A Study for AR100DP1 in Atopic Dermatitis (AD)
Primary Purpose
Dermatitis, Atopic
Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
AR100DP1
Sponsored by
About this trial
This is an interventional treatment trial for Dermatitis, Atopic
Eligibility Criteria
Inclusion Criteria:
- Dated and signed informed consent
- Either gender, ≥ 20 years old (the legal age of consent majority is 20 years old in Taiwan)
- Clinical diagnosis of atopic dermatitis (according to the diagnostic standard of Hanifin and Rajka for AD)
- Clinical diagnosis of AD that has been clinically stable, which means the ISGA score stays as 2 or 3 when evaluated for ≥ 4 weeks prior to screening visit
- With Investigator's Static Global Assessment (ISGA) score of 2 (mild) or 3 (moderate) at screening
- Subject of childbearing potential must agree to use highly effective contraceptives from signing informed consent to 14 days after the last dose of study drug administration. At least two forms of birth control must be adopted and one of which must be a barrier method.
Exclusion Criteria:
- Unstable or actively infected AD judged by the investigator
- Active or potentially recurrent dermatologic condition other than atopic dermatitis that may confound evaluation, judged by the investigator
- Received systemic medication including corticosteroid, immunosuppressant, anti-histamine, phototherapy, or other therapy, which could affect AD within 4 weeks before screening. However, subjects are allowed to enter the study if subjects have routine usage of anti-histamine and this application does not affect the study judged by the investigator
- Received topical medication including corticosteroid, immunosuppressant, anti-histamine, phototherapy, calcineurin inhibitors, or other therapy for AD on the target lesions within 1 week before screening
- History of use of biologic therapy (including intravenous immunoglobulin) within 12 weeks or 5 half-lives (whichever is longer)prior to screening
- Received any other investigational drug within 4 weeks prior to screening
- Required or received systemic CYP3A4 inhibitors with strong potency within 1 week prior to screening, including but not limited to clarithromycin, itraconazole, nefazodone and atazanavir, evaluated by the investigator
- Treatment for any type of cancer (except squamous cell carcinoma, basal cell carcinoma, or carcinoma in situ of the skin, curatively treated with cryosurgery or surgical excision only) within 5 years before screening
- Allergies requiring acute or chronic treatment at the investigator's discretion
- Known hypersensitivity to any of the components of the study drug
- Active clinically serious infection or history of human immunodeficiency virus (HIV) infection
Any of the following serum test abnormalities:
- Total bilirubin > 1.5 × ULN
- AST or ALT > 3.0 × ULN
- Serum albumin < 2.5 g/dL
- Creatinine > 1.5 × ULN
- Any other ≥ Grade 2 (according to CTCAE v5.0) laboratory abnormality at baseline (other than those listed above)
- With ongoing acute diseases or within the past 2 years serious medical conditions (e.g. concomitant illness) such as cardiovascular (e.g. New York Heart Association grade III or IV), hepatic (e.g. Child-Pugh Class C), psychiatric condition (e.g. alcoholism, drug abuse), medical history, physical findings, or laboratory abnormality that in the investigators' opinion could interfere with the results of the trial or adversely affect the safety of the subject
- Female subject who is lactating or has positive urine pregnancy test at screening
- Other conditions not suitable for participating in this study judged by the investigator
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Experimental
Arm Label
AR100DP1 (1.25%)
AR100DP1 (2.5%)
AR100DP1 (5%)
Arm Description
topical application twice per day with at least 4 hour interval
topical application twice per day with at least 4 hour interval
topical application twice per day with at least 4 hour interval
Outcomes
Primary Outcome Measures
To determine the MTD of AR100DP1 (Phase I)
MTD is defined as the highest dose level at which < 2 of 6 subjects experienced a dose limiting toxicity (DLT)
Proportion of subjects with the Investigator's Static Global Assessment (ISGA) score of 0 or 1 on Day 29 (Phase IIa)
The ISGA is a 5-point scale that provides a global clinical assessment of AD severity based on an ordinal scale, scored by the investigator. The scores of ISGA are 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate) and 4 (Severe).
Secondary Outcome Measures
Proportion of subjects achieving the Investigator's Global Static Assessment (ISGA) score of 0 (clear) or 1 (almost clear)
Change from baseline in pruritus Numerical Rating Scale (NRS) of itch level on target lesions
The pruritus NRS is comprised itch level grading from the numbers 0 ("no itch") to 10 ("worst imaginable itch"). Subjects are asked to rate the intensity of their itch by visits.
Fold change of IgE compared to baseline (Day 1)
Fold change of IL-4 compared to baseline (Day 1 )
Change from baseline in signs of atopic dermatitis with grading from 0 (none) to 3 (severe) on target lesions
4 symptoms of atopic dermatitis (erythema, edema, excoriation and lichenification) will be evaluated on all target lesions and graded from 0 to 3 (none, mild, moderate and severe, respectively), with half points allowed
Percent change from baseline in Patient-Oriented Eczema Measure (POEM) total score
POEM is a validated, patient-derived assessment measure for monitoring atopic eczema severity , available at the HOME (Harmonising Outcome Measures for Eczema) group. It contains seven symptoms of AD on 5-point (0 to 4) scale with total score 0 to 28 during the study.
Incidence of AE and SAE
Incidence of vital signs abnormalities
Vital signs measurement will consist of systolic/diastolic blood pressure, respiratory rate, pulse rate or heart rate, and body temperature.
Incidence of physical examination abnormalities
Physical examination will include the following items: general appearance, skin, eyes, ears, nose, throat, head and neck, heart, chest and lungs, abdomen, extremities, lymph nodes, musculoskeletal, neurological and others.
Incidence of 12-lead ECG abnormalities
ECG will be evaluated by the investigators and noted as "Normal", "Abnormal, non-clinical significant (NCS)" or "Abnormal, clinical significant (CS)"
Incidence of clinical laboratory abnormalities
Laboratory tests include hematology (hemoglobin, hematocrit, RBC, platelet, WBC with different counts), biochemistry (total bilirubin, AST, ALT, serum creatinine and albumin)
Full Information
NCT ID
NCT04220411
First Posted
January 3, 2020
Last Updated
January 8, 2020
Sponsor
Arjil Pharmaceuticals LLC
1. Study Identification
Unique Protocol Identification Number
NCT04220411
Brief Title
A Study for AR100DP1 in Atopic Dermatitis (AD)
Official Title
A Phase I/IIa Open-Label, Dose-Escalation Study to Determine the Safety, Tolerability, and Efficacy of AR100DP1 in Subjects With Atopic Dermatitis
Study Type
Interventional
2. Study Status
Record Verification Date
January 2020
Overall Recruitment Status
Not yet recruiting
Study Start Date
September 2020 (Anticipated)
Primary Completion Date
December 2022 (Anticipated)
Study Completion Date
May 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Arjil Pharmaceuticals LLC
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a Phase I/IIa Open-Label, Dose-Escalation Study to Determine the Safety, Tolerability, and Efficacy of AR100DP1 in Subjects with Atopic Dermatitis.
Detailed Description
This phase I/IIa study will be composed of a Phase I study, which includes 14 days of treatment with AR100DP1 followed by 2 weeks of follow-up period to find the maximum tolerated dose (MTD) of AR100DP1 and a following single-arm Phase IIa study with 28 days of treatment followed by 2 weeks of follow-up period to evaluate the efficacy of AR100DP1 with the recommended Phase II dose (RP2D) in treating atopic dermatitis on target lesion. The target lesion is defined as ≤ 5% BSA (up to ~ 750 cm2) of AD patients. Eligible subjects will have target lesion area selected by the investigator and recorded for AR100DP1 topical administration before dosing. AR100DP1 should be topically administered on target lesions twice daily for 14 days in Phase I study whereas for 28 days in Phase IIa study.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dermatitis, Atopic
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Phase I: conventional 3+3 design of dose escalation Phase IIa: single-arm
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
35 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
AR100DP1 (1.25%)
Arm Type
Experimental
Arm Description
topical application twice per day with at least 4 hour interval
Arm Title
AR100DP1 (2.5%)
Arm Type
Experimental
Arm Description
topical application twice per day with at least 4 hour interval
Arm Title
AR100DP1 (5%)
Arm Type
Experimental
Arm Description
topical application twice per day with at least 4 hour interval
Intervention Type
Drug
Intervention Name(s)
AR100DP1
Intervention Description
topical ointment
Primary Outcome Measure Information:
Title
To determine the MTD of AR100DP1 (Phase I)
Description
MTD is defined as the highest dose level at which < 2 of 6 subjects experienced a dose limiting toxicity (DLT)
Time Frame
Day 15
Title
Proportion of subjects with the Investigator's Static Global Assessment (ISGA) score of 0 or 1 on Day 29 (Phase IIa)
Description
The ISGA is a 5-point scale that provides a global clinical assessment of AD severity based on an ordinal scale, scored by the investigator. The scores of ISGA are 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate) and 4 (Severe).
Time Frame
Day 29
Secondary Outcome Measure Information:
Title
Proportion of subjects achieving the Investigator's Global Static Assessment (ISGA) score of 0 (clear) or 1 (almost clear)
Time Frame
Day 8, Day 15, Day 22, and Day 29 (Phase I); Day 8, Day 15, Day 22, Day 36 and Day 43 (Phase IIa)
Title
Change from baseline in pruritus Numerical Rating Scale (NRS) of itch level on target lesions
Description
The pruritus NRS is comprised itch level grading from the numbers 0 ("no itch") to 10 ("worst imaginable itch"). Subjects are asked to rate the intensity of their itch by visits.
Time Frame
Day 8, Day 15, Day 22, and Day 29 (Phase I); Day 8, Day 15, Day 22, Day 29, Day 36 and Day 43 (Phase IIa)
Title
Fold change of IgE compared to baseline (Day 1)
Time Frame
Day 15 (Phase I); Day 15 and 29 (Phase IIa)
Title
Fold change of IL-4 compared to baseline (Day 1 )
Time Frame
Day 15 (Phase I); Day 15 and 29 (Phase IIa)
Title
Change from baseline in signs of atopic dermatitis with grading from 0 (none) to 3 (severe) on target lesions
Description
4 symptoms of atopic dermatitis (erythema, edema, excoriation and lichenification) will be evaluated on all target lesions and graded from 0 to 3 (none, mild, moderate and severe, respectively), with half points allowed
Time Frame
Day 8, Day 15, Day 22, Day 29 (Phase I and IIa); Day 36 and Day 43 (Phase IIa only)
Title
Percent change from baseline in Patient-Oriented Eczema Measure (POEM) total score
Description
POEM is a validated, patient-derived assessment measure for monitoring atopic eczema severity , available at the HOME (Harmonising Outcome Measures for Eczema) group. It contains seven symptoms of AD on 5-point (0 to 4) scale with total score 0 to 28 during the study.
Time Frame
Day 8, Day 15, Day 22, Day 29, Day 36 and Day 43 (Phase IIa)
Title
Incidence of AE and SAE
Time Frame
Day -14 to Day 29 (Phase I); Day -14 to 43 (Phase IIa)
Title
Incidence of vital signs abnormalities
Description
Vital signs measurement will consist of systolic/diastolic blood pressure, respiratory rate, pulse rate or heart rate, and body temperature.
Time Frame
Day -14 to Day 29 (Phase I); Day -14 to 43 (Phase IIa)
Title
Incidence of physical examination abnormalities
Description
Physical examination will include the following items: general appearance, skin, eyes, ears, nose, throat, head and neck, heart, chest and lungs, abdomen, extremities, lymph nodes, musculoskeletal, neurological and others.
Time Frame
Day -14 to Day 29 (Phase I); Day -14 to 43 (Phase IIa)
Title
Incidence of 12-lead ECG abnormalities
Description
ECG will be evaluated by the investigators and noted as "Normal", "Abnormal, non-clinical significant (NCS)" or "Abnormal, clinical significant (CS)"
Time Frame
Day -14 to Day 29 (Phase I); Day -14 to 43 (Phase IIa)
Title
Incidence of clinical laboratory abnormalities
Description
Laboratory tests include hematology (hemoglobin, hematocrit, RBC, platelet, WBC with different counts), biochemistry (total bilirubin, AST, ALT, serum creatinine and albumin)
Time Frame
Day -14 to Day 29 (Phase I); Day -14 to 43 (Phase IIa)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Dated and signed informed consent
Either gender, ≥ 20 years old (the legal age of consent majority is 20 years old in Taiwan)
Clinical diagnosis of atopic dermatitis (according to the diagnostic standard of Hanifin and Rajka for AD)
Clinical diagnosis of AD that has been clinically stable, which means the ISGA score stays as 2 or 3 when evaluated for ≥ 4 weeks prior to screening visit
With Investigator's Static Global Assessment (ISGA) score of 2 (mild) or 3 (moderate) at screening
Subject of childbearing potential must agree to use highly effective contraceptives from signing informed consent to 14 days after the last dose of study drug administration. At least two forms of birth control must be adopted and one of which must be a barrier method.
Exclusion Criteria:
Unstable or actively infected AD judged by the investigator
Active or potentially recurrent dermatologic condition other than atopic dermatitis that may confound evaluation, judged by the investigator
Received systemic medication including corticosteroid, immunosuppressant, anti-histamine, phototherapy, or other therapy, which could affect AD within 4 weeks before screening. However, subjects are allowed to enter the study if subjects have routine usage of anti-histamine and this application does not affect the study judged by the investigator
Received topical medication including corticosteroid, immunosuppressant, anti-histamine, phototherapy, calcineurin inhibitors, or other therapy for AD on the target lesions within 1 week before screening
History of use of biologic therapy (including intravenous immunoglobulin) within 12 weeks or 5 half-lives (whichever is longer)prior to screening
Received any other investigational drug within 4 weeks prior to screening
Required or received systemic CYP3A4 inhibitors with strong potency within 1 week prior to screening, including but not limited to clarithromycin, itraconazole, nefazodone and atazanavir, evaluated by the investigator
Treatment for any type of cancer (except squamous cell carcinoma, basal cell carcinoma, or carcinoma in situ of the skin, curatively treated with cryosurgery or surgical excision only) within 5 years before screening
Allergies requiring acute or chronic treatment at the investigator's discretion
Known hypersensitivity to any of the components of the study drug
Active clinically serious infection or history of human immunodeficiency virus (HIV) infection
Any of the following serum test abnormalities:
Total bilirubin > 1.5 × ULN
AST or ALT > 3.0 × ULN
Serum albumin < 2.5 g/dL
Creatinine > 1.5 × ULN
Any other ≥ Grade 2 (according to CTCAE v5.0) laboratory abnormality at baseline (other than those listed above)
With ongoing acute diseases or within the past 2 years serious medical conditions (e.g. concomitant illness) such as cardiovascular (e.g. New York Heart Association grade III or IV), hepatic (e.g. Child-Pugh Class C), psychiatric condition (e.g. alcoholism, drug abuse), medical history, physical findings, or laboratory abnormality that in the investigators' opinion could interfere with the results of the trial or adversely affect the safety of the subject
Female subject who is lactating or has positive urine pregnancy test at screening
Other conditions not suitable for participating in this study judged by the investigator
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yeh B Wu
Phone
+886-3-573-3608
Email
ybw333@arjilbio.com
12. IPD Sharing Statement
Plan to Share IPD
No
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A Study for AR100DP1 in Atopic Dermatitis (AD)
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