Safety and Efficacy of Hydrocortisone and Lidocaine Treatment of Grade I and II Hemorrhoids (Hydro/Lido)
Primary Purpose
Hemorrhoids
Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Hydrocortisone acetate and lidocaine hydrochloride
Placebo control
Hydrocortisone acetate
Lidocaine hydrochloride
Sponsored by
About this trial
This is an interventional treatment trial for Hemorrhoids
Eligibility Criteria
Inclusion Criteria:
- Subject is male or non-pregnant female 18 years of age or older, in generally good health. Females must be post-menopausal, surgically sterile or have a negative urine pregnancy test (UPT) at the Baseline Visit and agree to use birth control during the study.
- Subject has provided written and verbal informed consent.
- Subject presents to the clinic with clinically confirmed symptomatic Grade I or II hemorrhoids (GSDS ≥ 2).
- Subject is willing and able to comply with study instructions and return to the clinic for required visits.
Exclusion Criteria:
- Subject is female and lactating or planning to become pregnant during the study.
- Subject has anorectal condition(s) such as malignant tumors of the anus or rectum, fistula-in-ano or chronic sepsis, fissure-in-ano, incontinence, condylomata and Grade III and IV hemorrhoids.
- Subject has a history of previous proctological surgery or has active inflammatory bowel disease.
- Subject may use stool softeners, but shall be on a stable regimen for at least 28 days prior to enrolling in the study.
Subject used the following systemic, oral or topical therapies for the periods specified prior to entry into the study:
- Within 1 day: Topicals of any kind to the rectal/peri-rectal area.
- Within 1 week: Over the counter (OTC) or prescription treatments labeled or intended for the treatment of hemorrhoids or that could have a significant effect in the opinion of the investigator including but not limited to steroids, OTC and prescription hemorrhoid products, among others.
- Subject has a current history of an uncorrected coagulation defect or concurrently uses anticoagulants (except aspirin or non-steroidals).
- Subject has any skin pathology or condition that could interfere with the evaluation of the test products or requires the use of interfering topical, systemic or surgical therapy.
- Subject has known hypersensitivity or previous allergic reaction to any of the active or inactive components of the test articles.
- Subject has any condition which, in the Investigator's opinion, would make it unsafe or preclude the subject's ability to fully participate in this research study.
- Subject is unable to communicate or cooperate with the Investigator due to language problems, poor mental development, impaired cerebral function or physical limitations.
- Subject may be unreliable for the study including subjects who engage in excessive alcohol intake or drug abuse, or subjects who are unable to return for scheduled follow-up visits.
- Subject is currently enrolled in an investigational drug or device study.
- Subject has received an investigational drug or has been treated with an investigational device within 30 days prior to the initiation of treatment (Baseline).
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm Type
Placebo Comparator
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Arm Label
Vehicle cream
3% hydrocortisone
0.5% hydrocortisone
5% lidocaine
1% lidocaine
3% Hydro 5% Lido
0.5% Hydro 1% Lido
Arm Description
Placebo control base cream
3% Hydrocortisone acetate cream
0.5% Hydrocortisone acetate cream
5% Lidocaine hydrochloride cream
1% Lidocaine hydrochloride cream
Hydrocortisone acetate and lidocaine hydrochloride at 3% and 5% cream
Hydrocortisone acetate and lidocaine hydrochloride at 0.5% and 1% cream
Outcomes
Primary Outcome Measures
Global score of disease severity
A measure overall discomfort on a scale of 0 to 5
Secondary Outcome Measures
Individual signs and symptoms
Has the subject received relief of pain, itching, bleeding or other reported symptoms evaluated on a scale of 0 to 5.
Onset of relief of symptoms
How fast does the subject feel relief of symptoms measured in time after application of the drug.
Recurrence of symptoms
When do the symptoms return measured in time after application of the drug.
Severity and frequency of adverse events
Assessment of severity and frequency of adverse events.
Laboratory assessment
Assessment of changes in blood chemistry, hematology and urinalysis at day 14 compared to baseline.
Electrocardiography
Assessment of changes in ECG parameters at day 14 compared to baseline.
Full Information
NCT ID
NCT02689856
First Posted
February 17, 2016
Last Updated
February 23, 2016
Sponsor
Citius Pharmaceuticals, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT02689856
Brief Title
Safety and Efficacy of Hydrocortisone and Lidocaine Treatment of Grade I and II Hemorrhoids
Acronym
Hydro/Lido
Official Title
A Randomized, Dose-Ranging, Double Blind Study of Lidocaine Hydrochloride and/or Hydrocortisone Acetate (Alone or in Combination) in the 14-Day Twice-Daily Treatment of Grade I or II Hemorrhoids
Study Type
Interventional
2. Study Status
Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
May 2015 (undefined)
Primary Completion Date
September 2015 (Actual)
Study Completion Date
October 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Citius Pharmaceuticals, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The objectives of this study are to assess the potential contribution of lidocaine hydrochloride or hydrocortisone acetate, alone or in combination, in topical cream preparations in the treatment of Grade I or II hemorrhoids and to demonstrate the safety and efficacy of the test articles when applied twice daily for 14 days in subjects with Grade I or II hemorrhoids. These products reflect common drug combinations of lidocaine hydrochloride or hydrocortisone acetate found in many prescription hemorrhoid products.
Detailed Description
This is a multi-center, randomized, double-blind, parallel group comparison study in approximately 196 enrolled subjects (~28 subjects/test article) at approximately eight (8) sites. A minimum of 147 patients will be enrolled. Up to an additional 56 subjects (up to 196 subjects) may be enrolled based on enrollment rates and availability of patients. Enrollment status reports will be periodically generated, and based on enrollment experience, additional randomization blocks will be assigned to sites with the potential to enroll additional subjects over a reasonable period of time.
Male and female subjects, ages 18 years and older, with a clinical diagnosis of symptomatic Grade I or Grade II hemorrhoids will be randomized to treatment with one of seven (7) test articles (1:1 for all groups):
Vehicle Cream
3% Hydrocortisone Acetate Cream
0.5% Hydrocortisone Acetate Cream
5% Lidocaine Hydrochloride Cream
1% Lidocaine Hydrochloride Cream
3% Hydrocortisone Acetate Cream and 5% Lidocaine Hydrochloride Cream
0.5% Hydrocortisone Acetate Cream and 1% Lidocaine Hydrochloride Cream
The test articles will be applied twice daily for two (2) weeks (14 days) to the peri-rectal area as well as the distal aspect of the anal canal using the product applicator tip.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hemorrhoids
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
211 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Vehicle cream
Arm Type
Placebo Comparator
Arm Description
Placebo control base cream
Arm Title
3% hydrocortisone
Arm Type
Experimental
Arm Description
3% Hydrocortisone acetate cream
Arm Title
0.5% hydrocortisone
Arm Type
Experimental
Arm Description
0.5% Hydrocortisone acetate cream
Arm Title
5% lidocaine
Arm Type
Experimental
Arm Description
5% Lidocaine hydrochloride cream
Arm Title
1% lidocaine
Arm Type
Experimental
Arm Description
1% Lidocaine hydrochloride cream
Arm Title
3% Hydro 5% Lido
Arm Type
Experimental
Arm Description
Hydrocortisone acetate and lidocaine hydrochloride at 3% and 5% cream
Arm Title
0.5% Hydro 1% Lido
Arm Type
Experimental
Arm Description
Hydrocortisone acetate and lidocaine hydrochloride at 0.5% and 1% cream
Intervention Type
Drug
Intervention Name(s)
Hydrocortisone acetate and lidocaine hydrochloride
Intervention Description
Hydrocortisone and lidocaine in combination
Intervention Type
Drug
Intervention Name(s)
Placebo control
Intervention Description
Vehicle cream alone
Intervention Type
Drug
Intervention Name(s)
Hydrocortisone acetate
Intervention Description
hydrocortisone alone
Intervention Type
Drug
Intervention Name(s)
Lidocaine hydrochloride
Intervention Description
lidocaine alone
Primary Outcome Measure Information:
Title
Global score of disease severity
Description
A measure overall discomfort on a scale of 0 to 5
Time Frame
up to 14 days
Secondary Outcome Measure Information:
Title
Individual signs and symptoms
Description
Has the subject received relief of pain, itching, bleeding or other reported symptoms evaluated on a scale of 0 to 5.
Time Frame
up to 14 days
Title
Onset of relief of symptoms
Description
How fast does the subject feel relief of symptoms measured in time after application of the drug.
Time Frame
4 hours following product administration
Title
Recurrence of symptoms
Description
When do the symptoms return measured in time after application of the drug.
Time Frame
4 hours following product administration
Title
Severity and frequency of adverse events
Description
Assessment of severity and frequency of adverse events.
Time Frame
14 days
Title
Laboratory assessment
Description
Assessment of changes in blood chemistry, hematology and urinalysis at day 14 compared to baseline.
Time Frame
14 days
Title
Electrocardiography
Description
Assessment of changes in ECG parameters at day 14 compared to baseline.
Time Frame
14 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subject is male or non-pregnant female 18 years of age or older, in generally good health. Females must be post-menopausal, surgically sterile or have a negative urine pregnancy test (UPT) at the Baseline Visit and agree to use birth control during the study.
Subject has provided written and verbal informed consent.
Subject presents to the clinic with clinically confirmed symptomatic Grade I or II hemorrhoids (GSDS ≥ 2).
Subject is willing and able to comply with study instructions and return to the clinic for required visits.
Exclusion Criteria:
Subject is female and lactating or planning to become pregnant during the study.
Subject has anorectal condition(s) such as malignant tumors of the anus or rectum, fistula-in-ano or chronic sepsis, fissure-in-ano, incontinence, condylomata and Grade III and IV hemorrhoids.
Subject has a history of previous proctological surgery or has active inflammatory bowel disease.
Subject may use stool softeners, but shall be on a stable regimen for at least 28 days prior to enrolling in the study.
Subject used the following systemic, oral or topical therapies for the periods specified prior to entry into the study:
Within 1 day: Topicals of any kind to the rectal/peri-rectal area.
Within 1 week: Over the counter (OTC) or prescription treatments labeled or intended for the treatment of hemorrhoids or that could have a significant effect in the opinion of the investigator including but not limited to steroids, OTC and prescription hemorrhoid products, among others.
Subject has a current history of an uncorrected coagulation defect or concurrently uses anticoagulants (except aspirin or non-steroidals).
Subject has any skin pathology or condition that could interfere with the evaluation of the test products or requires the use of interfering topical, systemic or surgical therapy.
Subject has known hypersensitivity or previous allergic reaction to any of the active or inactive components of the test articles.
Subject has any condition which, in the Investigator's opinion, would make it unsafe or preclude the subject's ability to fully participate in this research study.
Subject is unable to communicate or cooperate with the Investigator due to language problems, poor mental development, impaired cerebral function or physical limitations.
Subject may be unreliable for the study including subjects who engage in excessive alcohol intake or drug abuse, or subjects who are unable to return for scheduled follow-up visits.
Subject is currently enrolled in an investigational drug or device study.
Subject has received an investigational drug or has been treated with an investigational device within 30 days prior to the initiation of treatment (Baseline).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alan S. Lader, Ph.D.
Organizational Affiliation
Citius Pharmaceuticals
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
No
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Safety and Efficacy of Hydrocortisone and Lidocaine Treatment of Grade I and II Hemorrhoids
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