CClinicalTrials.gg
RecruitingNCT07228728CUTIEUpdated Feb 11, 2026

Exploring the Cutaneous Immune Response to Skin Massage in Early Life

An interventional study of Skin Massage with Product in Skin Massage, sponsored by King's College London. Recruiting at 1 site in United Kingdom. Open to participants aged 0 Months to 6 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-11.

Sponsored by King's College London · Not applicable, Interventional, and Other

From the registry’s dates

  • Started Jan 2026; still recruiting 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
109
Allocation
Randomized
Ages
0 Months to 6 Months
Sex
All
01

Study summary

This project aims to study whether regular skin massage in babies induces cutaneous inflammation and whether this inflammatory response is amplified in those receiving daily (vs bi-weekly or no) skin massage over an 8 week period. Specifically, it aims to:

  1. Establish if massage increases /decreases immune signals in the skin.
  2. Clarify if the effects of massage are enhanced with the frequency of massage. 3.) Assess changes in skin biology as a consequence of skin massage. 4.) Determine if massage impacts skin barrier function in the early years of life.
Read the detailed description

Massaging the skin is thought to be beneficial to facilitate bonding between babies and their caregivers. Evidence shows that it can help blood flow and may also positively impact the baby's immune system. However, this has not been researched in detail before. In our study, we aim to understand how the skin immune system reacts to massage. We aim to establish if regular skin massage induces cutaneous immune system changes measured through pro-inflammatory cytokines in interstitial fluid (ISF), and whether this response is amplified in those receiving daily (vs bi-weekly or no) skin massage over an 8 week period.

How skin massage influences the cutaneous immune system has not been investigated to date. The study will aim to address the following hypotheses:

  1. Regular skin massage generates immune "warning" signals (such as cytokines), the precondition of the skin during healthy development, more so in those who have massaged daily (compared to no massage and bi-weekly massage).
  2. Skin massage enhances skin barrier function and bacterial diversity of the skin.

The study is split into two parts. In part 1, the ISF device will be piloted in the first 9 healthy babies enrolled in the study to optimise the pressure and length of time the device is used for. Participants will be invited to attend 1 visit to the Clinical Research Facility at St Thomas' Hospital, lasting approximately 1 hour for this non-invasive collection of skin fluid and skin barrier measurements. We can offer allergy testing to house dust mite, peanut, egg and milk for your baby, if you are interested.

Part 2 is a randomised controlled trial that will investigate how regular skin massage impacts the immune system in 100 healthy baby's. Participants will be randomly allocated to 1 of 3 groups for the 8 week period:

  • Group 1 (control group): No moisturiser (emollient) will be applied to your baby's skin, and they will not receive any massage.
  • Group 2: You will apply a moisturiser (emollient) with oil and water-based components and massage your baby's skin twice a week.
  • Group 3: You will apply a moisturiser (emollient) with oil and water-based components and massage your baby's skin daily.

Participants will be asked to attend 3 visit to the Clinical Research Facility at St Thomas' Hospital, at baseline, Week 4 and Week 8 for some non-invasive skin assessments, including skin fluid (ISF) sampling, skin barrier measurements, skin swabs, tape strips and a skin prick allergy test to house dust mite, egg, peanut and milk.

02

Conditions studied

  • Skin Massage

Keywords

  • Massage
  • Early life
  • dermatology
  • Immune System
  • Immune Response
  • Infant Development
  • Skin barrier
  • Microbiome
  • Interstitial Skin fluid
03

In context

Lead sponsor

King's College London is the lead sponsor of 506 studies on the registry; 125 are open to participants now.

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

04

Who can participate

Ages eligible
0 Months to 6 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Healthy babies born at term up to 6 months old
  2. Ability of parents/guardians/caregivers to provide written informed consent for study participation
  3. Willingness of parents/guardians/caregivers to comply with all study requirements.

Exclusion criteria

Exclusion Criteria:

  1. Parents/guardians/caregivers unable to give informed consent.
  2. Personal history of inflammatory skin disease (in particular atopic dermatitis)
  3. Active involvement in another interventional research study
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
109 participants (estimated)

Study arms

  • No intervention
    No application of product and no massage

    No application of product and no massage.

  • Experimental
    Twice-Weekly Massage with Product

    Application of product containing oil- and aqueous-based components + skin massage twice a week

    Other: Skin Massage with Product

  • Experimental
    Daily Massage with Product

    Application of product containing oil- and aqueous-based components + skin massage daily

    Other: Skin Massage with Product

Interventions

  • OtherSkin Massage with Product

    Application of product containing oil- and aqueous-based components to baby's skin followed by a standardized massage.

06

What researchers measure

Primary outcomes

  1. Detection of inflammatory cytokine markers in ISF.

    The release of allergy-related and barrier-related soluble mediators such as IL-10 and TGF-β as well as other Th1/Th2 and other inflammatory cytokines.

    Time frame: 8 weeks

Secondary outcomes

  1. Detection of skin biology changes in ISF using genetic profiling (RNA sequencing) and proteomics.

    RNA will be extracted on the ISF samples using a commercial kit. Quantification of gene expression profile will be performed with a Nanostring nCounter Analysis system. This will be used to assess panels of genes associated with allergy and inflammation. Proteomics will be conducted using mass spectrometry.

    Time frame: 8 weeks

  2. Detection of changes in barrier function

    TEWL, a validated measure of skin barrier function, will be measured using a closed chamber TEWL instrument (Biox Aquaflux Model AF200) adjacent to the ISF sampling site.

    Time frame: 8 weeks

  3. To measure specific IgE to foods and aeroallergens

    SPT to egg, milk, peanut and house dust mite.

    Time frame: 8 weeks

  4. To detect signals of skin microbiota e.g. bacterial diversity in addition to specific strains such as Staphylococci.

    Skin microbiome swabs for microbial DNA extraction, next generation or shotgun sequencing to identify bacteria or other micro-organisms (such as viruses and fungi) will be taken. We will sample the skin flora at a 4cm2 site. The swab will be taken from the site of ISF sampling. The sample will be collected using an Isohelix® microbial DNA swabs moistened with two drops of normal saline. A (negative) control sample will be taken for each participant.

    Time frame: 8 weeks

07

Study locations

1 of 1 sites recruiting
  • St. Thomas' Hospital
    London, SE1 7EH, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07228728
Lead sponsor
King's College London
Collaborators
Guy's and St Thomas' NHS Foundation Trust, Rosetrees Trust, Stoneygate Trust
Responsible party
Sponsor
First posted
Nov 14, 2025
Start date
Jan 2, 2026
Primary completion
Mar 30, 2027 (estimated)
Completion
Apr 30, 2027 (estimated)
Last update
Feb 11, 2026

Study contacts

Preeti Khurana
Contact
gstt.cutie.study@nhs.net
020 7188 7188 ext. 57716
Carsten Flohr
principal investigator · Guy's and St Thomas' NHS Foundation Trust

Oversight

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

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