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A Study of B244 Delivered as a Topical Spray to Assess Safety in Pediatric Subjects With Atopic Dermatitis

Primary Purpose

Eczema, Atopic Dermatitis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Experimental: B244
Sponsored by
AOBiome LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Eczema

Eligibility Criteria

2 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subjects are eligible to be included in the study only if all of the following criteria apply:

    1. Male and female subjects 2 to 17 years of age, inclusive.
    2. Confirmed diagnosis of atopic dermatitis according to the Hanifin and Rajka criteria.
    3. A minimum of 10% but no more than 60% of the subjects' body surface area (see Appendix 6 for guidance) is affected by atopic dermatitis (affected is defined by physical examination findings: erythema, edema, scaling, lichenification, and excoriation; with the excoriation serving as the physical examination correlate of pruritus).
    4. A vIGA-AD scale of 2 or 3 at Screening and Baseline.
    5. Subject, or the parent or guardian, to provide written informed consent and authorization for protected health information disclosure.
    6. Subjects must be generally in good health based on Investigator's assessment (other than atopic dermatitis).
    7. Normal vital signs, or with no clinically significant vital signs that in the opinion of the Investigator, would place the subject at increased risk or would confound the objectives of the study.
    8. Females must not be pregnant, as confirmed by negative urine pregnancy testing. Female subjects aged ≥11 years old, or female patients <11 years old who have started menstruating, will have urinary pregnancy test performed at Screening and prior to the first dose with negative results in order to participate in the study. Females must either practice abstinence from heterosexual contact or use one of the highly effective contraceptive options described in the Appendix 5.
    9. Male subjects of reproductive potential, must be willing to practice effective contraception during the study while receiving study treatment from Day 1 and for 7 days after the last study visit (Day 28).
    10. Ability to comprehend and comply with study procedures.
    11. Agree to commit to participate in the current protocol.
    12. Provide written informed consent prior to any study procedure being performed.

      Exclusion Criteria:

      Subjects are excluded from the study if any of the following criteria apply:

    1. Clinically significant physical or mental disorder which, in the opinion of the Investigator, would place the subject at increased risk or would confound the objectives of the study.
    2. Subjects with atopic dermatitis on the face only.
    3. Active cutaneous bacterial, viral or fungal infection in any treatment area at Baseline (eg, clinically infected atopic dermatitis).
    4. History or presence of immunological deficiencies or diseases, organ transplant, human immunodeficiency virus (HIV), diabetes, malignancy, malignant or pre-malignant skin conditions, serious active or recurrent infection, systemic immunosuppressive regimens, clinically significant renal disease severe hepatic disorders, or other severe uncontrolled conditions (eg, drug or alcohol abuse), that are significant and/or that may pose a health risk to the subject in the study or may have an impact on the study assessments.
    5. Unstable atopic dermatitis or a consistent requirement for high-potency corticosteroids (class I-III steroids).
    6. Active systemic or localized infection (including infected AD).
    7. Subjects unable to comply with the excluded medication/therapy restriction
    8. Known hypersensitivity to the study treatment.
    9. Known to have hepatitis B, hepatitis C or HIV I or II tests. Details will be recorded in medical history, a blood sample will not be collected for confirmation.
    10. Female subject who is pregnant, breastfeeding, or considering pregnancy during the study.
    11. Any skin condition which in the Investigator's opinion may interfere with the evaluation of atopic dermatitis.
    12. Use of any investigational drugs within the previous 30 days prior to dosing or within a period of less than 5 times the drug's half-life, whichever is longer.
    13. Use of any biologic within a period of 5 times its half-life.
    14. Children or relatives of the Sponsor, clinical research organization, or the Study Site personnel are excluded from participating in the study.

Sites / Locations

  • Dermatology Trial Associates
  • L.A. Universal Research Center, Inc.
  • The Indiana Clinical Trials Center
  • Minnesota Clinical Study Center
  • Skin Specialists, PC
  • Virginia Clinical Research, INC

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

B244

Arm Description

B244 suspension in 30ml/bottle

Outcomes

Primary Outcome Measures

Incidence of treatment-emergent adverse events (TEAEs)as assessed by CTCAE v4.0
Safety and tolerability endpoints will consist of all adverse events reporting during the study duration.
Clinically significant changes from baseline in physical exam.
A physical exam will be conducted by a physician assessing systems (General appearance, Dermatological, Musculoskeletal, Thyroid, HEENT, Lyphatic, Respiratory, Gastrointestinal, Cardiovascular, Neurological, Extremeties, and other). Clinical significance of the physical exam will be determined at investigator's discretion.
Clinically significant changes from baseline in Vital Signs
Vital signs (temperature, respiratory rate, and pulse, ) will be obtained. Clinical significance of vital signs will be determined at the investigator's discretion.

Secondary Outcome Measures

Full Information

First Posted
December 7, 2018
Last Updated
July 29, 2020
Sponsor
AOBiome LLC
Collaborators
Novella Clinical
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1. Study Identification

Unique Protocol Identification Number
NCT03775434
Brief Title
A Study of B244 Delivered as a Topical Spray to Assess Safety in Pediatric Subjects With Atopic Dermatitis
Official Title
An Open-label, Multicenter, Phase Ib Study of B244 Delivered as a Topical Spray to Assess Safety in Pediatric Subjects Aged 2 to 17 Years With Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
December 7, 2018 (Actual)
Primary Completion Date
May 18, 2019 (Actual)
Study Completion Date
June 10, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AOBiome LLC
Collaborators
Novella Clinical

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
An open-label, multicenter, Phase Ib study of B244 delivered as a topical spray to assess safety in pediatric subjects aged 2 to 17 years with atopic dermatitis Condition or disease Intervention/treatment Phase Atopic Dermatitis (Eczema) Biological: B244 Phase 1b
Detailed Description
This is a Phase 1b, open-label, single arm, multiple site study assessing twice daily B244 application for 28 days in pediatric subjects with mild to moderate atopic dermatitis. Number of Subjects: The study will enroll 36 subjects in 3 cohorts of 12 subjects: Cohort 1: subjects aged 2 to 5 years. Cohort 2: subjects aged 6 to 11 years. Cohort 3, subjects aged 12 to 17 years. At Screening and Baseline, all subjects must have confirmed diagnosis of atopic dermatitis, as defined by the Hanifin and Rajka criteria, which involves a minimum of 10% but no more than 60% body surface area and a Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD) scale of 2 or 3. The duration of the study will be approximately 7 weeks. Subjects will attend for a Screening visit between Days -21 and -14. If all eligibility criteria and none of the exclusion criteria are met, subjects will be enrolled into the study and will be required to undergo a 14 day washout period (Days-14 to -1). Subjects will attend the study center on Day 1 and the Baseline assessments will be performed before application of the first dose. On confirmation of continued eligibility the subject and parent or guardian of the subject will be coached on how to apply medication, depending on the affected areas. They will be instructed to apply B244 twice daily (approximately 12 hours apart) for 28 days. The first dose will be applied in the clinic under the supervision of clinical staff. Details of dose administration will be recorded in the study diary provided. The subjects with their parent or guardian will return to the study center on Days 7, 14, and 21 for completion of study assessments. There will be a final study visit on Day 28, this will be defined as the end of the study for the subjects. A time window of ±2 day will be permitted for these 4 visits. There will not be a period of confinement in the study center all visits will be outpatient visits. Safety monitoring will include review of TEAEs, vital signs and physical examination. Efficacy will be assessed using EASI, vIGA-AD scale, POEM and ItchMan scores.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
All subjects will receive active product
Masking
None (Open Label)
Masking Description
This is a single arm open label study. Subjects will be assigned to the study treatment arm. Each participant will be scheduled to receive investigational product (IP).
Allocation
N/A
Enrollment
28 (Actual)

8. Arms, Groups, and Interventions

Arm Title
B244
Arm Type
Experimental
Arm Description
B244 suspension in 30ml/bottle
Intervention Type
Drug
Intervention Name(s)
Experimental: B244
Intervention Description
B244 suspension in 30ml/bottle
Primary Outcome Measure Information:
Title
Incidence of treatment-emergent adverse events (TEAEs)as assessed by CTCAE v4.0
Description
Safety and tolerability endpoints will consist of all adverse events reporting during the study duration.
Time Frame
Baseline to Day 28
Title
Clinically significant changes from baseline in physical exam.
Description
A physical exam will be conducted by a physician assessing systems (General appearance, Dermatological, Musculoskeletal, Thyroid, HEENT, Lyphatic, Respiratory, Gastrointestinal, Cardiovascular, Neurological, Extremeties, and other). Clinical significance of the physical exam will be determined at investigator's discretion.
Time Frame
Baseline to Day 28
Title
Clinically significant changes from baseline in Vital Signs
Description
Vital signs (temperature, respiratory rate, and pulse, ) will be obtained. Clinical significance of vital signs will be determined at the investigator's discretion.
Time Frame
Baseline to Day 28
Other Pre-specified Outcome Measures:
Title
Changes in the Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD).
Description
The vIGA-AD is a physician assessment ranking of Atopic Dermatitis symptoms from 0-clear, to 4- severe
Time Frame
Baseline to Day 28
Title
Changes in Area Severity Index (EASI) score.
Description
The Eczema Area and Severity Index (EASI) quantifies the severity of a subject's AD based on both severity of lesion clinical signs and the percent of body surface area (BSA) affected. EASI is a composite scoring of the degree of erythema, induration/papulation, excoriation, and lichenification (each scored separately) for each of four body regions, with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body.
Time Frame
Baseline to Day 28
Title
Changes in Patient Oriented Eczema Measure (POEM total score and each of the 7 components).
Description
This survey is 7 questions that assesses the quality of life of patient's with eczema to determine their disease severity. The 7 questions are scored out of 4 points. A higher total score indicates a higher severity of disease.
Time Frame
Baseline to Day 28
Title
Changes in patient reported outcome (self-reported ItchMan scale).
Description
The Burn Man Itch Scale is used as a self report tool for subjects to indicate how itchy the area of atopic dermatitis feels at the timepoints during the study. It's reported on a scale between 0-comfortable, no itch and 4-Itches most terribly; impossible to sit still; concentrate.
Time Frame
Baseline to Day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects are eligible to be included in the study only if all of the following criteria apply: Male and female subjects 2 to 17 years of age, inclusive. Confirmed diagnosis of atopic dermatitis according to the Hanifin and Rajka criteria. A minimum of 10% but no more than 60% of the subjects' body surface area (see Appendix 6 for guidance) is affected by atopic dermatitis (affected is defined by physical examination findings: erythema, edema, scaling, lichenification, and excoriation; with the excoriation serving as the physical examination correlate of pruritus). A vIGA-AD scale of 2 or 3 at Screening and Baseline. Subject, or the parent or guardian, to provide written informed consent and authorization for protected health information disclosure. Subjects must be generally in good health based on Investigator's assessment (other than atopic dermatitis). Normal vital signs, or with no clinically significant vital signs that in the opinion of the Investigator, would place the subject at increased risk or would confound the objectives of the study. Females must not be pregnant, as confirmed by negative urine pregnancy testing. Female subjects aged ≥11 years old, or female patients <11 years old who have started menstruating, will have urinary pregnancy test performed at Screening and prior to the first dose with negative results in order to participate in the study. Females must either practice abstinence from heterosexual contact or use one of the highly effective contraceptive options described in the Appendix 5. Male subjects of reproductive potential, must be willing to practice effective contraception during the study while receiving study treatment from Day 1 and for 7 days after the last study visit (Day 28). Ability to comprehend and comply with study procedures. Agree to commit to participate in the current protocol. Provide written informed consent prior to any study procedure being performed. Exclusion Criteria: Subjects are excluded from the study if any of the following criteria apply: Clinically significant physical or mental disorder which, in the opinion of the Investigator, would place the subject at increased risk or would confound the objectives of the study. Subjects with atopic dermatitis on the face only. Active cutaneous bacterial, viral or fungal infection in any treatment area at Baseline (eg, clinically infected atopic dermatitis). History or presence of immunological deficiencies or diseases, organ transplant, human immunodeficiency virus (HIV), diabetes, malignancy, malignant or pre-malignant skin conditions, serious active or recurrent infection, systemic immunosuppressive regimens, clinically significant renal disease severe hepatic disorders, or other severe uncontrolled conditions (eg, drug or alcohol abuse), that are significant and/or that may pose a health risk to the subject in the study or may have an impact on the study assessments. Unstable atopic dermatitis or a consistent requirement for high-potency corticosteroids (class I-III steroids). Active systemic or localized infection (including infected AD). Subjects unable to comply with the excluded medication/therapy restriction Known hypersensitivity to the study treatment. Known to have hepatitis B, hepatitis C or HIV I or II tests. Details will be recorded in medical history, a blood sample will not be collected for confirmation. Female subject who is pregnant, breastfeeding, or considering pregnancy during the study. Any skin condition which in the Investigator's opinion may interfere with the evaluation of atopic dermatitis. Use of any investigational drugs within the previous 30 days prior to dosing or within a period of less than 5 times the drug's half-life, whichever is longer. Use of any biologic within a period of 5 times its half-life. Children or relatives of the Sponsor, clinical research organization, or the Study Site personnel are excluded from participating in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Judith Ng-Cashin, MD
Organizational Affiliation
Chief Medical Officer
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Spiros Jamas, ScD
Organizational Affiliation
AOBiome Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Dermatology Trial Associates
City
Bryant
State/Province
Arkansas
ZIP/Postal Code
72022
Country
United States
Facility Name
L.A. Universal Research Center, Inc.
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
Facility Name
The Indiana Clinical Trials Center
City
Plainfield
State/Province
Indiana
ZIP/Postal Code
46168
Country
United States
Facility Name
Minnesota Clinical Study Center
City
Fridley
State/Province
Minnesota
ZIP/Postal Code
55432
Country
United States
Facility Name
Skin Specialists, PC
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68144
Country
United States
Facility Name
Virginia Clinical Research, INC
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of B244 Delivered as a Topical Spray to Assess Safety in Pediatric Subjects With Atopic Dermatitis

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