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Efficacy and Steroid Sparing Potential Study of DGLA Cream in Early Childhood Patients With Moderate to Severe Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 2
Locations
Ireland
Study Type
Interventional
Intervention
DS107E
Vehicle
Hydrocortisone Butyrate 0.1% Cream
Sponsored by
DS Biopharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis

Eligibility Criteria

3 Months - 12 Months (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Female and male infants aged 3-12 months.
  2. Diagnosis of atopic dermatitis according to the Hanifin and Rajka Criteria.
  3. Patients with moderate to severe atopic dermatitis (IGA ≥3)
  4. Patients with atopic dermatitis covering a minimum of 10% of the body surface area at baseline.
  5. Atopic Dermatitis is stable for the past 7 days, in the opinion of the investigator.
  6. The patient's parents are able to apply the study product twice a day (each morning and evening) for a consecutive period of 63 days.
  7. Patients who have completed the tolerability patch test without any adverse effects after 72 hours.

Exclusion Criteria:

  1. Any clinically significant controlled or uncontrolled medical condition that would, in the opinion of the investigator, put the patient at undue risk or interfere with interpretation of study results.
  2. Clinically significant impairment of renal or hepatic function.
  3. Clinically significant immunodeficiency.
  4. Use of systemic antibiotics less than 2 weeks prior to Baseline Visit (Day 0).
  5. Other skin conditions that might interfere with atopic dermatitis diagnosis and/or evaluation (such as psoriasis or current viral, bacterial and fungal skin infections).
  6. History of intolerance to any ingredient in DS107E DGLA cream or Vehicle cream (including the tolerability patch test performed at the Screening Visit) or intolerance to any ingredient in Locoid® Ointment (hydrocortisone butyrate 0.1%).
  7. Use of systemic treatments that could affect atopic dermatitis less than 4 weeks prior to Baseline Visit (Day 0), e.g. oral corticosteroids; Intranasal corticosteroids and inhaled corticosteroids for stable medical conditions are allowed.
  8. Treatment with any experimental drug within 30 days prior to Day 0 Visit (Baseline), or 5 half-lives (whichever is longer).
  9. Excessive sun exposure or other ultraviolet (UV) light sources 4 weeks prior to Day 0 Visit (Baseline) and/or is planning a trip to sunny climate or other UV sources between screening and follow-up visits.
  10. Use of any topical medicated treatment for atopic dermatitis 2 weeks prior to start of treatment/Day 0 Visit (Baseline), including but not limited to topical corticosteroids, calcineurin inhibitors, tars, bleach, antimicrobials and bleach baths.
  11. Use of topical products containing ceramides 2 weeks prior to Day 0.
  12. Medical history of chronic infectious disease (e.g., hepatitis B, hepatitis C or infection with human immunodeficiency virus).

Sites / Locations

  • DS Biopharma Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

DS107E and Steroid

Vehicle and Steroid

Arm Description

First 7 days: Steroid taken topically once a day and DS107E taken once a day Next 56 days: DS107E taken topically twice a day

First 7 days: Steroid taken topically once a day and DS107E taken once a day Next 56 days: DS107E taken topically twice a day

Outcomes

Primary Outcome Measures

Investigator Global Assessment
SCORing Atopic Dermatitis
Erythema, population, oozing, excoriation, lichenification, dryness, body surface area, sleep loss and pruritus is all graded. The sum of the above measures represent the SCORAD which can vary from 0 to 103.

Secondary Outcome Measures

Investigator Global Assessment
Eczema Area and Severity Index
Proportion of patients achieving a reduction in EASI score
Body Surface Area
Trans-Epidermal Water Loss
Time to Rescue Medication

Full Information

First Posted
January 30, 2018
Last Updated
February 6, 2019
Sponsor
DS Biopharma
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1. Study Identification

Unique Protocol Identification Number
NCT03676933
Brief Title
Efficacy and Steroid Sparing Potential Study of DGLA Cream in Early Childhood Patients With Moderate to Severe Atopic Dermatitis
Official Title
A Prospective, Randomised, Vehicle-Controlled, Double-Blind, Exploratory Clinical Trial To Assess The Efficacy And Steroid Sparing Potential Of DGLA Cream Topically Applied To Early Childhood Patients With Moderate To Severe Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
October 2015 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
April 25, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
DS Biopharma

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will investigate the steroid sparing potential of DS107E to vehicle in patients with moderate to severe atopic dermatitis. DS107E or vehicle will be topically administered with a steroid twice a day for the first 7 days. For the following 56 days DS107E or vehicle will be topically administered twice a day. This study will enrol approximately 40 paediatric patients.
Detailed Description
Patients will come to the clinic on 8 occasions: Screening, Baseline, Day 7, Day 21, Day 35, Day 49, Day 63 (End of Treatment) and Day 91 (Follow-up). The primary efficacy variables will be IGA (Investigator Global Assessment) and SCORAD (SCORing Atopic Dermatitis) . The secondary efficacy variables will be IGA, SCORAD, EASI (Eczema Area and Severity Index), IDQOL (Infant Dermatology Quality of Life), DFI (Dermatitis Family Impact), BSA, TEWL (Transepidermal Water Loss) and Time to Rescue Medication.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
5 (Actual)

8. Arms, Groups, and Interventions

Arm Title
DS107E and Steroid
Arm Type
Experimental
Arm Description
First 7 days: Steroid taken topically once a day and DS107E taken once a day Next 56 days: DS107E taken topically twice a day
Arm Title
Vehicle and Steroid
Arm Type
Placebo Comparator
Arm Description
First 7 days: Steroid taken topically once a day and DS107E taken once a day Next 56 days: DS107E taken topically twice a day
Intervention Type
Drug
Intervention Name(s)
DS107E
Intervention Type
Drug
Intervention Name(s)
Vehicle
Intervention Type
Drug
Intervention Name(s)
Hydrocortisone Butyrate 0.1% Cream
Intervention Description
Steroid taken topically once a day
Primary Outcome Measure Information:
Title
Investigator Global Assessment
Time Frame
9 weeks
Title
SCORing Atopic Dermatitis
Description
Erythema, population, oozing, excoriation, lichenification, dryness, body surface area, sleep loss and pruritus is all graded. The sum of the above measures represent the SCORAD which can vary from 0 to 103.
Time Frame
9 weeks
Secondary Outcome Measure Information:
Title
Investigator Global Assessment
Time Frame
Days 7, 21. 35. 49, 63
Title
Eczema Area and Severity Index
Description
Proportion of patients achieving a reduction in EASI score
Time Frame
Days 7, 21. 35. 49, 63
Title
Body Surface Area
Time Frame
Days 7, 21. 35. 49, 63
Title
Trans-Epidermal Water Loss
Time Frame
Days 63
Title
Time to Rescue Medication
Time Frame
9 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Months
Maximum Age & Unit of Time
12 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female and male infants aged 3-12 months. Diagnosis of atopic dermatitis according to the Hanifin and Rajka Criteria. Patients with moderate to severe atopic dermatitis (IGA ≥3) Patients with atopic dermatitis covering a minimum of 10% of the body surface area at baseline. Atopic Dermatitis is stable for the past 7 days, in the opinion of the investigator. The patient's parents are able to apply the study product twice a day (each morning and evening) for a consecutive period of 63 days. Patients who have completed the tolerability patch test without any adverse effects after 72 hours. Exclusion Criteria: Any clinically significant controlled or uncontrolled medical condition that would, in the opinion of the investigator, put the patient at undue risk or interfere with interpretation of study results. Clinically significant impairment of renal or hepatic function. Clinically significant immunodeficiency. Use of systemic antibiotics less than 2 weeks prior to Baseline Visit (Day 0). Other skin conditions that might interfere with atopic dermatitis diagnosis and/or evaluation (such as psoriasis or current viral, bacterial and fungal skin infections). History of intolerance to any ingredient in DS107E DGLA cream or Vehicle cream (including the tolerability patch test performed at the Screening Visit) or intolerance to any ingredient in Locoid® Ointment (hydrocortisone butyrate 0.1%). Use of systemic treatments that could affect atopic dermatitis less than 4 weeks prior to Baseline Visit (Day 0), e.g. oral corticosteroids; Intranasal corticosteroids and inhaled corticosteroids for stable medical conditions are allowed. Treatment with any experimental drug within 30 days prior to Day 0 Visit (Baseline), or 5 half-lives (whichever is longer). Excessive sun exposure or other ultraviolet (UV) light sources 4 weeks prior to Day 0 Visit (Baseline) and/or is planning a trip to sunny climate or other UV sources between screening and follow-up visits. Use of any topical medicated treatment for atopic dermatitis 2 weeks prior to start of treatment/Day 0 Visit (Baseline), including but not limited to topical corticosteroids, calcineurin inhibitors, tars, bleach, antimicrobials and bleach baths. Use of topical products containing ceramides 2 weeks prior to Day 0. Medical history of chronic infectious disease (e.g., hepatitis B, hepatitis C or infection with human immunodeficiency virus).
Facility Information:
Facility Name
DS Biopharma Investigational Site
City
Dublin
Country
Ireland

12. IPD Sharing Statement

Learn more about this trial

Efficacy and Steroid Sparing Potential Study of DGLA Cream in Early Childhood Patients With Moderate to Severe Atopic Dermatitis

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