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Trial ยท NCT03409367

A Community-based Assessment of Skin Care, Allergies, and Eczema

NCT03409367, Not applicable, Completed, Oregon Health and Science University; results first posted 2025-08-15

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Community-based Assessment of Skin Care, Allergies, and Eczema. Trials, record NCT03409367. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03409367

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Community-based Assessment of Skin Care, Allergies, and Eczema
NCT number
NCT03409367
Status
Completed
Phases
Not applicable
Enrollment
1,260 participants, actual
Lead sponsor
Oregon Health and Science University
Conditions
Atopic Dermatitis, Atopic Disorders, Eczema, Atopic Eczema
Interventions
Participant choice of over-the-counter emollients: Vaseline, Vanicream, CeraVe Healing Ointment, CeraVe cream, Cetaphil cream
First posted
2018-01-24
Last updated
2025-08-15
Results first posted
2025-08-15

Source ClinicalTrials.gov

Registered outcomes19

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProvider-diagnosed Atopic Dermatitisup to 24 monthsThe cumulative incidence of AD as recorded in health records. Trained clinicians will assess for AD at each clinic visit and record in the health record.
SecondaryParent Report of Atopic Dermatitisup to 24 monthsParent or guardian reports that a clinician has diagnosed their child with atopic dermatitis (eczema) at any quarterly contact up to 24 months of age.
SecondaryAtopic Dermatitis by UK Working Party Criteriaup to 24 months
Parental report of AD using UK Working Party criteria. Parent responds "yes" to all parts of a modified version of the UK Working Party criteria at 12 and/or 24 month. Criteria include an itchy rash in flexural areas, generally dry skin, and asthma or hay fever in a first-degree relative.
SecondaryAtopic Dermatitis by Children's Eczema Questionnaireup to 24 monthsAD as diagnosed by the Children's Eczema Questionnaire (CEQ). Parent response to 3 CEQ questions is consistent with AD at 12 and/or 24 months of age.
SecondaryAtopic Dermatitis With Prescription or Over-the-counter Therapies in Chartup to 24 months
Cumulative incidence of provider-diagnosed AD requiring prescription or over-the-counter therapies from chart review. Health records at primary care practice includes both a diagnosis of AD and prescription and/or over-the-counter (OTC) therapies. Prescription therapies could be steroids, calcineurin inhibitors, crisaborole, or antibacterials. OTC therapies could be steroids or antihistamines.
SecondaryAtopic Dermatitis With or Without Prescription or Over-the-counter Therapies in Chart (Ordinal)Up to 24 months
Ordinal coding of diagnosis of atopic dermatitis (eczema) in primary care health records, coded as none, eczema without prescription or over-the-counter (OTC) topical therapies, eczema with OTC only, or eczema with prescription therapies. Prescription therapies could be steroids, calcineurin inhibitors, crisaborole, or antibacterials. OTC therapies could be steroids or antihistamines.
SecondaryPrescribed or Over-the-counter Topical Skin Medication by Parent Reportup to 24 months
Ordinal formulation of parent report: no AD, AD not treated with steroidal or non-steroidal cream or ointment ("therapy"), AD treated with over-the-counter (OTC) therapy, AD treated with prescription therapy. AD could be reported on annual questionnaires or quarterly contacts. Therapies reported on annual questionnaires.
SecondarySkin Infections Diagnosed and Recorded in Chart Reviewup to 24 months
Chart outcome for provider diagnosis or medications associated with skin infections, including topical antibiotics. Skin infection diagnoses include impetigo, candida, wart/verruca, molluscum, or herpes simplex.
SecondaryProvider-diagnosed Asthmaup to 24 monthsHealth records at primary care practice include at least one diagnosis of asthma.
SecondarySeverity of AD Symptoms Using POEM12 months of age
Patient-Oriented Eczema Measure (POEM) score, elicited from families of infants who reported AD diagnosis at this or any previous contact or whose CEQ response indicated AD. The POEM has seven items and ranges from 0 to 28, with higher scores reflecting more severe symptoms of AD.

Outcomes19

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProvider-diagnosed Atopic Dermatitisup to 24 months
Diagnosis of atopic dermatitis recorded by primary care clinicians in health records by 24 (+/- 3) months of age. Multiple imputation of 199 missing outcomes (92 intervention, 107 control). All ITT with multiple imputation for participants with absent outcome data. Numbers represent participants per randomized arm, regardless of adherence to instructions. Counts were summarized over 15 multiple imputation datasets generated by chained equations using baseline and follow-up survey responses.
Participants with imputed valuesNUMBER
SECONDARYParent Report of Atopic Dermatitisup to 24 months
Multiple imputation of 111 outcomes considered missing when parent did not respond at 21 or 24 months and no diagnosis had been reported at earlier contacts. All ITT with multiple imputation for 9% of participants with absent outcome data. Numbers represent participants according to arm randomized, regardless of adherence to study instructions. Counts were summarized over 15 multiple imputation datasets generated by chained equations using baseline and follow-up survey responses.
Participants with imputed valuesNUMBER
SECONDARYAtopic Dermatitis by UK Working Party Criteriaup to 24 months
Multiple imputation of 148 outcomes considered missing when parent did not respond at 24 months and the previous 12-month contact was not positive for AD by these criteria. All ITT with multiple imputation for 12% of participants with absent outcome data. Numbers represent participants according to arm randomized, regardless of adherence to study instructions. Counts were summarized over 15 multiple imputation datasets generated by chained equations using baseline and follow-up survey responses.
Participants with imputed valuesNUMBER
SECONDARYAtopic Dermatitis by Children's Eczema Questionnaireup to 24 months
Multiple imputation of 136 outcomes considered missing when parent did not respond at 24 months and the previous 12-month contact was not positive for AD by these criteria. All ITT with multiple imputation for 11% of participants with absent outcome data. Numbers represent participants according to arm randomized, regardless of adherence to study instructions. Counts were summarized over 15 multiple imputation datasets generated by chained equations using baseline and follow-up survey responses.
Participants with imputed valuesNUMBER
SECONDARYAtopic Dermatitis With Prescription or Over-the-counter Therapies in Chartup to 24 months
Multiple imputation of 199 missing outcomes. All ITT with multiple imputation for 16% of participants with absent outcome data. Numbers represent participants according to arm randomized, regardless of adherence to study instructions. Counts were summarized over 15 multiple imputation datasets generated by chained equations using baseline and follow-up survey responses.
Participants with imputed valuesNUMBER
SECONDARYAtopic Dermatitis With or Without Prescription or Over-the-counter Therapies in Chart (Ordinal)Up to 24 months
All ITT with multiple imputation for 16% of participants with absent outcome data. Numbers represent participants according to arm randomized, regardless of adherence to study instructions. Counts were summarized over 15 multiple imputation datasets generated by chained equations using baseline and follow-up survey responses.
Participants with imputed valuesNUMBER
SECONDARYPrescribed or Over-the-counter Topical Skin Medication by Parent Reportup to 24 months
Participants with (a) a parent report of provider diagnosis from an annual questionnaire or quarterly contact or (b) if no diagnosis, a parent response to a quarterly or annual contact at 21 to 24 months. Numbers represent participants according to arm randomized, regardless of adherence to study instructions.
participantsNUMBER
SECONDARYSkin Infections Diagnosed and Recorded in Chart Reviewup to 24 months
All participants with (a) at least one primary care visit between 20 and 27 months of age or (b) a skin infection diagnosis earlier than 20 months. Numbers represent participants according to arm randomized, regardless of adherence to study instructions.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProvider-diagnosed Asthmaup to 24 months
All participants with (a) at least one primary care visit between 20 and 27 months of age or (b) asthma diagnosis earlier than 20 months. Numbers represent participants according to arm randomized, regardless of adherence to study instructions.
participantsNUMBER
SECONDARYSeverity of AD Symptoms Using POEM12 months of age
Respondents to 12-month questionnaires who reported a provider diagnosis of AD in the same questionnaire or at a quarterly contact, or whose response to the CEQ indicated AD. Numbers represent participants according to arm randomized, regardless of adherence to study instructions.
score on a scaleMEDIAN

Results by group50

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Provider-diagnosed Atopic DermatitisDaily Emollient217.7Participants with imputed values
Provider-diagnosed Atopic DermatitisNatural Skin268.5Participants with imputed values
Parent Report of Atopic DermatitisDaily Emollient161.1Participants with imputed values
Parent Report of Atopic DermatitisNatural Skin219.1Participants with imputed values
Atopic Dermatitis by UK Working Party CriteriaDaily Emollient72.3Participants with imputed values
Atopic Dermatitis by UK Working Party CriteriaNatural Skin83.1Participants with imputed values
Atopic Dermatitis by Children's Eczema QuestionnaireDaily Emollient156.9Participants with imputed values
Atopic Dermatitis by Children's Eczema QuestionnaireNatural Skin195.3Participants with imputed values
Atopic Dermatitis With Prescription or Over-the-counter Therapies in ChartDaily Emollient116.5Participants with imputed values
Atopic Dermatitis With Prescription or Over-the-counter Therapies in ChartNatural Skin179.8Participants with imputed values

Participant flow10

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDDaily Emollient623
Overall StudySTARTEDNatural Skin637
Overall StudyEnrolled InfantsDaily Emollient623
Overall StudyEnrolled InfantsNatural Skin637
Overall StudyEnrolled ParentsDaily Emollient623
Overall StudyEnrolled ParentsNatural Skin637
Overall StudyCOMPLETEDDaily Emollient603
Overall StudyCOMPLETEDNatural Skin625
Overall StudyNOT COMPLETEDDaily Emollient20
Overall StudyNOT COMPLETEDNatural Skin12

Adverse events78

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherEosinophilic pustular folliculitisBlood and lymphatic system disordersDaily Emollient06140
otherEosinophilic pustular folliculitisBlood and lymphatic system disordersNatural Skin16331
otherAllergic reaction NOS, urticariaImmune system disordersDaily Emollient26142
otherAllergic reaction NOS, urticariaImmune system disordersNatural Skin46334
otherAcne infantileSkin and subcutaneous tissue disordersDaily Emollient26143
otherAcne infantileSkin and subcutaneous tissue disordersNatural Skin36333
otherDermatitis acneiformSkin and subcutaneous tissue disordersDaily Emollient06140
otherDermatitis acneiformSkin and subcutaneous tissue disordersNatural Skin16331
otherDermatitis contactSkin and subcutaneous tissue disordersDaily Emollient3061435
otherDermatitis contactSkin and subcutaneous tissue disordersNatural Skin4063346

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDaily Emollient1614
Total, all-cause mortalityNatural Skin1633
Total, other adverse eventsDaily Emollient134614
Total, other adverse eventsNatural Skin155633
Total, serious adverse eventsDaily Emollient25614
Total, serious adverse eventsNatural Skin39633

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
32131885DERIVEDPubMed
40699587DERIVEDPubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
R01AR071057A Community-based Assessment of Skin Care, Allergies, and Eczema: The CASCADE TrialSIMPSON, ERIC LOREGON HEALTH & SCIENCE UNIVERSITYNATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES2018 to 2023

Trial comparisons8

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Daily Emollient vs Natural Skin: Primary Outcome of Provider-diagnosed Atopic DermatitisTrial comparisons
Daily Emollient vs Natural Skin: Skin Infections Diagnosed and Recorded in Chart ReviewTrial comparisons
Daily Emollient vs Natural Skin: Provider-diagnosed AsthmaTrial comparisons
Daily Emollient vs Natural Skin: Provider-diagnosed Atopic Dermatitis at 18 MonthsTrial comparisons
Daily Emollient vs Natural Skin: Food Allergy SymptomsTrial comparisons
Daily Emollient vs Natural Skin: Food Allergy Diagnosis With Positive TestTrial comparisons
Daily Emollient vs Natural Skin: deaths from any causeTrial comparisons
Daily Emollient vs Natural Skin: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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The record and each of its lists are JSON, twenty rows a page. No key.

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