Safety and Efficacy Study of Triamcinolone Acetonide DuraPeel to Treat Hand Dermatitis (TAC-202)
Primary Purpose
Hand Dermatoses
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Triamcinolone Acetonide (TAC) DuraPeel
Placebo DuraPeel
Sponsored by
About this trial
This is an interventional treatment trial for Hand Dermatoses focused on measuring hand dermatitis, hand eczema, triamcinolone acetonide
Eligibility Criteria
Inclusion Criteria:
- Clinical diagnosis of stable chronic hand dermatitis (greater than 6 weeks duration) that is KOH-negative
- Dermatitis of mild to moderate severity, as defined by an Investigator's Global Assessment (a score of 2 or 3 on the Target Hand)
- Individual signs of hand dermatitis disease of at least mild scaling and mild erythema (a score of 2 or more on the Target Hand)
- Written informed consent
Exclusion Criteria:
- Subject is female and is pregnant, lactating, or is planning to become pregnant during the study
- Spontaneously improving or rapidly deteriorating hand dermatitis at the time of enrollment; subject may have history of waxing and waning disease in the past
- History of hand dermatitis that has been shown to be unresponsive to super potent (Group 1) topical steroids
- Concurrent flaring of inflammatory skin disease (e.g., atopic dermatitis or psoriasis) anywhere on the body outside the study areas
- Bullous disorders or hand, foot, and mouth disease (HFMD); however, subjects with dyshidrotic hand dermatitis or pompholyx are allowed to participate provided they meet all other Inclusion/Exclusion criteria
- Known allergic mediated hand dermatitis (e.g., allergic to latex, etc.)
- Concurrent skin diseases in the study area that require concomitant topical treatment (e.g., tinea manuum, scabies, infected eczema, and paronychia) that could interfere with the evaluation of his/her dermatitis
- Pustular diseases of the hands (e.g., acrodermatitis perstans continua).
- Used photo-therapy, photo-chemotherapy, systemic immunomodulatory therapy (such as systemic corticosteroids, methotrexate, retinoids or cyclosporine), or other therapy within 30 days prior to the first application of study medication that is known or suspected, in the opinion of the investigator, to have an effect on hand dermatitis
- Prolonged exposure to natural or artificial sources (e.g., UVB, UVA, etc.) of ultraviolet radiation within 30 days prior to the first application of study medication or is intending to have such exposure during the study
- Received intralesional therapy to the hands (e.g., corticosteroids) within 30 days prior to first application of study medication
- Treated with Grenz ray or soft x-ray therapy to the hands within 6 months of first application of study medication
- Treated with topical hand therapy (e.g., tar, topical corticosteroids, topical retinoids, topical antimicrobials, topical calcineurin inhibitors, Burrow's solution soaks) within 7 days prior to first application of study medication that is known or suspected to have an effect on hand dermatitis
- Received systemic antibiotics for infections of the hands within 7 days prior to the first application of study medication
Sites / Locations
- Therapeutics Clinical Research
- Michigan Center for Skin Care Research
- DermResearch Inc.
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Triamcinolone Acetonide (TAC) DuraPeel
Placebo
Arm Description
Outcomes
Primary Outcome Measures
Response as assessed by Investigator Global Assessment (IGA)
Secondary Outcome Measures
Subject's Global Impression of Change (SGIC)
Individual Primary Parameters of Hand Dermatitis
Signs or symptoms of hand dermatitis
Subject's self-assessment of overall hand disease
Study medication assessment
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00890968
Brief Title
Safety and Efficacy Study of Triamcinolone Acetonide DuraPeel to Treat Hand Dermatitis
Acronym
TAC-202
Official Title
A Multi-Center Randomized, Double-Blind, Placebo Controlled, Parallel Group Comparison Study of Once Daily Triamcinolone Acetonide 0.5% DuraPeel™ Versus Placebo DuraPeel in the Treatment of Hand Dermatitis
Study Type
Interventional
2. Study Status
Record Verification Date
March 2012
Overall Recruitment Status
Completed
Study Start Date
April 2009 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
August 2009 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ZARS Pharma Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine whether Triamcinolone Acetonide (TAC) DuraPeel is safe and effective in the treatment of hand dermatitis.
Detailed Description
Triamcinolone acetonide is a commonly used, safe, and effective topical corticosteroid indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses. However, the effectiveness of topical agents such as creams or ointments is limited by patients' routine activities using bare hands that may remove the topical agent from the hands. The use of a topical corticosteroid in a vehicle that allows the product to remain in contact with the skin and is not susceptible to inadvertent removal would be beneficial.
The DuraPeel membrane is expected to optimize exposure to the steroid by remaining on the treatment area for a prolonged period of time.
This study is designed to evaluate the efficacy and safety of Triamcinolone Acetonide 0.5% DuraPeel. Eligible subjects will receive Triamcinolone Acetonide 0.5% DuraPeel or Placebo DuraPeel. The study duration will be approximately 4 weeks.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hand Dermatoses
Keywords
hand dermatitis, hand eczema, triamcinolone acetonide
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
56 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Triamcinolone Acetonide (TAC) DuraPeel
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Triamcinolone Acetonide (TAC) DuraPeel
Other Intervention Name(s)
TAC DuraPeel
Intervention Description
topical gel; once daily (nightly); total duration: 4 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo DuraPeel
Intervention Description
topical gel; once daily (nightly); total duration: 4 weeks
Primary Outcome Measure Information:
Title
Response as assessed by Investigator Global Assessment (IGA)
Time Frame
Baseline, Week 1, Week 2, Week 4
Secondary Outcome Measure Information:
Title
Subject's Global Impression of Change (SGIC)
Time Frame
Week 4 (end-of-treatment)
Title
Individual Primary Parameters of Hand Dermatitis
Time Frame
Baseline, Week 1, Week 2, Week 4
Title
Signs or symptoms of hand dermatitis
Time Frame
Baseline, Week 1, Week 2, Week 4
Title
Subject's self-assessment of overall hand disease
Time Frame
Baseline, Week 4
Title
Study medication assessment
Time Frame
Week 1, Week 2, Week 4
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Clinical diagnosis of stable chronic hand dermatitis (greater than 6 weeks duration) that is KOH-negative
Dermatitis of mild to moderate severity, as defined by an Investigator's Global Assessment (a score of 2 or 3 on the Target Hand)
Individual signs of hand dermatitis disease of at least mild scaling and mild erythema (a score of 2 or more on the Target Hand)
Written informed consent
Exclusion Criteria:
Subject is female and is pregnant, lactating, or is planning to become pregnant during the study
Spontaneously improving or rapidly deteriorating hand dermatitis at the time of enrollment; subject may have history of waxing and waning disease in the past
History of hand dermatitis that has been shown to be unresponsive to super potent (Group 1) topical steroids
Concurrent flaring of inflammatory skin disease (e.g., atopic dermatitis or psoriasis) anywhere on the body outside the study areas
Bullous disorders or hand, foot, and mouth disease (HFMD); however, subjects with dyshidrotic hand dermatitis or pompholyx are allowed to participate provided they meet all other Inclusion/Exclusion criteria
Known allergic mediated hand dermatitis (e.g., allergic to latex, etc.)
Concurrent skin diseases in the study area that require concomitant topical treatment (e.g., tinea manuum, scabies, infected eczema, and paronychia) that could interfere with the evaluation of his/her dermatitis
Pustular diseases of the hands (e.g., acrodermatitis perstans continua).
Used photo-therapy, photo-chemotherapy, systemic immunomodulatory therapy (such as systemic corticosteroids, methotrexate, retinoids or cyclosporine), or other therapy within 30 days prior to the first application of study medication that is known or suspected, in the opinion of the investigator, to have an effect on hand dermatitis
Prolonged exposure to natural or artificial sources (e.g., UVB, UVA, etc.) of ultraviolet radiation within 30 days prior to the first application of study medication or is intending to have such exposure during the study
Received intralesional therapy to the hands (e.g., corticosteroids) within 30 days prior to first application of study medication
Treated with Grenz ray or soft x-ray therapy to the hands within 6 months of first application of study medication
Treated with topical hand therapy (e.g., tar, topical corticosteroids, topical retinoids, topical antimicrobials, topical calcineurin inhibitors, Burrow's solution soaks) within 7 days prior to first application of study medication that is known or suspected to have an effect on hand dermatitis
Received systemic antibiotics for infections of the hands within 7 days prior to the first application of study medication
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daniel Piacquadio, MD
Organizational Affiliation
Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Therapeutics Clinical Research
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Michigan Center for Skin Care Research
City
Clinton Township
State/Province
Michigan
ZIP/Postal Code
48038
Country
United States
Facility Name
DermResearch Inc.
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
12. IPD Sharing Statement
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Safety and Efficacy Study of Triamcinolone Acetonide DuraPeel to Treat Hand Dermatitis
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