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Thykamine Safety and Efficacy Study in Mild-to-Moderate Atopic Dermatitis

Primary Purpose

Atopic Dermatitis Eczema

Status
Completed
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
Administration of Placebo
Administration of PUR0110 (Thykamine) 0.05%
Administration of PUR0110 (Thykamine) 0.1%
Administration of PUR0110 (Thykamine) 0.25%
Sponsored by
PurGenesis Technologies Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis Eczema focused on measuring Mild moderate atopic dermatitis

Eligibility Criteria

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

Inclusion criteria

The patient must meet all the following criteria to be enrolled in the study:

  1. Male or female patients, aged 18 years or older at the screening visit.
  2. Patients with diagnosis of AD for at least 6 months prior to Day 0 visit as defined by the criteria of Hanifin and Rajka (Acta Derm Venereol. 1980).
  3. Patients with BSA ≥ 1 % and ≤ 15% at Day 0 (excluding palms, soles and scalp).
  4. Patients with IGA score of 2 to 3 (mild-to-moderate) at Day 0.
  5. Female patients of childbearing potential must have a negative pregnancy test (serum Beta-hCG) at the screening visit - unless they are surgically sterile (hysterectomy, bilateral oophorectomy or tubal ligation), in a menopausal state for at least a year, clinically diagnosed infertile, or have a same-sex partner or are abstinent.
  6. In addition, females of childbearing potential or a male patient with a female partner must be willing to use an effective contraceptive method for at least 30 days (12 weeks for hormonal contraceptives) before Day 0 and at least 1 month after the last study drug administration. Effective contraceptive methods include:

    • Barrier methods such as condom, sponge or diaphragm combined with spermicide in foam, gel or cream;
    • Hormonal contraception (oral, intramuscular, implant or transdermal) which include Depo Provera, Evra and Nuvaring; and
    • Intrauterine device (IUD).
  7. Patients must be capable of giving informed consent and the consent must be obtained prior to any study related procedures.

Exclusion criteria

  1. Patient with BSA > 15% (excluding palms, soles and scalp).
  2. Female who is pregnant or lactating or wishes to become pregnant during the study period.
  3. Patient with a history of any confounding inflammatory skin diseases or any other skin disease, e.g., psoriasis, rosacea, erythroderma or ichthyosis, that could impair his/her safety during the study or interfere with the evaluation of AD.
  4. Patient with spontaneously improving or rapidly deteriorating AD.
  5. Patient with active allergic contact dermatitis or other non-atopic forms of dermatitis.
  6. Patient with active cutaneous bacterial or viral or fungal infection in any treatment area at baseline (e.g., clinically infected AD).
  7. Patient with acute infections.
  8. Patient with a history or presence of Netherton's syndrome, immunological deficiencies or diseases, diabetes, malignancy, psychological disorders, serious active or recurrent infection, clinically significant severe renal insufficiency or severe hepatic disorders - which might cause this study to be detrimental to the patient or that may confound the study results or interfere significantly with the patient's participation in the study.
  9. Patient with bleeding disorders.
  10. Patient with known seropositivity for the human immunodeficiency virus or evidence of active hepatitis B or C.
  11. Patient has an unstable or serious medical condition, as defined by the investigator, which might cause this study to be detrimental to the patient or that may confound the study results or interfere significantly with the patient's participation in the study.
  12. Patient has a history of alcoholism or drug abuse within 12 months prior to Day 0.
  13. Patient with known allergy, or history of allergic reaction, or hypersensitivity to spinach, spinach tablet, spinach powder or spinach extract; to mushrooms; or any ingredients present in PUR 0110.
  14. Patient with a history of severe food allergies.
  15. Patient with sunburn, extensive scarring, or pigmented lesion(s) in any treatment area at baseline (Day 0), which would interfere with evaluations.
  16. Use within 4 weeks prior to baseline (Day 0) of oral or intravenous corticosteroids, UVA/UVB therapy, PUVA (psoralen plus ultraviolet A) therapy, tanning booths, non-prescription UV light sources, immunomodulators or immunosuppressive therapies, interferon, or cytotoxic drugs.
  17. Use within 2 weeks of baseline (Day 0) of systemic antibiotics, calcipotriene or other vitamin D preparations, or retinoids.
  18. Use within 2 weeks of baseline (Day 0) of oral natural health products or vitamins containing lutein.
  19. Use within 1 week prior to baseline (Day 0) of antihistamines, topical antibiotics, topical corticosteroids, topical calcineurin inhibitors or other topical drug products used for treating AD. Inhaled corticosteroids for stable medical conditions are allowed.
  20. Use within 24 hours prior to baseline (Day 0) of any topical product (e.g., sunscreens, lotions, creams) in the areas to be treated, except for bland emollient (moisturizer).
  21. Use of an investigational agent within 4 weeks or 5 half-lives prior to Day 0 (whichever is longer).
  22. Patient not willing to minimize or avoid natural and artificial sunlight exposure during treatment.

Sites / Locations

  • SimcoDerm Medical and Surgical Dermatology Center
  • Manna Research Inc. (Burlington North)
  • DermEffects
  • Lynderm Research inc.
  • Manna Research Inc. (Toronto)
  • Windsor Clinical Research Inc.
  • DermEdge Research imc.
  • Q&T Research Chicoutimi
  • Dr. Isabelle Delorme Inc.
  • Dr. David Gratton Dermatologue Inc.
  • Centre de Recherche Saint-Louis
  • Centre de Recherche Dermatologique du Quebec metropolitain (CRDQ)

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

Placebo

PUR0110 (Thykamine) 0.05%

PUR0110 (Thykamine) 0.10%

PUR0110 (Thykamine) 0.25%

Arm Description

Administration of Placebo

Administration of PUR0110 (Thykamine) 0.05%

Administration of PUR0110 (Thykamine) 0.10%

Administration of PUR0110 (Thykamine) 0.25%

Outcomes

Primary Outcome Measures

Efficacy as per investigator global assessment (IGA)
Efficacy as per investigator global assessment (IGA) of clear (0), almost clear (1) at Day 29 and with a decrease from baseline in IGA of at least 2 grades at Day 29.

Secondary Outcome Measures

Incidence and severity of adverse events (AEs) (systemic and local)
Incidence and severity of adverse events (AEs) (systemic and local) as a measure of safety and tolerability of treatment for up to Day 29.
Change from baseline in Atopic Dermatitis (AD) score
Change from baseline to Day 29 in the 4 individual signs/symptoms score of AD including: erythema, induration/papulation, excoriation and lichenification measured in the target lesion on a 4-point scale defined as : 0 = None; 1=Mild; 2=Moderate and 3=Severe
Change in pruritus
Change from baseline to Day 29 in pruritus, measured on a 4-point scale defined as : 0=None; 1=Mild; 2=Moderate and 3=Severe
Proportion of patients with change in Investigator Global Assessment (IGA)
• Proportion of patients with an IGA of clear (0), almost clear (1) and with a decrease from baseline in IGA of at least 2 grades at intermediate visits (Days 7, 14 and 21). Scores being defined as : 0=Clear ; 1=Almost Clear; 2:=Mild disease; 3=Moderate disease and 4 = Severe disease
Change in Eczema Area and Severity Index (EASI)
Change from baseline to Day 29 in Eczema Area and Severity Index (EASI).Four body regions are considered separately and include: Head and neck; Trunk ; Upper extremities; Lower extremities (including the buttocks).Extent of Eczema in these regions is being scored as follow : 0 = 0% involvement; 1= 1-9%; 2 = 10-29%; 3= 30-49%; 4= 50-69%; 5= 70-89% and 6= 90-100%. Severity of erythema, edema/papulation, excoriation and lichenification , for each region is scaled as : 0=none; 1= mild; 2= moderate and 3= severe. Final EASI score is the sum of the 4 region scores and ranges from 0-72.

Full Information

First Posted
April 15, 2018
Last Updated
September 15, 2021
Sponsor
PurGenesis Technologies Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03540043
Brief Title
Thykamine Safety and Efficacy Study in Mild-to-Moderate Atopic Dermatitis
Official Title
4-Week Multicenter, Randomized, Double-Blind, Parallel-Group, Vehicle-Controlled Safety and Efficacy Study of PUR 0110 (Thykamine™) Cream Applied Twice Daily in Mild-to-Moderate Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
October 23, 2017 (Actual)
Primary Completion Date
December 31, 2019 (Actual)
Study Completion Date
June 3, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PurGenesis Technologies Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
A Phase 2, multicenter, double-blind, placebo control study evaluating the safety and efficacy of Thykamine in adult patient suffering of mild-to-moderate Atopic Dermatitis
Detailed Description
4-week Multicenter, Randomized, Double-Blind, Parallel-Group, Vehicle-Controlled Safety and Efficacy Study of Three Concentrations (0.05%, 0.1% and 0.25%) of PUR 0110 (Thykamine™) Cream Applied Twice Daily in Mild-to-Moderate Atopic Dermatitis.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Randomized, Double-Blind, Parallel-Group, Placebo-controlled
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Treatment were packaged in identical jars. Eligible patients will be randomized in a 1:1:1:1 ratio to receive either one of 3 concentrations of PUR 0110 cream (0.05%, 0.1% and 0.25%) or vehicle (placebo).
Allocation
Randomized
Enrollment
162 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Administration of Placebo
Arm Title
PUR0110 (Thykamine) 0.05%
Arm Type
Experimental
Arm Description
Administration of PUR0110 (Thykamine) 0.05%
Arm Title
PUR0110 (Thykamine) 0.10%
Arm Type
Experimental
Arm Description
Administration of PUR0110 (Thykamine) 0.10%
Arm Title
PUR0110 (Thykamine) 0.25%
Arm Type
Experimental
Arm Description
Administration of PUR0110 (Thykamine) 0.25%
Intervention Type
Drug
Intervention Name(s)
Administration of Placebo
Other Intervention Name(s)
Placebo control
Intervention Description
Botanical Drug Phase 2 clinical study
Intervention Type
Drug
Intervention Name(s)
Administration of PUR0110 (Thykamine) 0.05%
Other Intervention Name(s)
Active arm
Intervention Description
Botanical Drug Phase 2 clinical study
Intervention Type
Drug
Intervention Name(s)
Administration of PUR0110 (Thykamine) 0.1%
Other Intervention Name(s)
Active arm
Intervention Description
Botanical Drug Phase 2 clinical study
Intervention Type
Drug
Intervention Name(s)
Administration of PUR0110 (Thykamine) 0.25%
Other Intervention Name(s)
Active arm
Intervention Description
Botanical Drug Phase 2 clinical study
Primary Outcome Measure Information:
Title
Efficacy as per investigator global assessment (IGA)
Description
Efficacy as per investigator global assessment (IGA) of clear (0), almost clear (1) at Day 29 and with a decrease from baseline in IGA of at least 2 grades at Day 29.
Time Frame
Baseline and 4 weeks
Secondary Outcome Measure Information:
Title
Incidence and severity of adverse events (AEs) (systemic and local)
Description
Incidence and severity of adverse events (AEs) (systemic and local) as a measure of safety and tolerability of treatment for up to Day 29.
Time Frame
Baseline and 4 weeks
Title
Change from baseline in Atopic Dermatitis (AD) score
Description
Change from baseline to Day 29 in the 4 individual signs/symptoms score of AD including: erythema, induration/papulation, excoriation and lichenification measured in the target lesion on a 4-point scale defined as : 0 = None; 1=Mild; 2=Moderate and 3=Severe
Time Frame
Baseline and 4 weeks
Title
Change in pruritus
Description
Change from baseline to Day 29 in pruritus, measured on a 4-point scale defined as : 0=None; 1=Mild; 2=Moderate and 3=Severe
Time Frame
Baseline and 4 weeks
Title
Proportion of patients with change in Investigator Global Assessment (IGA)
Description
• Proportion of patients with an IGA of clear (0), almost clear (1) and with a decrease from baseline in IGA of at least 2 grades at intermediate visits (Days 7, 14 and 21). Scores being defined as : 0=Clear ; 1=Almost Clear; 2:=Mild disease; 3=Moderate disease and 4 = Severe disease
Time Frame
Baseline and 3 weeks
Title
Change in Eczema Area and Severity Index (EASI)
Description
Change from baseline to Day 29 in Eczema Area and Severity Index (EASI).Four body regions are considered separately and include: Head and neck; Trunk ; Upper extremities; Lower extremities (including the buttocks).Extent of Eczema in these regions is being scored as follow : 0 = 0% involvement; 1= 1-9%; 2 = 10-29%; 3= 30-49%; 4= 50-69%; 5= 70-89% and 6= 90-100%. Severity of erythema, edema/papulation, excoriation and lichenification , for each region is scaled as : 0=none; 1= mild; 2= moderate and 3= severe. Final EASI score is the sum of the 4 region scores and ranges from 0-72.
Time Frame
Baseline and 4 weeks
Other Pre-specified Outcome Measures:
Title
EASI improvement
Description
Proportion of patients with at least a 50% and 75% improvement in EASI (EASI50) at Day 29 as compared to baseline
Time Frame
Baseline and 4 weeks
Title
Change from baseline in body surface area (BSA).
Description
Change from baseline to Day 29 in body surface area (BSA) affected by disease.
Time Frame
Baseline and 4 weeks
Title
Change from baseline in Dermatology Life Quality Index (DLQI).
Description
Change from baseline to Day 29 in Dermatology Life Quality Index (DLQI) evaluating the impact on Quality of life scale : Very much ; A lot; a little or Not at all.
Time Frame
Baseline and 4 weeks
Title
Change from baseline in Patient-Oriented Eczema Measure (POEM).
Description
Change from baseline to Day 29 in Patient-Oriented Eczema Measure (POEM) investigating the number of days patients have been subjected, due to eczema, to itchy skin, sleep disturbance; skin bleeding; skin weeping; skin craked; skin flaking and skin dryness. Scale defined as : 0 = no days; 1= 1-2 days; 2= 3-4 days; 3= 5-6 days; 4 = everyday
Time Frame
Baseline and 4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria The patient must meet all the following criteria to be enrolled in the study: Male or female patients, aged 18 years or older at the screening visit. Patients with diagnosis of AD for at least 6 months prior to Day 0 visit as defined by the criteria of Hanifin and Rajka (Acta Derm Venereol. 1980). Patients with BSA ≥ 1 % and ≤ 15% at Day 0 (excluding palms, soles and scalp). Patients with IGA score of 2 to 3 (mild-to-moderate) at Day 0. Female patients of childbearing potential must have a negative pregnancy test (serum Beta-hCG) at the screening visit - unless they are surgically sterile (hysterectomy, bilateral oophorectomy or tubal ligation), in a menopausal state for at least a year, clinically diagnosed infertile, or have a same-sex partner or are abstinent. In addition, females of childbearing potential or a male patient with a female partner must be willing to use an effective contraceptive method for at least 30 days (12 weeks for hormonal contraceptives) before Day 0 and at least 1 month after the last study drug administration. Effective contraceptive methods include: Barrier methods such as condom, sponge or diaphragm combined with spermicide in foam, gel or cream; Hormonal contraception (oral, intramuscular, implant or transdermal) which include Depo Provera, Evra and Nuvaring; and Intrauterine device (IUD). Patients must be capable of giving informed consent and the consent must be obtained prior to any study related procedures. Exclusion criteria Patient with BSA > 15% (excluding palms, soles and scalp). Female who is pregnant or lactating or wishes to become pregnant during the study period. Patient with a history of any confounding inflammatory skin diseases or any other skin disease, e.g., psoriasis, rosacea, erythroderma or ichthyosis, that could impair his/her safety during the study or interfere with the evaluation of AD. Patient with spontaneously improving or rapidly deteriorating AD. Patient with active allergic contact dermatitis or other non-atopic forms of dermatitis. Patient with active cutaneous bacterial or viral or fungal infection in any treatment area at baseline (e.g., clinically infected AD). Patient with acute infections. Patient with a history or presence of Netherton's syndrome, immunological deficiencies or diseases, diabetes, malignancy, psychological disorders, serious active or recurrent infection, clinically significant severe renal insufficiency or severe hepatic disorders - which might cause this study to be detrimental to the patient or that may confound the study results or interfere significantly with the patient's participation in the study. Patient with bleeding disorders. Patient with known seropositivity for the human immunodeficiency virus or evidence of active hepatitis B or C. Patient has an unstable or serious medical condition, as defined by the investigator, which might cause this study to be detrimental to the patient or that may confound the study results or interfere significantly with the patient's participation in the study. Patient has a history of alcoholism or drug abuse within 12 months prior to Day 0. Patient with known allergy, or history of allergic reaction, or hypersensitivity to spinach, spinach tablet, spinach powder or spinach extract; to mushrooms; or any ingredients present in PUR 0110. Patient with a history of severe food allergies. Patient with sunburn, extensive scarring, or pigmented lesion(s) in any treatment area at baseline (Day 0), which would interfere with evaluations. Use within 4 weeks prior to baseline (Day 0) of oral or intravenous corticosteroids, UVA/UVB therapy, PUVA (psoralen plus ultraviolet A) therapy, tanning booths, non-prescription UV light sources, immunomodulators or immunosuppressive therapies, interferon, or cytotoxic drugs. Use within 2 weeks of baseline (Day 0) of systemic antibiotics, calcipotriene or other vitamin D preparations, or retinoids. Use within 2 weeks of baseline (Day 0) of oral natural health products or vitamins containing lutein. Use within 1 week prior to baseline (Day 0) of antihistamines, topical antibiotics, topical corticosteroids, topical calcineurin inhibitors or other topical drug products used for treating AD. Inhaled corticosteroids for stable medical conditions are allowed. Use within 24 hours prior to baseline (Day 0) of any topical product (e.g., sunscreens, lotions, creams) in the areas to be treated, except for bland emollient (moisturizer). Use of an investigational agent within 4 weeks or 5 half-lives prior to Day 0 (whichever is longer). Patient not willing to minimize or avoid natural and artificial sunlight exposure during treatment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yves Poulin, MD
Organizational Affiliation
Centre de Recherche Dernatologique du Quebec
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Wei Jing Loo, MD
Organizational Affiliation
DermEffects
Official's Role
Study Director
Facility Information:
Facility Name
SimcoDerm Medical and Surgical Dermatology Center
City
Barrie
State/Province
Ontario
ZIP/Postal Code
L4M 7G1
Country
Canada
Facility Name
Manna Research Inc. (Burlington North)
City
Burlington
State/Province
Ontario
ZIP/Postal Code
L7M 4Y1
Country
Canada
Facility Name
DermEffects
City
London
State/Province
Ontario
ZIP/Postal Code
N6H 5L5
Country
Canada
Facility Name
Lynderm Research inc.
City
Markham
State/Province
Ontario
ZIP/Postal Code
L3P 1X2
Country
Canada
Facility Name
Manna Research Inc. (Toronto)
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M9W 4L6
Country
Canada
Facility Name
Windsor Clinical Research Inc.
City
Windsor
State/Province
Ontario
ZIP/Postal Code
N8W5L7
Country
Canada
Facility Name
DermEdge Research imc.
City
Mississauga
State/Province
Ontation
ZIP/Postal Code
L5H 1G9
Country
Canada
Facility Name
Q&T Research Chicoutimi
City
Chicoutimi
State/Province
Quebec
ZIP/Postal Code
G7H 7Y8
Country
Canada
Facility Name
Dr. Isabelle Delorme Inc.
City
Drummondville
State/Province
Quebec
ZIP/Postal Code
J2B 5L4
Country
Canada
Facility Name
Dr. David Gratton Dermatologue Inc.
City
Montréal
State/Province
Quebec
ZIP/Postal Code
H3H 1V4
Country
Canada
Facility Name
Centre de Recherche Saint-Louis
City
Québec
State/Province
Quebec
ZIP/Postal Code
G1W 4R4
Country
Canada
Facility Name
Centre de Recherche Dermatologique du Quebec metropolitain (CRDQ)
City
Québec
ZIP/Postal Code
G1V 4X7
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

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Thykamine Safety and Efficacy Study in Mild-to-Moderate Atopic Dermatitis

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