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Study to Evaluate the Safety and Antipsoriatic Efficacy of BOS-475 in a Psoriasis Plaque Test

Primary Purpose

Chronic Plaque Psoriasis

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
BOS-475
Active ingredient-free vehicle cream
Daivonex cream (calcipotriol 0.005%)
Betnesol-V cream (betamethasone 0.1%)
Sponsored by
Boston Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Plaque Psoriasis focused on measuring BOS-475, antipsoriatic efficacy, safety, psoriasis plaque test

Eligibility Criteria

18 Years - 69 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Men, or women of non-childbearing potential aged 18-69 years (inclusive)
  • Participants with chronic stable plaque psoriasis
  • The target lesion(s) should be on the trunk or extremities (excluding palms/soles); psoriatic lesions on the knees or elbows are not to be used as target lesions.
  • Willing and able to follow all trial procedures and complete the whole trial
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the Informed Consent Form (ICF) and in this protocol
  • Willing to refrain from using any topical treatments on the target areas, other than those mandated by the protocol or for protocol procedures

Exclusion Criteria:

  • Other skin disease or infection that is considered by the investigator to be relevant to the outcome of the trial
  • Participants with acute psoriasis guttata, psoriasis punctata, psoriasis erythrodermatica or pustular psoriasis
  • Any topical antipsoriatics on plaques potentially to be treated in this trial (including corticosteroids, vitamin D analogues, immunomodulators, retinoids, dithranol and tar) in the 4 weeks before first treatment and/or during the trial (pretreatment with salicylic acid is permitted on selected plaques; treatment on the face, ears and scalp is also permitted as lesions are not involved in the trial)
  • Systemic treatment with antipsoriatics, e.g., corticosteroids, cytostatics, retinoids, dimethylfumarate or apremilast in the three months before first treatment and during the trial
  • Systemic treatment with biological treatments: ustekinumab or secukinumab within six months or adalimumab, infliximab, and etanercept within three months before first treatment and during the trial. Any other previously used biologics for treatment of psoriasis should have been washed out for five half lives before first treatment.
  • Ultraviolet A (UVA) or B-therapy within four weeks and psoralen and ultraviolet A (PUVA)-therapy within eight weeks before first treatment and during the trial treatment with concomitant medication that may affect and provoke or aggravate psoriasis, e.g., antimalarial drugs, lithium, beta-blockers, or angiotensin-converting-enzyme (ACE) inhibitors unless on a stable dose for 3 months before trial medication initiation
  • History of malignancy within 5 years prior to dosing, except adequately treated non-invasive skin cancer (basal or squamous cell carcinoma
  • Positive urine drug or breath alcohol test results during screening or at Day 1, or history of drug abuse within a year prior to the screening visit
  • Excess alcohol consumption within 6 months prior to the trial defined as an average weekly intake of > 14 units for males and females. One unit is equivalent to 8 grams of alcohol: a half-pint (~240 milliliters [mL]) of beer, 1 glass (125 mL) of wine, or 1 (25 mL) measure of spirits
  • Blood pressure (BP) >160 millimeters of mercury (mmHg) systolic or >95 mmHg diastolic at screening
  • Participation in another clinical trial within the last six months for biological agents, or four weeks for small molecules prior to first treatment in this clinical trial

Sites / Locations

  • Gemeinschaftspraxis Dr. med. Johannes Niesmann und Dr. med. Nick Othlinghaus Hauszentrum im Jahrhunderthaus - Zentrum für klinische Studien
  • bioskin GmbH
  • Klinische Forschung Schwerin GmbH

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Active Comparator

Active Comparator

Arm Label

BOS-475 0.5%

BOS-475 1%

BOS-475 2%

Active ingredient-free vehicle cream

Daivonex cream

Betnesol-V cream (betamethasone 0.1%)

Arm Description

Daily application of BOS-475 0.5%

Daily application of BOS-475 1%

Daily application of BOS-475 2%

Daily application of vehicle cream

Daily application of Daivonex cream (calcipotriol 0.005%)

Daily application of Betnesol-V cream (betamethasone 0.1%)

Outcomes

Primary Outcome Measures

Number of treatment-emergent adverse events (TEAEs)
Number of treatment-emergent application site reactions
Change from Baseline in systolic and diastolic blood pressure
Change from Baseline in pulse
Change from Baseline in respiration
Change from Baseline in body temperature
Number of participants with clinically significant physical examination findings

Secondary Outcome Measures

Change from Baseline in psoriatic infiltrate thickness on Day 19 (assessed by measurement of the thickness of the Echo Poor Band [EPB] of the inflammatory infiltrate using 22-megahertz (MHz) sonography)
Change from Baseline in psoriatic infiltrate thickness on Days 8 and 15 (assessed by measurement of the thickness of the EPB of the inflammatory infiltrate using 22-MHz sonography)
Area under the curve (AUC) of change from Baseline in thickness of the EPB of the inflammatory infiltrate
Change from Baseline in the test fields compared to the surrounding plaque skin, as an evaluation of the antipsoriatic efficacy by clinical assessment, using a 5-point score
-1 = worsened; 0 = unchanged (no effect); 1 = slight improvement; 2 = clear improvement but not completely healed; 3 = completely healed.

Full Information

First Posted
January 7, 2020
Last Updated
November 17, 2020
Sponsor
Boston Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT04221906
Brief Title
Study to Evaluate the Safety and Antipsoriatic Efficacy of BOS-475 in a Psoriasis Plaque Test
Official Title
A Phase Ib, Multi-Center, Randomized, Vehicle- and Comparator-Controlled Trial, Double-Blind for the Investigational Medicinal Products, Observer-Blind for the Comparators to Evaluate the Safety and Antipsoriatic Efficacy of BOS-475 in a Psoriasis Plaque Test
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
January 6, 2020 (Actual)
Primary Completion Date
March 6, 2020 (Actual)
Study Completion Date
March 6, 2020 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes

5. Study Description

Brief Summary
This study is being conducted to evaluate the safety of topical BOS-475 compared to topically applied comparator formulations and vehicle.
Detailed Description
This is a three-center, randomized, placebo- and comparator-controlled, double-blind for the Investigational Medicinal Products (IMPs), observer-blind for the controls, intraindividual comparison of all 6 treatments.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Plaque Psoriasis
Keywords
BOS-475, antipsoriatic efficacy, safety, psoriasis plaque test

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Arm Title
BOS-475 0.5%
Arm Type
Experimental
Arm Description
Daily application of BOS-475 0.5%
Arm Title
BOS-475 1%
Arm Type
Experimental
Arm Description
Daily application of BOS-475 1%
Arm Title
BOS-475 2%
Arm Type
Experimental
Arm Description
Daily application of BOS-475 2%
Arm Title
Active ingredient-free vehicle cream
Arm Type
Placebo Comparator
Arm Description
Daily application of vehicle cream
Arm Title
Daivonex cream
Arm Type
Active Comparator
Arm Description
Daily application of Daivonex cream (calcipotriol 0.005%)
Arm Title
Betnesol-V cream (betamethasone 0.1%)
Arm Type
Active Comparator
Arm Description
Daily application of Betnesol-V cream (betamethasone 0.1%)
Intervention Type
Drug
Intervention Name(s)
BOS-475
Intervention Description
topical cream
Intervention Type
Drug
Intervention Name(s)
Active ingredient-free vehicle cream
Intervention Description
topical cream
Intervention Type
Drug
Intervention Name(s)
Daivonex cream (calcipotriol 0.005%)
Intervention Description
topical cream
Intervention Type
Drug
Intervention Name(s)
Betnesol-V cream (betamethasone 0.1%)
Intervention Description
topical cream
Primary Outcome Measure Information:
Title
Number of treatment-emergent adverse events (TEAEs)
Time Frame
up to Day 19
Title
Number of treatment-emergent application site reactions
Time Frame
up to Day 19
Title
Change from Baseline in systolic and diastolic blood pressure
Time Frame
Baseline; up to Day 19
Title
Change from Baseline in pulse
Time Frame
Baseline; up to Day 19
Title
Change from Baseline in respiration
Time Frame
Baseline; up to Day 19
Title
Change from Baseline in body temperature
Time Frame
Baseline; up to Day 19
Title
Number of participants with clinically significant physical examination findings
Time Frame
up to Day 19
Secondary Outcome Measure Information:
Title
Change from Baseline in psoriatic infiltrate thickness on Day 19 (assessed by measurement of the thickness of the Echo Poor Band [EPB] of the inflammatory infiltrate using 22-megahertz (MHz) sonography)
Time Frame
Baseline; Day 19
Title
Change from Baseline in psoriatic infiltrate thickness on Days 8 and 15 (assessed by measurement of the thickness of the EPB of the inflammatory infiltrate using 22-MHz sonography)
Time Frame
Baseline; Days 8 and 15
Title
Area under the curve (AUC) of change from Baseline in thickness of the EPB of the inflammatory infiltrate
Time Frame
Baseline; Day 19
Title
Change from Baseline in the test fields compared to the surrounding plaque skin, as an evaluation of the antipsoriatic efficacy by clinical assessment, using a 5-point score
Description
-1 = worsened; 0 = unchanged (no effect); 1 = slight improvement; 2 = clear improvement but not completely healed; 3 = completely healed.
Time Frame
Baseline; Days 1, 8, 15, and 19 (End of Trial)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
69 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men, or women of non-childbearing potential aged 18-69 years (inclusive) Participants with chronic stable plaque psoriasis The target lesion(s) should be on the trunk or extremities (excluding palms/soles); psoriatic lesions on the knees or elbows are not to be used as target lesions. Willing and able to follow all trial procedures and complete the whole trial Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the Informed Consent Form (ICF) and in this protocol Willing to refrain from using any topical treatments on the target areas, other than those mandated by the protocol or for protocol procedures Exclusion Criteria: Other skin disease or infection that is considered by the investigator to be relevant to the outcome of the trial Participants with acute psoriasis guttata, psoriasis punctata, psoriasis erythrodermatica or pustular psoriasis Any topical antipsoriatics on plaques potentially to be treated in this trial (including corticosteroids, vitamin D analogues, immunomodulators, retinoids, dithranol and tar) in the 4 weeks before first treatment and/or during the trial (pretreatment with salicylic acid is permitted on selected plaques; treatment on the face, ears and scalp is also permitted as lesions are not involved in the trial) Systemic treatment with antipsoriatics, e.g., corticosteroids, cytostatics, retinoids, dimethylfumarate or apremilast in the three months before first treatment and during the trial Systemic treatment with biological treatments: ustekinumab or secukinumab within six months or adalimumab, infliximab, and etanercept within three months before first treatment and during the trial. Any other previously used biologics for treatment of psoriasis should have been washed out for five half lives before first treatment. Ultraviolet A (UVA) or B-therapy within four weeks and psoralen and ultraviolet A (PUVA)-therapy within eight weeks before first treatment and during the trial treatment with concomitant medication that may affect and provoke or aggravate psoriasis, e.g., antimalarial drugs, lithium, beta-blockers, or angiotensin-converting-enzyme (ACE) inhibitors unless on a stable dose for 3 months before trial medication initiation History of malignancy within 5 years prior to dosing, except adequately treated non-invasive skin cancer (basal or squamous cell carcinoma Positive urine drug or breath alcohol test results during screening or at Day 1, or history of drug abuse within a year prior to the screening visit Excess alcohol consumption within 6 months prior to the trial defined as an average weekly intake of > 14 units for males and females. One unit is equivalent to 8 grams of alcohol: a half-pint (~240 milliliters [mL]) of beer, 1 glass (125 mL) of wine, or 1 (25 mL) measure of spirits Blood pressure (BP) >160 millimeters of mercury (mmHg) systolic or >95 mmHg diastolic at screening Participation in another clinical trial within the last six months for biological agents, or four weeks for small molecules prior to first treatment in this clinical trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xiaobing Qian, MD, PhD
Organizational Affiliation
Boston Pharmaceuticals, Vice President, Clinical Development
Official's Role
Study Director
Facility Information:
Facility Name
Gemeinschaftspraxis Dr. med. Johannes Niesmann und Dr. med. Nick Othlinghaus Hauszentrum im Jahrhunderthaus - Zentrum für klinische Studien
City
Bochum
Country
Germany
Facility Name
bioskin GmbH
City
Hamburg
Country
Germany
Facility Name
Klinische Forschung Schwerin GmbH
City
Schwerin
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study to Evaluate the Safety and Antipsoriatic Efficacy of BOS-475 in a Psoriasis Plaque Test

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