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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
Citius Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hemorrhoids

Eligibility Criteria

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

Inclusion Criteria:

  1. 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.
  2. Subject has provided written and verbal informed consent.
  3. Subject presents to the clinic with clinically confirmed symptomatic Grade I or II hemorrhoids (GSDS ≥ 2).
  4. Subject is willing and able to comply with study instructions and return to the clinic for required visits.

Exclusion Criteria:

  1. Subject is female and lactating or planning to become pregnant during the study.
  2. 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.
  3. Subject has a history of previous proctological surgery or has active inflammatory bowel disease.
  4. Subject may use stool softeners, but shall be on a stable regimen for at least 28 days prior to enrolling in the study.
  5. 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.
  6. Subject has a current history of an uncorrected coagulation defect or concurrently uses anticoagulants (except aspirin or non-steroidals).
  7. 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.
  8. Subject has known hypersensitivity or previous allergic reaction to any of the active or inactive components of the test articles.
  9. 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.
  10. Subject is unable to communicate or cooperate with the Investigator due to language problems, poor mental development, impaired cerebral function or physical limitations.
  11. 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.
  12. Subject is currently enrolled in an investigational drug or device study.
  13. 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

    First Posted
    February 17, 2016
    Last Updated
    February 23, 2016
    Sponsor
    Citius Pharmaceuticals, Inc.
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    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

    Learn more about this trial

    Safety and Efficacy of Hydrocortisone and Lidocaine Treatment of Grade I and II Hemorrhoids

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