Atopic Dermatitis
Conditions
Keywords
Pimecrolimus, skin atrophy, dermoscopy, atopic dermatitis, eczema
Brief summary
Topical steroid use may lead to skin deterioration and spider veins. This study will examine long-term management of atopic dermatitis (AD) over 12 months with pimecrolimus cream 1% and its effect on skin reconstitution of steroid-damaged skin and disease control.
Interventions
Pimecrolimus cream 1% bid, as needed
Sponsors
Study design
Eligibility
Inclusion criteria
* clinically diagnosed AD * almost clear to mild AD (local IGA \[target lesions face and cubital areas\] score of 1-3) * clinically (i.e. to the unaided eye) evident skin atrophy due to long-term topical steroid use * Dermatophot Score (DPS - composed of skin atrophy and telangiectasia) of 4-6 on at least two target areas
Exclusion criteria
* Phototherapy or systemic therapy known or suspected to have an effect on AD within 4 weeks prior to study entry * Topical therapy known or suspected to have an effect on AD within 7 days prior to study entry or systemic corticosteroids within 4 weeks prior to study entry * Clinical conditions other than AD that according to investigator can interfere with the Dermatophot evaluation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Decrease of the Dermatophot (a combination of a dermatoscope and a camera) score on skin deterioration and spider veins from baseline to end of the study | 48 weeks |
Secondary
| Measure | Time frame |
|---|---|
| • Epidermal thickness by optical coherence tomography at selected investigational centers | 48 weeks |
| Skin thickness by ultrasound at selected investigational centers | 48 weeks |
| Epidermal thickness by 3mm punch biopsies (optional) | 48 weeks |
| Skin metabolism by suction blisters. | 48 weeks |
| Investigator's Global Assessment (IGA) | 48 weeks |
Countries
Germany