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Study in Subjects With Moderate Atopic Dermatitis

Primary Purpose

Atopic Dermatitis Eczema

Status
Unknown status
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ALX-101 Gel Vehicle
ALX-101 Gel 5%
Sponsored by
Ralexar Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis Eczema

Eligibility Criteria

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

Inclusion Criteria:

  1. Subject is at least 12 years of age at the time of consent.
  2. Subject has a clinical diagnosis of stable AD confirmed using the Hanafin and Rajka criteria
  3. Subject has at least a 6-month history of atopic dermatitis and had no significant flares in atopic dermatitis for at least 4 weeks before Visit 1 (screening) (information obtained from medical chart or subject's physician or directly from the subject).
  4. Subject must have active features of AD covering a minimum of 2% body surface area (BSA) (excluding scalp, face, genitals, palmar aspect of hands and plantar aspect of feet) at Visit 2 (baseline).
  5. Subject has moderate AD, defined as vIGA-AD™ score of 3 ("moderate"), at Visit 2 (baseline).
  6. Subject has an EASI score ≥ 5 at Visit 2 (baseline)
  7. Subject has been using an emollient (except those containing urea) daily for at least 1 week prior to Visit 2 (baseline), except on visit day before the visit. Subject agrees to continue using that emollient, daily at the same frequency, on non-treated areas, throughout the study but not the day of visits prior to the visit scheduled time.
  8. Female subject of childbearing potential involved in any sexual intercourse that could lead to her pregnancy, must have a negative serum pregnancy test at Visit 1, a negative urine pregnancy test at Visit 2 (baseline) and agree to use an approved highly effective contraceptive method for the entire study and up to 4 weeks following the final dose of study medication unless they are surgically sterile (hysterectomy, bilateral oophorectomy, or bilateral salpingectomy) or in menopausal state for at least one year prior to screening (Visit 1)
  9. Male subject of childbearing potential agree to use an approved highly effective method of contraception through study participation for 4 weeks following the final dose of study medication
  10. Subject is in good general health and free of any known disease state or physical condition which, in the investigator's opinion, might impair evaluation of the AD being treated or which exposes the subject to an unacceptable risk by study participation
  11. Subject is willing and able to follow all study instructions and to attend all study visits
  12. Subject is able to comprehend and willing to sign an Informed Consent Form (ICF)/Assent Form (AF)
  13. Parent/guardian has the ability to understand, agree to and sign the study Informed Consent Form (ICF) prior to initiation of any protocol-related procedures as applicable; subject has the ability to give assent in the Assent Form (AF)
  14. Informed Consent Form (ICF)/Assent Form (AF) must be obtained prior to initiation of any protocol-related procedures.

Exclusion Criteria:

  1. Subject has spontaneously improving or rapidly deteriorating AD
  2. Subject has clinically infected AD
  3. Subject has any signs or symptoms associated with topical AD therapy which, in the investigator's opinion, might impair evaluation of the AD being treated or which exposes the subject to an unacceptable risk by study participation
  4. Subject has any clinically significant laboratory abnormality, medical condition or physical/vital signs abnormality that would, in the opinion of the investigator, put the subject at undue risk or interfere with interpretation of study results
  5. Subjects with a past history of cancer or lymphoproliferative disease within 5 years prior to Visit 2 (baseline) (subjects with successfully treated non-metastatic cutaneous squamous cell or basal cell carcinoma and/or localized carcinoma in situ of the cervix are not to be excluded)
  6. Subject is known to have immune deficiency or is immunocompromised
  7. Subject has a known history of chronic infectious disease (e.g., hepatitis B, hepatitis C, or infection with human immunodeficiency virus)
  8. Subject had major surgery within 8 weeks prior to Visit 2 (baseline) or has a major surgery planned during the study.
  9. Topical medications, including but not limited to, topical corticosteroids, crisaborole and any other topical phosphodiesterase-4 inhibitor, calcineurin inhibitors, tars, bleach, antimicrobials, medical devices and bleach bath within 2 weeks prior to Visit 2 (baseline)
  10. Subject has used any non-medicated topical product (e.g., lotions, gels, creams, ointments) in the planned treatment area 4 hours prior to Visit 2 (baseline)
  11. Subject has used the following systemic treatments (other than biologics) that could affect atopic dermatitis less than 4 weeks prior to Visit 2 (baseline) (e.g., retinoids, calcineurin inhibitors, methotrexate, cyclosporine, hydroxycarbamide [hydroxyurea], azathioprine, oral/injectable corticosteroids) within 4 weeks prior to Screening. Intranasal corticosteroids and inhaled corticosteroids are allowed. Eye and ear drops containing corticosteroids are also allowed.
  12. Subject has used any systemic antibiotics within 2 weeks prior to Visit 2 (baseline)
  13. Subject has used hydroxyzine or diphenhydramine within 1 week prior to Visit 2 (baseline), unless on a stable dose.
  14. Subject has used topical doxepin within 1 week prior to Visit 2 (baseline).
  15. Subject has used topical products containing urea within 1 week prior to Visit 2 (baseline)
  16. Subject has used or is planning to use any phototherapy (e.g., UVA/UVB therapy, or PUVA therapy), excessive natural or artificial ultraviolent radiation (e.g., sunlight, tanning beds) which, in the investigator's opinion, might affect AD within 4 weeks prior to Visit 2 (baseline)
  17. Biologic therapies (e.g., Dupilumab) within 12 weeks or 5 half-lives prior to Visit 2 (baseline)
  18. Subject has a history of sensitivity to any of the ingredients in the study medications
  19. Subject has any known concomitant dermatologic or medical condition which, in the investigator's opinion, might impair evaluation of the areas of AD being treated or which exposes the subject to an unacceptable risk by study participation (e.g., psoriasis, rosacea, lichen planus, lichen simplex chronicus,…)
  20. Subject is a female who is breastfeeding, pregnant, or who is planning to become pregnant during the study.
  21. Subject has a known history of clinically significant drug or alcohol abuse in the last year prior to Visit 2 (baseline)
  22. Subject has participated in a nonbiological investigational drug trial in which administration of an investigational study medication occurred within 4 weeks prior to Visit 2 (baseline)

Sites / Locations

  • Ralexar Investigational Site 10
  • Ralexar Investigational Site 5
  • Ralexar Investigational Site 3
  • Ralexar Investigational Site 2
  • Ralexar Investigational Site 22
  • Ralexar Investigational Site 18
  • Ralexar Investigational Site 6
  • Ralexar Investigational Site 13
  • Ralexar Investigational Site 7
  • Ralexar Investigational Site 21
  • Ralexar Investigational Site 1
  • Ralexar Investigational Site 17
  • Ralexar Investigational Site 12
  • Ralexar Investigational Site 14
  • Ralexar Investigational Site 8
  • Ralexar Investigational Site 9
  • Ralexar Investigational Site 19
  • Ralexar Investigational Site 16
  • Ralexar Investigational Site 4
  • Ralexar Investigational Site 15
  • Ralexar Investigational Site 20
  • Ralexar Investigational Site 11

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ALX-101 Gel 5%

ALX-101 Gel Vehicle

Arm Description

ALX-101 Gel 5% applied topically twice daily for 56 days

ALX-101 Gel Vehicle applied topically twice daily for 56 days

Outcomes

Primary Outcome Measures

Eczema Area Severity Index (EASI)
Mean change from baseline in EASI score at Week 8

Secondary Outcome Measures

Full Information

First Posted
February 28, 2019
Last Updated
November 4, 2019
Sponsor
Ralexar Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03859986
Brief Title
Study in Subjects With Moderate Atopic Dermatitis
Official Title
A Phase 2, Randomized, Double-Blind, Vehicle-Controlled, Parallel-Group Study To Evaluate The Safety And Efficacy Of ALX-101 Topical Gel Administered Twice Daily In Adult And Adolescent Subjects With Moderate Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Unknown status
Study Start Date
March 8, 2019 (Actual)
Primary Completion Date
January 2020 (Anticipated)
Study Completion Date
January 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ralexar Therapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a Phase 2, randomized, double-blind, vehicle-controlled, parallel-group study to evaluate the safety and efficacy of ALX-101 Gel 5% and a matching ALX-101 Gel Vehicle when applied topically twice daily for 56 days in adult and adolescent subjects with moderate atopic dermatitis
Detailed Description
The main objectives of this study are to: Evaluate the safety of ALX-101 Gel 5% when applied topically twice daily in subjects with moderate atopic dermatitis compared with a matching ALX-101 Gel Vehicle Evaluate the efficacy of ALX-101 Gel 5% when applied topically twice daily in subjects with moderate atopic dermatitis compared with a matching ALX-101 Gel Vehicle

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
124 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ALX-101 Gel 5%
Arm Type
Experimental
Arm Description
ALX-101 Gel 5% applied topically twice daily for 56 days
Arm Title
ALX-101 Gel Vehicle
Arm Type
Placebo Comparator
Arm Description
ALX-101 Gel Vehicle applied topically twice daily for 56 days
Intervention Type
Drug
Intervention Name(s)
ALX-101 Gel Vehicle
Intervention Description
ALX-101 Gel Vehicle
Intervention Type
Drug
Intervention Name(s)
ALX-101 Gel 5%
Intervention Description
ALX-101 Gel 5%
Primary Outcome Measure Information:
Title
Eczema Area Severity Index (EASI)
Description
Mean change from baseline in EASI score at Week 8
Time Frame
Day 57

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is at least 12 years of age at the time of consent. Subject has a clinical diagnosis of stable AD confirmed using the Hanafin and Rajka criteria Subject has at least a 6-month history of atopic dermatitis and had no significant flares in atopic dermatitis for at least 4 weeks before Visit 1 (screening) (information obtained from medical chart or subject's physician or directly from the subject). Subject must have active features of AD covering a minimum of 2% body surface area (BSA) (excluding scalp, face, genitals, palmar aspect of hands and plantar aspect of feet) at Visit 2 (baseline). Subject has moderate AD, defined as vIGA-AD™ score of 3 ("moderate"), at Visit 2 (baseline). Subject has an EASI score ≥ 5 at Visit 2 (baseline) Subject has been using an emollient (except those containing urea) daily for at least 1 week prior to Visit 2 (baseline), except on visit day before the visit. Subject agrees to continue using that emollient, daily at the same frequency, on non-treated areas, throughout the study but not the day of visits prior to the visit scheduled time. Female subject of childbearing potential involved in any sexual intercourse that could lead to her pregnancy, must have a negative serum pregnancy test at Visit 1, a negative urine pregnancy test at Visit 2 (baseline) and agree to use an approved highly effective contraceptive method for the entire study and up to 4 weeks following the final dose of study medication unless they are surgically sterile (hysterectomy, bilateral oophorectomy, or bilateral salpingectomy) or in menopausal state for at least one year prior to screening (Visit 1) Male subject of childbearing potential agree to use an approved highly effective method of contraception through study participation for 4 weeks following the final dose of study medication Subject is in good general health and free of any known disease state or physical condition which, in the investigator's opinion, might impair evaluation of the AD being treated or which exposes the subject to an unacceptable risk by study participation Subject is willing and able to follow all study instructions and to attend all study visits Subject is able to comprehend and willing to sign an Informed Consent Form (ICF)/Assent Form (AF) Parent/guardian has the ability to understand, agree to and sign the study Informed Consent Form (ICF) prior to initiation of any protocol-related procedures as applicable; subject has the ability to give assent in the Assent Form (AF) Informed Consent Form (ICF)/Assent Form (AF) must be obtained prior to initiation of any protocol-related procedures. Exclusion Criteria: Subject has spontaneously improving or rapidly deteriorating AD Subject has clinically infected AD Subject has any signs or symptoms associated with topical AD therapy which, in the investigator's opinion, might impair evaluation of the AD being treated or which exposes the subject to an unacceptable risk by study participation Subject has any clinically significant laboratory abnormality, medical condition or physical/vital signs abnormality that would, in the opinion of the investigator, put the subject at undue risk or interfere with interpretation of study results Subjects with a past history of cancer or lymphoproliferative disease within 5 years prior to Visit 2 (baseline) (subjects with successfully treated non-metastatic cutaneous squamous cell or basal cell carcinoma and/or localized carcinoma in situ of the cervix are not to be excluded) Subject is known to have immune deficiency or is immunocompromised Subject has a known history of chronic infectious disease (e.g., hepatitis B, hepatitis C, or infection with human immunodeficiency virus) Subject had major surgery within 8 weeks prior to Visit 2 (baseline) or has a major surgery planned during the study. Topical medications, including but not limited to, topical corticosteroids, crisaborole and any other topical phosphodiesterase-4 inhibitor, calcineurin inhibitors, tars, bleach, antimicrobials, medical devices and bleach bath within 2 weeks prior to Visit 2 (baseline) Subject has used any non-medicated topical product (e.g., lotions, gels, creams, ointments) in the planned treatment area 4 hours prior to Visit 2 (baseline) Subject has used the following systemic treatments (other than biologics) that could affect atopic dermatitis less than 4 weeks prior to Visit 2 (baseline) (e.g., retinoids, calcineurin inhibitors, methotrexate, cyclosporine, hydroxycarbamide [hydroxyurea], azathioprine, oral/injectable corticosteroids) within 4 weeks prior to Screening. Intranasal corticosteroids and inhaled corticosteroids are allowed. Eye and ear drops containing corticosteroids are also allowed. Subject has used any systemic antibiotics within 2 weeks prior to Visit 2 (baseline) Subject has used hydroxyzine or diphenhydramine within 1 week prior to Visit 2 (baseline), unless on a stable dose. Subject has used topical doxepin within 1 week prior to Visit 2 (baseline). Subject has used topical products containing urea within 1 week prior to Visit 2 (baseline) Subject has used or is planning to use any phototherapy (e.g., UVA/UVB therapy, or PUVA therapy), excessive natural or artificial ultraviolent radiation (e.g., sunlight, tanning beds) which, in the investigator's opinion, might affect AD within 4 weeks prior to Visit 2 (baseline) Biologic therapies (e.g., Dupilumab) within 12 weeks or 5 half-lives prior to Visit 2 (baseline) Subject has a history of sensitivity to any of the ingredients in the study medications Subject has any known concomitant dermatologic or medical condition which, in the investigator's opinion, might impair evaluation of the areas of AD being treated or which exposes the subject to an unacceptable risk by study participation (e.g., psoriasis, rosacea, lichen planus, lichen simplex chronicus,…) Subject is a female who is breastfeeding, pregnant, or who is planning to become pregnant during the study. Subject has a known history of clinically significant drug or alcohol abuse in the last year prior to Visit 2 (baseline) Subject has participated in a nonbiological investigational drug trial in which administration of an investigational study medication occurred within 4 weeks prior to Visit 2 (baseline)
Facility Information:
Facility Name
Ralexar Investigational Site 10
City
Beverly Hills
State/Province
California
ZIP/Postal Code
90212
Country
United States
Facility Name
Ralexar Investigational Site 5
City
Los Angeles
State/Province
California
ZIP/Postal Code
90045
Country
United States
Facility Name
Ralexar Investigational Site 3
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States
Facility Name
Ralexar Investigational Site 2
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32256
Country
United States
Facility Name
Ralexar Investigational Site 22
City
Miami
State/Province
Florida
ZIP/Postal Code
33147
Country
United States
Facility Name
Ralexar Investigational Site 18
City
Pinellas Park
State/Province
Florida
ZIP/Postal Code
33781
Country
United States
Facility Name
Ralexar Investigational Site 6
City
Sanford
State/Province
Florida
ZIP/Postal Code
32771
Country
United States
Facility Name
Ralexar Investigational Site 13
City
Marietta
State/Province
Georgia
ZIP/Postal Code
30060
Country
United States
Facility Name
Ralexar Investigational Site 7
City
Boise
State/Province
Idaho
ZIP/Postal Code
83713
Country
United States
Facility Name
Ralexar Investigational Site 21
City
Gurnee
State/Province
Illinois
ZIP/Postal Code
60031
Country
United States
Facility Name
Ralexar Investigational Site 1
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46250
Country
United States
Facility Name
Ralexar Investigational Site 17
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
Ralexar Investigational Site 12
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89177
Country
United States
Facility Name
Ralexar Investigational Site 14
City
Beachwood
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
Facility Name
Ralexar Investigational Site 8
City
Fairborn
State/Province
Ohio
ZIP/Postal Code
45324
Country
United States
Facility Name
Ralexar Investigational Site 9
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73118
Country
United States
Facility Name
Ralexar Investigational Site 19
City
Spartanburg
State/Province
South Carolina
ZIP/Postal Code
29307
Country
United States
Facility Name
Ralexar Investigational Site 16
City
Austin
State/Province
Texas
ZIP/Postal Code
78745
Country
United States
Facility Name
Ralexar Investigational Site 4
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78213
Country
United States
Facility Name
Ralexar Investigational Site 15
City
Seattle
State/Province
Washington
ZIP/Postal Code
98101
Country
United States
Facility Name
Ralexar Investigational Site 20
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M9V4B4
Country
Canada
Facility Name
Ralexar Investigational Site 11
City
Montréal
State/Province
Quebec
ZIP/Postal Code
H2K4L5
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Study in Subjects With Moderate Atopic Dermatitis

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