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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
Arjil Pharmaceuticals LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dermatitis, Atopic

Eligibility Criteria

20 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Dated and signed informed consent
  2. Either gender, ≥ 20 years old (the legal age of consent majority is 20 years old in Taiwan)
  3. Clinical diagnosis of atopic dermatitis (according to the diagnostic standard of Hanifin and Rajka for AD)
  4. 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
  5. With Investigator's Static Global Assessment (ISGA) score of 2 (mild) or 3 (moderate) at screening
  6. 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:

  1. Unstable or actively infected AD judged by the investigator
  2. Active or potentially recurrent dermatologic condition other than atopic dermatitis that may confound evaluation, judged by the investigator
  3. 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
  4. 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
  5. History of use of biologic therapy (including intravenous immunoglobulin) within 12 weeks or 5 half-lives (whichever is longer)prior to screening
  6. Received any other investigational drug within 4 weeks prior to screening
  7. 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
  8. 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
  9. Allergies requiring acute or chronic treatment at the investigator's discretion
  10. Known hypersensitivity to any of the components of the study drug
  11. Active clinically serious infection or history of human immunodeficiency virus (HIV) infection
  12. 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)
  13. 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
  14. Female subject who is lactating or has positive urine pregnancy test at screening
  15. 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

    First Posted
    January 3, 2020
    Last Updated
    January 8, 2020
    Sponsor
    Arjil Pharmaceuticals LLC
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    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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