UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028043
Receipt number R000031912
Scientific Title Early Aggressive Intervention for Infantile Atopic Dermatitis to Prevent Development of Food Allergy: a Multicenter, Investigator-Blinded, Randomized, Parallel Group Controlled Trial
Date of disclosure of the study information 2017/07/04
Last modified on 2022/02/13 15:53:47

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Basic information

Public title

Early Aggressive Intervention for Infantile Atopic Dermatitis to Prevent Development of Food Allergy: a Multicenter, Investigator-Blinded, Randomized, Parallel Group Controlled Trial

Acronym

Prevention of Allergy via Cutaneous Intervention (PACI) Study

Scientific Title

Early Aggressive Intervention for Infantile Atopic Dermatitis to Prevent Development of Food Allergy: a Multicenter, Investigator-Blinded, Randomized, Parallel Group Controlled Trial

Scientific Title:Acronym

Prevention of Allergy via Cutaneous Intervention (PACI) Study

Region

Japan


Condition

Condition

Atopic Dermatitis

Classification by specialty

Clinical immunology Pediatrics Dermatology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To verify the superiority of the early aggressive treatment over the standard treatment with a randomized controlled trial for infantile atopic dermatitis to prevent food allergy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Presence of oral food challenge-proven IgE-mediated hen egg allergy at 28 weeks of age

Key secondary outcomes

1. Symptom score of Food challenge test at 28 weeks of age
2. Total IgE antibody serum titer at 28 weeks of age
3. Egg white, ovomucoid, milk, wheat, soy, peanut and Ara h2-specific IgE antibody serum titer at 28 weeks of age
4. Egg white, ovomucoid, milk, wheat, soy, peanut and Ara h2-specific IgG4 antibody serum titer at 28 weeks of age
5. EASI scores at 2, 4, and 8 weeks after study entry and at 28 weeks of age
6. POEM scores during the study period
7. Proportion of disease free days during the study period
8. Dose of rescue medication used during the study period
9. IDQoL at 28 weeks of age
10. DFI at 28 weeks of age
11. Presence of IgE-mediated food allergy reaction during the study
12. Presence of wheezing during the study period


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

A:Aggressive treatment group: Early aggressive treatment with topical anti-inflammatory drug (proactive method)

Interventions/Control_2

B:Standard treatment group: Standard treatment based on the Guidelines for the Management of Atopic Dermatitis (2016) (reactive method)

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

7 weeks-old <=

Age-upper limit

13 weeks-old >=

Gender

Male and Female

Key inclusion criteria

Infants (7-13 weeks old) who develop an itchy rash within the previous 28 days and are diagnosed with Atopic Dermatitis based on the U.K.Working Party's diagnostic criteria

Key exclusion criteria

(1)Infants born before 37 weeks of gestation
(2)Twin or multiple
(3)History of side effects from emollients (Heparinoid cream :Hirudoid Soft ointment) and/or topical corticosteroids (alclometasone dipropionate :Almeta, betamethasone valerate :Rinderon-V and/or mometasone furoate :Fulumeta).
(4)History of taking oral and/or intravenous steroids within the previous 28 days
(5)History of taking immunosuppressive agents (ciclosporin, tacrolimus, etc) and/or biologics except immunizations and/or intravenous immunoglobulin within the previous 28 days.
(6)IgE-mediated hen egg allergy
(7)Infants whose family plans to move and who may not be able to visit the study site before 28 weeks of age
(8)Parents unable to understand Japanese
(9)Unwillingness or inability to comply with the study requirements and procedures
(10)Infants with severe congenital disease and/or a disease that affects dermatological evaluation

Target sample size

650


Research contact person

Name of lead principal investigator

1st name Yukihiro
Middle name
Last name Ohya

Organization

National Center for Child Health and
Development

Division name

Allergy Center

Zip code

157-8535

Address

2-10-1, Okura, Setagayaku, Tokyo 157-8535, Japan

TEL

03-3416-0181

Email

ohya-y@ncchd.go.jp


Public contact

Name of contact person

1st name Kiwako
Middle name
Last name Yamamoto-Hanada

Organization

PACI Study Coordinating Office

Division name

Allergy Center, National Center for Child Health and Development

Zip code

157-8535

Address

2-10-1, Okura, Setagayaku, Tokyo 157-8535, Japan

TEL

03-3416-0611

Homepage URL

http://www.paci-study.jp/

Email

allergy_research@ncchd.go.jp


Sponsor or person

Institute

National Center for Child Health and Development

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB of the National Center for Child Health and Development

Address

2-10-1, Okura, Setagayaku, Tokyo 157-8535, Japan

Tel

03-3416-0181

Email

rinri@ncchd.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

国立成育医療研究センター(東京都)
浜松医科大学医学部附属病院 (静岡県)
国立病院機構名古屋医療センター(愛知県)
国立病院機構三重病院(三重県)
国立病院機構相模原病院(神奈川県)
京都府立医科大学附属病院(京都府)
大阪府立病院機構大阪はびきの医療センター(大阪府)
藤田保健衛生大学病院(愛知県)
山口大学医学部附属病院(山口県)
慶應義塾大学病院(東京都)
公立昭和病院(東京都)
千葉大学医学部附属病院(千葉県)
近畿大学医学部附属病院(大阪府)
藤田保健衛生大学坂文種報德會病院(愛知県)
さいたま市立病院(埼玉県)
東北医科薬科大学病院(宮城県)


Other administrative information

Date of disclosure of the study information

2017 Year 07 Month 04 Day


Related information

URL releasing protocol

https://ctajournal.biomedcentral.com/articles/10.1186/s13601-018-0233-8

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

650

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 02 Month 27 Day

Date of IRB

2017 Year 02 Month 27 Day

Anticipated trial start date

2017 Year 07 Month 18 Day

Last follow-up date

2021 Year 02 Month 18 Day

Date of closure to data entry


Date trial data considered complete

2021 Year 10 Month 08 Day

Date analysis concluded

2022 Year 01 Month 27 Day


Other

Other related information



Management information

Registered date

2017 Year 07 Month 03 Day

Last modified on

2022 Year 02 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031912


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name