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Role of Anti-IgE in Severe Childhood Eczema

The Role of Anti-IgE (Omalizumab) in the Management of Severe Recalcitrant Paediatric Atopic Eczema

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02300701
Acronym
ADAPT
Enrollment
62
Registered
2014-11-25
Start date
2014-12-31
Completion date
2018-08-31
Last updated
2019-08-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Atopic Eczema, Atopic Dermatitis, Child

Brief summary

To evaluate the efficacy of anti-IgE (Omalizumab/Xolair) in children with severe eczema.

Detailed description

To address the value of anti-IgE in children with severe eczema.

Interventions

DRUGXolair

According to manufacturer's instructions

DRUGPlacebo

Placebo

Sponsors

King's College London
CollaboratorOTHER
National Institute for Health Research, United Kingdom
CollaboratorOTHER_GOV
Guy's and St Thomas' NHS Foundation Trust
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
4 Years to 19 Years
Healthy volunteers
No

Inclusion criteria

1. Children between the ages of 4-19 years 2. Severe eczema 3. Raised SpIgE or SPT to at least 1 food allergen or 1 aeroallergen AND/OR 4. Clinical impression that allergic exposures cause worsening eczema. 5. Total IgE level \>300 kU/l 6. Clinically proven IgE-mediated allergic disease. 7. Written informed consent to participate.

Exclusion criteria

1. Inability to comply with 2-4 weekly injections and clinic visits 2. Evidence of underlying immune compromise, autoimmune disease, immune complex mediated conditions. 3. Uncontrolled infection or unstable eczema. 4. Malignancy or a history of malignancy. 5. Pre-existing hepatic or renal impairment 6. Known cardiovascular or ischaemic cerebrovascular abnormality. 7. Other serious or uncontrolled systemic disease. 8. Pregnancy or lactation. 9. Known history of hypersensitivity or anaphylaxis to anti-IgE injections or its constituents. 10. Insufficient understanding of the trial assessments. 11. Participation in a CTIMP in the previous 60 days or (if known) 4 half-lives of the relevant medication, whichever is the greater. 12. Investigator feels that there is a good clinical reason why the child would be unsuitable.

Design outcomes

Primary

MeasureTime frame
Improvement in atopic eczema24 weeks after treatment commences

Countries

United Kingdom

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 27, 2026