About this trial
The LaCE study is a double-blind, randomised, placebo-controlled trial examining the effectiveness of the probiotic Lactobacillus paracasei LPB27 in treating eczema in young children.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age: 3 months to 3 years old
Diagnosis: Eczema (atopic dermatitis) diagnosed clinically by a paediatric dermatologist or immunologist.
Severity: Investigator Global Assessment for Atopic Dermatitis (IGA) severity of 1-3 (almost clear, mild, moderate) and a SCORAD score greater than 8.7.
Willingness and ability of the subject to comply with the protocol requirements.
Disqualifiers
Patients on systemic immunosuppression and/or biologic agents (participants who start systemic immunosuppression and/or biologic agents mid-way through the study will be considered to have not achieved treatment success and will be withdrawn, regardless of their SCORAD index scores).
Mothers who are breastfeeding and on probiotics but not willing to stop probiotics.
Child already on probiotics and parents not willing to stop during the entire study period (washout period of 4 weeks; including formulas that contains probiotics).
Eczema complicated by active skin infection e.g. impetigo/cellulitis/ eczema herpeticum (can be considered once active infection resolved).
Trial design
Parallel
Treatments tested in this trial
Lactobacillus Paracasei LPB27
Dietary supplementProbiotic
Maltodextrin
Other interventionPlacebo
Treatment groups
Trial outcomes
Primary outcomes
Proportion of patients achieving treatment success
Clinically meaningful reduction (\>= 8.7 points) in SCORAD index between baseline and 12 weeks without the use of rescue medication (systemic immunosuppression and/or biologic agents)
Secondary outcomes
Mean change in SCORAD index
Mean change from baseline to 12 weeks (or time of starting rescue medication, whichever occurs earlier) in Scoring Atopic Dermatitis (SCORAD) index
First use of rescue medication
Time from baseline to first use of rescue medication, up to 12 weeks
Mean change in RECAP
Mean change from baseline to 12 weeks (or time of starting rescue medication, whichever occurs earlier) in Recap of Atopic Eczema (RECAP) score. The RECAP score ranges from a minimum of 0 to a maximum of 28, with higher scores indicating worse outcomes.
Mean change in IDQOL
Mean change from baseline to 12 weeks (or time of starting rescue medication, whichever occurs earlier) in Infant Dermatitis Quality of Life (IDQOL) score. The IDQOL score ranges from a minimum of 0 to a maximum of 30, with higher scores indicating worse outcomes.
Sponsors and contacts
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The University of New South Wales
Lead sponsor
Evolution Health Pty Ltd
Collaborator