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A Double Blind, Placebo-Controlled, Randomized Study in Subjects With Acne Vulgaris

Primary Purpose

Acne Vulgaris

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
B244
Placebo
Sponsored by
AOBiome LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acne Vulgaris

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male and female subjects ≥18 and ≤45 years of age
  2. In good general health as determined by a thorough medical history and physical examination, electrocardiogram (ECG), vital signs, and clinical laboratory evaluation. Results of clinical laboratory tests must be without clinically significant abnormalities, including hematology, clinical chemistry and urinalysis.
  3. Clinical diagnosis of facial acne vulgaris defined as:

    • ≥105 inflammatory lesions
    • ≥10 non-inflammatory lesions
    • IGA ≥2
  4. Willing to refrain from using any treatments, other than the investigational product, including antibiotics, for acne present on the face. Topical acne treatments that do not have significant or measurable systemic absorption (e.g., benzoyl peroxide, salicylic acid) are allowed for treatment of acne of the back, shoulders and chest only.
  5. Ability to comprehend and comply with procedures
  6. Agree to commit to participate in the current protocol
  7. Provide written informed consent prior to any study procedure being performed (all subjects should be able to understand the informed consent form and any other documents that subjects are required to read)

Exclusion Criteria:

  1. Female subjects who are pregnant or lactating or who are trying to conceive
  2. Female subjects with a positive urine β-human chorionic gonadotropin (β-hCG) test at screening or positive β-hCG urine at pre-dose
  3. Any clinically relevant abnormality identified on the screening history, physical or laboratory examinations, or any other medical condition or circumstance making the volunteer unsuitable for participation in the study
  4. Any skin condition which may interfere with the evaluation of safety or of acne vulgaris (e.g., rosacea; seborrheic dermatitis; perioral dermatitis; corticosteroid-induced acne or folliculitis)
  5. Use of tanning booths or excessive sun exposure, in the opinion of the investigator
  6. Active cystic acne or acne congoblata, acne fulminans, and secondary acne
  7. Two or more active nodular lesions
  8. Treatment with over-the-counter topical medications for the treatment of acne vulgaris including benzoyl peroxide, topical anti-inflammatory medications, corticosteroids, α-hydroxy/glycolic acid on the face within 2 weeks prior to baseline
  9. Treatment with systemic corticosteroids (including intranasal and inhaled corticosteroids) within 4 weeks prior to baseline
  10. Treatment with systemic antibiotics or systemic anti-acne drugs or systemic anti-inflammatory drugs within 4 weeks prior to baseline
  11. Prescription topical retinoid use on the face within 4 weeks of baseline (e.g., tretinoin, tazarotene, adapalene)
  12. Treatment with hormonal therapy or dose change to hormonal therapy within 12 weeks prior to baseline. Dose and frequency of use of any hormonal therapy started more than 12 weeks prior to baseline must remain unchanged throughout the study. Hormonal therapies include, but are not limited to, estrogenic and progestational agents such as birth control pills.
  13. Use of androgen receptor blockers (such as spironolactone or flutamide)
  14. Oral retinoid use (e.g., isotretinoin) within 12 months prior to baseline or vitamin A supplements greater than 10,000 units/day within 6 months of baseline
  15. Facial procedures (chemical or laser peel, microdermabrasion, etc.) within the 8 weeks of the first dose or during the study
  16. A positive urine drug screen for drugs of abuse, including alcohol or positive urine cotinine (≥300 ng/mL for cotinine) at the screening visit or at entry to the clinic (Note: urine cotinine required at screening visit only)
  17. Treatment with any investigational drug within 30 days or 5 half-lives (whichever is longer) prior to the beginning of the screening period (this includes investigational formulations of marketed products, inhaled and topical drugs)
  18. Hypersensitivity to B244 or its components
  19. Blood collection of greater than 500 mL within 56 days prior to screening
  20. Seropositive for human immunodeficiency virus (HIV) at screening
  21. Positive for Hepatitis B virus surface antigen (HBsAg) or positive Hepatitis C virus antibody (HCV Ab) at screening
  22. Any other condition and/or situation that causes the Investigator to deem a subject unsuitable for the study (e.g., due to expected study medication non-compliance, inability to medically tolerate the study procedures, or a subject's unwillingness to comply with study-related procedures)

Sites / Locations

  • Stephens Associates

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Dose I

Dose II

Dose III

Placebo

Arm Description

B244 Dose 1 (dose level [cells/mL] 20,000,000,000)

B244 Dose 2 (dose level [cells/mL] 40,000,000,000)

B244 Dose 3 (dose level [cells/mL] 80,000,000,000)

Placebo to Match B244

Outcomes

Primary Outcome Measures

Safety (Number of Participants With Treatment Related Adverse Events)
Number of participants with treatment related adverse events as assessed by physical examination, vital signs, clinical laboratory values, local skin responses

Secondary Outcome Measures

Efficacy
Absolute Change from Baseline in Total Number of Lesions

Full Information

First Posted
January 11, 2016
Last Updated
April 3, 2017
Sponsor
AOBiome LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02656485
Brief Title
A Double Blind, Placebo-Controlled, Randomized Study in Subjects With Acne Vulgaris
Official Title
A Double Blind, Placebo-Controlled, Single Center, Randomized, Sequential, Ascending 14-Day Multiple Dose Study in Subjects With Acne Vulgaris to Evaluate the Safety, Tolerability and Preliminary Efficacy of B244 Delivered as a Topical Spray
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
August 5, 2015 (Actual)
Primary Completion Date
March 1, 2016 (Actual)
Study Completion Date
July 15, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AOBiome LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a single center, randomized, double-blind, placebo-controlled study in subjects with acne vulgaris.
Detailed Description
After a screening visit and a one-week washout (if applicable), three sequential ascending doses of the study drug will be applied twice-daily (BID) for 14 days in three groups of subjects. Each group of subjects will be randomized to receive the planned doses of B244 or placebo BID

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acne Vulgaris

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose I
Arm Type
Experimental
Arm Description
B244 Dose 1 (dose level [cells/mL] 20,000,000,000)
Arm Title
Dose II
Arm Type
Experimental
Arm Description
B244 Dose 2 (dose level [cells/mL] 40,000,000,000)
Arm Title
Dose III
Arm Type
Experimental
Arm Description
B244 Dose 3 (dose level [cells/mL] 80,000,000,000)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo to Match B244
Intervention Type
Drug
Intervention Name(s)
B244
Intervention Description
10 pumps (1.4 ml) of spray must be applied BID twice a day to the entire face for 14 days
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
10 pumps (1.4 ml) of spray must be applied BID twice a day to the entire face for 14 days
Primary Outcome Measure Information:
Title
Safety (Number of Participants With Treatment Related Adverse Events)
Description
Number of participants with treatment related adverse events as assessed by physical examination, vital signs, clinical laboratory values, local skin responses
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Efficacy
Description
Absolute Change from Baseline in Total Number of Lesions
Time Frame
Baseline and 4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects ≥18 and ≤45 years of age In good general health as determined by a thorough medical history and physical examination, electrocardiogram (ECG), vital signs, and clinical laboratory evaluation. Results of clinical laboratory tests must be without clinically significant abnormalities, including hematology, clinical chemistry and urinalysis. Clinical diagnosis of facial acne vulgaris defined as: ≥105 inflammatory lesions ≥10 non-inflammatory lesions IGA ≥2 Willing to refrain from using any treatments, other than the investigational product, including antibiotics, for acne present on the face. Topical acne treatments that do not have significant or measurable systemic absorption (e.g., benzoyl peroxide, salicylic acid) are allowed for treatment of acne of the back, shoulders and chest only. Ability to comprehend and comply with procedures Agree to commit to participate in the current protocol Provide written informed consent prior to any study procedure being performed (all subjects should be able to understand the informed consent form and any other documents that subjects are required to read) Exclusion Criteria: Female subjects who are pregnant or lactating or who are trying to conceive Female subjects with a positive urine β-human chorionic gonadotropin (β-hCG) test at screening or positive β-hCG urine at pre-dose Any clinically relevant abnormality identified on the screening history, physical or laboratory examinations, or any other medical condition or circumstance making the volunteer unsuitable for participation in the study Any skin condition which may interfere with the evaluation of safety or of acne vulgaris (e.g., rosacea; seborrheic dermatitis; perioral dermatitis; corticosteroid-induced acne or folliculitis) Use of tanning booths or excessive sun exposure, in the opinion of the investigator Active cystic acne or acne congoblata, acne fulminans, and secondary acne Two or more active nodular lesions Treatment with over-the-counter topical medications for the treatment of acne vulgaris including benzoyl peroxide, topical anti-inflammatory medications, corticosteroids, α-hydroxy/glycolic acid on the face within 2 weeks prior to baseline Treatment with systemic corticosteroids (including intranasal and inhaled corticosteroids) within 4 weeks prior to baseline Treatment with systemic antibiotics or systemic anti-acne drugs or systemic anti-inflammatory drugs within 4 weeks prior to baseline Prescription topical retinoid use on the face within 4 weeks of baseline (e.g., tretinoin, tazarotene, adapalene) Treatment with hormonal therapy or dose change to hormonal therapy within 12 weeks prior to baseline. Dose and frequency of use of any hormonal therapy started more than 12 weeks prior to baseline must remain unchanged throughout the study. Hormonal therapies include, but are not limited to, estrogenic and progestational agents such as birth control pills. Use of androgen receptor blockers (such as spironolactone or flutamide) Oral retinoid use (e.g., isotretinoin) within 12 months prior to baseline or vitamin A supplements greater than 10,000 units/day within 6 months of baseline Facial procedures (chemical or laser peel, microdermabrasion, etc.) within the 8 weeks of the first dose or during the study A positive urine drug screen for drugs of abuse, including alcohol or positive urine cotinine (≥300 ng/mL for cotinine) at the screening visit or at entry to the clinic (Note: urine cotinine required at screening visit only) Treatment with any investigational drug within 30 days or 5 half-lives (whichever is longer) prior to the beginning of the screening period (this includes investigational formulations of marketed products, inhaled and topical drugs) Hypersensitivity to B244 or its components Blood collection of greater than 500 mL within 56 days prior to screening Seropositive for human immunodeficiency virus (HIV) at screening Positive for Hepatitis B virus surface antigen (HBsAg) or positive Hepatitis C virus antibody (HCV Ab) at screening Any other condition and/or situation that causes the Investigator to deem a subject unsuitable for the study (e.g., due to expected study medication non-compliance, inability to medically tolerate the study procedures, or a subject's unwillingness to comply with study-related procedures)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peter Hino, MD
Organizational Affiliation
Stephens Associates
Official's Role
Principal Investigator
Facility Information:
Facility Name
Stephens Associates
City
Richardson
State/Province
Texas
ZIP/Postal Code
75081
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Double Blind, Placebo-Controlled, Randomized Study in Subjects With Acne Vulgaris

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