CeraVe Cream Compared to Desitin Paste for Treating Diaper Dermatitis in Infants

Study Overview
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Brief Summary
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This is a single-center, 1:1 randomized, double-blind, parallel-group, non-inferiority controlled trial to demonstrate non-inferiority of CeraVe Baby Diaper Rash Cream compared to Desitin Maximum Strength Original Paste when administered to children with diaper dermatitis who are between 3 months to 18 months of age. Parents/caregivers of subjects in both groups will administer the product with each diaper change throughout the course of the study period. Product can be applied liberally as needed. Diapers and skin cleansing interventions will stay constant throughout the treatment period. Subjects will be assessed by the study doctor, parent/caregiver will be asked about any adverse effects. Parent/caregivers will also be asked to complete a daily diary that asks about changes in their baby's diaper dermatitis, a Visual Analogue Scale severity assessment of their baby's diaper dermatitis, and observations related to product use and the baby's comfort level. Parents/caregivers will also be given a questionnaire rating the use of the study products.

Detailed Description
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Visit 1 - Screening and Baseline Visit (Day 0) Subjects will be evaluated for study eligibility using inclusion and exclusion criteria. The study doctor will assess diaper dermatitis for inclusion and exclusion criteria and to verify mild to moderate severity. Once study eligibility has been confirmed, parental/guardian consent will be obtained. No washout period is necessary for this study. Location of clinically apparent involved area will be shaded by hand onto diagram by the research personnel. Study products will be dispensed to parent/caregiver, along with instructions for administration. Parent/caregivers will also be asked to complete a daily diary that asks about changes in their baby's diaper dermatitis, a Visual Analogue Scale severity assessment of their baby's diaper dermatitis, and observations related to product use and the baby's comfort level. Parents/caregivers will be asked to complete the daily diary for each day of the study. Visit 2 (Day 7) Subjects will again be assessed by the study doctor. Parent/caregiver will be asked about any adverse effects in last 7 days. Visit 3 - End of study (Day 14) Subjects will again be assessed by the study doctor. Daily diaries and product will be collected at this time. Parent/caregiver will be asked about any adverse effects in last 7 days. Parents/caregivers will also be given a questionnaire rating the use of the study products.

Official Title
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Randomized, Double-Blind, Parallel Group, Non-Inferiority Clinical Trial of CeraVe Baby Diaper Rash Cream Compared to Desitin Maximum Strength Original Paste for Management of Diaper Dermatitis in Infants

Conditions
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Diaper Rash

Intervention / Treatment
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* Drug: CeraVe Baby Diaper Rash Cream
* Drug: Desitin Maximum Strength Original Paste


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy children (except for diaper dermatitis) between 3 and 18 months of age Wearing diapers 24 hours per day Clinical irritant diaper dermatitis Received a Diaper Dermatitis severity score of 1.0 to 2.0 by investigator at screening visit (mild-moderate severity) Parent/caregiver will not change type or brand of diaper during the study, although the diaper type will be recorded No alteration of current product usage for creams, lotions, ointments, powders, soap, laundry detergents, and fabric softeners A parent or guardian of minors must sign the approved Institutional Review Board consent form prior to the conduct of any study-related procedures Exclusion Criteria: Illness within past 4 days before study enrollment or any medical condition that may affect risk of study participation Does not wear diapers 24 hours per day or currently being toilet trained Active diagnosis or history of dermatological conditions other than diaper rash that may affect study Concomitant use of medications that may affect study (e.g., antifungal, topical steroid, or topical calcineurin inhibitor) Previous allergic reaction or known sensitivity to ingredients in study agents

Ages Eligible for Study
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Minimum Age: 3 Months
Maximum Age: 18 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CeraVe Baby Diaper Rash Cream<br>Healthy 3-18 months old infants with mild to moderate diaper dermatitis. | Drug: CeraVe Baby Diaper Rash Cream<br>* Parents/caregivers of subjects will administer CeraVe Baby Diaper Rash Cream (ingredients: Zinc oxide 10mg in 1g (1%) and dimethicone 10mg in 1g) with each diaper change throughout the course of the study period. The product can be applied liberally as needed. Diapers and skin cleansing interventions will stay constant throughout the treatment period.<br>* Other names: CeraVe BDRC NDC Code: 0187-2221;|
| Experimental: Desitin Maximum Strength Original Paste<br>Healthy 3-18 months old infants with mild to moderate diaper dermatitis. | Drug: Desitin Maximum Strength Original Paste<br>* Parents/caregivers of subjects will administer Desitin Maximum Strength Original Paste (ingredients: Zinc Oxide 40%) with each diaper change throughout the course of the study period. The product can be applied liberally as needed. Diapers and skin cleansing interventions will stay constant throughout the treatment period.<br>* Other names: Desitin MSOP NDC Code: 58232-0721;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change From Baseline for the Physician Assessment Diaper Dermatitis Scores to Day 14 for Each Treatment Group. | For each visit the study doctor will assess the diaper dermatitis severity with a Diaper Dermatitis Severity Score tool. In Addition, location of clinically apparent involved area will be shaded by hand onto diagram by the research personnel. Scores will be compared. | 14 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Physician Assessment Diaper Dermatitis Scores to Day 7 | For each visit the study doctor will assess the diaper dermatitis severity with a Diaper Dermatitis Severity Score tool. In Addition, location of clinically apparent involved area will be shaded by hand onto diagram by the research personnel. Scores will be compared. | 7 days | 
| Parents/Caregivers Daily Scores Through Duration of the Study Period | Parent/caregivers will be asked to complete a daily diary that asks about changes in their baby's diaper dermatitis, a Visual Analogue Scale severity assessment of their baby's diaper dermatitis, and observations related to product use and the baby's comfort level | 14 days | 
| Assessment of Tolerability by the Infant | Parent/caregivers will be asked to complete a daily diary that asks about changes in their baby's diaper dermatitis, a VAS severity assessment of their baby's diaper dermatitis, and observations related to product use and the baby's comfort level | 14 days | 
| Parent/Caregiver Rating of Satisfaction With Use of the Product | Parents/caregivers will be given a questionnaire rating the use of the study products. | 14 days |