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. 2019 Mar 4;2019(3):CD011380. doi: 10.1002/14651858.CD011380.pub2

Ribet 2007.

Methods Open‐label, randomised controlled parallel‐group trial across multiple centres.
Intention‐to‐treat analysis not stated
Participants Inclusion criteria: infants with mild‐to‐moderate scalp seborrhoeic dermatitis, minimum severity score ≥ 12 (mean score in included infants = 21.8)
Exclusion criteria: severity score < 12
Number of participants randomised: total not reported; "124 included infants"; intervention group 63; comparison group 61.
Number of dropouts: not reported
Sex: 72 boys; 52 girls
Mean age: 4.2 months; range: not reported
Location: France
Interventions Treatment (n = 63)
Parents applied gel containing lactamide MEA (a lactic acid ingredient commonly found in hair conditioners) followed by a shampoo, once daily for 1 week, then 2–3 times a week.
Comparator (n = 61)
Daily shampoo only
Outcomes Primary outcome measures
  • Standardised global score of area and scale on 4 zones of scalp.


Secondary outcome measures
  • Ratings of erythema

  • Report of signs of discomfort

  • Tolerance of the gel


Assessment of outcomes performed at baseline, and on days 7, 21, and 42.
No difference in measured baseline characteristics.
No specific adverse effects noted.
No reporting of quality of life outcomes.
No mention of loss to follow‐up.
Notes Details based on reading of the abstract only.
Attempts to contact the authors unsuccessful.
Most study authors were employees of a pharmaceutical laboratory that produces cradle cap products.
No commercial support identified in the published abstract.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No information on randomisation.
Allocation concealment (selection bias) Unclear risk Not stated how allocation was performed.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Open‐label study.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Open‐label study.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Insufficient information (no full paper available).
Selective reporting (reporting bias) Unclear risk Insufficient information (no full paper available).
Other bias High risk Research conducted in a commercial pharmaceutical laboratory that manufactured the product being tested (Pierre Fabre Research Institute).
Attempts made to contact the authors to obtain further information unsuccessful.