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Icotinib Hydrochloride Cream in Patients With Mild to Moderate Psoriasis

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
0.5% Icotinib hydrochloride cream
1.0% Icotinib hydrochloride cream
2.0% Icotinib hydrochloride cream
4.0% Icotinib hydrochloride cream
Placebo
Sponsored by
Betta Pharmaceuticals Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis focused on measuring EGFR inhibitor, topical agent, psoriasis, phase 1

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Clinical diagnosis of plaque psoriasis for at least six months with multiple treatable area (i.e. the lesion should not only on the face, scalp, genitals or skinfolds) of plaque psoriasis covering less than 10% of the total Body Surface Area (BSA), affected area on the limb and/or trunk≥ 1% BSA. A Target Plaque Area (TPA)≥9 cm2, with a Target Plaque Severity Score(TPSS)≥ 5, and induration subscore≥2.
  • Male participants should be ≥ 50 kg, female participants should be ≥ 45 kg; BMI should be between 19 and 28 kg/m2 (inclusive)
  • In good health, with no history of diseases of major organs and no abnormality found on physical examination and vital signs
  • Non-allergic, with no known history of drug allergy
  • Men and women of childbearing potential must agree to use a contraceptive regimen agreed by the doctor during the trial. Female subjects that are on hormonal contraceptives must continue using the same hormonal contraceptive as that was used in the past 3 months, with the same route of administration and the same dose during the study
  • Have signed a written informed consent before entering the study

Exclusion Criteria:

  • Psoriasis guttata, psoriasis punctata, erythrodermic psoriasis, pustular psoriasis, psoriasis arthritis
  • Any dermatological disease that might interfere psoriasis clinical evaluation or bring the subject in danger, or have other serious dermatological disease other than psoriasis.
  • Have received underlying treatments before entering the trial:

Topical anti-psoriasis treatment in 2 weeks, e.g. corticosteroids, retinoids acid, anthranol, tars, keratolytics. Vitamin D analogues or local immune regulator treatment in 4 weeks; Emollient or cosmetics in 24 hours; Any psoriasis vaccine, or have participated in any psoriasis vaccine trial; Biologics treatment in 12 weeks, e.g. Alefacept, Etanercept, Infliximab, Adalimumab, Ustekinumab, Efalizumab; Any phototherapy or systemic treatment in 4 weeks, e.g. corticosteroids, methotrexate, retinoids acids, ciclosporin; Long time exposure to natural light or artificial UV, or will have such exposure; Use of drug known to harm certain organ in 12 weeks; Participated in any clinical trial in 4 weeks, or have plan to participate any trial during treatment period;

  • Any clinically significant central nervous, cardiac, hepatic, renal, gastrointestinal, respiratory, metabolic or musculoskeletal system disease history, or other pathological/physiological condition that might disrupt the trial result
  • Alanine transaminase(ALT), aspartate aminotransferase (AST), total bilirubin>1.5 Upper Limit Normal (ULN), creatinine>ULN
  • History of postural hypotension, or allergic diseases (asthma, urticaria, atopic dermatitis or rhinitis)
  • Pulmonary disease demonstrated by chest X-ray examination
  • Physically or mentally disabled
  • Positive for Hepatitis B Surface Antigen (HBsAg), hepatitis C or anti-HIV test
  • Know allergic to active ingredient or excipient of the investigational product
  • Excessive smoker(>10 cigarettes per day), or excessive alcohol intake (>15g absolute alcohol per day, equal to 450ml beer, 150ml wine or 50ml low-alcohol Chinese liquor)
  • Excessive drinking of tea, coffee or caffein-containing beverage (>8 glasses per day)
  • Drug abuser
  • Poor compliance
  • Under gestation or lactation period
  • Other subject that in the investigator's opinion unsuitable to be enrolled

Sites / Locations

  • The Second Affiliated hospital of Zhejiang University School of Medicine

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Cohort 1-Experimental

Cohort 1-Placebo

Cohort 2-Experimental

Cohort 2-Placebo

Cohort 3-Experimental

Cohort 3-Placebo

Cohort 4-Experimental

Cohort 4-Placebo

Arm Description

8 patients with mild to moderate psoriasis will be randomized to receive 0.5% Icotinib hydrochloride cream, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.

2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.

8 patients with mild to moderate psoriasis will be randomized to receive 1.0% Icotinib hydrochloride cream, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.

2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.

8 patients with mild to moderate psoriasis will be randomized to receive 2.0% Icotinib hydrochloride cream, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.

2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.

8 patients with mild to moderate psoriasis will be randomized to receive 4.0% Icotinib hydrochloride cream, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.

2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.

Outcomes

Primary Outcome Measures

Safety in patients with mild to moderate psoriasis
Incidence and severity of Adverse Events (AE), Physical Examinations, Vital signs (temperature, Heart Rate (HR), BP and respiration); Clinical laboratory assessments (serum chemistry, hematology, C-reactive protein , fecal and urinalysis); ECG;

Secondary Outcome Measures

Tolerance-related skin reactions in patients with mild to moderate psoriasis at the treatment site
Skin irritation and allergy observation (including redness, swelling,rash, itching, pain) recorded by grades

Full Information

First Posted
June 11, 2016
Last Updated
July 12, 2017
Sponsor
Betta Pharmaceuticals Co., Ltd.
Collaborators
Tigermed Consulting Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT02801435
Brief Title
Icotinib Hydrochloride Cream in Patients With Mild to Moderate Psoriasis
Official Title
A Single-Center, Randomized, Double-blind, Placebo-Controlled Study to Evaluate Safety, Tolerability and Pharmacokinetics of Icotinib Hydrochloride Cream in Patients With Mild to Moderate Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
September 17, 2016 (Actual)
Primary Completion Date
June 8, 2017 (Actual)
Study Completion Date
June 8, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Betta Pharmaceuticals Co., Ltd.
Collaborators
Tigermed Consulting Co., Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase I study to evaluate the safety, tolerability and pharmacokinetics of Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis.
Detailed Description
Icotinib Hydrochloride is a small-molecule epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor, which has been approved for the treatment of advanced nonsmall- cell lung cancer (NSCLC) in China in its oral form. As EGFR is implicated in the pathogenesis of psoriasis, icotinib hydrochloride is being developed as a cream for the treatment of mild to moderate psoriasis. This is a single-center, randomized, doubleblind, placebo-controlled study of 0.5%, 1.0%, 2.0%, 4.0% icotinib hydrochloride cream by topical administration. Icotinib hydrochloride cream will be applied to subjects with mild to moderate psoriasis. Approximately 40 subjects will be enrolled.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis
Keywords
EGFR inhibitor, topical agent, psoriasis, phase 1

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Cohort 1-Experimental
Arm Type
Experimental
Arm Description
8 patients with mild to moderate psoriasis will be randomized to receive 0.5% Icotinib hydrochloride cream, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.
Arm Title
Cohort 1-Placebo
Arm Type
Placebo Comparator
Arm Description
2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.
Arm Title
Cohort 2-Experimental
Arm Type
Experimental
Arm Description
8 patients with mild to moderate psoriasis will be randomized to receive 1.0% Icotinib hydrochloride cream, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.
Arm Title
Cohort 2-Placebo
Arm Type
Placebo Comparator
Arm Description
2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.
Arm Title
Cohort 3-Experimental
Arm Type
Experimental
Arm Description
8 patients with mild to moderate psoriasis will be randomized to receive 2.0% Icotinib hydrochloride cream, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.
Arm Title
Cohort 3-Placebo
Arm Type
Placebo Comparator
Arm Description
2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.
Arm Title
Cohort 4-Experimental
Arm Type
Experimental
Arm Description
8 patients with mild to moderate psoriasis will be randomized to receive 4.0% Icotinib hydrochloride cream, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.
Arm Title
Cohort 4-Placebo
Arm Type
Placebo Comparator
Arm Description
2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 4 consecutive weeks. The drug will be applied topically to the psoriasis site.
Intervention Type
Drug
Intervention Name(s)
0.5% Icotinib hydrochloride cream
Other Intervention Name(s)
no other name
Intervention Description
Topical administration for twice daily
Intervention Type
Drug
Intervention Name(s)
1.0% Icotinib hydrochloride cream
Other Intervention Name(s)
no other name
Intervention Description
Topical administration for twice daily
Intervention Type
Drug
Intervention Name(s)
2.0% Icotinib hydrochloride cream
Other Intervention Name(s)
no other name
Intervention Description
Topical administration for twice daily
Intervention Type
Drug
Intervention Name(s)
4.0% Icotinib hydrochloride cream
Other Intervention Name(s)
no other name
Intervention Description
Topical administration for twice daily
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Blank cream
Intervention Description
Topical administration for twice daily
Primary Outcome Measure Information:
Title
Safety in patients with mild to moderate psoriasis
Description
Incidence and severity of Adverse Events (AE), Physical Examinations, Vital signs (temperature, Heart Rate (HR), BP and respiration); Clinical laboratory assessments (serum chemistry, hematology, C-reactive protein , fecal and urinalysis); ECG;
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Tolerance-related skin reactions in patients with mild to moderate psoriasis at the treatment site
Description
Skin irritation and allergy observation (including redness, swelling,rash, itching, pain) recorded by grades
Time Frame
28 days
Other Pre-specified Outcome Measures:
Title
Lesion severity
Description
Erythema , scale , thickness of target site on patients with mild to moderate psoriasis
Time Frame
28 days
Title
Lesion area
Time Frame
28 days
Title
Psoriasis Area and Severity Index (PASI) Scores in patients with mild to moderate psoriasis
Time Frame
28 days
Title
Physician's Global Assessment(PGA) in patients with mild to moderate psoriasis
Time Frame
28 days
Title
Dermatology Life Quality Index (DLQI) in patients with mild to moderate psoriasis
Time Frame
28 days
Title
Time maximum concentration observed(tmax) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Time Frame
12 hours
Title
Peak plasma concentration (Cmax) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Time Frame
12 hours
Title
Area under the plasma concentration versus time curve(AUC) of single-dose Icotinib Hydrochloride Cream from zero(0) hours to time (t) in patients with mild to moderate psoriasis
Time Frame
12 hours
Title
Area under the plasma concentration versus time curve(AUC) of single-dose Icotinib Hydrochloride Cream from zero (0) hours to infinity (∞) in patients with mild to moderate psoriasis
Time Frame
12 hours
Title
Half life(t1/2) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Time Frame
12 hours
Title
Time maximum concentration observed(tmax) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Time Frame
24 hours
Title
Stable peak plasma concentration (Cmaxss) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Time Frame
24 hours
Title
Area under the plasma concentration versus time curve(AUC) of repeat-dose Icotinib Hydrochloride Cream from zero(0) hours to time (t) in patients with mild to moderate psoriasis
Time Frame
24 hours
Title
Area under the plasma concentration versus time curve(AUC) of repeat-dose Icotinib Hydrochloride Cream from zero (0) hours to infinity (∞) in patients with mild to moderate psoriasis
Time Frame
24 hours
Title
Half life(t1/2) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis
Time Frame
24 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Clinical diagnosis of plaque psoriasis for at least six months with multiple treatable area (i.e. the lesion should not only on the face, scalp, genitals or skinfolds) of plaque psoriasis covering less than 10% of the total Body Surface Area (BSA), affected area on the limb and/or trunk≥ 1% BSA. A Target Plaque Area (TPA)≥9 cm2, with a Target Plaque Severity Score(TPSS)≥ 5, and induration subscore≥2. Male participants should be ≥ 50 kg, female participants should be ≥ 45 kg; BMI should be between 19 and 28 kg/m2 (inclusive) In good health, with no history of diseases of major organs and no abnormality found on physical examination and vital signs Non-allergic, with no known history of drug allergy Men and women of childbearing potential must agree to use a contraceptive regimen agreed by the doctor during the trial. Female subjects that are on hormonal contraceptives must continue using the same hormonal contraceptive as that was used in the past 3 months, with the same route of administration and the same dose during the study Have signed a written informed consent before entering the study Exclusion Criteria: Psoriasis guttata, psoriasis punctata, erythrodermic psoriasis, pustular psoriasis, psoriasis arthritis Any dermatological disease that might interfere psoriasis clinical evaluation or bring the subject in danger, or have other serious dermatological disease other than psoriasis. Have received underlying treatments before entering the trial: Topical anti-psoriasis treatment in 2 weeks, e.g. corticosteroids, retinoids acid, anthranol, tars, keratolytics. Vitamin D analogues or local immune regulator treatment in 4 weeks; Emollient or cosmetics in 24 hours; Any psoriasis vaccine, or have participated in any psoriasis vaccine trial; Biologics treatment in 12 weeks, e.g. Alefacept, Etanercept, Infliximab, Adalimumab, Ustekinumab, Efalizumab; Any phototherapy or systemic treatment in 4 weeks, e.g. corticosteroids, methotrexate, retinoids acids, ciclosporin; Long time exposure to natural light or artificial UV, or will have such exposure; Use of drug known to harm certain organ in 12 weeks; Participated in any clinical trial in 4 weeks, or have plan to participate any trial during treatment period; Any clinically significant central nervous, cardiac, hepatic, renal, gastrointestinal, respiratory, metabolic or musculoskeletal system disease history, or other pathological/physiological condition that might disrupt the trial result Alanine transaminase(ALT), aspartate aminotransferase (AST), total bilirubin>1.5 Upper Limit Normal (ULN), creatinine>ULN History of postural hypotension, or allergic diseases (asthma, urticaria, atopic dermatitis or rhinitis) Pulmonary disease demonstrated by chest X-ray examination Physically or mentally disabled Positive for Hepatitis B Surface Antigen (HBsAg), hepatitis C or anti-HIV test Know allergic to active ingredient or excipient of the investigational product Excessive smoker(>10 cigarettes per day), or excessive alcohol intake (>15g absolute alcohol per day, equal to 450ml beer, 150ml wine or 50ml low-alcohol Chinese liquor) Excessive drinking of tea, coffee or caffein-containing beverage (>8 glasses per day) Drug abuser Poor compliance Under gestation or lactation period Other subject that in the investigator's opinion unsuitable to be enrolled
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Min Zheng
Organizational Affiliation
The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU)
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Zourong Ruan
Organizational Affiliation
The Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU)
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Second Affiliated hospital of Zhejiang University School of Medicine
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310009
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Icotinib Hydrochloride Cream in Patients With Mild to Moderate Psoriasis

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