A Study To Evaluate ASN002 In Subjects With Atopic Dermatitis
Primary Purpose
Dermatitis, Atopic, Dermatitis Eczema, Dermatitis, Eczematous
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
ASN002
Placebo Oral Tablet
Sponsored by
About this trial
This is an interventional treatment trial for Dermatitis, Atopic focused on measuring eczema
Eligibility Criteria
Inclusion criteria:
- Written informed consent obtained prior to any study-related procedure being performed;
- Male or female, 18≤ years and ≤75 years of age with chronic AD for at least 6 months.
- At least 10% body surface area (BSA) of AD involvement at the baseline visits
- Has a body mass index (BMI) ≤35 kg/m2
- History of inadequate response to topical corticosteroids or calcineurin inhibitors as treatment for AD within 1 year before the screening visit.
- Willing to apply only a basic bland emollient once or twice-daily for at least 7 days before the baseline visit.
- Willing to comply with discontinuation of certain treatments for AD, as directed by the Investigator.
- Willing to use medically effective methods of birth control
- Females of reproductive potential must have a negative serum pregnancy test at screening and negative urine pregnancy test at Day 1..
- Willing and able to comply with clinic visits and study-related procedures
Exclusion criteria:
- Clinically infected atopic dermatitis.
- Presence of any of the following laboratory abnormalities at the screening visit: Hemoglobin < 11 g/dL, White blood cell (WBC) < 3.0 x 103 /μL, Platelet count < 125 x 103 /μL, Neutrophils < 1.75 x 103 /μL, Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) > 1.5 x the upper limit of normal (ULN), Total bilirubin > ULN, Creatinine > ULN
- A serious uncontrolled condition including hypertension, history of tuberculosis, hepatitis B or C infection, immune deficiency, heart disease, heart conduction disorder, diverticulitis, diabetes, reflux disease requiring protocol pump inhibitor therapy, malabsorption syndrome, or cancer.
- Any condition requiring the use of anticoagulants.
- History of hypertrophic scarring or keloid formation in scars or suture sites.
- Any medical or psychiatric condition which, in the opinion of the investigator or the sponsor's medical monitor, would place the patient at risk, interfere with participation in the study, or interfere with the interpretation of study results
- Pregnant or breast-feeding women
- Known hypersensitivity to ASN002 or its excipients;
- Prior treatment with SYK or JAK inhibitors for which the subject received no clinical benefit, or the subject relapsed whilst on therapy.
- Has used oral or intravenous treatments (other than biologics) that could affect atopic dermatitis less than 4 weeks prior to Day 1.
- Has received any marketed or investigational biological agent within 12 weeks or 5 half-lives (whichever is longer) prior to Day 1.
- Currently receiving a non-biological investigational product or device or has received one within 4 weeks Day 1.
- Excessive sun exposure, is planning a trip to a sunny climate, or has used tanning booths within 4 weeks prior to baseline (Day 1), or is not willing to minimize natural and artificial sunlight exposure during the study.
- Has received or plans to receive a live attenuated vaccine within 4 weeks prior to Day 1 throughout the follow up period.
- Planned major surgical procedure during the length of the patient's participation in this study
Sites / Locations
- Center for Dermatology Clinical Research, Inc.
- Dermatology Research Associates
- TCR Medical Corporation
- Olympian Clinical Research
- Forward Clinical Trials, Inc.
- Dermatology Specialists Research
- Center for Clinical Studies, Ltd., LLP
- Progressive Clinical Research, P.A.
- Virginia Clinical Research, Inc.
- Innovaderm Research
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
ASN002 40 mg
ASN002 80 mg
ASN002 20 mg
ASN002 120 mg
Arm Description
40 mg ASN002
80 mg ASN002
20 mg ASN002
120 mg ASN002
Outcomes
Primary Outcome Measures
Determine the maximum tolerated dose of ASN002
Analyze the number and type of adverse events reported.
Secondary Outcome Measures
Calculate the area under the plasma concentration versus time curve
A plot of the concentrations of ASN002 in blood plasma over time.
Calculate the Pharmacokinetic maximum concentration
Maximum concentration of ASN002 achieved after dosing.
Calculate the Pharmacokinetic Half-life
The time required for ASN002 concentration to decrease by 50%
Change from baseline in the Investigator Global Assessment
determine overall severity of atopic dermatitis
Change from baseline in the subject-reported puritis (itch) score
Rating of puritis based degree, duration, direction, disability, and distribution
Change from baseline in EASI score
Measurement of area and severity of atopic dermatitis
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03139981
Brief Title
A Study To Evaluate ASN002 In Subjects With Atopic Dermatitis
Official Title
A Randomized, Double -Blind, Placebo-Controlled, Sequential, Multiple-Dose Escalation Study To Evaluate The Safety, Tolerability, Pharmacokinetics And Preliminary Efficacy Of ASN002 In Subjects With Moderate-To-Severe Atopic Dermatitis
Study Type
Interventional
2. Study Status
Record Verification Date
December 2017
Overall Recruitment Status
Completed
Study Start Date
April 12, 2017 (Actual)
Primary Completion Date
November 5, 2017 (Actual)
Study Completion Date
December 5, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Asana BioSciences
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a dose escalation study to test the safety, tolerability and preliminary efficacy of ASN002 in people with moderate to severe atopic dermatitis (AD).
Detailed Description
This study is a dose escalation study to determine a safe and tolerable dose of ASN002 for people with moderate to severe atopic dermatitis. This study will also characterize the pharmacokinetics and pharmacodynamics of ASN002 through blood sampling and skin biopsies. Subjects will also be assessed for improvement in their atopic dermatitis. There will be a screening period (up to 30 days) and a treatment period for 4 weeks with a 14 day follow up with an end-of-study visit.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dermatitis, Atopic, Dermatitis Eczema, Dermatitis, Eczematous
Keywords
eczema
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double blind study
Allocation
Randomized
Enrollment
36 (Actual)
8. Arms, Groups, and Interventions
Arm Title
ASN002 40 mg
Arm Type
Experimental
Arm Description
40 mg ASN002
Arm Title
ASN002 80 mg
Arm Type
Experimental
Arm Description
80 mg ASN002
Arm Title
ASN002 20 mg
Arm Type
Experimental
Arm Description
20 mg ASN002
Arm Title
ASN002 120 mg
Arm Type
Experimental
Arm Description
120 mg ASN002
Intervention Type
Drug
Intervention Name(s)
ASN002
Intervention Description
Daily dose of ASN002 for 28 days
Intervention Type
Drug
Intervention Name(s)
Placebo Oral Tablet
Intervention Description
Placebo for ASN002 for 28 days
Primary Outcome Measure Information:
Title
Determine the maximum tolerated dose of ASN002
Description
Analyze the number and type of adverse events reported.
Time Frame
43 days
Secondary Outcome Measure Information:
Title
Calculate the area under the plasma concentration versus time curve
Description
A plot of the concentrations of ASN002 in blood plasma over time.
Time Frame
16 Days
Title
Calculate the Pharmacokinetic maximum concentration
Description
Maximum concentration of ASN002 achieved after dosing.
Time Frame
16 Days
Title
Calculate the Pharmacokinetic Half-life
Description
The time required for ASN002 concentration to decrease by 50%
Time Frame
16 Days
Title
Change from baseline in the Investigator Global Assessment
Description
determine overall severity of atopic dermatitis
Time Frame
28 days
Title
Change from baseline in the subject-reported puritis (itch) score
Description
Rating of puritis based degree, duration, direction, disability, and distribution
Time Frame
28 days
Title
Change from baseline in EASI score
Description
Measurement of area and severity of atopic dermatitis
Time Frame
28 days
Other Pre-specified Outcome Measures:
Title
Change from baseline in pharmacodynamics biomarkers in serum
Description
Measurement of inflammatory markers including immune markers and CRP
Time Frame
28 days
Title
Change from baseline in pharmacodynamics biomarkers in skin
Description
Epidermal thickness and barrier markers from skin biopsies
Time Frame
28
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria:
Written informed consent obtained prior to any study-related procedure being performed;
Male or female, 18≤ years and ≤75 years of age with chronic AD for at least 6 months.
At least 10% body surface area (BSA) of AD involvement at the baseline visits
Has a body mass index (BMI) ≤35 kg/m2
History of inadequate response to topical corticosteroids or calcineurin inhibitors as treatment for AD within 1 year before the screening visit.
Willing to apply only a basic bland emollient once or twice-daily for at least 7 days before the baseline visit.
Willing to comply with discontinuation of certain treatments for AD, as directed by the Investigator.
Willing to use medically effective methods of birth control
Females of reproductive potential must have a negative serum pregnancy test at screening and negative urine pregnancy test at Day 1..
Willing and able to comply with clinic visits and study-related procedures
Exclusion criteria:
Clinically infected atopic dermatitis.
Presence of any of the following laboratory abnormalities at the screening visit: Hemoglobin < 11 g/dL, White blood cell (WBC) < 3.0 x 103 /μL, Platelet count < 125 x 103 /μL, Neutrophils < 1.75 x 103 /μL, Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) > 1.5 x the upper limit of normal (ULN), Total bilirubin > ULN, Creatinine > ULN
A serious uncontrolled condition including hypertension, history of tuberculosis, hepatitis B or C infection, immune deficiency, heart disease, heart conduction disorder, diverticulitis, diabetes, reflux disease requiring protocol pump inhibitor therapy, malabsorption syndrome, or cancer.
Any condition requiring the use of anticoagulants.
History of hypertrophic scarring or keloid formation in scars or suture sites.
Any medical or psychiatric condition which, in the opinion of the investigator or the sponsor's medical monitor, would place the patient at risk, interfere with participation in the study, or interfere with the interpretation of study results
Pregnant or breast-feeding women
Known hypersensitivity to ASN002 or its excipients;
Prior treatment with SYK or JAK inhibitors for which the subject received no clinical benefit, or the subject relapsed whilst on therapy.
Has used oral or intravenous treatments (other than biologics) that could affect atopic dermatitis less than 4 weeks prior to Day 1.
Has received any marketed or investigational biological agent within 12 weeks or 5 half-lives (whichever is longer) prior to Day 1.
Currently receiving a non-biological investigational product or device or has received one within 4 weeks Day 1.
Excessive sun exposure, is planning a trip to a sunny climate, or has used tanning booths within 4 weeks prior to baseline (Day 1), or is not willing to minimize natural and artificial sunlight exposure during the study.
Has received or plans to receive a live attenuated vaccine within 4 weeks prior to Day 1 throughout the follow up period.
Planned major surgical procedure during the length of the patient's participation in this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Zammit, Ph.D.
Organizational Affiliation
Asana BioSciences
Official's Role
Study Director
Facility Information:
Facility Name
Center for Dermatology Clinical Research, Inc.
City
Fremont
State/Province
California
ZIP/Postal Code
94538
Country
United States
Facility Name
Dermatology Research Associates
City
Los Angeles
State/Province
California
ZIP/Postal Code
30045
Country
United States
Facility Name
TCR Medical Corporation
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Olympian Clinical Research
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
Forward Clinical Trials, Inc.
City
Tampa
State/Province
Florida
ZIP/Postal Code
33624
Country
United States
Facility Name
Dermatology Specialists Research
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40241
Country
United States
Facility Name
Center for Clinical Studies, Ltd., LLP
City
Houston
State/Province
Texas
ZIP/Postal Code
77004
Country
United States
Facility Name
Progressive Clinical Research, P.A.
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Virginia Clinical Research, Inc.
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States
Facility Name
Innovaderm Research
City
Montréal
Country
Canada
12. IPD Sharing Statement
Plan to Share IPD
No
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A Study To Evaluate ASN002 In Subjects With Atopic Dermatitis
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