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Not yet recruitingNCT07438509CRISA-ADUpdated Mar 6, 2026

Efficacy of Crisaborole 2% Cream Versus Placebo in Mild to Moderate Atopic Eczema

A Phase 4 interventional study of Placebo Cream and Crisaborole 2% Cream in Atopic Dermatitis (AD) and Atopic Eczema, sponsored by Jinnah Postgraduate Medical Centre. Not yet recruiting. Open to participants aged 12 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-03-06.

Sponsored by Jinnah Postgraduate Medical Centre · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
270
Allocation
Randomized
Ages
12 Years to 50 Years
Sex
All
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Study summary

This randomized controlled trial (RCT) aims to evaluate the efficacy and safety of Crisaborole 2% cream compared with placebo in patients with mild to moderate atopic dermatitis (AD), also known as atopic eczema. AD is a chronic inflammatory skin condition characterized by itching, redness, and recurrent flares that can significantly impair quality of life.

Eligible participants aged 12 to 50 years with mild to moderate AD will be randomly assigned to receive either Crisaborole 2% cream or a placebo cream applied twice daily for four weeks. The primary outcome is treatment success at Day 28, defined using the Investigator's Static Global Assessment (ISGA) as a score of 0 (clear) or 1 (almost clear) with at least a two-grade improvement from baseline.

Participants will be evaluated at baseline, Day 14, and Day 28. Safety, tolerability, and compliance will also be assessed. The results of this RCT may provide locally relevant evidence to guide the management of mild to moderate AD.

Read the detailed description

Atopic dermatitis (AD), commonly referred to as atopic eczema, is a chronic, relapsing inflammatory skin disorder characterized by pruritus, erythema, and impaired skin barrier function. AD affects both children and adults and is associated with significant psychosocial burden, sleep disturbance, and reduced quality of life. Standard treatment options include topical corticosteroids and calcineurin inhibitors; however, prolonged use of these agents may be associated with adverse effects such as skin atrophy, irritation, and tachyphylaxis, highlighting the need for effective non-steroidal alternatives.

Crisaborole 2% cream is a topical phosphodiesterase-4 (PDE4) inhibitor that reduces inflammation by inhibiting cyclic adenosine monophosphate degradation and decreasing pro-inflammatory cytokine production. International clinical trials have demonstrated its efficacy in mild to moderate AD, but limited data are available from South Asian populations.

This study is a single-center, randomized, placebo-controlled trial conducted at the Department of Dermatology, Jinnah Postgraduate Medical Centre, Karachi. Participants aged 12 to 50 years with clinically diagnosed mild to moderate AD, defined by an ISGA score of 2 (mild) or 3 (moderate), will be enrolled after obtaining written informed consent.

Participants will be randomized in a 1:1 ratio into two groups:

Group A: Crisaborole 2% cream applied twice daily

Group B: Placebo cream applied twice daily

The treatment duration will be four weeks. Clinical assessments will be conducted at baseline, Day 14, and Day 28. The primary endpoint is treatment success at Day 28, defined as achieving an ISGA score of 0 or 1 with at least a two-grade improvement from baseline.

Secondary evaluations will include safety assessment, monitoring of adverse events, and treatment adherence. Comparative analysis will determine whether Crisaborole 2% cream provides superior efficacy compared with placebo in managing mild to moderate AD.

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Conditions studied

  • Atopic Dermatitis (AD)
  • Atopic Eczema

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Keywords

  • Mild to Moderate Atopic Dermatitis
  • Crisaborole
  • Phosphodiesterase-4 Inhibitor
  • Topical Therapy
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In context

Dermatitis, Atopic

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

This study's planned enrollment of 270 is above the median of 83 across 1,125 interventional studies indexed under Dermatitis, Atopic.

Browse Dermatitis, Atopic studies →

Lead sponsor

Jinnah Postgraduate Medical Centre is the lead sponsor of 38 studies on the registry; 14 are open to participants now.

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

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Who can participate

Ages eligible
12 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 12 to 50 years
  • Clinically diagnosed mild to moderate atopic dermatitis (ISGA score 2 or 3)
  • Willing and able to apply topical medication twice daily for four weeks
  • Able to provide written informed consent (parental consent for participants under 18 years)

Exclusion criteria

Exclusion Criteria:

  • Severe atopic dermatitis (ISGA score 4)
  • Use of systemic corticosteroids, immunosuppressants, or antibiotics within the past two weeks
  • Known hypersensitivity to crisaborole or any component of the formulation
  • Pregnant or lactating women
  • Presence of other significant dermatological conditions that may interfere with evaluation (e.g., psoriasis, scabies)
  • Immunocompromised status (e.g., HIV infection, organ transplant recipient)
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
270 participants (estimated)

Study arms

  • Experimental
    Crisaborole 2% Cream

    Participants will apply Crisaborole 2% cream as a thin layer to affected areas twice daily for four weeks.

    Drug: Crisaborole 2% Cream

  • Placebo comparator
    Placebo Cream

    Participants will apply a placebo cream identical in appearance and consistency to Crisaborole 2% cream, twice daily for four weeks.

    Drug: Placebo Cream

Interventions

  • DrugPlacebo Cream

    Non-medicated topical cream identical in appearance and packaging to Crisaborole 2% cream, applied twice daily for four weeks.

  • DrugCrisaborole 2% Cream

    Crisaborole 2% Cream

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What researchers measure

Primary outcomes

  1. Proportion of Participants Achieving Treatment Success Based on Investigator's Static Global Assessment (ISGA)

    Treatment success is defined as achieving an ISGA score of 0 (clear) or 1 (almost clear) with at least a 2-grade improvement from baseline.

    Time frame: Day 28 (End of Treatment)

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • 8. Fowler JF, Hebert AA, Del Rosso JQ. Patient-reported outcomes of crisaborole treatment in real-world settings. Clin Cosmet Investig Dermatol. 2021;14:1443-1452.
  • 7. Paller AS, Tom WL, Eichenfield LF. Efficacy of crisaborole ointment in pediatric patients with mild-to-moderate atopic dermatitis. JAMA Dermatol. 2020;156(5):556-563
  • 6. Eichenfield LF, Tom WL, Chamlin SL. Evaluation of the safety and efficacy of crisaborole ointment for the treatment of atopic dermatitis in children and adolescents: results from two phase 3 studies. J Am Acad Dermatol. 2021;85(4):892-900.
  • 5. Kaul S, Blauvelt A. Crisaborole: a nonsteroidal topical treatment for atopic dermatitis. Dermatol Ther. 2020;10(1):15-22.
  • 4. Blauvelt A, Simpson EL, Tyring SK, et al. Long-term management of atopic dermatitis: perspectives on current and emerging topical treatments. J Am Acad Dermatol. 2023;88(4):1001-1010.
  • 3. Kim JP, Chao LX, Simpson EL. Psychosocial burden of atopic dermatitis: A systematic review. Clin Dermatol. 2022;40(6):452-459
  • 2. Mahmood K, Akhtar F, Hussain M. Pattern and frequency of atopic dermatitis in Pakistani children: a multicenter cross-sectional study. Pak J Med Sci. 2021;37(3):891-895
  • 1. Odhiambo JA, Asher MI, Williams HC. Global variations in prevalence and severity of eczema symptoms in children. Int J Dermatol. 2020;59(5):582-589

Individual participant data

Plan to share: Yes — Individual participant data underlying the results reported in the manuscript, including baseline characteristics, ISGA scores, and outcome measures after de-identification.

Supporting information: Study protocol, Sap

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2026, 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
NCT07438509
Lead sponsor
Jinnah Postgraduate Medical Centre
Responsible party
Uroosa Shailkh (PGR, Jinnah Postgraduate Medical Centre) — Principal investigator
First posted
Feb 27, 2026
Start date
Mar 1, 2026 (estimated)
Primary completion
Sep 1, 2026 (estimated)
Completion
Sep 1, 2026 (estimated)
Last update
Mar 6, 2026

Study contacts

Uroosa Shaikh, FCPS
Contact
uroosashaikh654@gmail.com
03366601694

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 not yet recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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