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Efficacy and Safety of LH-8 in Paediatric Alopecia Areata (AA)

Primary Purpose

Alopecia Areata, Pediatric Disorder

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
LH-8
Placebo
Sponsored by
Legacy Healthcare SA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alopecia Areata

Eligibility Criteria

2 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Male and female children and adolescents aged 2 to less than 18 years with active alopecia areata involving 25% to 95% of the scalp between 6 months and 3 years in duration.

Diagnosis and main criteria for inclusion: Male and female children and adolescents aged 2 to less than 18 years with active alopecia areata involving 25% to 95% of the scalp between 6 months and 3 years in duration.

Inclusion criteria:

  1. Male and female children and adolescents aged 2 to less than 18 years.
  2. Active scalp alopecia areata, involving 25% to 95% of the scalp (as measured by SALT score at screening).
  3. Duration of hair loss between 6 months and 3 years.
  4. Female subjects of childbearing potential (postmenarcheal) must have a negative urine pregnancy test at screening. Females of childbearing potential must either not be sexually active or be using an adequate birth control method throughout the duration of the study.
  5. All subjects taking thyroid medication or hormonal therapy must be on a stable dose for 6 months and maintain such throughout the study.
  6. Subjects must be willing to maintain the same hair style, including hair dye, throughout the study period.
  7. Written informed consent signed by parent(s) or legally authorized representative and assent or consent signed by the subjects, if applicable, according to national regulations prior to any protocol specific procedures.

Exclusion criteria:

  1. Hypersensitivity or intolerance to any active IMP substances (onion, citrus, caffeine, theobromine) or excipients (glycerine, betaine or ethanol).
  2. Any cause of hair loss other than alopecia areata.
  3. Active scalp inflammation except alopecia areata.
  4. Nevi, cutaneous or non-cutaneous lesions currently undiagnosed but suspicious for malignancy.
  5. Female adolescents who are pregnant or who are nursing or plan pregnancy during the trial period.
  6. Use of topical medication (listed in protocol Section 10.7.1) within 2 weeks prior to Visit 1.
  7. Use of systemic alopecia areata therapies (e.g. prednisone, cyclosporine, methotrexate), including use of these medications for other indications, and intralesional corticosteroids within 1 month prior to Visit 1.
  8. Administration of hydroxychloroquine or finasteride within two months prior to Visit 1.
  9. Use of phototherapy, laser therapy or excimer laser therapy on the scalp within three months prior to Visit 1.
  10. Use of infliximab within two months, adalimumab within three months, and ustekinumab within four months prior to Visit 1 or use of other TNF inhibitors and biologic agents within one month or five half-lives before Visit 1, whichever is longer.
  11. Prior treatment with IMP.
  12. Evidence or history of alcohol, medication or drug abuse.
  13. History of systemic or cutaneous medical, or psychiatric disease which will put subject at risk or interfere with assessments.
  14. Participation in any other clinical trial within 30 days prior to Visit 1.
  15. Subject is in a dependent relationship (e.g. relative or family member) with the investigator's or sponsor's staff.
  16. Any other condition or circumstance that, in the opinion of the investigator, could compromise the subject's ability to comply with the study protocol.

Sites / Locations

  • Multicenter Clinical Trials
  • Centre Sabourand - Hospital Saint-Louis, 1, Avenue Claude Vellefaux
  • Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

LH-8 cutaneous solution

Placebo cutaneous solution

Arm Description

LH-8 cutaneous solution (0.126 mL per spray) applied to the whole scalp:

Placebo cutaneous solution (0.126 mL per spray) applied to the whole scalp:

Outcomes

Primary Outcome Measures

Relative change in scalp alopecia areata severity scores (SALT) from baseline value to be assessed after 24 weeks of treatment.
Visual assessment and global standardised scalp photographs for SALT evaluation.

Secondary Outcome Measures

Absolute change in SALT score from baseline at the end of 24 weeks' treatment period.
Proportion of the responders, i.e. subjects achieving at least a 40% relative reduction in SALT score from baseline at the end of 24 weeks' treatment period.
Adverse events
General physical examination findings, including irritation of eyes and skin
Visual assessment and global standardised scalp photographs for SALT evaluation.
Evaluation of duration of treatment effect in responders, measured as relative SALT score changes from Visit 3 (end of treatment) after 12 weeks (Visit 4) and 24 weeks (Visit 5) of treatment-free period. (Visual assessment and global standardised scalp photographs for SALT evaluation.)
Assessment of treatment effect on hair follicles in non-alopecic areas by quantifying the number of new alopecic areas.
Assessment of the rate of spontaneous hair regrowth.
Assessment of the rate of spontaneous hair regrowth in placebo treated subjects with alopecia areata active for 6-12 months compared to those with alopecia areata active for more than 12 months. (Visual assessment and global standardised scalp photographs for SALT evaluation).
• Absolute and relative change from baseline in Children's Dermatology Life Quality Index (CDLQI) scores.
Change in percentage of subjects from baseline by the severity banding CDLQI scores.
Percentages of subjects by EuroQol Five Dimensions Youth Questionnaire (EQ-5D-Y) dimensions and levels at Visits 1-5.
Absolute and relative change of the EQ-Visual Analogue Scale (EQ-VAS) scores from baseline
Evaluation of the Paediatric Alopecia Areata Patient Benefit Index (PAAPBI) scores at Visits 1 to 5.

Full Information

First Posted
July 26, 2017
Last Updated
December 25, 2022
Sponsor
Legacy Healthcare SA
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1. Study Identification

Unique Protocol Identification Number
NCT03240627
Brief Title
Efficacy and Safety of LH-8 in Paediatric Alopecia Areata
Acronym
AA
Official Title
Double-blind, Vehicle-controlled, Randomised, Multi-centre Study to Evaluate the Efficacy and Safety of LH-8 Cutaneous Solution in Children and Adolescents With Moderate to Severe Scalp Alopecia Areata.
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
March 1, 2018 (Actual)
Primary Completion Date
March 14, 2022 (Actual)
Study Completion Date
September 14, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Legacy Healthcare SA

4. Oversight

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

5. Study Description

Brief Summary
Double-blind, randomised, multi-centre study to evaluate the efficacy and safety of LH-8 cutaneous solution versus placebo in children and adolescents with moderate to severe scalp alopecia areata. Phase 2/3 study performed in France, Germany, Bulgaria and India in 100 patients.
Detailed Description
Methods / trial design: Randomised, double-blind, vehicle-controlled multicentre trial in parallel groups. At screening (Visit 0), subjects will discontinue their previous treatment for alopecia areata, if any. Screening period will last up to 28 days. The 24-week treatment phase will include assessment Visits 1 to 3, which will take place at 12-week intervals. At assessment Visit 1, eligible subjects will be randomly assigned in a 2:1 ratio to receive LH-8 cutaneous solution or vehicle (placebo) twice daily for a 24 week treatment period. During the treatment phase the subjects will complete daily their drug diaries. The post-treatment safety and efficacy follow-up phase will include Visit 4 and Visit 5, 12 and 24 weeks after end of treatment, respectively. Subjects (as applicable) and parents will be instructed to contact the investigator, if an event on scalp (intolerance) occurs during the treatment or post-treatment period. They may be asked to come to the site for an unscheduled visit, in order to perform additional examinations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alopecia Areata, Pediatric Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Randomised, double-blind, vehicle-controlled multicentre trial in parallel groups.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
107 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LH-8 cutaneous solution
Arm Type
Experimental
Arm Description
LH-8 cutaneous solution (0.126 mL per spray) applied to the whole scalp:
Arm Title
Placebo cutaneous solution
Arm Type
Placebo Comparator
Arm Description
Placebo cutaneous solution (0.126 mL per spray) applied to the whole scalp:
Intervention Type
Drug
Intervention Name(s)
LH-8
Intervention Description
LH-8 cutaneous solution
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo cutaneous solution
Primary Outcome Measure Information:
Title
Relative change in scalp alopecia areata severity scores (SALT) from baseline value to be assessed after 24 weeks of treatment.
Description
Visual assessment and global standardised scalp photographs for SALT evaluation.
Time Frame
24 weeks treatment
Secondary Outcome Measure Information:
Title
Absolute change in SALT score from baseline at the end of 24 weeks' treatment period.
Time Frame
24 weeks treatment
Title
Proportion of the responders, i.e. subjects achieving at least a 40% relative reduction in SALT score from baseline at the end of 24 weeks' treatment period.
Time Frame
24 weeks treatment
Title
Adverse events
Time Frame
48 weeks
Title
General physical examination findings, including irritation of eyes and skin
Time Frame
24 weeks treatment
Title
Visual assessment and global standardised scalp photographs for SALT evaluation.
Description
Evaluation of duration of treatment effect in responders, measured as relative SALT score changes from Visit 3 (end of treatment) after 12 weeks (Visit 4) and 24 weeks (Visit 5) of treatment-free period. (Visual assessment and global standardised scalp photographs for SALT evaluation.)
Time Frame
After 12 and 24 weeks treatment
Title
Assessment of treatment effect on hair follicles in non-alopecic areas by quantifying the number of new alopecic areas.
Time Frame
24 weeks treatment
Title
Assessment of the rate of spontaneous hair regrowth.
Description
Assessment of the rate of spontaneous hair regrowth in placebo treated subjects with alopecia areata active for 6-12 months compared to those with alopecia areata active for more than 12 months. (Visual assessment and global standardised scalp photographs for SALT evaluation).
Time Frame
For 6-12 months
Title
• Absolute and relative change from baseline in Children's Dermatology Life Quality Index (CDLQI) scores.
Time Frame
48 weeks
Title
Change in percentage of subjects from baseline by the severity banding CDLQI scores.
Time Frame
48 weeks
Title
Percentages of subjects by EuroQol Five Dimensions Youth Questionnaire (EQ-5D-Y) dimensions and levels at Visits 1-5.
Time Frame
48 weeks
Title
Absolute and relative change of the EQ-Visual Analogue Scale (EQ-VAS) scores from baseline
Time Frame
48 weeks
Title
Evaluation of the Paediatric Alopecia Areata Patient Benefit Index (PAAPBI) scores at Visits 1 to 5.
Time Frame
48 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Male and female children and adolescents aged 2 to less than 18 years with active alopecia areata involving 25% to 95% of the scalp between 6 months and 3 years in duration. Diagnosis and main criteria for inclusion: Male and female children and adolescents aged 2 to less than 18 years with active alopecia areata involving 25% to 95% of the scalp between 6 months and 3 years in duration. Inclusion criteria: Male and female children and adolescents aged 2 to less than 18 years. Active scalp alopecia areata, involving 25% to 95% of the scalp (as measured by SALT score at screening). Duration of hair loss between 6 months and 3 years. Female subjects of childbearing potential (postmenarcheal) must have a negative urine pregnancy test at screening. Females of childbearing potential must either not be sexually active or be using an adequate birth control method throughout the duration of the study. All subjects taking thyroid medication or hormonal therapy must be on a stable dose for 6 months and maintain such throughout the study. Subjects must be willing to maintain the same hair style, including hair dye, throughout the study period. Written informed consent signed by parent(s) or legally authorized representative and assent or consent signed by the subjects, if applicable, according to national regulations prior to any protocol specific procedures. Exclusion criteria: Hypersensitivity or intolerance to any active IMP substances (onion, citrus, caffeine, theobromine) or excipients (glycerine, betaine or ethanol). Any cause of hair loss other than alopecia areata. Active scalp inflammation except alopecia areata. Nevi, cutaneous or non-cutaneous lesions currently undiagnosed but suspicious for malignancy. Female adolescents who are pregnant or who are nursing or plan pregnancy during the trial period. Use of topical medication (listed in protocol Section 10.7.1) within 2 weeks prior to Visit 1. Use of systemic alopecia areata therapies (e.g. prednisone, cyclosporine, methotrexate), including use of these medications for other indications, and intralesional corticosteroids within 1 month prior to Visit 1. Administration of hydroxychloroquine or finasteride within two months prior to Visit 1. Use of phototherapy, laser therapy or excimer laser therapy on the scalp within three months prior to Visit 1. Use of infliximab within two months, adalimumab within three months, and ustekinumab within four months prior to Visit 1 or use of other TNF inhibitors and biologic agents within one month or five half-lives before Visit 1, whichever is longer. Prior treatment with IMP. Evidence or history of alcohol, medication or drug abuse. History of systemic or cutaneous medical, or psychiatric disease which will put subject at risk or interfere with assessments. Participation in any other clinical trial within 30 days prior to Visit 1. Subject is in a dependent relationship (e.g. relative or family member) with the investigator's or sponsor's staff. Any other condition or circumstance that, in the opinion of the investigator, could compromise the subject's ability to comply with the study protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ulrike BLUME-PEYTAVI, Prof. Dr.
Organizational Affiliation
Charité-Universitätsmedizin Berlin, Dept Dermatology, Germany
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Pascal REYGAGNE, Dr.
Organizational Affiliation
Sabouraud Center, Saint-Louis Hospital, France
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Yvan Botev, Dr.
Organizational Affiliation
"Diagnostic-consulting center XXIV-Sofia", Bulgaria
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Horia Beti, Dr.
Organizational Affiliation
SC Centrul Medical Sana SRL, Romania
Official's Role
Principal Investigator
Facility Information:
Facility Name
Multicenter Clinical Trials
City
Sofia
Country
Bulgaria
Facility Name
Centre Sabourand - Hospital Saint-Louis, 1, Avenue Claude Vellefaux
City
Paris
ZIP/Postal Code
75010
Country
France
Facility Name
Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin
City
Berlin
State/Province
Berlin,
ZIP/Postal Code
10117
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
No

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Efficacy and Safety of LH-8 in Paediatric Alopecia Areata

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