A Phase II, Placebo-controlled Trial Evaluating the Efficacy of Antroquinonol in Patients With Atopic Dermatitis
Primary Purpose
Atopic Dermatitis
Status
Terminated
Phase
Phase 2
Locations
Taiwan
Study Type
Interventional
Intervention
Antroquinonol Capsule 50mg
Antroquinonol Capsule 100mg
Placebo oral capsule
Sponsored by
About this trial
This is an interventional treatment trial for Atopic Dermatitis focused on measuring antroquinonol, Atopic dermatitis
Eligibility Criteria
Inclusion Criteria:
- Patients between the ages of 20 and 65 years who had moderate-to-severe atopic dermatitis (using the Hanifin and Rajka Diagnostic Criteria)
- Patients with body weight ≥ 25 kg and ≤ 120 kg, signing informed consent
To be eligible to participate, patients were required to have
- a score of at least 5 on the Eczema Area and Severity Index (EASI), which ranges from 0 to 72, with higher scores indicating worse disease severity;
- a score for pruritus of at least 30 mm on a visual-analogue scale, which ranges from 0 (no itch) to 100 mm (worst itch imaginable);
- a score of at least 2 on the static Investigator's Global Assessment (sIGA), which ranges from 0 (clear) to 4 ( severe disease).
- BSA affected or PSAI ≥ 5%
Exclusion Criteria:
Patients meeting any of the following criteria must not be enrolled in the study:
- Patients with active dermatologic diseases concomitant with atopic dermatitis.
- Patients with severe medical condition(s) that in the view of the investigator prohibits participation in the study
- Subjects with defective epidermal barrier(e.g Netherton's syndrome)
- Any subject who is immunocompromised or has a history of malignant disease. This information will be gathered verbally from the patient while taking a medical history from the patient, and will not involve further testing such as an HIV test.
- Subjects with a history of psychiatric disease or history of alcohol or drug abuse that would interfere with the ability to comply with the study protocol
- Any noticeable breaks or cracks in the skin on either arm, including severely excoriated skin or skin with open or weeping wounds suggestive of an active infection or increased susceptibility to infection.
- Ongoing participation in another investigational trial
- Use of any oral or topical antibiotic for up to four weeks prior to the Treatment visit or active infection that in the opinion of the investigator would compromise the patient's ability to tolerate therapy
- Use of any systemic immunosuppressive therapy (e.g. CsA, MTX, etc.) within four weeks of the Treatment visit.
- Participant who has a condition or is in a situation that, in the investigator's opinion, may put the patient at significant risk, or may significantly interfere with the patient's participation in the study.
- Subjects with prosthetic heart valves, pacemakers, intravascular catheters, or other foreign or prosthetic devices.
- History of food or drug-related severe anaphylactoid or anaphylactic reaction(s)
- Pregnancy or breastfeeding
- History or presence of epilepsy, significant neurological disorders, cerebrovascular attack or ischemia
- History or presence of myocardial infarction or cardiac arrhythmia under drug therapy
- Patients who are unable to complete questionnaires on paper.
- Clinically significant laboratory abnormalities.
- History of malignancy of any organ system, treated or untreated.
Sites / Locations
- Chung Shan Medical University Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Placebo Comparator
Arm Label
Antroquinonol capsule 50mg
Antroquinonol capsule 100mg
Placebo oral capsule
Arm Description
patients will receive Antroquinonol 50mg per day (QD) on Day 1 for 12 weeks
patients will receive Antroquinonol 100mg per day (QD) on Day 1 for 12 weeks
patients will receive placebo per day (QD) on Day 1 for 12 weeks
Outcomes
Primary Outcome Measures
Eczema Area and Severity Index (EASI)
The percentage improvement between week 0(baseline) and week 12 in Eczema Area and Severity Index (EASI)
Secondary Outcome Measures
Eczema Area and Severity Index (EASI) at each time point
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the EASI score
Scoring Atopic Dermatitis (SCORAD)
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the Scoring Atopic Dermatitis (SCORAD), which ranges from 0 to 103, with higher scores indicating more severe disease
static Investigator's Global Assessment (sIGA)
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the sIGA score
Body-surface area affected by atopic dermatitis
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the Body-surface area affected by atopic dermatitis
Pruritus verbal rating scale
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the Pruritus verbal rating scale, which describes pruritus intensity from 0 (none) to 10(very severe) daily
Sleep-disturbance visual-analogue scale
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the Sleep-disturbance visual-analogue scale, which ranges from 0 (no sleep disturbance) to 10 (inability to sleep at all) daily
The proportion of patients with 25%, 50%, and 75% improvement in scores on the pruritus visual-analogue scale
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the proportion of patients with 25%, 50%, and 75% improvement in scores on the pruritus visual-analogue scale
The proportion of patients with 25%, 50%, and 75% improvement in scores on the EASI
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the proportion of patients with 25%, 50%, and 75% improvement in scores on the EASI
The proportion of patients with 25%, 50%, and 75% improvement in scores on the SCORAD
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the proportion of patients with 25%, 50%, and 75% improvement in scores on the SCORAD
The proportion of patients with an improvement of at least 2 points on the sIGA
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the proportion of patients with an improvement of at least 2 points on the sIGA
The proportion of patients with an improvement of at least 2 points on the pruritus verbal rating scale
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the proportion of patients with an improvement of at least 2 points on the pruritus verbal rating scale
Full Information
NCT ID
NCT04110873
First Posted
September 30, 2019
Last Updated
September 30, 2019
Sponsor
Chung Shan Medical University
Collaborators
Golden Biotechnology Corporation
1. Study Identification
Unique Protocol Identification Number
NCT04110873
Brief Title
A Phase II, Placebo-controlled Trial Evaluating the Efficacy of Antroquinonol in Patients With Atopic Dermatitis
Official Title
A Phase II, Three-arms, Double-blind, Dosing-ranging, Placebo-controlled Trial Evaluating the Efficacy of Antroquinonol in Patients With Atopic Dermatitis
Study Type
Interventional
2. Study Status
Record Verification Date
September 2019
Overall Recruitment Status
Terminated
Why Stopped
It was hard to find suitable subject due to strict enrollment criteria.
Study Start Date
July 27, 2018 (Actual)
Primary Completion Date
June 25, 2019 (Actual)
Study Completion Date
June 25, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Chung Shan Medical University
Collaborators
Golden Biotechnology Corporation
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Primary Objective:
To evaluate the activity of Antroquinonol in patients with atopic dermatitis.
Secondary Objective:
To assess the mechanism and cytokines change of Antroquinonol in patients with atopic dermatitis.
Exploratory Objective:
To explore potential relationships between Antroquinonol exposure and safety and efficacy endpoints.
Detailed Description
This is a Phase II, three-arms, double-blind, dosing-ranging, placebo-controlled trial evaluating the efficacy of Antroquinonol in patients with atopic dermatitis. The study is conducted in compliance with the guidelines for Good Clinical Practice and the Declaration of Helsinki. Approval is obtained from the local ethics committee or institutional review board at each study center. All the patients provided written informed consent.
60 patients totally (20 patients per arm) with atopic dermatitis will receive Antroquinonol or placebo. A patient will have received at one dose of Antroquinonol or placebo with tropical urea ointment and have three baseline scores assessment (see Statistical Methods). Enrollment will continue until the target number of evaluable patients has been enrolled.
Written informed consent must be obtained from all patients before initiating Screening. The Screening period will be up to 14 days in duration (Days -14 to -1). Following completion of all Screening assessments and confirmation of eligibility criteria, patients will receive Antroquinonol 50mg, 100mg or placebo per day (QD) on Day 0 for 12 weeks or until documented evidence of unacceptable toxicity, non-compliance or withdrawal of consent by the patient, or the investigator decides to discontinue treatment, whichever comes first. The time of study drug administration should be recorded in the patient diary.
Patients will attend study visits on Days 0, 28, 56 and 84. The following procedures will be performed according to the schedule of assessments: physical examination, vital signs, performance status, clinical laboratory tests, adverse events (AEs), concomitant medication and patient compliance.
Scores assessments will be performed at Screening, Day 28, Day 56 and Day 84 including EASI score, SCORAD, sIGA score, BSA affected by atopic dermatitis and pruritus verbal rating scale.
The primary endpoint is the percentage improvement between baseline and week 12 in Eczema Area and Severity Index (EASI).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
antroquinonol, Atopic dermatitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
14 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Antroquinonol capsule 50mg
Arm Type
Experimental
Arm Description
patients will receive Antroquinonol 50mg per day (QD) on Day 1 for 12 weeks
Arm Title
Antroquinonol capsule 100mg
Arm Type
Experimental
Arm Description
patients will receive Antroquinonol 100mg per day (QD) on Day 1 for 12 weeks
Arm Title
Placebo oral capsule
Arm Type
Placebo Comparator
Arm Description
patients will receive placebo per day (QD) on Day 1 for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Antroquinonol Capsule 50mg
Other Intervention Name(s)
Antroquinonol 50mg
Intervention Description
patients will receive Antroquinonol 50mg per day (QD) on Day 1 for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Antroquinonol Capsule 100mg
Other Intervention Name(s)
Antroquinonol 100mg
Intervention Description
patients will receive Antroquinonol 100mg per day (QD) on Day 1 for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo oral capsule
Other Intervention Name(s)
Placebo
Intervention Description
patients will receive placebo per day (QD) on Day 1 for 12 weeks
Primary Outcome Measure Information:
Title
Eczema Area and Severity Index (EASI)
Description
The percentage improvement between week 0(baseline) and week 12 in Eczema Area and Severity Index (EASI)
Time Frame
week 0(baseline) and week12
Secondary Outcome Measure Information:
Title
Eczema Area and Severity Index (EASI) at each time point
Description
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the EASI score
Time Frame
week 0(baseline), week 4, week8 and week12
Title
Scoring Atopic Dermatitis (SCORAD)
Description
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the Scoring Atopic Dermatitis (SCORAD), which ranges from 0 to 103, with higher scores indicating more severe disease
Time Frame
week 0(baseline), week 4, week8 and week12
Title
static Investigator's Global Assessment (sIGA)
Description
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the sIGA score
Time Frame
week 0(baseline), week 4, week8 and week12
Title
Body-surface area affected by atopic dermatitis
Description
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the Body-surface area affected by atopic dermatitis
Time Frame
week 0(baseline), week 4, week8 and week12
Title
Pruritus verbal rating scale
Description
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the Pruritus verbal rating scale, which describes pruritus intensity from 0 (none) to 10(very severe) daily
Time Frame
week 0(baseline), week 4, week8 and week12
Title
Sleep-disturbance visual-analogue scale
Description
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the Sleep-disturbance visual-analogue scale, which ranges from 0 (no sleep disturbance) to 10 (inability to sleep at all) daily
Time Frame
week 0(baseline), week 4, week8 and week12
Title
The proportion of patients with 25%, 50%, and 75% improvement in scores on the pruritus visual-analogue scale
Description
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the proportion of patients with 25%, 50%, and 75% improvement in scores on the pruritus visual-analogue scale
Time Frame
week 0(baseline), week 4, week8 and week12
Title
The proportion of patients with 25%, 50%, and 75% improvement in scores on the EASI
Description
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the proportion of patients with 25%, 50%, and 75% improvement in scores on the EASI
Time Frame
week 0(baseline), week 4, week8 and week12
Title
The proportion of patients with 25%, 50%, and 75% improvement in scores on the SCORAD
Description
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the proportion of patients with 25%, 50%, and 75% improvement in scores on the SCORAD
Time Frame
week 0(baseline), week 4, week8 and week12
Title
The proportion of patients with an improvement of at least 2 points on the sIGA
Description
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the proportion of patients with an improvement of at least 2 points on the sIGA
Time Frame
week 0(baseline), week 4, week8 and week12
Title
The proportion of patients with an improvement of at least 2 points on the pruritus verbal rating scale
Description
Secondary endpoints at week 12 and at each time point (weeks 4, 8 and 12) included improvement from baseline in the proportion of patients with an improvement of at least 2 points on the pruritus verbal rating scale
Time Frame
week 0(baseline), week 4, week8 and week12
Other Pre-specified Outcome Measures:
Title
The percentage change between baseline and week 12 in serum cytokines
Description
The percentage change between baseline and week 12 in serum cytokines:
TARC/CCL17, IFN-gamma, TNF-alpha, IL-18, IL-6, IL-1beta
Time Frame
week 0(baseline) and week12
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients between the ages of 20 and 65 years who had moderate-to-severe atopic dermatitis (using the Hanifin and Rajka Diagnostic Criteria)
Patients with body weight ≥ 25 kg and ≤ 120 kg, signing informed consent
To be eligible to participate, patients were required to have
a score of at least 5 on the Eczema Area and Severity Index (EASI), which ranges from 0 to 72, with higher scores indicating worse disease severity;
a score for pruritus of at least 30 mm on a visual-analogue scale, which ranges from 0 (no itch) to 100 mm (worst itch imaginable);
a score of at least 2 on the static Investigator's Global Assessment (sIGA), which ranges from 0 (clear) to 4 ( severe disease).
BSA affected or PSAI ≥ 5%
Exclusion Criteria:
Patients meeting any of the following criteria must not be enrolled in the study:
Patients with active dermatologic diseases concomitant with atopic dermatitis.
Patients with severe medical condition(s) that in the view of the investigator prohibits participation in the study
Subjects with defective epidermal barrier(e.g Netherton's syndrome)
Any subject who is immunocompromised or has a history of malignant disease. This information will be gathered verbally from the patient while taking a medical history from the patient, and will not involve further testing such as an HIV test.
Subjects with a history of psychiatric disease or history of alcohol or drug abuse that would interfere with the ability to comply with the study protocol
Any noticeable breaks or cracks in the skin on either arm, including severely excoriated skin or skin with open or weeping wounds suggestive of an active infection or increased susceptibility to infection.
Ongoing participation in another investigational trial
Use of any oral or topical antibiotic for up to four weeks prior to the Treatment visit or active infection that in the opinion of the investigator would compromise the patient's ability to tolerate therapy
Use of any systemic immunosuppressive therapy (e.g. CsA, MTX, etc.) within four weeks of the Treatment visit.
Participant who has a condition or is in a situation that, in the investigator's opinion, may put the patient at significant risk, or may significantly interfere with the patient's participation in the study.
Subjects with prosthetic heart valves, pacemakers, intravascular catheters, or other foreign or prosthetic devices.
History of food or drug-related severe anaphylactoid or anaphylactic reaction(s)
Pregnancy or breastfeeding
History or presence of epilepsy, significant neurological disorders, cerebrovascular attack or ischemia
History or presence of myocardial infarction or cardiac arrhythmia under drug therapy
Patients who are unable to complete questionnaires on paper.
Clinically significant laboratory abnormalities.
History of malignancy of any organ system, treated or untreated.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wei C- C, M.D.
Organizational Affiliation
Chung Shan Medical University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chung Shan Medical University Hospital
City
Taichung
ZIP/Postal Code
402
Country
Taiwan
12. IPD Sharing Statement
Learn more about this trial
A Phase II, Placebo-controlled Trial Evaluating the Efficacy of Antroquinonol in Patients With Atopic Dermatitis
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