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A Study of A-101 Solution in Subjects With Common Warts.

Primary Purpose

Common Warts

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
A-101 Solution 40
A-101 Solution 45
Vehicle Solution
Sponsored by
Aclaris Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Common Warts

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 common warts
  3. Subject has 1 appropriate Target Wart as defined below, on the trunk or extremities:

    • Have a longest axis that is 3mm to 10mm
    • Have a thickness ≤3mm
    • Be a discrete lesion
    • Be, when centered in the circular cutout of the provided template, the only common wart present
    • Not be periungual, subungual, genital or anal
    • Not be covered with hair which, in the Investigator's opinion, would interfere with the study medication treatments or the study evaluations Not be in an area that may be occluded (by clothing, footwear or within a skin fold).
  4. The Target Wart has a Physician Wart Assessment (PWA) ≥2
  5. If the subject is a woman of childbearing potential, she has a negative urine pregnancy test and agrees to use an approved effective method of birth control for the duration of the study
  6. Subject is non-pregnant and non-lactating
  7. Subject is in good general health and free of any known disease state or physical condition which, in the Investigator's opinion, might put the subject at undue risk by study participation or interfere with the study conduct or evaluations
  8. Subject is willing and able to follow all study instructions and to attend all study visits
  9. Subject is able to comprehend and willing to sign an Informed Consent Form.

Exclusion Criteria:

  1. Subject has clinically atypical warts on the trunk or extremities
  2. Subject is immune compromised (due to chemotherapy, systemic steroids, genetic immunodeficiency, transplant status, etc.)
  3. Subject has a history of Human Immunodeficiency Virus (HIV) infection
  4. Subject has had any Human Papilloma Virus (HPV) vaccine within 1 year prior to enrollment
  5. Subject has used any of the following intralesional therapies within the specified period prior to enrollment to the Target Wart:

    • Immunotherapy (Candida antigen, mumps antigen, Trichophyton antigen);
    • Anti-metabolite therapy (bleomycin, 5-fluorouracil)
  6. Subject has used any of the following systemic therapies within the specified period prior to enrollment:

    • Immunomodulatory/immunosuppressant therapy (e.g., etanercept, alefacept, infliximab);
    • Glucocortico-steroids (inhaled and intra-nasal steroids are permitted);
  7. Subject has used any of the following topical therapies within the specified period prior to enrollment on, or in a proximity to the Target Wart, which in the Investigator's opinion, might put the subject at undue risk by study participation or interfere with the study conduct or evaluations:

    - LASER (pulsed-dye laser), light (intense pulsed light, photo-dynamic therapy, other energy based therapy); Immuno-therapy ( imiquimod, squaric acid dibutyl ester, etc.); Anti-metabolite therapy (5-fluorouracil); Retinoids; Liquid nitrogen, electrodesiccation, curettage; Over-the-counter wart therapies

  8. Subject has had any of the following within the specified period prior to enrollment on, or in a proximity to the target lesion, which in the Investigator's opinion, might put the subject at undue risk by study participation or interfere with the study conduct or evaluations:

    • A cutaneous malignancy;
    • A pre-malignancy (actinic keratosis)
  9. Subject has a history of sensitivity to any of the ingredients in the study medications
  10. Subject has any current skin disease (psoriasis, atopic dermatitis, eczema, sun damage, etc.), skin condition (sunburn, open wounds) or other disease or condition (uncontrolled diabetes) which, in the Investigator's opinion, might put the subject at undue risk by study participation or interfere with the study conduct or evaluations
  11. Subject has participated in an investigational drug trial in which administration of an investigational study medication occurred within 30 days prior to enrollment.

Sites / Locations

  • Aclaris Therapeutics, Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

A-101 Solution 40

A-101 Solution 45

Vehicle Solution

Arm Description

A-101 Solution 40% administered once per week

A-101 Solution 45% administered once per week

Vehicle Solution administered once per week

Outcomes

Primary Outcome Measures

Efficacy Based on Mean Change in Physician Wart Assessment Over Time
The primary effectiveness will consist of the mean change from Visit 2 to Visit 10 in Physician Wart Assessment (PWA) performed using Analysis of Covariance (ANCOVA) with Visit 2 PWA as the covariate. Physician Wart Analysis is a measurement scale from 0 to 3 that evaluates the wart with 0 being clear and 3 being clinically diagnosable wart that is raised, with an obviously rough surface.

Secondary Outcome Measures

Durability of Response - Percentage of Participants That Were Clear at Visit 10 That Are Still Clear at Visit 13
Percentage of subjects whose target wart was clear at Visit 10 and who remained clear at Visit 13 for active treatment groups
PWA Responder
The percentage of participants who were responders with the target wart judged to be clear (PWA = 0) at Visit 10.

Full Information

First Posted
January 28, 2016
Last Updated
November 12, 2018
Sponsor
Aclaris Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02669862
Brief Title
A Study of A-101 Solution in Subjects With Common Warts.
Official Title
A Randomized, Double-Blind, Vehicle-Controlled, Parallel Group Study of A-101 Solution in Subjects With Common Warts.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
December 21, 2015 (undefined)
Primary Completion Date
September 16, 2016 (Actual)
Study Completion Date
September 16, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Aclaris Therapeutics, Inc.

4. Oversight

5. Study Description

Brief Summary
This is a randomized, double-blind, vehicle-controlled, parallel-group study with 3 treatment groups.
Detailed Description
This is a randomized, double-blind, vehicle-controlled, parallel-group study with 3 treatment groups. During Visit 1, the Investigator will identify 1 eligible common wart on the trunk or extremities on each subject. The wart will be treated up to a maximum of 8 times at 1 week intervals during the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Common Warts

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
A-101 Solution 40
Arm Type
Experimental
Arm Description
A-101 Solution 40% administered once per week
Arm Title
A-101 Solution 45
Arm Type
Experimental
Arm Description
A-101 Solution 45% administered once per week
Arm Title
Vehicle Solution
Arm Type
Placebo Comparator
Arm Description
Vehicle Solution administered once per week
Intervention Type
Drug
Intervention Name(s)
A-101 Solution 40
Intervention Type
Drug
Intervention Name(s)
A-101 Solution 45
Intervention Type
Drug
Intervention Name(s)
Vehicle Solution
Primary Outcome Measure Information:
Title
Efficacy Based on Mean Change in Physician Wart Assessment Over Time
Description
The primary effectiveness will consist of the mean change from Visit 2 to Visit 10 in Physician Wart Assessment (PWA) performed using Analysis of Covariance (ANCOVA) with Visit 2 PWA as the covariate. Physician Wart Analysis is a measurement scale from 0 to 3 that evaluates the wart with 0 being clear and 3 being clinically diagnosable wart that is raised, with an obviously rough surface.
Time Frame
57 Days
Secondary Outcome Measure Information:
Title
Durability of Response - Percentage of Participants That Were Clear at Visit 10 That Are Still Clear at Visit 13
Description
Percentage of subjects whose target wart was clear at Visit 10 and who remained clear at Visit 13 for active treatment groups
Time Frame
visit 10 to visit 13
Title
PWA Responder
Description
The percentage of participants who were responders with the target wart judged to be clear (PWA = 0) at Visit 10.
Time Frame
Day 57

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 common warts Subject has 1 appropriate Target Wart as defined below, on the trunk or extremities: Have a longest axis that is 3mm to 10mm Have a thickness ≤3mm Be a discrete lesion Be, when centered in the circular cutout of the provided template, the only common wart present Not be periungual, subungual, genital or anal Not be covered with hair which, in the Investigator's opinion, would interfere with the study medication treatments or the study evaluations Not be in an area that may be occluded (by clothing, footwear or within a skin fold). The Target Wart has a Physician Wart Assessment (PWA) ≥2 If the subject is a woman of childbearing potential, she has a negative urine pregnancy test and agrees to use an approved effective method 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 put the subject at undue risk by study participation or interfere with the study conduct or evaluations 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. Exclusion Criteria: Subject has clinically atypical warts on the trunk or extremities Subject is immune compromised (due to chemotherapy, systemic steroids, genetic immunodeficiency, transplant status, etc.) Subject has a history of Human Immunodeficiency Virus (HIV) infection Subject has had any Human Papilloma Virus (HPV) vaccine within 1 year prior to enrollment Subject has used any of the following intralesional therapies within the specified period prior to enrollment to the Target Wart: Immunotherapy (Candida antigen, mumps antigen, Trichophyton antigen); Anti-metabolite therapy (bleomycin, 5-fluorouracil) Subject has used any of the following systemic therapies within the specified period prior to enrollment: Immunomodulatory/immunosuppressant therapy (e.g., etanercept, alefacept, infliximab); Glucocortico-steroids (inhaled and intra-nasal steroids are permitted); Subject has used any of the following topical therapies within the specified period prior to enrollment on, or in a proximity to the Target Wart, which in the Investigator's opinion, might put the subject at undue risk by study participation or interfere with the study conduct or evaluations: - LASER (pulsed-dye laser), light (intense pulsed light, photo-dynamic therapy, other energy based therapy); Immuno-therapy ( imiquimod, squaric acid dibutyl ester, etc.); Anti-metabolite therapy (5-fluorouracil); Retinoids; Liquid nitrogen, electrodesiccation, curettage; Over-the-counter wart therapies Subject has had any of the following within the specified period prior to enrollment on, or in a proximity to the target lesion, which in the Investigator's opinion, might put the subject at undue risk by study participation or interfere with the study conduct or evaluations: A cutaneous malignancy; A pre-malignancy (actinic keratosis) Subject has a history of sensitivity to any of the ingredients in the study medications Subject has any current skin disease (psoriasis, atopic dermatitis, eczema, sun damage, etc.), skin condition (sunburn, open wounds) or other disease or condition (uncontrolled diabetes) which, in the Investigator's opinion, 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 enrollment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stuart D Shanler, MD
Organizational Affiliation
Aclaris Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Aclaris Therapeutics, Inc.
City
Wayne
State/Province
Pennsylvania
ZIP/Postal Code
19087
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Study of A-101 Solution in Subjects With Common Warts.

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