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Study of Safety, Tolerability and Effectiveness of A-101 in Subjects With Seborrheic Keratosis

Primary Purpose

Seborrheic Keratosis (SK)

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
A-101 25%
A-101 32.5%
A-101 40%
A-101 Vehicle
Sponsored by
Aclaris Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Seborrheic Keratosis (SK) focused on measuring SK, Seborrheic Keratosis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Is at least 18 years of age
  2. Has a clinical diagnosis of stable clinically typical seborrheic keratosis
  3. Has at least 4 appropriate seborrheic keratosis target lesions on the back
  4. If subject is a women of childbearing potential, she must have a negative urine pregnancy test and must agree to use an active form of birth control for the duration of the study
  5. Is non-pregnant and non-lactating
  6. Is in good general health and free of any disease state or physical condition which, in the investigator's opinion, might impair evaluation of any target lesion or which exposes the subject to an unacceptable risk by study participation
  7. Is willing and able to follow all study instructions and to attend all study visits
  8. Is able to comprehend and willing to sign an Informed Consent Form (ICF).

Exclusion Criteria:

  1. Has clinically atypical and/or rapidly growing seborrheic keratosis lesions
  2. Has presence of multiple eruptive seborrheic keratosis lesions (Sign of Leser-Trelat)
  3. Has used any of the following systemic therapies within the specified period prior to Visit 1:

    • Retinoids; 180 days
    • Glucocorticosteroids; 28 days
    • Anti-metabolites (e.g., methotrexate); 28 days
  4. Has used any of the following topical therapies on the treatment area within the specified period prior to Visit 1:

    • Retinoids; 90 days
    • Liquid nitrogen, electrodesiccation, curettage, imiquimod, 5-fluorouracil, or ingenol mebutate; 60 days
    • Glucocorticosteroids or antibiotics; 14 days
    • Moisturizers/emollients, sunscreens; 12 hours
  5. Has had any LASER, light (e.g., intense pulsed light (IPL), photo-dynamic therapy (PDT)) or other energy based therapy on the treatment area within 180 days prior to Visit 1
  6. Has a history of keloid formation or hypertrophic scarring
  7. Has a current systemic malignancy
  8. Has a history of, within the 180 days prior to Visit 1, or has a current cutaneous malignancy on the treatment area
  9. Has a current pre-malignancy (e.g., actinic keratosis) on the treatment area
  10. Has had body art (e.g., tattoos, piercing, sculpting, etc.) or any other invasive, non-therapeutic procedure performed on the treatment area that, in the opinion of the investigator, might put the subject at undue risk or interfere with the study conduct or evaluations
  11. Has excessive tan on the treatment area that, in the opinion of the investigator, might put the subject at undue risk or interfere with the study conduct or evaluations
  12. Has experienced a sunburn on the treatment area within the previous 4 weeks
  13. Has a history of sensitivity to any of the ingredients in the study medications
  14. Has any current skin disease (e.g., psoriasis, atopic dermatitis, eczema, sun damage, etc.), or condition (e.g., sunburn, tattoos, excessive hair, open wounds on the back) that, in the opinion of the investigator, might put the subject at undue risk or interfere with the study conduct or evaluations
  15. Has participated in an investigational drug trial in which administration of an investigational study medication occurred within 30 days prior to Visit 1.

Sites / Locations

  • DermResearch, Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

A-101 25%

A-101 32.5%

A-101 40%

A-101 Vehicle

Arm Description

Low dose group

Mid Dose Group

High Dose Group

Placebo group

Outcomes

Primary Outcome Measures

Mean Change in Physician Lesion Assessment Scale
Mean Change in Score on the Physician Lesion Assessment Scale (PLA) of each Target Lesion. The PLAS is a four point scale from 0-3 with 0 being clear and 3 being the worst lesion. The primary effectiveness will consist of the mean change from Visit 2 to Visit 9 in PLA performed using Analysis of Covariance (ANCOVA) with Visit 2 PLAS as the covariate. Comparisons between vehicle and each active treatment group will be performed within the model using least-squares means and the common error term.

Secondary Outcome Measures

Subject's Self Assessment Scale
Subjects self assessment of the condition of their lesions based on a scale of Clear (Grade 0), Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3).

Full Information

First Posted
November 6, 2013
Last Updated
November 15, 2018
Sponsor
Aclaris Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01986920
Brief Title
Study of Safety, Tolerability and Effectiveness of A-101 in Subjects With Seborrheic Keratosis
Official Title
A Randomized, Double-Blind, Vehicle-Controlled, Within-Subject, Comparison Study of the Safety, Tolerability, And Effectiveness of A-101 Topical Solution in Subjects With Seborrheic Keratosis
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
October 22, 2013 (undefined)
Primary Completion Date
February 25, 2014 (Actual)
Study Completion Date
February 25, 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aclaris Therapeutics, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Evaluate the safety, tolerability of A-101 when applied to seborrheic keratosis lesions on the back of subjects.
Detailed Description
The main objective of this study is to evaluate the safety, effectiveness and tolerability of three concentrations of A-101 25%, 32.5%, and 40%, when applied to individual seborrheic keratosis target lesions on the back compared with a matching A-101 vehicle.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Seborrheic Keratosis (SK)
Keywords
SK, Seborrheic Keratosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
The three tests solutions and the placebo solution are each applied topically to 1 of 4 target lesions on the backs of each subject (determined by the randomization schedule). If needed a second treatment may be applied at Visit 5.
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
35 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A-101 25%
Arm Type
Active Comparator
Arm Description
Low dose group
Arm Title
A-101 32.5%
Arm Type
Active Comparator
Arm Description
Mid Dose Group
Arm Title
A-101 40%
Arm Type
Active Comparator
Arm Description
High Dose Group
Arm Title
A-101 Vehicle
Arm Type
Placebo Comparator
Arm Description
Placebo group
Intervention Type
Drug
Intervention Name(s)
A-101 25%
Intervention Description
Low Dose Concentration of A-101 applied to one of 4 Target Lesions
Intervention Type
Drug
Intervention Name(s)
A-101 32.5%
Intervention Description
Mid Dose Concentration of A-101 applied to one of 4 Target Lesions
Intervention Type
Drug
Intervention Name(s)
A-101 40%
Intervention Description
High Dose Concentration A-101 applied to one of 4 Target Lesions
Intervention Type
Drug
Intervention Name(s)
A-101 Vehicle
Intervention Description
Placebo applied to one of 4 Target Lesions
Primary Outcome Measure Information:
Title
Mean Change in Physician Lesion Assessment Scale
Description
Mean Change in Score on the Physician Lesion Assessment Scale (PLA) of each Target Lesion. The PLAS is a four point scale from 0-3 with 0 being clear and 3 being the worst lesion. The primary effectiveness will consist of the mean change from Visit 2 to Visit 9 in PLA performed using Analysis of Covariance (ANCOVA) with Visit 2 PLAS as the covariate. Comparisons between vehicle and each active treatment group will be performed within the model using least-squares means and the common error term.
Time Frame
Visit 2 to visit 9 (78 days)
Secondary Outcome Measure Information:
Title
Subject's Self Assessment Scale
Description
Subjects self assessment of the condition of their lesions based on a scale of Clear (Grade 0), Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3).
Time Frame
Visit 9 (Day 78)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Is at least 18 years of age Has a clinical diagnosis of stable clinically typical seborrheic keratosis Has at least 4 appropriate seborrheic keratosis target lesions on the back If subject is a women of childbearing potential, she must have a negative urine pregnancy test and must agree to use an active form of birth control for the duration of the study Is non-pregnant and non-lactating Is in good general health and free of any disease state or physical condition which, in the investigator's opinion, might impair evaluation of any target lesion or which exposes the subject to an unacceptable risk by study participation Is willing and able to follow all study instructions and to attend all study visits Is able to comprehend and willing to sign an Informed Consent Form (ICF). Exclusion Criteria: Has clinically atypical and/or rapidly growing seborrheic keratosis lesions Has presence of multiple eruptive seborrheic keratosis lesions (Sign of Leser-Trelat) Has used any of the following systemic therapies within the specified period prior to Visit 1: Retinoids; 180 days Glucocorticosteroids; 28 days Anti-metabolites (e.g., methotrexate); 28 days Has used any of the following topical therapies on the treatment area within the specified period prior to Visit 1: Retinoids; 90 days Liquid nitrogen, electrodesiccation, curettage, imiquimod, 5-fluorouracil, or ingenol mebutate; 60 days Glucocorticosteroids or antibiotics; 14 days Moisturizers/emollients, sunscreens; 12 hours Has had any LASER, light (e.g., intense pulsed light (IPL), photo-dynamic therapy (PDT)) or other energy based therapy on the treatment area within 180 days prior to Visit 1 Has a history of keloid formation or hypertrophic scarring Has a current systemic malignancy Has a history of, within the 180 days prior to Visit 1, or has a current cutaneous malignancy on the treatment area Has a current pre-malignancy (e.g., actinic keratosis) on the treatment area Has had body art (e.g., tattoos, piercing, sculpting, etc.) or any other invasive, non-therapeutic procedure performed on the treatment area that, in the opinion of the investigator, might put the subject at undue risk or interfere with the study conduct or evaluations Has excessive tan on the treatment area that, in the opinion of the investigator, might put the subject at undue risk or interfere with the study conduct or evaluations Has experienced a sunburn on the treatment area within the previous 4 weeks Has a history of sensitivity to any of the ingredients in the study medications Has any current skin disease (e.g., psoriasis, atopic dermatitis, eczema, sun damage, etc.), or condition (e.g., sunburn, tattoos, excessive hair, open wounds on the back) that, in the opinion of the investigator, might put the subject at undue risk or interfere with the study conduct or evaluations Has participated in an investigational drug trial in which administration of an investigational study medication occurred within 30 days prior to Visit 1.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Janet Dubois, MD
Organizational Affiliation
Derm Research, PLLC
Official's Role
Principal Investigator
Facility Information:
Facility Name
DermResearch, Inc.
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
http://www.aclaristx.com
Description
Study Sponsor Website

Learn more about this trial

Study of Safety, Tolerability and Effectiveness of A-101 in Subjects With Seborrheic Keratosis

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