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Published on: September 26, 2019
Safety and efficacy of desonide hydrogel 0.05% in pediatric subjects with atopic dermatitis
Adelaide A Hebert1, Fran E Cook-Bolden, Sarmistha Basu
1Department of Dermatology, University of Texas Medical School, Houston, TX, USA.
Insights
A new desonide hydrogel formulation offers a safe and effective treatment for atopic dermatitis (AD) in children. This novel topical steroid demonstrated significant improvements in mild to moderate AD cases, proving well-tolerated in pediatric subjects.
Area of Science:
- Dermatology
- Pediatric Medicine
- Pharmacology
Background:
- Atopic dermatitis (AD) is a chronic skin condition prevalent in children.
- Low to mid-potency corticosteroids are standard treatments for AD.
- Safety is a critical concern for pediatric patients, especially those under two years old.
Purpose of the Study:
- To evaluate the safety and efficacy of a novel desonide (0.05%) aqueous hydrogel formulation.
- To assess the new formulation in pediatric subjects with mild to moderate atopic dermatitis.
Main Methods:
- Two Phase III clinical trials were conducted.
- 425 pediatric subjects (3 months to 18 years) received desonide hydrogel 0.05%.
- 157 subjects received the hydrogel vehicle; safety and efficacy endpoints were measured.
Main Results:
- Desonide hydrogel 0.05% was extremely well-tolerated in pediatric subjects.
- Statistically significant improvements were observed in primary efficacy endpoints (P < .001).
- Statistically significant improvements were observed in secondary efficacy endpoints (P < .006).
Conclusions:
- The novel desonide hydrogel formulation is a safe and effective treatment option for pediatric atopic dermatitis.
- This formulation represents an advancement in topical steroid therapy for AD in young patients.
- The alcohol- and surfactant-free hydrogel base enhances tolerability.
Abstract:
Low to mid potency corticosteroids remain a cornerstone of therapy for atopic dermatitis (AD). Since AD is most prevalent in the younger pediatric population and is chronic in nature, safety is of particular concern especially for children under 2 years of age. A novel desonide (0.05%) formulation was developed in a nonirritating and moisturizing aqueous gel (hydrogel) that is free of alcohol and surfactants. The safety and efficacy of this new class VI low potency topical steroid was substantiated in 2 phase III clinical trials in mild to moderate AD subjects aged 3 months to 18 years (mean age 6.7 years and 30% under 3 years). A total of 425 subjects were treated with desonide hydrogel and 157 subjects with the hydrogel vehicle. Desonide hydrogel 0.05% was extremely well-tolerated and provided statistically significant improvements in all primary (P < .001) and secondary (P < .006) efficacy endpoints in both studies. This novel desonide formulation represents an advancement in the treatment of AD.
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