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Dose-Response Profile of A-101 in Subjects With Seborrheic Keratosis

Primary Purpose

Seborrheic Keratosis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
A-101 Vehicle
A-101 (40) Topical Solution
A-101 (32.5) Topical Solution
Sponsored by
Aclaris Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Seborrheic Keratosis focused on measuring Seborrheic keratosis, A101

Eligibility Criteria

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

Inclusion Criteria:

  1. Subject is at least 18 years of age
  2. Subject has a clinical diagnosis of stable clinically typical seborrheic keratosis
  3. Subject has 4 appropriate seborrheic keratosis target lesions, as defined below, on the trunk/extremities:

    • Have a clinically typical appearance
    • Be treatment naïve
    • Have a Physician Lesion Assessment (PLA) of ≥2
    • Have a longest axis that is ≥7mm and ≤15mm
    • Have a longest dimension perpendicular to the longest axis that is ≥7mm and ≤15mm
    • Have a thickness that is ≤2mm
    • Be a discrete lesion
    • Be, when centered in the area outlined by the provided 3cm diameter circular template, the only seborrheic keratosis lesion present
    • Not be in an intertriginous fold
    • Not be in an area where clothing, such as a bra, might cause physical irritation
    • Not be pedunculated.
  4. If the subject is a woman of childbearing potential, she has a negative urine pregnancy test and agrees to use an active form of birth control for the duration of the study
  5. Subject is non-pregnant and non-lactating
  6. Subject is in good general health and free of any known 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. Subject is willing and able to follow all study instructions and to attend all study visits
  8. Subject is able to comprehend and willing to sign an Informed Consent Form (ICF).

Exclusion Criteria:

  1. Subject has clinically atypical and/or rapidly growing seborrheic keratosis lesions
  2. Subject has presence of multiple eruptive seborrheic keratosis lesions (Sign of Leser-Trelat)
  3. Subject has a current systemic malignancy
  4. Subject has a history of keloid formation or hypertrophic scarring
  5. Subject 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
  6. Subject has used any of the following topical therapies within the specified period prior to Visit 1 on, or in a proximity to the target lesion, that in the investigator's opinion, interferes with the application of the study medication or the study assessments:

    • LASER, light (e.g., intense pulsed light (IPL), photo-dynamic therapy (PDT)) or other energy based therapy; 180 days
    • 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
  7. Subject currently has or has had any of the following within the specified period prior to Visit 1 on or in a proximity to the target lesion that, in the investigator's opinion, interferes with the application of the study medication or the study assessments:

    • A cutaneous malignancy; 180 days
    • Experienced a sunburn; 28 days
    • A pre-malignancy (e.g., actinic keratosis); currently
    • Body art (e.g., tattoos, piercing, etc.); currently
    • Excessive tan; currently
  8. Subject has a history of sensitivity to any of the ingredients in the study medications
  9. Subject has any current skin disease (e.g., psoriasis, atopic dermatitis, eczema, sun damage, etc.), or condition (e.g., sunburn, excessive hair, open wounds) that, in the opinion of the investigator, might put the subject at undue risk by study participation or interfere with the study conduct or evaluations
  10. Subject 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

  • Gwinnett Clinical Research Center, Inc.
  • Michigan Center for Research Corp.
  • Oregon Medical Research Center
  • DermReseach, Inc.
  • The Education & Research Foundation, Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Active Comparator

Active Comparator

Arm Label

A-101 Vehicle

A-101 (40) Topical Solution

A-101 (32.5) Topical Solution

Arm Description

A-101 Vehicle (placebo) Topical Solution

A-101 (40) Topical Solution - high dose

A-101 (32.5) Topical Solution - low dose

Outcomes

Primary Outcome Measures

Mean Per Subject Percentage Target Lesions Judged Clear by the Physician's Lesion Assessment (PLA)
Mean of per-subject percentages of target lesions judged to be clear on the PLA (PLA = 0) at end of study (Visit 8). The PLA is a four point scale from 0 being clear to 3 being most severe lesion.

Secondary Outcome Measures

Mean Change From Baseline to Visit 8 in the Physician's Lesion Assessment
Change from baseline PLA will be calculated for each lesion first, then per-subject mean changes from baseline will be calculated. The PLA is a score on a four scale from 0 to 3 with 0 being clear and 3 being the most severe, a lower score indicating a better result. For the mean change in this score, a larger mean change is a better result.
Proportion of Subjects Who Had at Least 3 of 4 Target Lesions Judged to be Clear on the Physician Lesion Assessment (PLA =0) at Visit 8.
Proportion of Subjects who had at least 3 of 4 target lesions judged to be clear on the Physician Lesion Assessment (PLA =0) at visit 8. The PLA is a 4 point scale evaluating the severity of a lesion with 0 being clear and 3 being the most severe.

Full Information

First Posted
June 6, 2014
Last Updated
December 10, 2018
Sponsor
Aclaris Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02160626
Brief Title
Dose-Response Profile of A-101 in Subjects With Seborrheic Keratosis
Official Title
A Randomized, Double-Blind, Vehicle Controlled, Parallel Group Study of the Dose-Response Profile of A-101 Topical Solution in Subjects With Seborrheic Keratosis.
Study Type
Interventional

2. Study Status

Record Verification Date
December 2018
Overall Recruitment Status
Completed
Study Start Date
June 2014 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
December 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
The main objective of this study is to evaluate the dose-response relationship of two concentrations of A-101 solution when applied to individual seborrheic keratosis (SK) lesions (target lesions) compared with a matching A-101 Solution Vehicle.
Detailed Description
The main objective of this study is to evaluate the dose-response relationship of two concentrations of A-101solution when applied to individual seborrheic keratosis (SK) lesions (target lesions) compared with a matching A-101 Solution Vehicle. Each subject will have 4 target lesions on the trunk/extremities. A further objective is to evaluate the safety and efficacy of two concentrations of A-101 solution and its matching vehicle when applied to SK target lesions on the trunk/extremities.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Seborrheic Keratosis
Keywords
Seborrheic keratosis, A101

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
172 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A-101 Vehicle
Arm Type
Placebo Comparator
Arm Description
A-101 Vehicle (placebo) Topical Solution
Arm Title
A-101 (40) Topical Solution
Arm Type
Active Comparator
Arm Description
A-101 (40) Topical Solution - high dose
Arm Title
A-101 (32.5) Topical Solution
Arm Type
Active Comparator
Arm Description
A-101 (32.5) Topical Solution - low dose
Intervention Type
Drug
Intervention Name(s)
A-101 Vehicle
Intervention Description
Placebo control
Intervention Type
Drug
Intervention Name(s)
A-101 (40) Topical Solution
Intervention Description
A-101 (40) Topical Solution - high dose
Intervention Type
Drug
Intervention Name(s)
A-101 (32.5) Topical Solution
Intervention Description
A-101 (32.5) Topical Solution - low dose
Primary Outcome Measure Information:
Title
Mean Per Subject Percentage Target Lesions Judged Clear by the Physician's Lesion Assessment (PLA)
Description
Mean of per-subject percentages of target lesions judged to be clear on the PLA (PLA = 0) at end of study (Visit 8). The PLA is a four point scale from 0 being clear to 3 being most severe lesion.
Time Frame
Baseline, visit 8
Secondary Outcome Measure Information:
Title
Mean Change From Baseline to Visit 8 in the Physician's Lesion Assessment
Description
Change from baseline PLA will be calculated for each lesion first, then per-subject mean changes from baseline will be calculated. The PLA is a score on a four scale from 0 to 3 with 0 being clear and 3 being the most severe, a lower score indicating a better result. For the mean change in this score, a larger mean change is a better result.
Time Frame
Baseline, visit 8
Title
Proportion of Subjects Who Had at Least 3 of 4 Target Lesions Judged to be Clear on the Physician Lesion Assessment (PLA =0) at Visit 8.
Description
Proportion of Subjects who had at least 3 of 4 target lesions judged to be clear on the Physician Lesion Assessment (PLA =0) at visit 8. The PLA is a 4 point scale evaluating the severity of a lesion with 0 being clear and 3 being the most severe.
Time Frame
Baseline, visit 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is at least 18 years of age Subject has a clinical diagnosis of stable clinically typical seborrheic keratosis Subject has 4 appropriate seborrheic keratosis target lesions, as defined below, on the trunk/extremities: Have a clinically typical appearance Be treatment naïve Have a Physician Lesion Assessment (PLA) of ≥2 Have a longest axis that is ≥7mm and ≤15mm Have a longest dimension perpendicular to the longest axis that is ≥7mm and ≤15mm Have a thickness that is ≤2mm Be a discrete lesion Be, when centered in the area outlined by the provided 3cm diameter circular template, the only seborrheic keratosis lesion present Not be in an intertriginous fold Not be in an area where clothing, such as a bra, might cause physical irritation Not be pedunculated. If the subject is a woman of childbearing potential, she has a negative urine pregnancy test and agrees to use an active form of birth control for the duration of the study Subject is non-pregnant and non-lactating Subject is in good general health and free of any known 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 Subject is willing and able to follow all study instructions and to attend all study visits Subject is able to comprehend and willing to sign an Informed Consent Form (ICF). Exclusion Criteria: Subject has clinically atypical and/or rapidly growing seborrheic keratosis lesions Subject has presence of multiple eruptive seborrheic keratosis lesions (Sign of Leser-Trelat) Subject has a current systemic malignancy Subject has a history of keloid formation or hypertrophic scarring Subject 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 Subject has used any of the following topical therapies within the specified period prior to Visit 1 on, or in a proximity to the target lesion, that in the investigator's opinion, interferes with the application of the study medication or the study assessments: LASER, light (e.g., intense pulsed light (IPL), photo-dynamic therapy (PDT)) or other energy based therapy; 180 days 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 Subject currently has or has had any of the following within the specified period prior to Visit 1 on or in a proximity to the target lesion that, in the investigator's opinion, interferes with the application of the study medication or the study assessments: A cutaneous malignancy; 180 days Experienced a sunburn; 28 days A pre-malignancy (e.g., actinic keratosis); currently Body art (e.g., tattoos, piercing, etc.); currently Excessive tan; currently Subject has a history of sensitivity to any of the ingredients in the study medications Subject has any current skin disease (e.g., psoriasis, atopic dermatitis, eczema, sun damage, etc.), or condition (e.g., sunburn, excessive hair, open wounds) that, in the opinion of the investigator, might put the subject at undue risk by study participation or interfere with the study conduct or evaluations Subject 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
Jonathan S Weiss, MD
Organizational Affiliation
Gwinnett Clinical Research Center, Inc.
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Janet Dubois, MD
Organizational Affiliation
Derm Research, PLLC
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
David C Wilson, MD
Organizational Affiliation
The Education & Research Foundation, Inc.
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Daniel M Stewart, DO
Organizational Affiliation
Michigan Center for Research Corp.
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Andrew Blauvelt, MD, MBA
Organizational Affiliation
Oregon Medical Research Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Gwinnett Clinical Research Center, Inc.
City
Snellville
State/Province
Georgia
ZIP/Postal Code
30078
Country
United States
Facility Name
Michigan Center for Research Corp.
City
Clinton Township
State/Province
Michigan
ZIP/Postal Code
48038
Country
United States
Facility Name
Oregon Medical Research Center
City
Portland
State/Province
Oregon
ZIP/Postal Code
97223
Country
United States
Facility Name
DermReseach, Inc.
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
The Education & Research Foundation, Inc.
City
Lynchburg
State/Province
Virginia
ZIP/Postal Code
24501
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Dose-Response Profile of A-101 in Subjects With Seborrheic Keratosis

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