Evidence map›Paper›PMID 33984185›Full record

Trial reportDermatologic therapy2021

A daily regimen of a ceramide-dominant moisturizing cream and cleanser restores the skin permeability barrier in adults with moderate eczema: A randomized trial.

Fabrizio Spada, Ian P Harrison, Tanya M Barnes, Kerryn A Greive, Daisy Daniels, Joshua P Townley, Niyaz Mostafa, Andrew T Fong, Philip L Tong, Stephen Shumack

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Dermatologic therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. A single-center, randomized, controlled study on the efficacy of niacinamide-containing body emollients combined with cleansing gel in the treatment of mild atopic dermatitis.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2023
    Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Review
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  12. The role of dermocosmetics in the management of cancer-related skin toxicities: international expert consensus.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Review
  13. Article
  14. Treatments for atopic dermatitis.Australian prescriber · 2023
    Review
  15. Journal of clinical medicine · 2022
    Review
  16. Review
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  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Fabrizio SpadaDepartment of Scientific Affairs, Ego Pharmaceuticals, Melbourne, Victoria, Australia.
Ian P HarrisonDepartment of Scientific Affairs, Ego Pharmaceuticals, Melbourne, Victoria, Australia.ORCID 0000-0002-5269-5823
Tanya M BarnesDepartment of Scientific Affairs, Ego Pharmaceuticals, Melbourne, Victoria, Australia.
Kerryn A GreiveDepartment of Scientific Affairs, Ego Pharmaceuticals, Melbourne, Victoria, Australia.
Daisy DanielsDepartment of Scientific Affairs, Ego Pharmaceuticals, Melbourne, Victoria, Australia.
Joshua P TownleyDepartment of Scientific Affairs, Ego Pharmaceuticals, Melbourne, Victoria, Australia.
Niyaz MostafaSt George Dermatology and Skin Cancer Centre, Sydney, New South Wales, Australia.ORCID 0000-0002-9367-7808
Andrew T FongSt George Dermatology and Skin Cancer Centre, Sydney, New South Wales, Australia.
Philip L TongSt George Dermatology and Skin Cancer Centre, Sydney, New South Wales, Australia.
Stephen ShumackSt George Dermatology and Skin Cancer Centre, Sydney, New South Wales, Australia.
Children's Hospital at Westmead · AURoyal North Shore Hospital · AUSt Vincent's Hospital Sydney · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The dysfunctional skin barrier in eczema patients may be attributed to decreased levels of ceramides in the stratum corneum. The aim of this study was to determine whether a two-part system consisting of a ceramide-dominant physiological lipid-based moisturizing cream and cleanser could ameliorate the signs and symptoms of moderate eczema in adults over 28 days compared to placebo. Assessments were conducted at baseline and every 7 days thereafter. Eczema area severity index score decreased significantly across all time points in both groups compared to baseline (P < .0001), however, this decrease was not significant between groups at day 28 (P = .7804). In contrast, transepidermal water loss and skin hydration significantly improved over time in the active group, while it either stayed the same or worsened in the placebo group (P = .0342 and P < .0001, respectively). There was no difference in the use of mometasone furoate as rescue medication over time between groups (P = .1579). Dermatology life quality index scores improved significantly in both groups (P < .0001), with no difference between groups (P = .5256). However, patient satisfaction was greater in the active compared to the placebo group for several parameters including relief of itch, dry skin, skin softness and smoothness (all P < .05). No patients withdrew from the study due to adverse events (AEs) and there were no serious AEs. The ceramide-dominant moisturizing cream and cleanser safely restores skin permeability and improves the signs and symptoms of eczema in adults.

Indexed as

CeramidesEczemaAdultHumansPermeabilityPruritusSkin CreamCeramidesatopic dermatitisdermatology life quality indexeczema area severity indexhydrationtransepidermal water loss

Identifiers

PMID33984185
PMCPMC8459234
OpenAlexW3160895770

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.