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Icotinib Hydrochloride Cream in Healthy Adults and Psoriasis Patients

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 1
Locations
New Zealand
Study Type
Interventional
Intervention
1% icotinib hydrochloride cream
2% icotinib hydrochloride cream
Placebo
Sponsored by
Betta Pharmaceuticals Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis focused on measuring EGFR inhibitor, topical agent, psoriasis, phase 1

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

For Part 1-Healthy Participants

  • 18-50 years old (inclusive), male or female
  • Male participants should be ≥ 50 kg, female participants should be ≥ 45 kg; Body Mass Index (BMI) should be between 19 and 30 kg/m2 (inclusive)
  • In good health, with no history of diseases of major organs and no BP, HR, ECG or respiratory abnormality on physical examination
  • Adequate hepatic and renal function, as determined by clinical laboratory assessments of blood and urine
  • Negative serum pregnancy test at Screening and negative urine pregnancy test at Day -1 for females of child bearing potential
  • Negative screen for drugs of abuse, alcohol, hepatitis B surface antigen (HBsAg), hepatitis C (HCV) and Human Immunodeficiency Virus (HIV) at screening; and negative drugs of abuse, alcohol pre dose on Day -1
  • Have signed a written informed consent before entering the study

For Part 2 - Patients with Psoriasis

  • Clinical diagnosis of psoriasis for at least six months with multiple affected areas (excluding the face, scalp, genitals and groin) involving 2%-15% of the total Body Surface Area (BSA)
  • 18-65 years old
  • Male participants should be ≥ 50 kg, female participants should be ≥ 45 kg; BMI should be between 19 and 35 kg/m2 (inclusive)
  • In good health, with no history of diseases of major organs and no BP, HR, ECG or respiratory abnormality on physical examination
  • Adequate hepatic and renal function, as determined by clinical laboratory assessments of blood and urine
  • Negative serum pregnancy test at Screening and negative urine pregnancy test at Day -1 for females of child bearing potential
  • Negative screen for drugs of abuse, alcohol, HBsAg, HCV and HIV at screening; and negative drugs of abuse, alcohol pre dose on Day1
  • Women of child-bearing potential must agree to use adequate contraception prior to study entry, for the duration of study participation, and for 90 days following completion of therapy
  • Have signed a written informed consent before entering the study

Exclusion Criteria:

For Part 1-Healthy Participants

  • Any clinically significant central nervous system, cardiac, pulmonary, renal, gastrointestinal, respiratory, metabolic conditions (or history), or other pathological or physiological conditions that might interfere with the trial result
  • History of postural hypotension
  • Use of any topical agents (including non-medicated lotions such as sun screen, cosmetics, moisturizing lotion) at the administration site within a week before randomization
  • History of serious skin diseases (as determined by the investigator); no presence of skin ulceration at the test area at the time of the Screening visit
  • Current smoker, or a history of regular (more than weekly) use of tobacco- or nicotine-containing products within two months prior to screening
  • History of excessive alcohol intake (more than four standard drinks daily, on average) or use of recreational drugs within the last three months

For Part 2 - Patients with Psoriasis

  • Any clinically significant central nervous system, cardiac, pulmonary, renal, gastrointestinal, respiratory, metabolic conditions (or history), or other pathological or physiological conditions that might interfere with the trial result
  • History of postural hypotension
  • Use of any topical agents (including non-medicated lotions such as sun screen, cosmetics, moisturizing lotion) at the administration site within a week before randomization
  • History of serious skin diseases (as determined by the investigator); no presence of skin ulceration at the test area at the time of the Screening visit
  • Excessive smoker(≥10 cigarettes per day), or a history of regular (more than weekly) use of tobacco- or nicotine-containing products within two months prior to screening
  • History of excessive alcohol intake (more than four standard drinks daily, on average) or use of recreational drugs within the last three months

Sites / Locations

  • Christchurch Clinical Studies Trust

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Cohort 1-Experimental

Cohort 1-Placebo

Cohort 2-Experimental

Cohort 2-Placebo

Cohort 3-Experimental

Cohort 3-Placebo

Cohort 4-Experimental

Cohort 4-Placebo

Arm Description

4 healthy adult participants will be randomized to receive 1% icotinib hydrochloride cream, applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.

2 healthy adult participants will be randomized to receive placebo (blank cream), applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.

4 healthy adult participants will be randomized to receive 2% icotinib hydrochloride cream, applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.

2 healthy adult participants will be randomized to receive matching placebo, applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.

6 patients with mild to moderate psoriasis will be randomized to receive 1% icotinib hydrochloride cream, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.

2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.

6 patients with mild to moderate psoriasis will be randomized to receive 2% icotinib hydrochloride cream, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.

2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.

Outcomes

Primary Outcome Measures

Adverse events in healthy subjects
Incidence and severity of Adverse Events (AE) Vital signs (temperature, Heart Rate (HR), BP and respiration); Clinical laboratory assessments (serum chemistry, hematology and urinalysis); ECG; Use of concomitant medications
Adverse events in patients with mild to moderate psoriasis
Incidence and severity of AEs; Vital signs (temperature, HR, BP and respiration); Clinical laboratory assessments (serum chemistry, hematology and urinalysis); ECG; Use of concomitant medications

Secondary Outcome Measures

Tolerance-related skin reactions in healthy adult participants at the tested sites
Skin irritation and allergy observation (including redness, swelling, itching, pain)
Tolerance-related skin reactions in patients with mild to moderate psoriasis at the tested sites
Skin irritation and allergy observation (including redness, swelling, itching, pain)
To investigate peak plasma concentration (Cmax) of single-dose Icotinib Hydrochloride Cream in healthy adult participants
To investigate time maximum concentration observed(tmax) of single-dose Icotinib Hydrochloride Cream in healthy adult participants
To investigate area under the plasma concentration versus time curve(AUC) of single-dose Icotinib Hydrochloride Cream in healthy adult participants
AUClast, AUC0-inf will be assessed
To investigate half life(t1/2) of single-dose Icotinib Hydrochloride Cream in healthy adult participants
To investigate stable peak plasma concentration (Cmaxss) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants
To investigate time maximum concentration observed(tmax) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants
To investigate area under the plasma concentration versus time curve(AUC) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants
AUC0-12,AUClast, AUC0-inf will be assessed
To investigate half life(t1/2) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants
To investigate peak plasma concentration (Cmax) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
To investigate time maximum concentration observed(tmax) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
To investigate area under the plasma concentration versus time curve(AUC) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
AUClast, AUC0-inf will be assessed
To investigate half life(t1/2) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
To investigate stable peak plasma concentration (Cmaxss) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
To investigate time maximum concentration observed(tmax) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
To investigate area under the plasma concentration versus time curve(AUC) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
AUC0-12,AUClast, AUC0-inf will be assessed
To investigate half life(t1/2) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants
Psoriasis Area and Severity Index (PASI) Scores in patients with mild to moderate psoriasis
Dose-toxicity correlation in single-dose and repeat-dose administration
If observable trends exist between dose applied (in Part 2 of the study) and toxicity and response parameters.
Dermatology Life Quality Index (DLQI)
Dose-response correlation in single-dose and repeat-dose administration

Full Information

First Posted
September 28, 2015
Last Updated
July 12, 2017
Sponsor
Betta Pharmaceuticals Co., Ltd.
Collaborators
Quintiles, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02574091
Brief Title
Icotinib Hydrochloride Cream in Healthy Adults and Psoriasis Patients
Official Title
A Single-Center, Randomized, Double-blind, Placebo-Controlled Study to Evaluate Safety, Tolerability and Pharmacokinetics of Icotinib Hydrochloride Cream in Healthy Adult Participants, Followed by Patients With Mild to Moderate Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
November 26, 2015 (Actual)
Primary Completion Date
February 19, 2017 (Actual)
Study Completion Date
February 19, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Betta Pharmaceuticals Co., Ltd.
Collaborators
Quintiles, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase I study to evaluate the safety, tolerability and pharmacokinetics of Icotinib Hydrochloride Cream in healthy adults and patients with mild to moderate psoriasis.
Detailed Description
Icotinib Hydrochloride is a small-molecule epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor, which has been approved for the treatment of advanced non-small-cell lung cancer (NSCLC) in China in its oral form. As EGFR is implicated in the pathogenesis of psoriasis, icotinib hydrochloride is being developed as a cream for the treatment of mild to moderate psoriasis. This is a single-center, randomized, double-blind, placebo-controlled study of icotinib hydrochloride cream by topical administration. The study is designed in two parts in healthy subjects (part 1) followed by patients with mild to moderate psoriasis (part 2). 1% and 2% icotinib hydrochloride cream will be initially applied to healthy subjects. Once the study in healthy adults shows favorable safety and tolerability, a study in patients with mild to moderate psoriasis will be followed. Approximately 28 subjects will be enrolled, including 12 healthy subjects (Part 1) and 16 patients with psoriasis (Part 2).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis
Keywords
EGFR inhibitor, topical agent, psoriasis, phase 1

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
28 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1-Experimental
Arm Type
Experimental
Arm Description
4 healthy adult participants will be randomized to receive 1% icotinib hydrochloride cream, applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.
Arm Title
Cohort 1-Placebo
Arm Type
Placebo Comparator
Arm Description
2 healthy adult participants will be randomized to receive placebo (blank cream), applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.
Arm Title
Cohort 2-Experimental
Arm Type
Experimental
Arm Description
4 healthy adult participants will be randomized to receive 2% icotinib hydrochloride cream, applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.
Arm Title
Cohort 2-Placebo
Arm Type
Placebo Comparator
Arm Description
2 healthy adult participants will be randomized to receive matching placebo, applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.
Arm Title
Cohort 3-Experimental
Arm Type
Experimental
Arm Description
6 patients with mild to moderate psoriasis will be randomized to receive 1% icotinib hydrochloride cream, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.
Arm Title
Cohort 3-Placebo
Arm Type
Placebo Comparator
Arm Description
2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.
Arm Title
Cohort 4-Experimental
Arm Type
Experimental
Arm Description
6 patients with mild to moderate psoriasis will be randomized to receive 2% icotinib hydrochloride cream, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.
Arm Title
Cohort 4-Placebo
Arm Type
Placebo Comparator
Arm Description
2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.
Intervention Type
Drug
Intervention Name(s)
1% icotinib hydrochloride cream
Other Intervention Name(s)
no other name
Intervention Description
Topical administration for twice daily
Intervention Type
Drug
Intervention Name(s)
2% icotinib hydrochloride cream
Other Intervention Name(s)
no other name
Intervention Description
Topical administration for twice daily.
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Blank Cream
Intervention Description
Topical administration for twice daily.
Primary Outcome Measure Information:
Title
Adverse events in healthy subjects
Description
Incidence and severity of Adverse Events (AE) Vital signs (temperature, Heart Rate (HR), BP and respiration); Clinical laboratory assessments (serum chemistry, hematology and urinalysis); ECG; Use of concomitant medications
Time Frame
8 days
Title
Adverse events in patients with mild to moderate psoriasis
Description
Incidence and severity of AEs; Vital signs (temperature, HR, BP and respiration); Clinical laboratory assessments (serum chemistry, hematology and urinalysis); ECG; Use of concomitant medications
Time Frame
14 days
Secondary Outcome Measure Information:
Title
Tolerance-related skin reactions in healthy adult participants at the tested sites
Description
Skin irritation and allergy observation (including redness, swelling, itching, pain)
Time Frame
8 days
Title
Tolerance-related skin reactions in patients with mild to moderate psoriasis at the tested sites
Description
Skin irritation and allergy observation (including redness, swelling, itching, pain)
Time Frame
14 days
Title
To investigate peak plasma concentration (Cmax) of single-dose Icotinib Hydrochloride Cream in healthy adult participants
Time Frame
8 days
Title
To investigate time maximum concentration observed(tmax) of single-dose Icotinib Hydrochloride Cream in healthy adult participants
Time Frame
8 days
Title
To investigate area under the plasma concentration versus time curve(AUC) of single-dose Icotinib Hydrochloride Cream in healthy adult participants
Description
AUClast, AUC0-inf will be assessed
Time Frame
8 days
Title
To investigate half life(t1/2) of single-dose Icotinib Hydrochloride Cream in healthy adult participants
Time Frame
8 days
Title
To investigate stable peak plasma concentration (Cmaxss) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants
Time Frame
8 days
Title
To investigate time maximum concentration observed(tmax) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants
Time Frame
8 days
Title
To investigate area under the plasma concentration versus time curve(AUC) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants
Description
AUC0-12,AUClast, AUC0-inf will be assessed
Time Frame
8 days
Title
To investigate half life(t1/2) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants
Time Frame
8 days
Title
To investigate peak plasma concentration (Cmax) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Time Frame
14 days
Title
To investigate time maximum concentration observed(tmax) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Time Frame
14 days
Title
To investigate area under the plasma concentration versus time curve(AUC) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Description
AUClast, AUC0-inf will be assessed
Time Frame
14 days
Title
To investigate half life(t1/2) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Time Frame
14 days
Title
To investigate stable peak plasma concentration (Cmaxss) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Time Frame
14 days
Title
To investigate time maximum concentration observed(tmax) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Time Frame
14 days
Title
To investigate area under the plasma concentration versus time curve(AUC) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Description
AUC0-12,AUClast, AUC0-inf will be assessed
Time Frame
14 days
Title
To investigate half life(t1/2) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants
Time Frame
14 days
Title
Psoriasis Area and Severity Index (PASI) Scores in patients with mild to moderate psoriasis
Time Frame
14 days
Title
Dose-toxicity correlation in single-dose and repeat-dose administration
Description
If observable trends exist between dose applied (in Part 2 of the study) and toxicity and response parameters.
Time Frame
14 days
Title
Dermatology Life Quality Index (DLQI)
Time Frame
14 days
Title
Dose-response correlation in single-dose and repeat-dose administration
Time Frame
14 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: For Part 1-Healthy Participants 18-50 years old (inclusive), male or female Male participants should be ≥ 50 kg, female participants should be ≥ 45 kg; Body Mass Index (BMI) should be between 19 and 30 kg/m2 (inclusive) In good health, with no history of diseases of major organs and no BP, HR, ECG or respiratory abnormality on physical examination Adequate hepatic and renal function, as determined by clinical laboratory assessments of blood and urine Negative serum pregnancy test at Screening and negative urine pregnancy test at Day -1 for females of child bearing potential Negative screen for drugs of abuse, alcohol, hepatitis B surface antigen (HBsAg), hepatitis C (HCV) and Human Immunodeficiency Virus (HIV) at screening; and negative drugs of abuse, alcohol pre dose on Day -1 Have signed a written informed consent before entering the study For Part 2 - Patients with Psoriasis Clinical diagnosis of psoriasis for at least six months with multiple affected areas (excluding the face, scalp, genitals and groin) involving 2%-15% of the total Body Surface Area (BSA) 18-65 years old Male participants should be ≥ 50 kg, female participants should be ≥ 45 kg; BMI should be between 19 and 35 kg/m2 (inclusive) In good health, with no history of diseases of major organs and no BP, HR, ECG or respiratory abnormality on physical examination Adequate hepatic and renal function, as determined by clinical laboratory assessments of blood and urine Negative serum pregnancy test at Screening and negative urine pregnancy test at Day -1 for females of child bearing potential Negative screen for drugs of abuse, alcohol, HBsAg, HCV and HIV at screening; and negative drugs of abuse, alcohol pre dose on Day1 Women of child-bearing potential must agree to use adequate contraception prior to study entry, for the duration of study participation, and for 90 days following completion of therapy Have signed a written informed consent before entering the study Exclusion Criteria: For Part 1-Healthy Participants Any clinically significant central nervous system, cardiac, pulmonary, renal, gastrointestinal, respiratory, metabolic conditions (or history), or other pathological or physiological conditions that might interfere with the trial result History of postural hypotension Use of any topical agents (including non-medicated lotions such as sun screen, cosmetics, moisturizing lotion) at the administration site within a week before randomization History of serious skin diseases (as determined by the investigator); no presence of skin ulceration at the test area at the time of the Screening visit Current smoker, or a history of regular (more than weekly) use of tobacco- or nicotine-containing products within two months prior to screening History of excessive alcohol intake (more than four standard drinks daily, on average) or use of recreational drugs within the last three months For Part 2 - Patients with Psoriasis Any clinically significant central nervous system, cardiac, pulmonary, renal, gastrointestinal, respiratory, metabolic conditions (or history), or other pathological or physiological conditions that might interfere with the trial result History of postural hypotension Use of any topical agents (including non-medicated lotions such as sun screen, cosmetics, moisturizing lotion) at the administration site within a week before randomization History of serious skin diseases (as determined by the investigator); no presence of skin ulceration at the test area at the time of the Screening visit Excessive smoker(≥10 cigarettes per day), or a history of regular (more than weekly) use of tobacco- or nicotine-containing products within two months prior to screening History of excessive alcohol intake (more than four standard drinks daily, on average) or use of recreational drugs within the last three months
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Christopher J Wynne
Organizational Affiliation
Christchurch Clinical Studies Trust
Official's Role
Study Chair
Facility Information:
Facility Name
Christchurch Clinical Studies Trust
City
Christchurch
Country
New Zealand

12. IPD Sharing Statement

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Icotinib Hydrochloride Cream in Healthy Adults and Psoriasis Patients

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