Evidence map›Paper›PMID 35997592›Full record

Trial reportAllergy2023

Early initiation of short-term emollient use for the prevention of atopic dermatitis in high-risk infants-The STOP-AD randomised controlled trial.

Carol Ní Chaoimh, Dhanis Lad, Claudio Nico, Gerwin J Puppels, X F Colin C Wong, John E Common, Deirdre M Murray, Alan D Irvine, Jonathan O'Brien Hourihane

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Allergy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03871998 (Short-term Topical Application to Prevent Atopic Dermatitis), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
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.

NCT03871998 nacompletednot on this map

Short-term Topical Application to Prevent Atopic Dermatitis

TypeinterventionalSponsorUniversity College CorkRan2019 to 2021Enrolled321ConditionsEczema Atopic Dermatitis, Eczema, Eczema, Infantile, Food AllergyArmsSkin barrier protection in the first 2 months of life
3 · Its place in the literature

Who cites it

34 citing papers in PubMed.

  1. Emollient application from birth to prevent eczema in high-risk children: the BEEP RCT.Health technology assessment (Winchester, England) · 2024
    Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Atopic dermatitis.Nature reviews. Disease primers · 2026
    Review
  8. Dysbiosis in the Pathogenesis of Atopic Dermatitis.The Journal of dermatology · 2026
    Review
  9. Review
  10. Feeding the Skin? Foods in Personal Care Products and the Risk of Allergy.The Journal of clinical and aesthetic dermatology · 2026
    Article
  11. Skin-lung axis in the atopic march: The immune link from skin to lungs.Chinese medical journal pulmonary and critical care medicine · 2025
    Review
  12. Targeting Pollutants in the Treatment and Prevention of Atopic Dermatitis.Immunology and allergy clinics of North America · 2025
    Review
  13. Review
  14. Review
  15. Novel approaches to prevent or cure allergic diseases.Current opinion in immunology · 2025
    Review
  16. The Role of Skin Dysbiosis and Quorum Sensing in Atopic Dermatitis.JID innovations : skin science from molecules to population health · 2025
    Review
  17. Prevention of Atopic Dermatitis: What Are We Missing?Allergy, asthma & immunology research · 2025
    Review
  18. Skin Care Practices in Indian Newborns and Infants: Current Scenario.Pediatric health, medicine and therapeutics · 2025
    Review
  19. Skin Barrier Function in Neonates and Infants.Allergy, asthma & immunology research · 2025
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Carol Ní ChaoimhINFANT Research Centre, University College Cork, Cork, Ireland.
Dhanis LadINFANT Research Centre, University College Cork, Cork, Ireland.
Claudio NicoRiver D International B.V., Rotterdam, The Netherlands.
Gerwin J PuppelsRiver D International B.V., Rotterdam, The Netherlands.
X F Colin C WongA*STAR Skin Research Labs, Singapore, Singapore.
John E CommonA*STAR Skin Research Labs, Singapore, Singapore.
Deirdre M MurrayINFANT Research Centre, University College Cork, Cork, Ireland.
Alan D IrvineINFANT Research Centre, University College Cork, Cork, Ireland.ORCID 0000-0002-9048-2044
Jonathan O'Brien HourihaneINFANT Research Centre, University College Cork, Cork, Ireland.ORCID 0000-0003-4997-9857

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProtecting the skin barrier in early infancy may prevent atopic dermatitis (AD). We investigated if daily emollient use from birth to 2 months reduced AD incidence in high-risk infants at 12 months.

methodsThis was a single-center, two-armed, investigator-blinded, randomized controlled clinical trial (NCT03871998). Term infants identified as high risk for AD (parental history of AD, asthma or allergic rhinitis) were recruited within 4 days of birth and randomised 1:1 to either twice-daily emollient application for the first 8 weeks of life (intervention group), using an emollient specifically formulated for very dry, AD-prone skin, or to standard routine skin care (control group). The primary outcome was cumulative AD incidence at 12 months. AD <6 months was diagnosed based on clinical presence of AD. The UK Working Party Diagnostic Criteria were applied when diagnosing AD between 6 and 12 months.

resultsThree hundred twenty-one were randomised (161 intervention and 160 control), with 61 withdrawals (41 intervention, 20 control). The cumulative incidence of AD at 12 months was 32.8% in the intervention group vs. 46.4% in the control group, p = 0.036 [Relative risk (95%CI): 0.707 (0.516, 0.965)]. One infant in the intervention group was withdrawn from the study following development of a rash that had a potential relationship with the emollient. There was no significant difference in the incidence of skin infections between the intervention and control groups during the intervention period (5.0% vs. 5.7%, p > 0.05).

conclusionsThis study has demonstrated that early initiation of daily specialized emollient use until 2 months reduces the incidence of AD in the first year of life in high-risk infants.

Indexed as

AsthmaDermatitis, AtopicEmollientsHumansInfantRiskSkinEmollientsatopic dermatitisemollientpreventionrandomized controlled trialskin barrier

Identifiers

PMID35997592
PMCPMC10952678

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Registered trials

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.