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ST266 in UV-induced Inflammation

Primary Purpose

Skin Burns

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
ST266 immediate
ST266 delayed
Sponsored by
Noveome Biotherapeutics, formerly Stemnion
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Skin Burns

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Ages 18 years or older
  • Fitzpatrick Skin Type I-III
  • In good general Adults health

Exclusion Criteria:

  • Known history of photodermatosis or photosensitivity disorder such as systemic lupus or porphyria
  • Tanning bed exposure within the last 4 weeks
  • Current intake of known strong photosensitizers such as doxycycline/tetracycline family of antibiotics and thiazide diuretics
  • Current intake of immunosuppressive drugs such as oral steroids.
  • Cancer or known history of cancer within the last 5 years.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    No Intervention

    Active Comparator

    Active Comparator

    Arm Label

    Control UV burn

    ST266 treated UV burn immediately

    ST266 treated UV burn delayed

    Arm Description

    No treatment of the UV Light burn will be given

    ST266 will be applied topically immediately by spray to the UV light burn wound

    ST266 will be applied topically by spray to the UV light burn beginning 6 - 12 hours after the burn

    Outcomes

    Primary Outcome Measures

    Erythema resolution
    Erythema measured by Chromometer

    Secondary Outcome Measures

    Skin punch biopsy
    Punch biopsy will be assessed by RT-PCR and immunohistochemistry for markers of inflammation IL-6 and TNF-alpha

    Full Information

    First Posted
    March 10, 2015
    Last Updated
    May 9, 2019
    Sponsor
    Noveome Biotherapeutics, formerly Stemnion
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02389777
    Brief Title
    ST266 in UV-induced Inflammation
    Official Title
    Effect of ACCS in UV-induced Inflammation
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2015 (undefined)
    Primary Completion Date
    August 2015 (Actual)
    Study Completion Date
    August 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Noveome Biotherapeutics, formerly Stemnion

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This phase II clinical study will include fifteen healthy light skinned adult volunteers. At screening subjects will be given a sunburn test. This procedure involves exposing eight 1 square cm areas of skin over increasing doses of simulated solar radiation (SSR). SSR is delivered by a 1,000-Watt xenon arc lamp, which emits ultraviolet wavelengths from 290-400 nm, closely resembling natural sunlight. The Minimal Erythema Dose (MED) will be determined approximately 24 hours after initial exposure by using a chromometer. The MED is calculated by linear regression. Each test site is a one inch square area on the buttock or lower back. Sites 1, 2, 3, 4, 5 will be irradiated with 2 MED of SSR. Site 1 will not receive any ST266 treatment. Sites 2 and 3 will be treated with ST266 immediately after irradiation. 8-12 hours later or at bedtime, Sites 2,3,4,5 with ST266 at home. ST266 will also be applied 24 hours after SSR. Between 24-36 hours after SSR, subject returns to the Skin Study Center for Minolta chromometer assessment of erythema at all test sites, as well as for high resolution digital photography (Canfield). These assessments will be repeated at 48 hours and 72 hours post SSR. Data will be graphed to quantify rate of erythema resolution. Punch biopsies will be obtained at Site 1 (control) and Site 2 (SSR + immediate ST266 Rx). If a difference in erythema is observed between Site 1 and Site 4, a biopsy will also be obtained from Site 4 (SSR + delayed ST266 Rx). Biopsy samples will be tested using Reverse Transcriptase -Polymerase Chain Reaction (RT-PCR) and/or immunohistochemistry for markers of UV inflammation such as Interleukin (IL)-6, Tumor Necrosis Factor (TNF) -alpha, etc. Subjects will continue to apply the ST266 twice daily on Sites 3 and 5 until study visit 5. An additional normal control skin biopsy may be performed in a subset of volunteers (4-5) to serve as reference control for the tissue analysis.
    Detailed Description
    This phase II clinical study will include ten to fifteen healthy light skinned adult volunteers who will be recruited through Institutional Review Board (IRB)-approved advertising. At screening subjects will be given a sunburn test. This procedure involves exposing eight 1 square cm areas of skin over increasing doses of simulated solar radiation (SSR), while the rest of the body is draped. SSR is delivered by a 1,000-Watt xenon arc lamp, which emits ultraviolet wavelengths from 290-400 nm, closely resembling natural sunlight. The Minimal Erythema Dose (MED) will be determined approximately 24 hours after initial exposure by using a chromometer that records the values of redness associated with each 1 square cm area exposed to the SSR the previous day. Once the MED is calculated by linear regression, the actual UV exposure of test sites will be conducted. A test site consists of a one inch square area on the buttock or lower back. Sites 1, 2, 3, 4, 5 will be irradiated with 2 MED of SSR while the rest of the body is draped. Site 1 will not receive any ST266 treatment at all. Sites 2 and 3 will be treated by investigators with ST266 immediately after irradiation. 8-12 hours later or at bedtime, subject will treat Sites 2,3,4,5 with ST266 at home. ST266 application will also be done by subject on Sites 2,3,4,5 the next morning approximately 24 hours after SSR. Between 24-36 hours after SSR, subject returns to the Skin Study Center for Minolta chromometer assessment of erythema at all test sites, as well as for high resolution digital photography (Canfield). These assessments will be repeated at 48 hours and 72 hours post SSR and data will be graphed to quantify rate of erythema resolution. Punch biopsies will be obtained at Site 1 (control) and Site 2 (SSR + immediate ST266 Rx). If a difference in erythema is observed between Site 1 and Site 4 (i.e. if even the delayed treatment seems to effectively decrease inflammation), a biopsy will also be obtained from Site 4 (SSR + delayed ST266 Rx). These biopsy samples will be tested using RT-PCR and/or immunohistochemistry for markers of UV inflammation such as IL-6, TNF-alpha, etc. The test sites that have been biopsied will no longer undergo chromometer assessment post biopsy because the inflammation from the biopsy itself may confound the erythema readings. Meanwhile, subject will continue to apply the ST266 twice daily on Sites 3 and 5 until study visit 5. An additional normal control skin biopsy may be performed in a subset of volunteers (4-5) to serve as reference control for the tissue analysis. This will not be required of all volunteers.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Skin Burns

    7. Study Design

    Primary Purpose
    Basic Science
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    Participant
    Allocation
    Randomized
    Enrollment
    10 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Control UV burn
    Arm Type
    No Intervention
    Arm Description
    No treatment of the UV Light burn will be given
    Arm Title
    ST266 treated UV burn immediately
    Arm Type
    Active Comparator
    Arm Description
    ST266 will be applied topically immediately by spray to the UV light burn wound
    Arm Title
    ST266 treated UV burn delayed
    Arm Type
    Active Comparator
    Arm Description
    ST266 will be applied topically by spray to the UV light burn beginning 6 - 12 hours after the burn
    Intervention Type
    Biological
    Intervention Name(s)
    ST266 immediate
    Intervention Description
    ST266 will be applied immediately to the UV light burn wound topically by spray twice per day
    Intervention Type
    Biological
    Intervention Name(s)
    ST266 delayed
    Intervention Description
    ST266 will be applied to the UV light burn topically by spray twice per day beginning 6-12 hours after the burn
    Primary Outcome Measure Information:
    Title
    Erythema resolution
    Description
    Erythema measured by Chromometer
    Time Frame
    3 days
    Secondary Outcome Measure Information:
    Title
    Skin punch biopsy
    Description
    Punch biopsy will be assessed by RT-PCR and immunohistochemistry for markers of inflammation IL-6 and TNF-alpha
    Time Frame
    Baseline and end of study period (day 3)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Ages 18 years or older Fitzpatrick Skin Type I-III In good general Adults health Exclusion Criteria: Known history of photodermatosis or photosensitivity disorder such as systemic lupus or porphyria Tanning bed exposure within the last 4 weeks Current intake of known strong photosensitizers such as doxycycline/tetracycline family of antibiotics and thiazide diuretics Current intake of immunosuppressive drugs such as oral steroids. Cancer or known history of cancer within the last 5 years.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    David L Steed, MD
    Organizational Affiliation
    Noveome Biotherapeutics, formerly Stemnion
    Official's Role
    Study Director
    First Name & Middle Initial & Last Name & Degree
    Elma D Baron, MD
    Organizational Affiliation
    Cae Western Reserve University
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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