Topical Application of a Formulation Containing Pea Proteins and Xyloglucan in Adult Patients with Atopic Dermatitis: A Double-blind, Parallel, Randomized, Placebo-controlled, Multicenter Study.

ADSI Atopic dermatitis POEM pea proteins xyloglucan

Journal

The Journal of clinical and aesthetic dermatology
ISSN: 1941-2789
Titre abrégé: J Clin Aesthet Dermatol
Pays: United States
ID NLM: 101518173

Informations de publication

Date de publication:
Jul 2023
Historique:
medline: 10 8 2023
pubmed: 10 8 2023
entrez: 10 8 2023
Statut: ppublish

Résumé

Atopic dermatitis (AD) management requires long-term use of drugs that come with side effects. Compounds such as xyloglucan (XG) and pea proteins (PP) are emerging alternatives to corticosteroids that have shown to restore skin barrier function in preclinical studies. This double-blind, parallel, randomized, placebo-controlled clinical trial investigated the efficacy and safety of XG and PP, in adult AD patients. Fourty-two patients with AD were randomly assigned 1:1 to receive a XG+PP treatment or the vehicle without XG+PP twice/day for 14 consecutive days for assessment at baseline, Day 8 and Day 15; follow-up visit was 14 days after the end of treatment (Day 28). Efficacy was evaluated using the Scoring Atopic Dermatitis (SCORAD) index, AD severity index (ADSI) score and patient-oriented eczema measure (POEM). Safety and tolerability were monitored as the occurrence of Adverse Events (AEs). At baseline, both groups exclusively included moderate/severe AD cases. At Day 8, six patients treated with XG+PP displayed complete resolution of AD, while 15 patients had mild AD. At Day 28, 16 patients no longer had eczema, whereas five patients displayed mild AD. Notably, 21 patients in the vehicle group still displayed moderate/severe AD. XG and PP promote rapid and long-lasting relief, supporting its use as a safe alternative to mainstay corticosteroid treatments for AD management. The study protocol has been registered in the ISRCTN registry (TN66879853).

Identifiants

pubmed: 37560506
pmc: PMC10409507

Types de publication

Journal Article

Langues

eng

Pagination

35-41

Informations de copyright

Copyright © 2023. Matrix Medical Communications. All rights reserved.

Déclaration de conflit d'intérêts

DISCLOSURES: All authors report no conflicts of interest relevant to the content of this article.

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Auteurs

Mehedi Sowlati (M)

Dr. Sowlati is with the County Clinical Emergency Hospital in Arad, Romania.

Olguta-Anca Orzan (OA)

Dr. Orzan is with Elias Emergency University Hospital in Romania.

Silviu Horia Morariu (SH)

Dr. Morariu is with County Clinical Hospital of Mures in Romania.

Zlatka Etropolska (Z)

Dr. Etropolska is with the Ambulatory Practice for Primary Outpatient Medical Care SANA OOD in Bulgaria.

Stefano Veraldi (S)

Dr. Veraldi is with the Department of Pathophysiology and Transplantation at Università degli Studi, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico in Milan, Italy.

Stefan Dimitrov (S)

Dr. Dimitrov is with the Medical center Prolet EOOD in Bulgaria.

Classifications MeSH