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. 2021 Feb 5;2021(2):CD013534. doi: 10.1002/14651858.CD013534.pub2

Eichner 2020.

Study name A Community‐based Assessment of Skin Care, Allergies, and Eczema (CASCADE)
Methods Pragmatic, multi‐site, randomised, community‐based trial
Participants Estimated enrolment: 1250
Interventions Experimental: daily emollient
Parents assigned to the intervention arm will receive a lipid‐rich emollient and educational materials promoting once‐daily full‐body emollient use until the infant is 24 months old. Parents will select 1 of 5 emollients to be mailed to the dyad's home at enrolment and approximately every 6 months for the duration of the study. These emollients include (1) CeraVe Healing Ointment, (2) Vaseline, (3) Cetaphil Cream, (4) CeraVe Cream, and (5) Vanicream
Intervention: other: participant choice of over‐the‐counter emollients: Vaseline, Vanicream, CeraVe Healing Ointment, CeraVe Cream, Cetaphil Cream
Comparator: no Intervention, natural skin
Parents assigned to the control arm will receive educational materials promoting general infant skin care guidelines only and will be asked to refrain from emollient use unless dry skin develops (current standard of care guidelines)
Outcomes Primary outcome
Cumulative incidence of AD [Time Frame: 24 months]
Secondary outcomes
  1. Parental report [Time Frame: 3, 6, 9, 12, 15, 18, and 24 months]

  2. Children's Eczema Questionnaire [Time Frame: 12 and 24 months]

  3. Sleep loss [Time Frame: 12 and 24 months]

  4. Prescription topical skin medication [Time Frame: 3, 6, 9, 12, 15, 18, 21, and 24 months]

  5. Asthma risk [Time Frame: 12 and 24 months]

  6. Food allergy symptoms [Time Frame: 12 and 24 months]

  7. Food allergy clinician diagnosed [Time Frame: 12 and 24 months]

  8. Global Health Status [Time Frame: 12 and 24 months]

  9. Atopic dermatitis severity 1 [Time Frame: 12 and 24 months]

  10. Atopic dermatitis severity 2 [Time Frame: 12 and 24 months]

  11. Atopic dermatitis severity 3 [Time Frame: 12 and 24 months]

  12. Atopic dermatitis severity 4 [Time Frame: 12 and 24 months]

  13. Atopic dermatitis severity 5 [Time Frame: 12 and 24 months]

Starting date 3 July 2018
Contact information LeAnn Michaels ‐ michaell@ohsu.edu
Clara Stemwedel ‐ stemwedc@ohsu.edu
Notes