CHRU Dermatology Department, University of Tours, INSERM U 1253 iBrain, Tours, France.
Dermatology Department, Hôpital des Peupliers, Paris, France.
J Cosmet Dermatol. 2020 Jun;19(6):1399-1403. doi: 10.1111/jocd.13163. Epub 2019 Sep 18.
The stratum corneum plays an important protective physiological role in providing a barrier to preventing skin desiccation and penetration of external agents. Emollients are used commonly to improve barrier function and skin hydration.
The primary objective of this study was to evaluate the effect of an emollient, V0034CR cream, and its active ingredients, to restore the cutaneous barrier. Secondary objectives included assessment of the moisturizing activity of each product and tolerance. The study was not designed to evaluate therapeutic benefit.
In this randomized, double-blind, 4-arm crossover, clinical pharmacology study, the full emollient V0034CR, its vehicle formulation alone, or with glycerol, or petrolatum, was applied to the forearms of healthy volunteers (n = 51) with dry skin (Kligman score of 2 or 3). Cutaneous permeability by Trans Epidermal Water Loss (TEWL) and skin moisture content by corneometry were serially measured for 12 hours following application. An analysis of variance with repeated measures was performed on the evolution of TEWL and corneometry.
V0034CR emollient significantly reduced mean TEWL compared to vehicle (P = .0018) and vehicle + glycerol (P = .0001) and significantly increased mean corneometry scores compared to vehicle (P < .0001) and vehicle + petrolatum (P < .0001).
The emollient V0034CR presented combined effects, with the petrolatum component improving skin barrier function, with a reduction in TEWL, and the glycerol component improving skin hydration.
角质层在提供屏障以防止皮肤干燥和外部物质渗透方面发挥着重要的生理保护作用。保湿剂常用于改善屏障功能和皮肤水合作用。
本研究的主要目的是评估保湿剂 V0034CR 乳膏及其活性成分恢复皮肤屏障的效果。次要目标包括评估每种产品的保湿活性和耐受性。该研究的设计目的不是评估治疗益处。
在这项随机、双盲、四臂交叉临床药理学研究中,将完整的保湿剂 V0034CR、其载体配方单独、或与甘油、或凡士林应用于干燥皮肤(Kligman 评分 2 或 3)的健康志愿者前臂。应用后 12 小时内,通过经表皮水分流失(TEWL)和皮肤水分含量(corneometry)连续测量皮肤通透性。对 TEWL 和 corneometry 的演变进行重复测量的方差分析。
与载体(P =.0018)和载体+甘油(P =.0001)相比,V0034CR 保湿剂显著降低了平均 TEWL,与载体(P <.0001)和载体+凡士林(P <.0001)相比,V0034CR 保湿剂显著增加了平均 corneometry 评分。
保湿剂 V0034CR 呈现出综合作用,其中凡士林成分改善皮肤屏障功能,减少 TEWL,甘油成分改善皮肤水合作用。