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Phase II Trial of RA-18C3 in Subjects With Moderate to Severe Acne Vulgaris

Primary Purpose

Acne Vulgaris

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
RA-18C3
Sponsored by
Janssen Research & Development, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acne Vulgaris focused on measuring Acne Vulgaris

Eligibility Criteria

18 Years - 30 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age: ≥ 18
  2. Moderate to moderately severe inflammatory acne vulgaris:

    • Investigator's Global Assessment grade of ≥ 3 and,
    • ≥ 15 inflammatory lesions (no more than 6 nodules) and,
    • ≥ 15 non-inflammatory lesions
  3. Four week washout period for topical and oral antibiotic treatment
  4. Four week washout period for topical retinoids
  5. Negative pregnancy test at screening and at specified time points throughout the trial. For subjects with reproductive potential, a willingness to utilize contraception during the study and including 3 months after study completion. Sexually active men must use an accepted method of contraception during the study and including 3 months after study completion.
  6. Subjects weighing ≥ 27 kg
  7. Signed and dated Institutional Review Board (IRB) approved informed consent before any protocol-specific screening procedures are performed

Exclusion Criteria:

  1. A diagnosis of Acne conglobata, acne fulminans, secondary acne, severe nodulocystic acne requiring treatment with isotretinoin, or other dermatologic conditions requiring interfering phototherapy, topical, or systemic treatment.
  2. Treatment with any biologicals or investigational agents within the last 4 weeks (or 5 half-lives, whichever is longer).
  3. Men with facial hair that would interfere with assessments
  4. History of uncontrolled diabetes, unstable ischemic heart disease, active inflammatory bowel disease, active peptic ulcer disease, recent stroke (within 3 months), ongoing congestive heart failure, and any other condition which, in the opinion of the investigator, would put the subject at risk by participation in the protocol.
  5. Hemoglobin <10.0 g/dL, or WBC <3.0 x 103/mm3, or platelet count <125 x 103/mm3, or creatinine > 1.5mg/dL, or AST/ALT >2 x ULN, or alkaline phosphatase >2 x ULN
  6. Known HIV antibody, hepatitis B surface antigen and/or hepatitis C antibody.
  7. History of malignancy within 5 years prior to study entry other than carcinoma in situ of the cervix, or adequately treated, non-metastatic squamous or basal cell carcinoma of the skin.
  8. History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies.
  9. History of tuberculosis (latent or active) or positive Interferon-gamma release assay (IGRA)
  10. Infectious disease:

    • CRP >30 mg/L, fever, or infection requiring treatment with antibiotics within 3 weeks prior to Screening
  11. Immunodeficiency
  12. Female subjects who are pregnant, planning to become pregnant during the course of the study, or breast-feeding
  13. Receipt of a live (attenuated) vaccine within 1 month prior to Screening
  14. Major surgery within 28 days prior to Day 0
  15. Participation in an investigational drug or device trial within 30 days prior to Screening

Sites / Locations

  • Moy, Fincher, and Chipps Facial Plastics and Dermatology
  • Meridien Research
  • Austin Dermatology Associates

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

RA-18C3

Arm Description

Outcomes

Primary Outcome Measures

Safety and tolerability
Incidence and type of adverse clinical events

Secondary Outcome Measures

RA-18C3 pharmacokinetics
Serum levels of RA-18C3 will be measured to determine drug half-life, bioavailability, volume of distribution, and area under the curve.
Facial acne lesion count
Change in total facial acne lesion count from day 0 to week 8
Reduction in total acne lesion count, inflammatory and non-inflammatory lesion counts
Percent reduction in total acne lesion count, inflammatory and non-inflammatory lesion counts from day 0 to week 8
Investigator's Global Assessment (IGA) score
Change in Investigator Global Assessment score from baseline to Day 56

Full Information

First Posted
November 15, 2011
Last Updated
February 12, 2021
Sponsor
Janssen Research & Development, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT01474798
Brief Title
Phase II Trial of RA-18C3 in Subjects With Moderate to Severe Acne Vulgaris
Official Title
A Phase II Open Label Study of the Safety, Pharmacokinetics, and Efficacy of a True Human Anti-Inflammatory Therapeutic Antibody (RA-18C3) in Subjects With Moderate to Severe Acne Vulgaris
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Completed
Study Start Date
February 29, 2012 (Actual)
Primary Completion Date
October 31, 2012 (Actual)
Study Completion Date
December 31, 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen Research & Development, LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a 91-day phase II, open label trial of the true human monoclonal antibody RA-18C3 in subjects with moderate to severe acne vulgaris. Ten (10) subjects will receive RA-18C3 via subcutaneous injection. Subjects will receive injections at Days 0, 21, and 42 for a total of 3 injections. Study drug will be administered under close observation in a facility equipped to handle medical emergencies. Subjects will not be discharged from the facility until at least 1 hour following the injection or 1 hour after their vital signs have stabilized. Safety will be assessed by pre- and post-treatment serial measurements of vital signs, clinical laboratory assessments, and the recording of adverse clinical events.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acne Vulgaris
Keywords
Acne Vulgaris

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
11 (Actual)

8. Arms, Groups, and Interventions

Arm Title
RA-18C3
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
RA-18C3
Intervention Description
For subjects weighing 27-53 kg: 100 mg (1 ml) administered every three weeks by subcutaneous injection. For subjects weighing > 53 kg: 200 mg (2 ml) administered every three weeks by subcutaneous injection.
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
Incidence and type of adverse clinical events
Time Frame
100 days
Secondary Outcome Measure Information:
Title
RA-18C3 pharmacokinetics
Description
Serum levels of RA-18C3 will be measured to determine drug half-life, bioavailability, volume of distribution, and area under the curve.
Time Frame
70 days
Title
Facial acne lesion count
Description
Change in total facial acne lesion count from day 0 to week 8
Time Frame
56 days
Title
Reduction in total acne lesion count, inflammatory and non-inflammatory lesion counts
Description
Percent reduction in total acne lesion count, inflammatory and non-inflammatory lesion counts from day 0 to week 8
Time Frame
56 days
Title
Investigator's Global Assessment (IGA) score
Description
Change in Investigator Global Assessment score from baseline to Day 56
Time Frame
56 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age: ≥ 18 Moderate to moderately severe inflammatory acne vulgaris: Investigator's Global Assessment grade of ≥ 3 and, ≥ 15 inflammatory lesions (no more than 6 nodules) and, ≥ 15 non-inflammatory lesions Four week washout period for topical and oral antibiotic treatment Four week washout period for topical retinoids Negative pregnancy test at screening and at specified time points throughout the trial. For subjects with reproductive potential, a willingness to utilize contraception during the study and including 3 months after study completion. Sexually active men must use an accepted method of contraception during the study and including 3 months after study completion. Subjects weighing ≥ 27 kg Signed and dated Institutional Review Board (IRB) approved informed consent before any protocol-specific screening procedures are performed Exclusion Criteria: A diagnosis of Acne conglobata, acne fulminans, secondary acne, severe nodulocystic acne requiring treatment with isotretinoin, or other dermatologic conditions requiring interfering phototherapy, topical, or systemic treatment. Treatment with any biologicals or investigational agents within the last 4 weeks (or 5 half-lives, whichever is longer). Men with facial hair that would interfere with assessments History of uncontrolled diabetes, unstable ischemic heart disease, active inflammatory bowel disease, active peptic ulcer disease, recent stroke (within 3 months), ongoing congestive heart failure, and any other condition which, in the opinion of the investigator, would put the subject at risk by participation in the protocol. Hemoglobin <10.0 g/dL, or WBC <3.0 x 103/mm3, or platelet count <125 x 103/mm3, or creatinine > 1.5mg/dL, or AST/ALT >2 x ULN, or alkaline phosphatase >2 x ULN Known HIV antibody, hepatitis B surface antigen and/or hepatitis C antibody. History of malignancy within 5 years prior to study entry other than carcinoma in situ of the cervix, or adequately treated, non-metastatic squamous or basal cell carcinoma of the skin. History of severe allergic or anaphylactic reactions to humanized or murine monoclonal antibodies. History of tuberculosis (latent or active) or positive Interferon-gamma release assay (IGRA) Infectious disease: CRP >30 mg/L, fever, or infection requiring treatment with antibiotics within 3 weeks prior to Screening Immunodeficiency Female subjects who are pregnant, planning to become pregnant during the course of the study, or breast-feeding Receipt of a live (attenuated) vaccine within 1 month prior to Screening Major surgery within 28 days prior to Day 0 Participation in an investigational drug or device trial within 30 days prior to Screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael D Stecher, MD
Organizational Affiliation
XBiotech USA, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Moy, Fincher, and Chipps Facial Plastics and Dermatology
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90210
Country
United States
Facility Name
Meridien Research
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33709
Country
United States
Facility Name
Austin Dermatology Associates
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Phase II Trial of RA-18C3 in Subjects With Moderate to Severe Acne Vulgaris

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