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Pharmacodynamics, Safety/Tolerability and Efficacy of Topical Omiganan in Patients With uVIN

Primary Purpose

Usual Type Vulval Intraepithelial Neoplasia (uVIN)

Status
Completed
Phase
Phase 2
Locations
Netherlands
Study Type
Interventional
Intervention
Omiganan (CLS001) topical gel
Vehicle topical gel
Sponsored by
Maruho Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Usual Type Vulval Intraepithelial Neoplasia (uVIN)

Eligibility Criteria

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

Inclusion Criteria:

  1. Women ≥ 18 years
  2. Biopsy proven uVIN, biopsies to have been taken within the last three months
  3. Written informed consent to participate in the trial
  4. At least one lesion that can be accurately measured (using RECIST criteria)

    • in at least one dimension with longest diameter ≥ 20mm
    • OR in two perpendicular dimensions that when multiplied together give a surface area of ≥ 120mm2 (e.g. 15mm x 8mm or 12mm x 10mm)
    • This is to ensure that 4x4mm biopsies can be performed on this lesion.

Exclusion Criteria:

  1. Has any concomitant disease or significant medical conditions that would, in the opinion of the Investigator, potentially compromise the safety or compliance of the patient or may preclude the patient's successful completion of the clinical trial.
  2. Clinically significant abnormalities, as judged by the Investigator, in laboratory test results (including hepatic and renal panels, complete blood count, chemistry panel and urinalysis) or ECG. In the case of uncertain or questionable results, tests performed during screening may be repeated before randomization to confirm eligibility or judged to be clinically irrelevant for healthy subjects.
  3. Indication of a current active infectious disease of the vulva, other than HPV
  4. Pregnant, breast feeding or trying to conceive
  5. Active treatment for uVIN (i.e. surgical excision, lasertherapy, imiquimod, photodynamic therapy) within the previous month
  6. Patients receiving immunosuppressive therapy
  7. HIV positive or transplant patients
  8. Any condition that in the opinion of the investigator could interfere with the conduct of the study

Sites / Locations

  • LUMC/Centre for Human Drug Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Omiganan (CLS001)

Vehicle

Arm Description

CLS001 topical gel, 2.5%

Vehicle topical gel

Outcomes

Primary Outcome Measures

Pharmacodynamics (HPV Viral Load Assessment)
Assessment of target lesions by quantitative PCR including HPV genotyping in swabs and biopsies
Pharmacodynamics (Local Immunity Status)
Histological changes in immune cells in the mucosa/submucosa
Clinical Assessment (Lesions by RECIST)
Efficacy assessment of lesions by RECIST
Clinical Assessment (Percent clearance of Lesions)
Efficacy assessment of percent clearance of lesions
Clinical Assessment (Sum of the longest diameter (SLD))
Efficacy assessment of the sum of the longest diameter (SLD))
Clinical Assessment (Histology)
Efficacy assessment of the histology (regression of uVIN to no dysplasia)

Secondary Outcome Measures

Safety and Tolerability (Adverse Events)
Adverse Events will be collected throughout the study
Safety and Tolerability (Laboratory Safety Testing)
Laboratory Samples will be collected throughout the study
Safety and Tolerability (12-Lead ECGs)
12-Lead ECGs will be performed throughout the study
Safety and Tolerability (Vital Signs)
Vital Signs will be collected throughout the study
Pharmacokinetics (Area Under the Curve)
AUC will be computed
Pharmacokinetics (Maximum Plasma Concentration)
Cmax will be determined
Pharmacokinetics (Tmax)
Tmax will be determined

Full Information

First Posted
October 29, 2015
Last Updated
August 1, 2017
Sponsor
Maruho Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02596074
Brief Title
Pharmacodynamics, Safety/Tolerability and Efficacy of Topical Omiganan in Patients With uVIN
Official Title
A Phase 2, Randomized, Double-Blind, Parallel-Group Study to Assess the Pharmacodynamics, Safety/Tolerability and Efficacy of Topical Omiganan in Patients With Usual Type Vulvar Intraepithelial Neoplasia
Study Type
Interventional

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
Completed
Study Start Date
November 2015 (undefined)
Primary Completion Date
March 7, 2017 (Actual)
Study Completion Date
July 4, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Maruho Co., Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To assess the pharmacodynamics, safety/tolerability and efficacy of topical Omiganan (CLS001) in patients with usual type vulvar intraepithelial neoplasia (uVIN).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Usual Type Vulval Intraepithelial Neoplasia (uVIN)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Omiganan (CLS001)
Arm Type
Experimental
Arm Description
CLS001 topical gel, 2.5%
Arm Title
Vehicle
Arm Type
Placebo Comparator
Arm Description
Vehicle topical gel
Intervention Type
Drug
Intervention Name(s)
Omiganan (CLS001) topical gel
Intervention Type
Drug
Intervention Name(s)
Vehicle topical gel
Primary Outcome Measure Information:
Title
Pharmacodynamics (HPV Viral Load Assessment)
Description
Assessment of target lesions by quantitative PCR including HPV genotyping in swabs and biopsies
Time Frame
24 Weeks
Title
Pharmacodynamics (Local Immunity Status)
Description
Histological changes in immune cells in the mucosa/submucosa
Time Frame
24 Weeks
Title
Clinical Assessment (Lesions by RECIST)
Description
Efficacy assessment of lesions by RECIST
Time Frame
24 Weeks
Title
Clinical Assessment (Percent clearance of Lesions)
Description
Efficacy assessment of percent clearance of lesions
Time Frame
24 Weeks
Title
Clinical Assessment (Sum of the longest diameter (SLD))
Description
Efficacy assessment of the sum of the longest diameter (SLD))
Time Frame
24 Weeks
Title
Clinical Assessment (Histology)
Description
Efficacy assessment of the histology (regression of uVIN to no dysplasia)
Time Frame
24 Weeks
Secondary Outcome Measure Information:
Title
Safety and Tolerability (Adverse Events)
Description
Adverse Events will be collected throughout the study
Time Frame
48 Weeks
Title
Safety and Tolerability (Laboratory Safety Testing)
Description
Laboratory Samples will be collected throughout the study
Time Frame
48 Weeks
Title
Safety and Tolerability (12-Lead ECGs)
Description
12-Lead ECGs will be performed throughout the study
Time Frame
48 Weeks
Title
Safety and Tolerability (Vital Signs)
Description
Vital Signs will be collected throughout the study
Time Frame
48 Weeks
Title
Pharmacokinetics (Area Under the Curve)
Description
AUC will be computed
Time Frame
12 Weeks
Title
Pharmacokinetics (Maximum Plasma Concentration)
Description
Cmax will be determined
Time Frame
12 Weeks
Title
Pharmacokinetics (Tmax)
Description
Tmax will be determined
Time Frame
12 Weeks

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Women ≥ 18 years Biopsy proven uVIN, biopsies to have been taken within the last three months Written informed consent to participate in the trial At least one lesion that can be accurately measured (using RECIST criteria) in at least one dimension with longest diameter ≥ 20mm OR in two perpendicular dimensions that when multiplied together give a surface area of ≥ 120mm2 (e.g. 15mm x 8mm or 12mm x 10mm) This is to ensure that 4x4mm biopsies can be performed on this lesion. Exclusion Criteria: Has any concomitant disease or significant medical conditions that would, in the opinion of the Investigator, potentially compromise the safety or compliance of the patient or may preclude the patient's successful completion of the clinical trial. Clinically significant abnormalities, as judged by the Investigator, in laboratory test results (including hepatic and renal panels, complete blood count, chemistry panel and urinalysis) or ECG. In the case of uncertain or questionable results, tests performed during screening may be repeated before randomization to confirm eligibility or judged to be clinically irrelevant for healthy subjects. Indication of a current active infectious disease of the vulva, other than HPV Pregnant, breast feeding or trying to conceive Active treatment for uVIN (i.e. surgical excision, lasertherapy, imiquimod, photodynamic therapy) within the previous month Patients receiving immunosuppressive therapy HIV positive or transplant patients Any condition that in the opinion of the investigator could interfere with the conduct of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
J. (Koos) Burggraaf, MD, PhD
Organizational Affiliation
Centre for Human Drug Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
LUMC/Centre for Human Drug Research
City
Leiden
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
31755993
Citation
Rijsbergen M, Rijneveld R, Todd M, Feiss GL, Kouwenhoven STP, Quint KD, van Alewijk DCJG, de Koning MNC, Klaassen ES, Burggraaf J, Rissmann R, van Poelgeest MIE. Results of phase 2 trials exploring the safety and efficacy of omiganan in patients with human papillomavirus-induced genital lesions. Br J Clin Pharmacol. 2020 Nov;86(11):2133-2143. doi: 10.1111/bcp.14181. Epub 2020 Sep 28.
Results Reference
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Pharmacodynamics, Safety/Tolerability and Efficacy of Topical Omiganan in Patients With uVIN

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