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. 2024 Aug 6;2024(8):CD015064. doi: 10.1002/14651858.CD015064.pub2

Breneman 2005.

Study characteristics
Methods Trial design: randomised controlled, multicentre study
Trial registration number: not reported
Country: US
Outpatient or hospital, date trial conducted: not reported
Duration of trial participation: 4 weeks
Inclusion criteria:
· Male or female with stable moderate‐to‐severe AD
· DSS of erythema, excoriation and induration/papulation, of at least 6 in the target area
· at least 3 of the following: pruritus, flexural lichenification, linearity in adults with a variety of skin lesions, chronic or chronically‐relapsing dermatitis
· Personal or family history of atopy (asthma, allergic rhinitis, AD)
Exclusion criteria:
· Concomitant medical or dermatologic disorders precluding accurate evaluation of AD
· Using interfering concomitant therapies
· Known sensitivities to any ingredients of the study treatments
Additional design details: none
Participants Total number randomised: 229 participants
Age: intervention (lotion) mean 39.3 years (SD 19); intervention (emollient) mean 42.4 years (SD 17.8); vehicle group mean 40.7 years (SD 19.4)
Sex: intervention group males n = 84, females n = 112; vehicle group males n = 15, females n = 18
Ethnicity: intervention group: white n =136, black n = 39, oriental n = 7, Hispanic n = 10, other n = 4; vehicle group: white n = 23, black n = 8, oriental n = 0, Hispanic n = 2, other n = 0
Duration of eczema: intervention group 1 to 880 months; vehicle group 6 to 429 months
Severity of eczema: moderate‐to‐severe eczema was eligible
Body site: not reported
Number of withdrawals: 23 of which 16 were receiving active treatment and 7 vehicle. Subject request and loss to follow‐up were the major reasons for discontinuation of participants receiving treatment. In the placebo group, one discontinued due to an adverse event.
Notes: none
Interventions Run‐in details: specific washout periods were to be respected for topical and systematic AD treatments.
Intervention one: clobetasol propionate 0.05% lotion used twice daily for 14 days
· Concurrent treatment: not reported
· Other key information: none
Intervention two: clobetasol propionate 0.05% cream used twice daily for 14 days
· Concurrent treatment: not reported
· Other key information: none
Comparator: vehicle lotion used twice daily for 14 days
· Concurrent treatment: not reported
· Other key information: one
Concurrent treatments received alongside both intervention and comparator: not reported
Notes: none
Outcomes · Global Severity scale
· Dermatologic Sum Score (DSS)
· Safety
Notes Funding source: Galderma Medical Affairs, Inc
Declarations of interest: authors included employees of Galderma R&D, those receiving honoraries for participating in this trial or project funding from the company.
Original language of publication: English
Other: Outcome data were more complete at 2 weeks follow‐up than at end of follow‐up (at 4 weeks).