Steroid-Free Over-the-Counter Eczema Skin Care Formulations Reduce Risk of Flare, Prolong Time to Flare, and Reduce Eczema Symptoms in Pediatric Subjects With Atopic Dermatitis

May 2015 | Volume 14 | Issue 5 | Original Article | 478 | Copyright © May 2015


Teresa M. Weber PhD,a Frank Samarin MD,b Michael J. Babcock MD,c
Alexander Filbry PhD,d and Frank Rippke MDd

aUS Research and Development, Beiersdorf Inc, Wilton, CT
bMountaintop Dermatology, Colorado Springs, CO
cColorado Springs Dermatology Clinic, Colorado Springs, CO
dResearch and Development, Beiersdorf AG, Hamburg, Germany

table 3

Washout Phase Baseline Questionnaire

The eczema history questionnaire completed at baseline showed that 78% of subjects had flared 3 to 4 times in the previous 12 months, while 18% had flared 1 to 2 times during this time period. When asked about the treatment of the last flare their child had experienced, the majority of parents/guardians responded that they managed their child’s treatment on their own (69%), while the remainder visited a pediatrician (27%), dermatologist (2%), or a general practitioner (2%). The most common treatments used, as reported by parents/guardians, were moisturizer (60%) or 1% non-prescription hydrocortisone (40%) (Figure 3A). Overall, 44% of parents were not concerned about using prescription products to treat their child’s eczema, while 40% did not use prescription products to treat their child’s eczema (Figure 3B).

Maintenance Phase Assessments

A total of 19 subjects were confirmed to have eczema flares during the maintenance phase. Only 4 of 19 subjects (21%) flared in the moisturizer group, vs 15 of 23 (65%) in the control group, a statistically significant difference (P=.006; Figure 4). In addition, control group subjects flared earlier (mean 27.8 days) than the moisturizer group subjects (55 days) (Table 2). Considering all subjects who completed the study (n=43), the median time to flare was 28 days for the control group and more than 180 days for the moisturizer group (Table 2).
The differences between groups in time to flare and the number of subjects who experienced flare were statistically significant (P<.05) (Figure 5). At the end of the 6-month maintenance phase, 78.9% of subjects in the moisturizer group remained flare-free, compared with 34.8% of the control group, indicating a 44.1% reduction in risk of flare after 6 months of daily application of Body Cream. The overall hazard ratio for risk of flare in the maintenance phase was 4.74 (95% CI, 1.57-14.38).

Treatment Phase Flare Assessments

The 19 subjects who flared during the maintenance phase entered the 4-week treatment phase. Application of Flare Treatment