Role of Anti-IgE in Severe Childhood Eczema
ADAPT
The Role of Anti-IgE (Omalizumab) in the Management of Severe Recalcitrant Paediatric Atopic Eczema
1 other identifier
interventional
62
1 country
1
Brief Summary
To evaluate the efficacy of anti-IgE (Omalizumab/Xolair) in children with severe eczema.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Dec 2014
Longer than P75 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 21, 2014
CompletedFirst Posted
Study publicly available on registry
November 25, 2014
CompletedStudy Start
First participant enrolled
December 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2018
CompletedAugust 9, 2019
August 1, 2019
3.7 years
November 21, 2014
August 8, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Improvement in atopic eczema
24 weeks after treatment commences
Study Arms (2)
Xolair/Omalizumab
EXPERIMENTALPlacebo
PLACEBO COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Children between the ages of 4-19 years
- Severe eczema
- Raised SpIgE or SPT to at least 1 food allergen or 1 aeroallergen AND/OR
- Clinical impression that allergic exposures cause worsening eczema.
- Total IgE level \>300 kU/l
- Clinically proven IgE-mediated allergic disease.
- Written informed consent to participate.
You may not qualify if:
- Inability to comply with 2-4 weekly injections and clinic visits
- Evidence of underlying immune compromise, autoimmune disease, immune complex mediated conditions.
- Uncontrolled infection or unstable eczema.
- Malignancy or a history of malignancy.
- Pre-existing hepatic or renal impairment
- Known cardiovascular or ischaemic cerebrovascular abnormality.
- Other serious or uncontrolled systemic disease.
- Pregnancy or lactation.
- Known history of hypersensitivity or anaphylaxis to anti-IgE injections or its constituents.
- Insufficient understanding of the trial assessments.
- Participation in a CTIMP in the previous 60 days or (if known) 4 half-lives of the relevant medication, whichever is the greater.
- Investigator feels that there is a good clinical reason why the child would be unsuitable.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Guy's and St Thomas' NHS Foundation Trust
London, SE1 7EH, United Kingdom
Related Publications (2)
Chan S, Cornelius V, Cro S, Harper JI, Lack G. Treatment Effect of Omalizumab on Severe Pediatric Atopic Dermatitis: The ADAPT Randomized Clinical Trial. JAMA Pediatr. 2020 Jan 1;174(1):29-37. doi: 10.1001/jamapediatrics.2019.4476.
PMID: 31764962DERIVEDChan S, Cornelius V, Chen T, Radulovic S, Wan M, Jahan R, Lack G. Atopic Dermatitis Anti-IgE Paediatric Trial (ADAPT): the role of anti-IgE in severe paediatric eczema: study protocol for a randomised controlled trial. Trials. 2017 Mar 22;18(1):136. doi: 10.1186/s13063-017-1809-7.
PMID: 28330497DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
S Chan, MBBS, MD
Guy's and St Thomas' Hospitals NHS Foundation Trust
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 21, 2014
First Posted
November 25, 2014
Study Start
December 1, 2014
Primary Completion
August 1, 2018
Study Completion
August 1, 2018
Last Updated
August 9, 2019
Record last verified: 2019-08