1. Severe atopic eczema, treatment resistant or dependent on potent topical/systemic therapy 2. Most participants will have multiple allergic comorbidities, such as allergic rhino conjunctivitis, asthma and food allergies Skin and Connective Tissue Diseases Atopic eczema
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 2–16 years old 2. Severe atopic eczema and evidence of sensitization to at least one perennial allergen (house dust mite, pets or mould 3. Consent to participate voluntarily and parental consent if participant is younger than 16 years old 4. Willing and able to comply with the study specific procedures; signed informed consent needed before any study procedure 5. Sufficient space to install the TLA device in the home
Exclusion criteria
Exclusion criteria: Unwilling or unable to comply with the study protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement in sleep and pruritus (SCORAD-C, visual analogue score) Measured at 1 month, 3 months, 6 months, 12 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Reduction in Health Care Utilisation 2. Cost score combining medication requirement and unscheduled healthcare visits 3. Improvement in eczema related quality of life (validated questionnaires: CDQoL, FDI) 4. Change in allergen exposure during TLA use in home environment (particle counting, airsampling) 5. Improvement in rhinitis related quality of life. (Paed RQLQ) 6. Change in sleep quality as assessed by home sleep study (Sonomat) All Outcomes measured at 1 month, 3 months, 6 months, 12 months. Except: 1. Sonomat Outcome, measured at 3-4 days post treatment start. 2.Change in allergen exposure, measured at 3-4 days post treatment start. | — |
Countries
England, United Kingdom