset moderate-to-severe eczema: A randomized, placebo-controlled cross-over trial. J Dermatolog Treat. 2016;27(2):156-62. doi: 10.3109/09546634.2015.1067669. Epub 2015 Aug 13. PubMed 26270469 ↗
  • Gonzalez ME, Schaffer JV, Orlow SJ, Gao Z, Li H, Alekseyenko AV, Blaser MJ. Cutaneous microbiome effects of fluticasone propionate cream and adjunctive bleach baths in childhood atopic dermatitis. J Am Acad Dermatol. 2016 Sep;75(3):481-493.e8. doi: 10.1016/j.jaad.2016.04.066. PubMed 27543211 ↗
  • Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL, Berger TG, Bergman JN, Cohen DE, Cooper KD, Cordoro KM, Davis DM, Krol A, Margolis DJ, Paller AS, Schwarzenberger K, Silverman RA, Williams HC, Elmets CA, Block J, Harrod CG, Smith Begolka W, Sidbury R. Guidelines of care for the management of atopic dermatitis: section 1. Diagnosis and assessment of atopic dermatitis. J Am Acad Dermatol. 2014 Feb;70(2):338-51. doi: 10.1016/j.jaad.2013.10.010. Epub 2013 Nov 27. PubMed 24290431 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 12, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03775590
Lead sponsor
Mayo Clinic
Collaborators
HealthPartners Institute
Responsible party
Megha M. Tollefson, M.D. (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Dec 14, 2018
Start date
Feb 21, 2019
Primary completion
Sep 15, 2019
Completion
Sep 15, 2019
Last update
May 12, 2021

Study contacts

Megha M Tollefson, MD
principal investigator · Mayo Clinic
Sarah Asch, MD
principal investigator · HealthPartners Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in May 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion