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A Phase I Study to Assess the Safety and Tolerability of Topical CRx-197 Formulations in Healthy Volunteers

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
nortriptyline HCl + loratadine
nortriptyline HCl + loratadine
nortriptyline HCl
mometasone furoate
Active ingredient free vehicle cream of CRx-197
Sponsored by
Zalicus
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis focused on measuring CombinatoRx, Atopic, Dermatitis, Topical, CRx-197, Normal Healthy Volunteers

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subject must voluntarily sign and date the written Informed Consent prior to any study specific procedures
  • Subject must be 18 to 60 years of age
  • Subject must have healthy skin on which reddening can be easily recognized in the area where they will place the test fields
  • Subject must be free from a condition/disease that the investigator feels interferes with the interpretation of the study results.
  • Females of childbearing potential should either be surgically sterile (hysterectomy or tubal ligation), or should use a highly effective medically accepted contraceptive regimen. A highly effective method of birth control is defined as those which result in a lower failure rate (i.e., less than 1% per year) when used consistently and correctly such as implants, injectables, combined oral contraceptives, some intrauterine devices (IUDs), sexual abstinence or vasectomised partner.

Exclusion Criteria:

  • Suntan, hyper- or hypo-pigmentation, or tattoos in the area where they will place the test fields
  • Dark skinned persons whose skin color prevents ready assessment of skin reactions
  • Cardiac disease, including recent myocardial infarction, any degree of heart block or other cardiac arrhythmias and valvular heart disease
  • Mania
  • Narrow angle glaucoma
  • Hyperthyroidism by medical history, TSH less than LLN, or subject receiving any thyroid medication
  • Severe liver disease - ALT laboratory value that exceeds 1.5x ULN
  • Inflammatory dermatoses (e.g., atopic dermatoses/eczema, psoriasis)
  • Any skin condition involving the test fields including but not limited to bacterial, viral, or fungal skin infections, acne, rosacea
  • Active varicella, tuberculosis, syphilis or post-vaccine reactions
  • Autoimmune disease (e.g., lupus erythematosis)
  • Known allergic reactions or hypersensitivity to any of the components of the study treatments
  • Allergy to adhesives on the patches used for occlusion in the study
  • UV therapy or significant UV exposure in the four weeks before treatment application
  • History of malignancy (except for treated or excised basal cell carcinoma)
  • Surgery within the previous 3 months (except for minor cosmetic or dental procedures)
  • History of drug or alcohol abuse (as defined by the Investigator)
  • Symptoms of a clinically significant illness in the four weeks before treatment application that may influence the outcome of the study
  • Positive for HIV antibody
  • Systemic treatments in the four weeks prior to treatment application that may interact with any of the study drugs, such as: Glucocorticoids, MAO inhibitors, anti-depressants, anti-seizure medications, anti-psychotics and anti-histamines
  • Subjects who require medications that inhibit the CYP450 2D6 pathway such as:Quinidine, Cimetidine, Type 1 anti-arrhythmic, Phenothiazines, Selective serotonin reuptake inhibitors, Reserpine, other anticholinergic drugs, and sympathomimetic drugs
  • Treatment with any investigational agent within one month before treatment application for this trial
  • Female subject who is pregnant , lactating, or with a positive pregnancy test
  • Unwilling or unable to comply with the requirements of this protocol, including the presence of any condition (physical, mental, or social) that is likely to affect the subject's return for follow-up visits on schedule
  • Other unspecified reasons that, in the opinion of the Investigator, make the subject unsuitable for enrollment
  • Subject is institutionalized because of legal or regulatory order

Sites / Locations

  • PROINNOVERA GmbH

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Placebo Comparator

Arm Label

CRx-197 high dose (0.1% nortriptyline HCl + 0.3% loratadine)

CRx-197 low dose (0.1% nortriptyline HCl + 0.1% loratadine)

0.1% nortriptyline HCl

0.1% mometasone furoate

Active ingredient free vehicle cream of CRx-197

Arm Description

Outcomes

Primary Outcome Measures

Safety and tolerability of CRx-197 as assessed by treatment emergent adverse events, physical exams, vital signs, concomitant medications/procedures and subject assessment of pruritus.

Secondary Outcome Measures

Difference in change from baseline in psoriatic infiltrate measured by ultrasound between CRx-197, nortriptyline, active comparator as well as vehicle of CRx-197 and untreated test field(s)
Difference in change from baseline in erythema measured by chronometry between CRx-197, nortriptyline, active comparator, vehicle of CRx-197, untreated test field(s) and normal skin
Modified PASI between CRx-197, nortriptyline, active comparator, vehicle of CRx-197, untreated test field(s)

Full Information

First Posted
July 21, 2008
Last Updated
September 24, 2008
Sponsor
Zalicus
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1. Study Identification

Unique Protocol Identification Number
NCT00721331
Brief Title
A Phase I Study to Assess the Safety and Tolerability of Topical CRx-197 Formulations in Healthy Volunteers
Official Title
A Phase I, Single-Center, Randomized, Vehicle-Controlled Study to Assess the Safety and Tolerability of Topical CRx-197 Formulations in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
September 2008
Overall Recruitment Status
Completed
Study Start Date
July 2008 (undefined)
Primary Completion Date
September 2008 (Actual)
Study Completion Date
September 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Zalicus

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This will be a phase I, single center, randomized, vehicle-controlled, blinded study comparing two dosage strengths of CRx-197 cream, nortriptyline, an active comparator (0.1% mometasone) and placebo (the active ingredient free vehicle cream of CRx-197)in healthy volunteers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
CombinatoRx, Atopic, Dermatitis, Topical, CRx-197, Normal Healthy Volunteers

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Factorial Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CRx-197 high dose (0.1% nortriptyline HCl + 0.3% loratadine)
Arm Type
Experimental
Arm Title
CRx-197 low dose (0.1% nortriptyline HCl + 0.1% loratadine)
Arm Type
Experimental
Arm Title
0.1% nortriptyline HCl
Arm Type
Experimental
Arm Title
0.1% mometasone furoate
Arm Type
Active Comparator
Arm Title
Active ingredient free vehicle cream of CRx-197
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
nortriptyline HCl + loratadine
Intervention Description
Topical
Intervention Type
Drug
Intervention Name(s)
nortriptyline HCl + loratadine
Intervention Description
Topical
Intervention Type
Drug
Intervention Name(s)
nortriptyline HCl
Intervention Description
Topical
Intervention Type
Drug
Intervention Name(s)
mometasone furoate
Intervention Description
Topical
Intervention Type
Drug
Intervention Name(s)
Active ingredient free vehicle cream of CRx-197
Intervention Description
Topical
Primary Outcome Measure Information:
Title
Safety and tolerability of CRx-197 as assessed by treatment emergent adverse events, physical exams, vital signs, concomitant medications/procedures and subject assessment of pruritus.
Time Frame
2 months
Secondary Outcome Measure Information:
Title
Difference in change from baseline in psoriatic infiltrate measured by ultrasound between CRx-197, nortriptyline, active comparator as well as vehicle of CRx-197 and untreated test field(s)
Time Frame
Days 8, 15, 22, 29 and 43
Title
Difference in change from baseline in erythema measured by chronometry between CRx-197, nortriptyline, active comparator, vehicle of CRx-197, untreated test field(s) and normal skin
Time Frame
Days 8, 15, 22, 29 and 43
Title
Modified PASI between CRx-197, nortriptyline, active comparator, vehicle of CRx-197, untreated test field(s)
Time Frame
Baseline, and Days 8, 15, 22, 29 and 43

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subject must voluntarily sign and date the written Informed Consent prior to any study specific procedures Subject must be 18 to 60 years of age Subject must have healthy skin on which reddening can be easily recognized in the area where they will place the test fields Subject must be free from a condition/disease that the investigator feels interferes with the interpretation of the study results. Females of childbearing potential should either be surgically sterile (hysterectomy or tubal ligation), or should use a highly effective medically accepted contraceptive regimen. A highly effective method of birth control is defined as those which result in a lower failure rate (i.e., less than 1% per year) when used consistently and correctly such as implants, injectables, combined oral contraceptives, some intrauterine devices (IUDs), sexual abstinence or vasectomised partner. Exclusion Criteria: Suntan, hyper- or hypo-pigmentation, or tattoos in the area where they will place the test fields Dark skinned persons whose skin color prevents ready assessment of skin reactions Cardiac disease, including recent myocardial infarction, any degree of heart block or other cardiac arrhythmias and valvular heart disease Mania Narrow angle glaucoma Hyperthyroidism by medical history, TSH less than LLN, or subject receiving any thyroid medication Severe liver disease - ALT laboratory value that exceeds 1.5x ULN Inflammatory dermatoses (e.g., atopic dermatoses/eczema, psoriasis) Any skin condition involving the test fields including but not limited to bacterial, viral, or fungal skin infections, acne, rosacea Active varicella, tuberculosis, syphilis or post-vaccine reactions Autoimmune disease (e.g., lupus erythematosis) Known allergic reactions or hypersensitivity to any of the components of the study treatments Allergy to adhesives on the patches used for occlusion in the study UV therapy or significant UV exposure in the four weeks before treatment application History of malignancy (except for treated or excised basal cell carcinoma) Surgery within the previous 3 months (except for minor cosmetic or dental procedures) History of drug or alcohol abuse (as defined by the Investigator) Symptoms of a clinically significant illness in the four weeks before treatment application that may influence the outcome of the study Positive for HIV antibody Systemic treatments in the four weeks prior to treatment application that may interact with any of the study drugs, such as: Glucocorticoids, MAO inhibitors, anti-depressants, anti-seizure medications, anti-psychotics and anti-histamines Subjects who require medications that inhibit the CYP450 2D6 pathway such as:Quinidine, Cimetidine, Type 1 anti-arrhythmic, Phenothiazines, Selective serotonin reuptake inhibitors, Reserpine, other anticholinergic drugs, and sympathomimetic drugs Treatment with any investigational agent within one month before treatment application for this trial Female subject who is pregnant , lactating, or with a positive pregnancy test Unwilling or unable to comply with the requirements of this protocol, including the presence of any condition (physical, mental, or social) that is likely to affect the subject's return for follow-up visits on schedule Other unspecified reasons that, in the opinion of the Investigator, make the subject unsuitable for enrollment Subject is institutionalized because of legal or regulatory order
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jutta Harten, MD
Organizational Affiliation
Proinnovera GmbH
Official's Role
Principal Investigator
Facility Information:
Facility Name
PROINNOVERA GmbH
City
Muenster
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

A Phase I Study to Assess the Safety and Tolerability of Topical CRx-197 Formulations in Healthy Volunteers

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