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A Trial of a Botanical Drug Containing East Indian Sandalwood Oil (EISO) For Treatment of Atopic Dermatitis

Primary Purpose

Atopic Dermatitis, Eczema

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
SAN007 5% cream
Placebo
SAN007 10% cream
Sponsored by
Santalis Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis focused on measuring Atopic Dermatitis, Eczema

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects will be included in the trial if they meet all of the following criteria:

    1. Are at least 18 years of age
    2. Have atopic dermatitis, as determined by an EASI score of ≥5 and ≤50 (Hanifin, 2001)
    3. Total treatment area(s) of atopic dermatitis involvement ≥2% and ≤15% today surface area (BSA).
    4. Have atopic dermatitis that has been clinically stable for ≥ 30-days prior to the Screening Visit.
    5. Are able to obtain written informed consent/ascent in a manner approved by the Institutional Review Board and comply with the requirements of the study.
    6. Are willing to refrain from using any lotions, moisturizer, cleansers, cosmetics or creams, other than those issued as part of the study, on the target treatment areas during the treatment period.
    7. Are free of any systemic or dermatologic disorder, which, in the opinion of the investigator, will interfere with the study results or increase the risk of adverse events.
    8. Are willing to refrain from exposure to artificial ultraviolet radiation for the duration of the study.
    9. Are willing to cover target treatment areas to avoid exposure to natural ultraviolet radiation for the duration of the study.
    10. If female of childbearing potential, must be willing to practice an acceptable form of birth control for the duration of the study. i.e. barrier method, hormone or intrauterine device.
    11. Are willing to avoid participation in any other interventional clinical trial for the duration of this study.
    12. Are willing to refrain from treating areas that are not in the defined treatment area(s), which will be excluded from the IGA assessments and BSA calculation. These areas are as follows: head, neck, soles of feet, palms of hands, axillae, or intertriginous areas.

Exclusion Criteria:

  • Subjects will be excluded from the trial if they meet any of the following criteria:

    1. Have a sibling or immediate family member already participating in this trial.
    2. Currently requires and/or, in the 30 days prior to Screening, has required topical use of a medium or high potency steroid (i.e. >1%)
    3. Atopic dermatitis that, in the opinion of the investigator, is likely to stem from an allergic reaction. (i.e. contact dermatitis)
    4. Have <2% or >15% total BSA of atopic dermatitis involvement in the target treatment area(s).
    5. Have participated in any interventional clinical trial in the previous 30 days to the screening visit.
    6. Have a known sensitivity to any of the constituents of the test product including sensitivities to sandalwood oil, fragrances or any member of the Compositae family of vascular plants (e.g., sunflowers, daisies, dahlias, etc.).
    7. Have received phototherapy within the 60 days prior to Screening.
    8. Have received any systemic medication for atopic dermatitis in the past 2 months that would interfere with the evaluation of atopic dermatitis (excluding antihistamines or leukotriene inhibitors).
    9. Have a present condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data.
    10. Are pregnant, breast-feeding or plan to become pregnant at any point for the duration of the trial.
    11. Are not willing to practice an approved form of birth control while on the study drug for the duration of the trial. i.e. barrier method, hormone or intrauterine device.
    12. Have been treated, with prescription medication for atopic dermatitis, within 60 days prior to the Baseline visit.
    13. Have any evidence of systemic cancer, squamous cell carcinoma, basal cell carcinoma, in the last 5 years,or any other confounding skin condition.
    14. Have undergone treatments with topical atopic dermatitis drug products, other than retinoids or corticosteroids, within 14 days prior to the Baseline Visit, and for therapy containing corticosteroids or retinoids within 28 days prior to Baseline Visit.
    15. Have open sores or open lesions in the treatment area(s).
    16. Have a history of alcohol or illegal drug/substance abuse, or suspected alcohol or illegal drug/substance abuse in the past 2 years.
    17. Require greater than 2.0 mg/day inhaled or intranasal corticosteroids.
    18. Have an active infection of any kind at Visit 1 (Baseline)
    19. Have an occupation that requires ≥50% of time be spent outdoors, where prolonged exposure to ultraviolet radiation is unavoidable.

Sites / Locations

  • DermResearch
  • J&S Sudies Pharmaceutical
  • Progressive Clinical Research
  • Texas Dermatology and Laser Specialists
  • Clinical Trials of Texas

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

Experimental

Arm Label

SAN007 5% cream

Placebo cream

SAN007 10% cream

Arm Description

A cream containing 5% East Indian sandalwood oil (EISO).

The vehicle cream

A cream containing 10% East Indian Sandalwood Oil (EISO).

Outcomes

Primary Outcome Measures

Number of Patients With Adverse Events
Safety will be assessed by evaluating adverse events (AEs) with respect to severity, duration, and relationship to study drug.

Secondary Outcome Measures

Percentage of Subjects Who Have a ≥ 50% Reduction in the Eczema Area and Severity Index (EASI) Score
Percentage of subjects who have a ≥ 50% reduction in the Eczema Area and Severity Index (EASI) score at any point during the trial. Minimum value is a 0 and a maximum value is 72. Higher score denoting worse than a lower score.

Full Information

First Posted
August 11, 2016
Last Updated
May 6, 2019
Sponsor
Santalis Pharmaceuticals, Inc.
Collaborators
ClinDatrix, Inc., Texas Dermatology and Laser Specialists, Clinical Trials of Texas, Inc., Derm Research, PLLC, Progressive Clinical Research, U.S. Dermatology Partners Bryan
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1. Study Identification

Unique Protocol Identification Number
NCT02871479
Brief Title
A Trial of a Botanical Drug Containing East Indian Sandalwood Oil (EISO) For Treatment of Atopic Dermatitis
Official Title
A Double-Blind, Randomized, Placebo-Controlled, Safety, Tolerability, and Efficacy Trial of a Novel Botanical Drug Product Containing East Indian Sandalwood Oil (EISO) For The Treatment of Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
May 2019
Overall Recruitment Status
Completed
Study Start Date
April 21, 2017 (Actual)
Primary Completion Date
August 31, 2018 (Actual)
Study Completion Date
August 31, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Santalis Pharmaceuticals, Inc.
Collaborators
ClinDatrix, Inc., Texas Dermatology and Laser Specialists, Clinical Trials of Texas, Inc., Derm Research, PLLC, Progressive Clinical Research, U.S. Dermatology Partners Bryan

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This trial will be a double-blind, randomized, placebo-controlled, safety, tolerability and efficacy trial of SAN007 (5% East Indian sandalwood oil in a cream formulation) treatment regimen when administered daily for up to 28 days to patients at least 18 years of age, with atopic dermatitis.
Detailed Description
Subjects will enter the Screening Period once the informed consent/ascent and photographic consent process has been completed. Subjects with a total body surface area (BSA) of ≥2% and ≤ 15% atopic dermatitis involvement, in the treatable areas, and who meet all of the inclusion and none of the exclusion criteria will be enrolled. Once subject eligibility is confirmed and the screening procedures completed, the subject will start the Treatment Period of the study. All enrolled subjects will receive either 5% SAN007 cream or placebo cream (randomized in a 2:1 ratio) OR 10% SAN007 cream or placebo cream (randomized in a 2:1 ratio) with the first dose applied at Visit 1 Baseline. Subjects will be instructed on how to apply the study medication twice daily for 28 days. Subjects will return to the clinic on Study Days 7,14 and 28 for study-related assessments. Subjects will receive a telephone contact from the site, on Study Days 21 and 35. Safety will be assessed by evaluating adverse events (AEs) with respect to severity, duration, and relationship to study drug. In addition, cutaneous tolerability will be evaluated at each visit. Tolerability evaluation will be based on subjects reporting discomfort during or immediately following application of SAN007. This will also be recorded as an AE. The study exclusion areas are not to be included in this evaluation. Efficacy will be assessed at each study visit through the completion of the IGA, EASI and BSA calculation. During the active treatment period, subjects will return to the study site according to the study schedule for interim assessments and recording of concomitant medication and adverse events (AEs).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis, Eczema
Keywords
Atopic Dermatitis, Eczema

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
SAN007 5% cream
Arm Type
Experimental
Arm Description
A cream containing 5% East Indian sandalwood oil (EISO).
Arm Title
Placebo cream
Arm Type
Placebo Comparator
Arm Description
The vehicle cream
Arm Title
SAN007 10% cream
Arm Type
Experimental
Arm Description
A cream containing 10% East Indian Sandalwood Oil (EISO).
Intervention Type
Drug
Intervention Name(s)
SAN007 5% cream
Other Intervention Name(s)
Albuterpenoids, East Indian sandalwood oil (EISO)
Intervention Description
5% EISO in a cream formulation applied twice a day for up to 28 days.
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
vehicle cream
Intervention Description
A placebo cream containing the same components as the vehicle for the active intervention arm
Intervention Type
Drug
Intervention Name(s)
SAN007 10% cream
Other Intervention Name(s)
Albuterpenoids, East Indian Sandalwood Oil (EISO)
Intervention Description
10% EISO in a cream formulation applied twice a day for up to 28 days.
Primary Outcome Measure Information:
Title
Number of Patients With Adverse Events
Description
Safety will be assessed by evaluating adverse events (AEs) with respect to severity, duration, and relationship to study drug.
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Percentage of Subjects Who Have a ≥ 50% Reduction in the Eczema Area and Severity Index (EASI) Score
Description
Percentage of subjects who have a ≥ 50% reduction in the Eczema Area and Severity Index (EASI) score at any point during the trial. Minimum value is a 0 and a maximum value is 72. Higher score denoting worse than a lower score.
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects will be included in the trial if they meet all of the following criteria: Are at least 18 years of age Have atopic dermatitis, as determined by an EASI score of ≥5 and ≤50 (Hanifin, 2001) Total treatment area(s) of atopic dermatitis involvement ≥2% and ≤15% today surface area (BSA). Have atopic dermatitis that has been clinically stable for ≥ 30-days prior to the Screening Visit. Are able to obtain written informed consent/ascent in a manner approved by the Institutional Review Board and comply with the requirements of the study. Are willing to refrain from using any lotions, moisturizer, cleansers, cosmetics or creams, other than those issued as part of the study, on the target treatment areas during the treatment period. Are free of any systemic or dermatologic disorder, which, in the opinion of the investigator, will interfere with the study results or increase the risk of adverse events. Are willing to refrain from exposure to artificial ultraviolet radiation for the duration of the study. Are willing to cover target treatment areas to avoid exposure to natural ultraviolet radiation for the duration of the study. If female of childbearing potential, must be willing to practice an acceptable form of birth control for the duration of the study. i.e. barrier method, hormone or intrauterine device. Are willing to avoid participation in any other interventional clinical trial for the duration of this study. Are willing to refrain from treating areas that are not in the defined treatment area(s), which will be excluded from the IGA assessments and BSA calculation. These areas are as follows: head, neck, soles of feet, palms of hands, axillae, or intertriginous areas. Exclusion Criteria: Subjects will be excluded from the trial if they meet any of the following criteria: Have a sibling or immediate family member already participating in this trial. Currently requires and/or, in the 30 days prior to Screening, has required topical use of a medium or high potency steroid (i.e. >1%) Atopic dermatitis that, in the opinion of the investigator, is likely to stem from an allergic reaction. (i.e. contact dermatitis) Have <2% or >15% total BSA of atopic dermatitis involvement in the target treatment area(s). Have participated in any interventional clinical trial in the previous 30 days to the screening visit. Have a known sensitivity to any of the constituents of the test product including sensitivities to sandalwood oil, fragrances or any member of the Compositae family of vascular plants (e.g., sunflowers, daisies, dahlias, etc.). Have received phototherapy within the 60 days prior to Screening. Have received any systemic medication for atopic dermatitis in the past 2 months that would interfere with the evaluation of atopic dermatitis (excluding antihistamines or leukotriene inhibitors). Have a present condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data. Are pregnant, breast-feeding or plan to become pregnant at any point for the duration of the trial. Are not willing to practice an approved form of birth control while on the study drug for the duration of the trial. i.e. barrier method, hormone or intrauterine device. Have been treated, with prescription medication for atopic dermatitis, within 60 days prior to the Baseline visit. Have any evidence of systemic cancer, squamous cell carcinoma, basal cell carcinoma, in the last 5 years,or any other confounding skin condition. Have undergone treatments with topical atopic dermatitis drug products, other than retinoids or corticosteroids, within 14 days prior to the Baseline Visit, and for therapy containing corticosteroids or retinoids within 28 days prior to Baseline Visit. Have open sores or open lesions in the treatment area(s). Have a history of alcohol or illegal drug/substance abuse, or suspected alcohol or illegal drug/substance abuse in the past 2 years. Require greater than 2.0 mg/day inhaled or intranasal corticosteroids. Have an active infection of any kind at Visit 1 (Baseline) Have an occupation that requires ≥50% of time be spent outdoors, where prolonged exposure to ultraviolet radiation is unavoidable.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Browning, MD
Organizational Affiliation
Texas Dermatology and Laser Specialists
Official's Role
Principal Investigator
Facility Information:
Facility Name
DermResearch
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
J&S Sudies Pharmaceutical
City
Bryan
State/Province
Texas
ZIP/Postal Code
77845
Country
United States
Facility Name
Progressive Clinical Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78213
Country
United States
Facility Name
Texas Dermatology and Laser Specialists
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78218
Country
United States
Facility Name
Clinical Trials of Texas
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Trial of a Botanical Drug Containing East Indian Sandalwood Oil (EISO) For Treatment of Atopic Dermatitis

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