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Study of the Safety, Tolerability and Efficacy of BTX 1204 in Patients With Moderate Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
BTX 1204
Vehicle
Sponsored by
Botanix Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis focused on measuring CBD, Synthetic CBD, Cannabidiol

Eligibility Criteria

12 Years - 70 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject is of either gender between 12 and 70 years of age, inclusive.
  2. Subject (or parent/legal guardian) has the ability and willingness to sign a written informed consent.
  3. Subject has a diagnosis of chronic (≥1 year), stable atopic dermatitis (AD)
  4. Subject has ≥ 5% and ≤ 30% body surface area (BSA) of AD involvement excluding the scalp and groin.
  5. Subject has an Investigator's Global Assessment (IGA) score of moderate (3) atopic dermatitis on the 5-point IGA (0-4) scale.
  6. For selected photography sites, subject has a target lesion of 25 to 200 cm2 in surface area on the trunk, upper extremities or lower extremities with a Baseline Signs of AD score of ≥ 6 and ≤ 12.
  7. Subject is in good general health without clinically significant hematological, cardiac, respiratory, renal, endocrine, gastrointestinal, psychiatric, hepatic, or malignant disease, as determined by the investigator.
  8. Subject has suitable venous access for blood sampling.
  9. Subject is able and willing to complete the study and to comply with all study instructions and attend the necessary visits.
  10. Male subjects and their partners must agree and commit to use a barrier method of contraception throughout the study and for 90 days after last study drug application.
  11. A negative urine pregnancy test result for all Women of child bearing potential (WOCBP) at the Screening Visit and Baseline Visit.
  12. Sexually active women must agree to use the following throughout the study and for 30 days after last study drug application. WOCBP who are not sexually active at Baseline and become sexually active must identify a plan for contraception.

    1. One of these highly effective contraception methods Intrauterine device (IUD); hormonal (injections, implants, transdermal patch, vaginal ring); tubal ligation; partner vasectomy, OR
    2. Oral contraceptives WITH a barrier method (listed below), OR
    3. Two barrier forms of contraception (listed below) Male or female condom; diaphragm; cervical cap; contraceptive sponge.
  13. Males subjects must refrain from sperm donation during the study treatment period and until 90 days after last study drug application.

Exclusion Criteria:

  1. Female subject who is breast feeding, pregnant, or planning to become pregnant.
  2. Subject who has an IGA score of 2 (mild) or 4 (severe).
  3. Subject with history of known or suspected intolerance to the drug product excipients.
  4. Subject has any clinically significant active infection in the investigator's opinion. This includes active impetigo at any AD lesion.
  5. Subject has known Hepatitis-B, Hepatitis-C, or HIV infection.
  6. Subject has excessive body or facial hair that would interfere with the evaluation of safety or with the diagnosis or assessment of AD.
  7. Subject has sunburns, unevenness in skin tones, tattoos, scars, excessive hair, freckles, birthmarks, moles, or other skin damage or abnormality that would result in the inability to evaluate the AD lesions.
  8. Subject has clinically significant or severe allergies that in the investigator's opinion would interfere with participation in the study.
  9. Subject has known intolerability to topical treatments e.g., reports excessive burning/stinging or pain with use of topical treatments.
  10. Subject has an active or potentially recurring skin conditions(s) other than AD that in the investigator's opinion would interfere with participation in the study.
  11. Subject has unstable AD consistent with a requirement for high-potency corticosteroids.
  12. Subject has used dupilumab (Dupixent) within 12 weeks prior to the Baseline Visit.
  13. Subject has used any biologic therapy, other than dupilumab, within 28 days prior to the Baseline Visit.
  14. Subject has used systemic (oral, IV or IM) corticosteroids within 28 days prior to the Baseline Visit. Intra-articular injection for arthroses allowed.
  15. Subject has used topical anti-pruritics (e.g., PDE4 inhibitors) within 28 days prior to the Baseline Visit.
  16. If subject is taking oral antihistamines, subject has not been on a stable dose of oral antihistamines within 28 days prior to the Baseline visit.
  17. Subject has used phototherapy, tanning beds, or any other artificial light device within 28 days prior to the Baseline Visit.
  18. Subject has used topical corticosteroids within 14 days prior to the Baseline Visit.
  19. Subject has used topical calcineurin inhibitors within 14 days prior to the Baseline Visit.
  20. Subjects has used barrier creams (e.g., Mimyx, Atopiclair), within 7 days prior to the Baseline Visit.
  21. Subject has an underlying disease that requires the use of interfering topical or systemic therapy.
  22. Subject has other dermatological conditions that require the use of interfering topical or systemic therapy or that might interfere with study assessments such as, but not limited to, acne or rosacea.
  23. Subject has a clinically relevant history or currently suffering from any disease or condition that, in the opinion of the investigator, may affect the evaluation of the study product or place the subject at undue risk or interfere with the subject's participation in the study. Subjects with other dermatologic conditions, including genetic syndromes that have an eczematous dermatitis as a component of the disease (e.g., Netherton's) are excluded.
  24. Subject has a clinically relevant history of or current evidence of abuse of alcohol or other drugs.
  25. Subject is currently using any medication that, in the opinion of the investigator, may affect the evaluation of the study product or place the subject at undue risk.
  26. Subject has participated in another investigational drug or device research study within 30 days of the Screening Visit or five half-lives of the drug, whichever is longer.
  27. Any other reason that would make the subject, in the opinion of the Investigator or sponsor, unsuitable for the study.

Sites / Locations

  • Applied Research Center of Arkansas Inc.
  • T. Joseph Raoff MD Inc. / Encino Research Center
  • Center for Dermatology Clinical Research
  • Dermatology Specialist Inc. - Murrieta
  • Rady Childern's Hospital - San Diego
  • Clinical Science Institute
  • Precision Clinical Research
  • Troy Sullivan
  • DS Research
  • Delright Research
  • Medisearch Clinical Trails
  • Washington Univerisy in St. Louis
  • JDR Dermatology Research LLC
  • The Acne Treatment and Research Center
  • Aventiv Research Inc - Dublin
  • Greenville Dermatology, LLC
  • Dermresearch Inc
  • J&S Studies Inc.
  • The Center for Skin Research at Suzanne Bruce & Associates Dermatology
  • CMAX Clincial Research
  • BurwoodDermatology
  • Sinclair Dermatology
  • North Eastern Health Specialists
  • Premier Specialists PTY LTD
  • St George Dermatology & Skin Cancer Center
  • Captain Stirling Medical Centre
  • The Skin Hospital
  • Veracity Clinical Research
  • Optimal Clinical Trials
  • Clinical Trials New Zealand LTD
  • P3 Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

BTX 1204

Vehicle

Arm Description

BTX 1204 twice daily

Vehicle twice daily

Outcomes

Primary Outcome Measures

Investigator's Global Assessment (IGA)
Investigator's Global Assessment (IGA) success defined as an IGA score of "Clear" (0) or "Almost Clear" (1) with at least a 2-grade improvement

Secondary Outcome Measures

Full Information

First Posted
January 29, 2019
Last Updated
September 30, 2022
Sponsor
Botanix Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT03824405
Brief Title
Study of the Safety, Tolerability and Efficacy of BTX 1204 in Patients With Moderate Atopic Dermatitis
Official Title
A Randomized, Double-Blind, Vehicle-Controlled Study of the Safety, Tolerability and Efficacy of BTX 1204 in Patients With Moderate Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Completed
Study Start Date
February 4, 2019 (Actual)
Primary Completion Date
January 27, 2020 (Actual)
Study Completion Date
March 4, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Botanix Pharmaceuticals

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 randomized, double-blind, vehicle-controlled, Phase 2 study in subjects with moderate AD.
Detailed Description
This is a randomized, double-blind, vehicle-controlled, Phase 2 study in subjects with moderate AD. Eligible subjects will be enrolled and randomized to treatment with BTX 1204 or Vehicle for 84 days. Approximately two hundred (200) subjects will be enrolled. Subjects will receive BID application of study drug for 84 days with a final application on the evening of Day 84 for a total of 168 doses.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
CBD, Synthetic CBD, Cannabidiol

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
BTX 1204
Arm Type
Active Comparator
Arm Description
BTX 1204 twice daily
Arm Title
Vehicle
Arm Type
Placebo Comparator
Arm Description
Vehicle twice daily
Intervention Type
Drug
Intervention Name(s)
BTX 1204
Intervention Description
BTX 1204 liquid formulation
Intervention Type
Drug
Intervention Name(s)
Vehicle
Intervention Description
Vehicle liquid formulation
Primary Outcome Measure Information:
Title
Investigator's Global Assessment (IGA)
Description
Investigator's Global Assessment (IGA) success defined as an IGA score of "Clear" (0) or "Almost Clear" (1) with at least a 2-grade improvement
Time Frame
Day 85

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is of either gender between 12 and 70 years of age, inclusive. Subject (or parent/legal guardian) has the ability and willingness to sign a written informed consent. Subject has a diagnosis of chronic (≥1 year), stable atopic dermatitis (AD) Subject has ≥ 5% and ≤ 30% body surface area (BSA) of AD involvement excluding the scalp and groin. Subject has an Investigator's Global Assessment (IGA) score of moderate (3) atopic dermatitis on the 5-point IGA (0-4) scale. For selected photography sites, subject has a target lesion of 25 to 200 cm2 in surface area on the trunk, upper extremities or lower extremities with a Baseline Signs of AD score of ≥ 6 and ≤ 12. Subject is in good general health without clinically significant hematological, cardiac, respiratory, renal, endocrine, gastrointestinal, psychiatric, hepatic, or malignant disease, as determined by the investigator. Subject has suitable venous access for blood sampling. Subject is able and willing to complete the study and to comply with all study instructions and attend the necessary visits. Male subjects and their partners must agree and commit to use a barrier method of contraception throughout the study and for 90 days after last study drug application. A negative urine pregnancy test result for all Women of child bearing potential (WOCBP) at the Screening Visit and Baseline Visit. Sexually active women must agree to use the following throughout the study and for 30 days after last study drug application. WOCBP who are not sexually active at Baseline and become sexually active must identify a plan for contraception. One of these highly effective contraception methods Intrauterine device (IUD); hormonal (injections, implants, transdermal patch, vaginal ring); tubal ligation; partner vasectomy, OR Oral contraceptives WITH a barrier method (listed below), OR Two barrier forms of contraception (listed below) Male or female condom; diaphragm; cervical cap; contraceptive sponge. Males subjects must refrain from sperm donation during the study treatment period and until 90 days after last study drug application. Exclusion Criteria: Female subject who is breast feeding, pregnant, or planning to become pregnant. Subject who has an IGA score of 2 (mild) or 4 (severe). Subject with history of known or suspected intolerance to the drug product excipients. Subject has any clinically significant active infection in the investigator's opinion. This includes active impetigo at any AD lesion. Subject has known Hepatitis-B, Hepatitis-C, or HIV infection. Subject has excessive body or facial hair that would interfere with the evaluation of safety or with the diagnosis or assessment of AD. Subject has sunburns, unevenness in skin tones, tattoos, scars, excessive hair, freckles, birthmarks, moles, or other skin damage or abnormality that would result in the inability to evaluate the AD lesions. Subject has clinically significant or severe allergies that in the investigator's opinion would interfere with participation in the study. Subject has known intolerability to topical treatments e.g., reports excessive burning/stinging or pain with use of topical treatments. Subject has an active or potentially recurring skin conditions(s) other than AD that in the investigator's opinion would interfere with participation in the study. Subject has unstable AD consistent with a requirement for high-potency corticosteroids. Subject has used dupilumab (Dupixent) within 12 weeks prior to the Baseline Visit. Subject has used any biologic therapy, other than dupilumab, within 28 days prior to the Baseline Visit. Subject has used systemic (oral, IV or IM) corticosteroids within 28 days prior to the Baseline Visit. Intra-articular injection for arthroses allowed. Subject has used topical anti-pruritics (e.g., PDE4 inhibitors) within 28 days prior to the Baseline Visit. If subject is taking oral antihistamines, subject has not been on a stable dose of oral antihistamines within 28 days prior to the Baseline visit. Subject has used phototherapy, tanning beds, or any other artificial light device within 28 days prior to the Baseline Visit. Subject has used topical corticosteroids within 14 days prior to the Baseline Visit. Subject has used topical calcineurin inhibitors within 14 days prior to the Baseline Visit. Subjects has used barrier creams (e.g., Mimyx, Atopiclair), within 7 days prior to the Baseline Visit. Subject has an underlying disease that requires the use of interfering topical or systemic therapy. Subject has other dermatological conditions that require the use of interfering topical or systemic therapy or that might interfere with study assessments such as, but not limited to, acne or rosacea. Subject has a clinically relevant history or currently suffering from any disease or condition that, in the opinion of the investigator, may affect the evaluation of the study product or place the subject at undue risk or interfere with the subject's participation in the study. Subjects with other dermatologic conditions, including genetic syndromes that have an eczematous dermatitis as a component of the disease (e.g., Netherton's) are excluded. Subject has a clinically relevant history of or current evidence of abuse of alcohol or other drugs. Subject is currently using any medication that, in the opinion of the investigator, may affect the evaluation of the study product or place the subject at undue risk. Subject has participated in another investigational drug or device research study within 30 days of the Screening Visit or five half-lives of the drug, whichever is longer. Any other reason that would make the subject, in the opinion of the Investigator or sponsor, unsuitable for the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anthony Robinson, CRNP
Organizational Affiliation
Head of Development, Botanix Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Applied Research Center of Arkansas Inc.
City
Little Rock
State/Province
Arkansas
ZIP/Postal Code
72212
Country
United States
Facility Name
T. Joseph Raoff MD Inc. / Encino Research Center
City
Encino
State/Province
California
ZIP/Postal Code
91436
Country
United States
Facility Name
Center for Dermatology Clinical Research
City
Fremont
State/Province
California
ZIP/Postal Code
94538
Country
United States
Facility Name
Dermatology Specialist Inc. - Murrieta
City
Murrieta
State/Province
California
ZIP/Postal Code
92562
Country
United States
Facility Name
Rady Childern's Hospital - San Diego
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Clinical Science Institute
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
Precision Clinical Research
City
Davie
State/Province
Florida
ZIP/Postal Code
33328
Country
United States
Facility Name
Troy Sullivan
City
North Miami Beach
State/Province
Florida
ZIP/Postal Code
33162
Country
United States
Facility Name
DS Research
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40241
Country
United States
Facility Name
Delright Research
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70115
Country
United States
Facility Name
Medisearch Clinical Trails
City
Saint Joseph
State/Province
Missouri
ZIP/Postal Code
64506
Country
United States
Facility Name
Washington Univerisy in St. Louis
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
JDR Dermatology Research LLC
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89148
Country
United States
Facility Name
The Acne Treatment and Research Center
City
Morristown
State/Province
New Jersey
ZIP/Postal Code
07960
Country
United States
Facility Name
Aventiv Research Inc - Dublin
City
Dublin
State/Province
Ohio
ZIP/Postal Code
43016
Country
United States
Facility Name
Greenville Dermatology, LLC
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29607
Country
United States
Facility Name
Dermresearch Inc
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
J&S Studies Inc.
City
College Station
State/Province
Texas
ZIP/Postal Code
77845
Country
United States
Facility Name
The Center for Skin Research at Suzanne Bruce & Associates Dermatology
City
Houston
State/Province
Texas
ZIP/Postal Code
77056
Country
United States
Facility Name
CMAX Clincial Research
City
Adelaide
ZIP/Postal Code
5000
Country
Australia
Facility Name
BurwoodDermatology
City
Burwood
ZIP/Postal Code
6100
Country
Australia
Facility Name
Sinclair Dermatology
City
East Melbourne
ZIP/Postal Code
3002
Country
Australia
Facility Name
North Eastern Health Specialists
City
Hectorville
ZIP/Postal Code
5073
Country
Australia
Facility Name
Premier Specialists PTY LTD
City
Kogarah
ZIP/Postal Code
2217
Country
Australia
Facility Name
St George Dermatology & Skin Cancer Center
City
Kogarah
ZIP/Postal Code
2217
Country
Australia
Facility Name
Captain Stirling Medical Centre
City
Nedlands
ZIP/Postal Code
6009
Country
Australia
Facility Name
The Skin Hospital
City
Westmead
ZIP/Postal Code
2145
Country
Australia
Facility Name
Veracity Clinical Research
City
Woolloongabba
ZIP/Postal Code
4102
Country
Australia
Facility Name
Optimal Clinical Trials
City
Auckland
ZIP/Postal Code
1010
Country
New Zealand
Facility Name
Clinical Trials New Zealand LTD
City
Hamilton
ZIP/Postal Code
3204
Country
New Zealand
Facility Name
P3 Research
City
Wellington
ZIP/Postal Code
6021
Country
New Zealand

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of the Safety, Tolerability and Efficacy of BTX 1204 in Patients With Moderate Atopic Dermatitis

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