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. 2007 Oct 17;2007(4):CD005500. doi: 10.1002/14651858.CD005500.pub2

Wahn 2002.

Methods Parallel group, double blind, placebo control, international multi‐centre, randomised controlled trial 
 (flare‐preventing study)
Participants Inclusion criteria: children (N = 711), mild eczema (diagnosis criteria: Williams et al.), age: 2 to 17 years, TBSA >= 5%, IGA >= 2. 
 Exclusion criteria: infections that required prohibited medication or that could affect evaluation of skin. 
 Wash out period: phototherapy or systematic therapy: one month, topical therapy: seven days, systematic antibiotics: two weeks.
Interventions pimecrolimus 1.0% BID (n = 474) vs. emollients BID (n = 237) for 52 weeks and followed up to 53 weeks. Short‐term flares were treated with moderately potent topical steroids (0.02% difluprednate, 0.25% prednicarbate, 0.1% hydrocortisone butyrate, 0.05% clobetasone butyrate, 0.02% triamcinolone acetonide, 0.1% hydrocortisone valerate).
Outcomes 1. Efficacy: numbers of participants achieving no flare and not using TS; percentage (%) of mean duration for TS use; number of participants using antihistamine; mean decrease in DLQI score; mean PIQoL‐AD score. 
 2. Safety and tolerability: total WDs, WDs due to lack of efficacy.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear