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Dose Ranging Study to Evaluate the Safety and Tolerability of SCX-001 Cream in Healthy Volunteers With Induced Dermal Incisions

Primary Purpose

Scarring

Status
Completed
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
SCX-001
Placebo
Sponsored by
ScarX Corp
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Scarring focused on measuring scar, nefopam, cicatrix

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Male or female volunteers aged ≥18 - ≤65 years who have voluntarily signed and dated an Informed Consent Form (ICF).
  2. Subjects with, in the opinion of the Investigator, clinically acceptable results at screening for the laboratory tests specified in the trial protocol.
  3. Women of child bearing potential must provide a negative pregnancy serum/urine test at time of screening and have to be compliant with an effective form of birth control throughout the entire study.* Non-child bearing potential means subjects have had a history of tubal ligation or a hysterectomy or are post-menopausal with no menses for at least 1 year prior to enrolment in the study.
  4. Subjects, who are, in the opinion of the Investigator, able to understand the study, co- operate with the study procedures and are willing to return to the clinic for all of the required follow-up visits.
  5. Subjects must be able to cooperate with requirements of the study (e.g. able to speak, read and write English, expect to be available for adverse event monitoring for the duration of the study).

Exclusion Criteria:

  1. Subjects who have scarring from previous interventions or evidence of thermal, electrical or radiation burn scars, tattoos, birthmarks or moles within 5 cm of the treatment site.
  2. Subjects with a history or family history of keloid formation.
  3. Subjects with a concurrent illness or condition that may have interfered with wound healing like neoplastic, immune-mediated, or primary infectious disease (e.g. carcinoma, vasculitis, connective tissue disease, immune system disorders, rheumatoid arthritis, chronic renal impairment, significant hepatic impairment, inadequately or uncontrolled congestive heart failure or diabetes mellitus) or any clinically significant medical condition or history of any condition which may impair wound healing.
  4. Subjects with a skin disorder that is chronic or currently active and which the Investigator considers will adversely affect the healing of acute wounds or will involve the areas to be examined in this trial (including psoriasis, dermatitis, eczema)
  5. Subjects with a body mass index <15 or >35 kg/m2.
  6. A history of radiotherapy to the study scar area.
  7. Subjects who have used nicotine-containing products (including vaping) within one month prior to the screening visit.
  8. Subjects who are positive for HIV, hepatitis B or C.
  9. Subjects who have known sensitivities to SCX-001 Cream, structurally related compounds or any of the constituents of SCX-001 Cream.
  10. Subjects who have known sensitivities to EMLA cream, chlorhexidine or adhesive dressings
  11. Subjects with a history of any malignancy in the five years prior to the screening visit.
  12. Subjects with a life expectancy of <9 months, terminal conditions or factors making follow-up difficult (e.g. no fixed address, telephone etc.).
  13. Subjects with planned major surgical intervention during the course of the study.
  14. Subjects who have received corticosteroids, immunosuppressive agents, anticoagulants, radiation therapy or chemotherapy at a dose that might have interfered with wound healing within the last 90 days prior to study enrolment.
  15. Subjects who have received NSAIDS or ASA in the past week.
  16. Subjects with a creatinine clearance of 80 ml/min or less.

Sites / Locations

  • University of Alberta Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

1.0 % SCX-001 cream

3.0% SCX-001 cream

Placebo cream

Arm Description

Subjects randomized to this arm will have one lateral hip wound treated with 1.0% SCX-001 cream and one wound treated with placebo. Intra-subject hip wound treatment is randomly allocated

Subjects randomized to this arm will have one lateral hip wound treated with 3.0% SCX-001 cream and one wound treated with placebo. Intra-subject hip wound treatment is randomly allocated

Subjects randomized to this arm will have both lateral hip wounds treated with Placebo cream. Intra-subject hip wound treatment is randomly allocated

Outcomes

Primary Outcome Measures

Occurrence of Adverse Events and Tolerability Assessments
Adverse events, Tolerability assessments

Secondary Outcome Measures

Scar Size
Repeat measurement of scar size by ultrasound following wound closure to the end of study and digital camera following wounding to the end of the study
Scar Quality
Repeat measurement of erythema and pigmentation of scars by mexameter following wound closure to the end of study
Time to Wound Closure
Repeat examination of wounds for closure defined as 100% epithelialization of the wound with no exudate observed assessed form time of wounding to wound closure on both hips
Area under the plasma concentration-time curve (AUC)
Serial serum samples to determine AUC (0-6h, 0-8h)
Time to reach maximum observed plasma concentration (Tmax)
Serial serum samples to determine Tmax
Maximum observed plasma concentration (Cmax)
Serial serum samples to determine Cmax
Gene expression analysis
RT-qPCR on scar biopsy samples
Histological analysis
Immunohistochemistry on scar biopsy samples
Collagen orientation analysis
Collagen orientation index on scar biopsy samples
Overall Satisfaction
Repeat measurement of both subject and investigator satisfaction with scar appearance by Subject and Observer Scar Assessment Scale (POSAS) following wound closure to the end of study

Full Information

First Posted
January 16, 2017
Last Updated
October 3, 2017
Sponsor
ScarX Corp
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1. Study Identification

Unique Protocol Identification Number
NCT03036306
Brief Title
Dose Ranging Study to Evaluate the Safety and Tolerability of SCX-001 Cream in Healthy Volunteers With Induced Dermal Incisions
Official Title
A Randomized, Placebo Controlled, Double-blind, Dose Ranging Study to Evaluate the Safety and Tolerability of SCX-001 Cream in Healthy Volunteers With Induced Dermal Incisions
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
January 2017 (undefined)
Primary Completion Date
October 2, 2017 (Actual)
Study Completion Date
October 2, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ScarX Corp

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the safety and local tolerability of two different concentrations of of SCX-001 cream, as compared to placebo, when topically applied twice a day for 21 days to artificially induced dermal wounds in healthy volunteers. In addition, the absorption and elimination of profiles of this topically applied product will be determined through pharmacokinetic sampling. Assessments for effect of SCX-001 vs. placebo will be done but are considered exploratory.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Scarring
Keywords
scar, nefopam, cicatrix

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1.0 % SCX-001 cream
Arm Type
Experimental
Arm Description
Subjects randomized to this arm will have one lateral hip wound treated with 1.0% SCX-001 cream and one wound treated with placebo. Intra-subject hip wound treatment is randomly allocated
Arm Title
3.0% SCX-001 cream
Arm Type
Experimental
Arm Description
Subjects randomized to this arm will have one lateral hip wound treated with 3.0% SCX-001 cream and one wound treated with placebo. Intra-subject hip wound treatment is randomly allocated
Arm Title
Placebo cream
Arm Type
Placebo Comparator
Arm Description
Subjects randomized to this arm will have both lateral hip wounds treated with Placebo cream. Intra-subject hip wound treatment is randomly allocated
Intervention Type
Drug
Intervention Name(s)
SCX-001
Intervention Description
Nefopam cream formulation
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Cream formulation without Nefopam
Primary Outcome Measure Information:
Title
Occurrence of Adverse Events and Tolerability Assessments
Description
Adverse events, Tolerability assessments
Time Frame
4 months
Secondary Outcome Measure Information:
Title
Scar Size
Description
Repeat measurement of scar size by ultrasound following wound closure to the end of study and digital camera following wounding to the end of the study
Time Frame
4 months
Title
Scar Quality
Description
Repeat measurement of erythema and pigmentation of scars by mexameter following wound closure to the end of study
Time Frame
4 months
Title
Time to Wound Closure
Description
Repeat examination of wounds for closure defined as 100% epithelialization of the wound with no exudate observed assessed form time of wounding to wound closure on both hips
Time Frame
4 months
Title
Area under the plasma concentration-time curve (AUC)
Description
Serial serum samples to determine AUC (0-6h, 0-8h)
Time Frame
4 weeks
Title
Time to reach maximum observed plasma concentration (Tmax)
Description
Serial serum samples to determine Tmax
Time Frame
4 weeks
Title
Maximum observed plasma concentration (Cmax)
Description
Serial serum samples to determine Cmax
Time Frame
4 weeks
Title
Gene expression analysis
Description
RT-qPCR on scar biopsy samples
Time Frame
Done on the day of the last dose of treatment (20 days following wounding)
Title
Histological analysis
Description
Immunohistochemistry on scar biopsy samples
Time Frame
Done on the day of the last dose of treatment (20 days following wounding)
Title
Collagen orientation analysis
Description
Collagen orientation index on scar biopsy samples
Time Frame
Done on the day of the last dose of treatment (20 days following wounding)
Title
Overall Satisfaction
Description
Repeat measurement of both subject and investigator satisfaction with scar appearance by Subject and Observer Scar Assessment Scale (POSAS) following wound closure to the end of study
Time Frame
4 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female volunteers aged ≥18 - ≤65 years who have voluntarily signed and dated an Informed Consent Form (ICF). Subjects with, in the opinion of the Investigator, clinically acceptable results at screening for the laboratory tests specified in the trial protocol. Women of child bearing potential must provide a negative pregnancy serum/urine test at time of screening and have to be compliant with an effective form of birth control throughout the entire study.* Non-child bearing potential means subjects have had a history of tubal ligation or a hysterectomy or are post-menopausal with no menses for at least 1 year prior to enrolment in the study. Subjects, who are, in the opinion of the Investigator, able to understand the study, co- operate with the study procedures and are willing to return to the clinic for all of the required follow-up visits. Subjects must be able to cooperate with requirements of the study (e.g. able to speak, read and write English, expect to be available for adverse event monitoring for the duration of the study). Exclusion Criteria: Subjects who have scarring from previous interventions or evidence of thermal, electrical or radiation burn scars, tattoos, birthmarks or moles within 5 cm of the treatment site. Subjects with a history or family history of keloid formation. Subjects with a concurrent illness or condition that may have interfered with wound healing like neoplastic, immune-mediated, or primary infectious disease (e.g. carcinoma, vasculitis, connective tissue disease, immune system disorders, rheumatoid arthritis, chronic renal impairment, significant hepatic impairment, inadequately or uncontrolled congestive heart failure or diabetes mellitus) or any clinically significant medical condition or history of any condition which may impair wound healing. Subjects with a skin disorder that is chronic or currently active and which the Investigator considers will adversely affect the healing of acute wounds or will involve the areas to be examined in this trial (including psoriasis, dermatitis, eczema) Subjects with a body mass index <15 or >35 kg/m2. A history of radiotherapy to the study scar area. Subjects who have used nicotine-containing products (including vaping) within one month prior to the screening visit. Subjects who are positive for HIV, hepatitis B or C. Subjects who have known sensitivities to SCX-001 Cream, structurally related compounds or any of the constituents of SCX-001 Cream. Subjects who have known sensitivities to EMLA cream, chlorhexidine or adhesive dressings Subjects with a history of any malignancy in the five years prior to the screening visit. Subjects with a life expectancy of <9 months, terminal conditions or factors making follow-up difficult (e.g. no fixed address, telephone etc.). Subjects with planned major surgical intervention during the course of the study. Subjects who have received corticosteroids, immunosuppressive agents, anticoagulants, radiation therapy or chemotherapy at a dose that might have interfered with wound healing within the last 90 days prior to study enrolment. Subjects who have received NSAIDS or ASA in the past week. Subjects with a creatinine clearance of 80 ml/min or less.
Facility Information:
Facility Name
University of Alberta Hospital
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 2B7
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

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Dose Ranging Study to Evaluate the Safety and Tolerability of SCX-001 Cream in Healthy Volunteers With Induced Dermal Incisions

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