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A Maximal Use Trial Evaluating the Pharmacokinetic Profile of MC2-01 Cream

Primary Purpose

Psoriasis Vulgaris

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
MC2-01 Cream
CAL/BDP combination
Sponsored by
MC2 Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis Vulgaris

Eligibility Criteria

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

Inclusion Criteria:

  • Have provided written informed consent.
  • Generally healthy males or non-pregnant females, of any race or ethnicity, who are at least 18 years of age at the time of screening.
  • At Visit 1/Day 0, have a clinical diagnosis of plaque psoriasis (psoriasis vulgaris) of at least 6 months duration involving scalp and body (trunk and/or limbs) that is amenable to topical treatment with a maximum of 100 g of trial medication per week.
  • Have a Physician's Global Assessment [PGA] of severity of at least moderate on the trunk, limbs and/or scalp, at Visit 1/Day 0.
  • Have a treatment area between 20% and 30% of the body surface area [BSA] on the trunk, limbs and/or scalp, excluding psoriatic lesions on the face, genitals, and intertriginous areas, at Visit 1/Day 0.

Exclusion Criteria:

  • Current diagnosis of unstable forms of psoriasis
  • Other inflammatory skin disease in the treatment area
  • Pigmentation, extensive scarring, pigmented lesions or sunburn in the treatment areas
  • Planned exposure to natural or artificial sunlight
  • Phototherapy and ultraviolet B radiation within 4 weeks prior to Visit 1/Baseline and during the trial;
  • Current or past history of hypercalcemia, vitamin D toxicity, severe renal insufficiency, or severe hepatic disorders;
  • Oral calcium supplements, vitamin D supplements, bisphosphonates or calcitonin within 4 weeks prior to Visit 1/Day 0 during the trial period.
  • Planned initiation of, or changes to concomitant medication that could affect calcium metabolism during the trial;
  • Planned initiation of, or changes to, concomitant estrogen therapy during the trial;
  • Strong systemic cytochrome P450 3A4 (CYP 3A4) inhibitors within 4 weeks prior to Vist 1/Day 0 and during the trial period;
  • Use of topical treatments, except for emollients and non-medicated shampoos, with a possible effect on psoriasis within 2 weeks prior to Visit 1/Day 0 and during the trial period;
  • Systemic treatment with biological therapies
  • Initiation of, or expected changes to, concomitant medication that may affect psoriasis during the trial period;
  • Depression and endocrine disorders known to affect cortisol levels or HPA axis integrity, non-nocturnal sleep patterns
  • Systemic medication that suppresses the immune system within 4 weeks prior to the Visit 1/Day 0 and during the trial period;
  • Clinical signs of skin infection with bacteria, viruses, or fungi;
  • Known human immunodeficiency virus [HIV] infection;
  • Known or suspected of hypersensitivity to any component of the test product or reference product;
  • Any chronic or acute medical condition that may pose a risk to the safety of the subject, or may interfere with the assessment of safety or efficacy in this trial;

Sites / Locations

  • Lenus Research and Medical Group

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

MC2-01 Cream

CAL/BDP combination

Arm Description

MC2-01 cream (CAL and BDP, w/w 0.005%/ 0.064%).

CAL/BDP ointment (w/w 0.005%/0.064%).

Outcomes

Primary Outcome Measures

Maximum Plasma Concentration (Cmax) of the Active Ingredient Calcipotriene
Geometric Mean for Maximum Plasma Concentration [Cmax] for the active ingredient Calcipotriene. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Maximum Plasma Concentration (Cmax) of the Active Ingredient Calcipotriene
Geometric Mean for Maximum Plasma Concentration [Cmax] for the active ingredient Calcipotriene. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Maximum Plasma Concentration (Cmax) of Active Ingredient Betamethasone Dipropionate
Geometric Mean for Maximum Plasma Concentration [Cmax] for the active ingredient Betamethasone Dipropionate. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Maximum Plasma Concentration (Cmax) of Active Ingredient Betamethasone Dipropionate
Geometric Mean for Maximum Plasma Concentration [Cmax] for the active ingredient Betamethasone Dipropionate. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Maximum Plasma Concentration (Cmax) of the Metabolite MC1080
Geometric Mean for Maximum Plasma Concentration [Cmax] for the metabolite MC1080. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Maximum Plasma Concentration (Cmax) of the Metabolite MC1080
Geometric Mean for Maximum Plasma Concentration [Cmax] for the metabolite MC1080. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Maximum Plasma Concentration (Cmax) of Metabolite Betamethasone 17-propionate
Geometric Mean for Maximum Plasma Concentration [Cmax] for the metabolite Betamethasone 17-propionate. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Maximum Plasma Concentration (Cmax) of Metabolite Betamethasone 17-propionate
Geometric Mean for Maximum Plasma Concentration [Cmax] for the metabolite Betamethasone 17-propionate. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose

Secondary Outcome Measures

Number of Subjects With Hypothalamic-pituitary-adrenal [HPA] Suppression After 4 Weeks of Treatment
The HPA axis evaluation is based on an Adrenocorticotropic hormone [ACTH] challenge test, defined by a 30 minutes ACTH stimulated cortisol value. Only subject with no HPA suppression at baseline were included in the analysis. The outcome measure lists the number of subjects with HPA suppression 30 minutes after ACTH challenge
Number of Subjects With Hypothalamic-pituitary-adrenal [HPA] Suppression After 8 Weeks of Treatment
The HPA challenge test were only performed on subjects that were assigned to the MC2-01 cream group. Out of a total of 32 subjects, 5 subjects were excluded from the analysis as they had HPA suppression at baseline
Calcium Metabolism Evaluation in Albumin-corrected Serum Calcium
Changes from baseline of albumin-corrected serum calcium [mmol/L]
Calcium Metabolism Evaluation in Albumin-corrected Serum Calcium
Changes from baseline in albumin-corrected serum calcium [mmol/L]
Calcium Metabolism Evaluation of 24-hour Urinary Calcium Excretion
Changes from baseline of 24-hour urinary calcium excretion [mmol/day]
Calcium Metabolism Evaluation of 24-hour Urinary Calcium Excretion
Changes from baseline of 24-hour urinary calcium excretion [mmol/day]
Calcium Metabolism Evaluation of the Ratio of Urinary Calcium to Creatinine
Changes from baseline in ratio of urinary calcium to creatinine defined as urinary calcium (mmol)/creatinine (g)
Calcium Metabolism Evaluation of the Ratio of Urinary Calcium to Creatinine
Changes from baseline in ratio of urinary calcium to creatinine defined as urinary calcium (mmol)/creatinine (g)

Full Information

First Posted
February 20, 2018
Last Updated
December 9, 2019
Sponsor
MC2 Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT03462927
Brief Title
A Maximal Use Trial Evaluating the Pharmacokinetic Profile of MC2-01 Cream
Official Title
A Randomised, Open-label, Maximal Use Trial, Evaluating the Pharmacokinetic Profile of Active Ingredients and Their Metabolites After Application of MC2-01 Cream Compared With Active Comparator in Subjects With Extensive Psoriasis Vulgaris
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
February 8, 2018 (Actual)
Primary Completion Date
August 4, 2018 (Actual)
Study Completion Date
August 4, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MC2 Therapeutics

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 phase 2, randomised, open-label, parallel-group, multicentre trial in which MC2-01 cream and calcipotriene [CAL]/betamethasone [BDP] ointment (comparator) is investigated in subjects with clinically diagnosed extensive psoriasis vulgaris.
Detailed Description
The MC2-01 cream is designed for optimal patient satisfaction - it quickly absorbs into the skin leaving it nicely moisturized allowing patients to move on with daily routines. In this trial, the MC2-01 cream will be compared to a marketed calcipotriene [CAL]/betamethasone dipropionate [BDP] ointment. The purpose of the trial, is to determine the pharmacokinetic parameters of MC2-01 cream and the comparator under maximum use conditions.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis Vulgaris

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
63 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MC2-01 Cream
Arm Type
Experimental
Arm Description
MC2-01 cream (CAL and BDP, w/w 0.005%/ 0.064%).
Arm Title
CAL/BDP combination
Arm Type
Active Comparator
Arm Description
CAL/BDP ointment (w/w 0.005%/0.064%).
Intervention Type
Drug
Intervention Name(s)
MC2-01 Cream
Intervention Description
MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0.005%/0.064%)
Intervention Type
Drug
Intervention Name(s)
CAL/BDP combination
Intervention Description
Calcipotriene/betamethasone (calcipotriene/ betamethasone dipropionate, w/w 0.005%/0.064%)
Primary Outcome Measure Information:
Title
Maximum Plasma Concentration (Cmax) of the Active Ingredient Calcipotriene
Description
Geometric Mean for Maximum Plasma Concentration [Cmax] for the active ingredient Calcipotriene. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Time Frame
Week 4
Title
Maximum Plasma Concentration (Cmax) of the Active Ingredient Calcipotriene
Description
Geometric Mean for Maximum Plasma Concentration [Cmax] for the active ingredient Calcipotriene. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Time Frame
Week 8
Title
Maximum Plasma Concentration (Cmax) of Active Ingredient Betamethasone Dipropionate
Description
Geometric Mean for Maximum Plasma Concentration [Cmax] for the active ingredient Betamethasone Dipropionate. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Time Frame
Week 4
Title
Maximum Plasma Concentration (Cmax) of Active Ingredient Betamethasone Dipropionate
Description
Geometric Mean for Maximum Plasma Concentration [Cmax] for the active ingredient Betamethasone Dipropionate. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Time Frame
Week 8
Title
Maximum Plasma Concentration (Cmax) of the Metabolite MC1080
Description
Geometric Mean for Maximum Plasma Concentration [Cmax] for the metabolite MC1080. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Time Frame
Week 4
Title
Maximum Plasma Concentration (Cmax) of the Metabolite MC1080
Description
Geometric Mean for Maximum Plasma Concentration [Cmax] for the metabolite MC1080. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Time Frame
Week 8
Title
Maximum Plasma Concentration (Cmax) of Metabolite Betamethasone 17-propionate
Description
Geometric Mean for Maximum Plasma Concentration [Cmax] for the metabolite Betamethasone 17-propionate. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Time Frame
Week 4
Title
Maximum Plasma Concentration (Cmax) of Metabolite Betamethasone 17-propionate
Description
Geometric Mean for Maximum Plasma Concentration [Cmax] for the metabolite Betamethasone 17-propionate. Plasma concentration was measured at the following timepoints: pre-dose, 30 min, 1, 2, 3, 5 and 7 hours post-dose
Time Frame
Week 8
Secondary Outcome Measure Information:
Title
Number of Subjects With Hypothalamic-pituitary-adrenal [HPA] Suppression After 4 Weeks of Treatment
Description
The HPA axis evaluation is based on an Adrenocorticotropic hormone [ACTH] challenge test, defined by a 30 minutes ACTH stimulated cortisol value. Only subject with no HPA suppression at baseline were included in the analysis. The outcome measure lists the number of subjects with HPA suppression 30 minutes after ACTH challenge
Time Frame
Week 4
Title
Number of Subjects With Hypothalamic-pituitary-adrenal [HPA] Suppression After 8 Weeks of Treatment
Description
The HPA challenge test were only performed on subjects that were assigned to the MC2-01 cream group. Out of a total of 32 subjects, 5 subjects were excluded from the analysis as they had HPA suppression at baseline
Time Frame
Week 8
Title
Calcium Metabolism Evaluation in Albumin-corrected Serum Calcium
Description
Changes from baseline of albumin-corrected serum calcium [mmol/L]
Time Frame
Baseline and week 4
Title
Calcium Metabolism Evaluation in Albumin-corrected Serum Calcium
Description
Changes from baseline in albumin-corrected serum calcium [mmol/L]
Time Frame
Baseline and week 8
Title
Calcium Metabolism Evaluation of 24-hour Urinary Calcium Excretion
Description
Changes from baseline of 24-hour urinary calcium excretion [mmol/day]
Time Frame
Baseline and week 4
Title
Calcium Metabolism Evaluation of 24-hour Urinary Calcium Excretion
Description
Changes from baseline of 24-hour urinary calcium excretion [mmol/day]
Time Frame
Baseline and week 8
Title
Calcium Metabolism Evaluation of the Ratio of Urinary Calcium to Creatinine
Description
Changes from baseline in ratio of urinary calcium to creatinine defined as urinary calcium (mmol)/creatinine (g)
Time Frame
Baseline and week 4
Title
Calcium Metabolism Evaluation of the Ratio of Urinary Calcium to Creatinine
Description
Changes from baseline in ratio of urinary calcium to creatinine defined as urinary calcium (mmol)/creatinine (g)
Time Frame
Baseline and week 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have provided written informed consent. Generally healthy males or non-pregnant females, of any race or ethnicity, who are at least 18 years of age at the time of screening. At Visit 1/Day 0, have a clinical diagnosis of plaque psoriasis (psoriasis vulgaris) of at least 6 months duration involving scalp and body (trunk and/or limbs) that is amenable to topical treatment with a maximum of 100 g of trial medication per week. Have a Physician's Global Assessment [PGA] of severity of at least moderate on the trunk, limbs and/or scalp, at Visit 1/Day 0. Have a treatment area between 20% and 30% of the body surface area [BSA] on the trunk, limbs and/or scalp, excluding psoriatic lesions on the face, genitals, and intertriginous areas, at Visit 1/Day 0. Exclusion Criteria: Current diagnosis of unstable forms of psoriasis Other inflammatory skin disease in the treatment area Pigmentation, extensive scarring, pigmented lesions or sunburn in the treatment areas Planned exposure to natural or artificial sunlight Phototherapy and ultraviolet B radiation within 4 weeks prior to Visit 1/Baseline and during the trial; Current or past history of hypercalcemia, vitamin D toxicity, severe renal insufficiency, or severe hepatic disorders; Oral calcium supplements, vitamin D supplements, bisphosphonates or calcitonin within 4 weeks prior to Visit 1/Day 0 during the trial period. Planned initiation of, or changes to concomitant medication that could affect calcium metabolism during the trial; Planned initiation of, or changes to, concomitant estrogen therapy during the trial; Strong systemic cytochrome P450 3A4 (CYP 3A4) inhibitors within 4 weeks prior to Vist 1/Day 0 and during the trial period; Use of topical treatments, except for emollients and non-medicated shampoos, with a possible effect on psoriasis within 2 weeks prior to Visit 1/Day 0 and during the trial period; Systemic treatment with biological therapies Initiation of, or expected changes to, concomitant medication that may affect psoriasis during the trial period; Depression and endocrine disorders known to affect cortisol levels or HPA axis integrity, non-nocturnal sleep patterns Systemic medication that suppresses the immune system within 4 weeks prior to the Visit 1/Day 0 and during the trial period; Clinical signs of skin infection with bacteria, viruses, or fungi; Known human immunodeficiency virus [HIV] infection; Known or suspected of hypersensitivity to any component of the test product or reference product; Any chronic or acute medical condition that may pose a risk to the safety of the subject, or may interfere with the assessment of safety or efficacy in this trial;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
George Han
Organizational Affiliation
Department of Dermatology, Mount Sinai Beth Israel
Official's Role
Principal Investigator
Facility Information:
Facility Name
Lenus Research and Medical Group
City
Sweetwater
State/Province
Florida
ZIP/Postal Code
33172
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Maximal Use Trial Evaluating the Pharmacokinetic Profile of MC2-01 Cream

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