In:
Russian Journal of Skin and Venereal Diseases, ECO-Vector LLC, Vol. 26, No. 1 ( 2023-04-07), p. 25-39
Abstract:
BACKGROUND: Atopic dermatitis is a chronic, relapsing and severely itchy dermatitis that usually occurs in childhood and has a characteristic age-related distribution. Atopic dermatitis is relatively frequent, affecting 1020% of children in developed countries. Atopic dermatitis in children associated with poor school performance, low self-esteem and family problems. Recent studies show importance in atopic dermatitis pathogenesis of protein filaggrin and modulation of its activity may be a promising direction in the pathogenic therapy of atopic dermatitis. AIM: to study the effect of a cream for dry, sensitive and atopic skin with a modulator of filaggrin activity on the course of mild and moderate atopic dermatitis. MATERIAL AND METHODS: An open, prospective, multicentre, non-comparative, single-group clinical trial was organized to test the effectiveness of a cream with a filaggrin activity modulator. The study was on outpatients in the participated centers and included 5 visits with a screening visit 1, and 5th visit ― therapy completion. Cream was used for 12 weeks. In total, the study involved 60 children aged 3 to 18 years with diagnoses of atopic dermatitis of mild and moderate severity. The severity of atopic dermatitis was measured with the SCORAD, EASI, IGA scales, also measured was skin pH and transepidermal water loss (TEWL), as well as the severity of xerosis according to visual analogue scale. RESULTS: The severity of atopic dermatitis in children whose therapy regimens included Admera cream decreased by 19.6 points according to the SCORAD index, including in children who did not receive mometasone furoate in the therapy schemes, the SCORAD index decreased statistically significantly compared to the baseline data (p 0.001). The overall decline in the EASI index ― by 3.0 points, the IGA global assessment index ― by 2.0 points, the severity of xerosis decreased by 3 points (in all cases, p 0.001). Transepidermal water loss decreased (by 4.5 g/m2 per hour, p 0.001); Skin pH did not change (difference 0.02, p=0.34). The smell was rated as "excellent" by 86.7% (95% CI 75.494.1), the consistency ― by 83.3% (95% CI 71.591.7) of the respondents, and overall satisfaction was noted by ― 88.3% (95% CI 77.495.2) of the respondents. CONCLUSION: Сream for dry and sensitive skin with a modulator of filaggrin activity during the study showed good efficacy and tolerability and can be used in atopic dermatitis treatment regimens as a basic care product, both during exacerbation and remission.
Type of Medium:
Online Resource
ISSN:
2412-9097
,
1560-9588
DOI:
10.17816/dv122220-1783962
DOI:
10.17816/dv122220-1783969
DOI:
10.17816/dv122220-1783976
DOI:
10.17816/dv122220-1783984
DOI:
10.17816/dv122220-1783991
DOI:
10.17816/dv122220-1784001
DOI:
10.17816/dv122220-1784007
DOI:
10.17816/dv122220-1784013
DOI:
10.17816/dv122220-1784030
DOI:
10.17816/dv122220-1784037
DOI:
10.17816/dv122220-1784044
DOI:
10.17816/dv122220-1784051
DOI:
10.17816/dv122220-1784059
Language:
Unknown
Publisher:
ECO-Vector LLC
Publication Date:
2023
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