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Placebo Microneedles in Healthy Volunteers (Part I) and Efficacy/Safety of Doxorubicin Microneedles in Basal Cell Cancer Subjects (Part II)

Primary Purpose

Basal Cell Carcinoma

Status
Active
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Doxorubicin-containing MNA
Placebo-containing MNA
Sponsored by
SkinJect, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Basal Cell Carcinoma focused on measuring Basal cell cancer

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Adult males and females, 18+ years in general good health as assessed by the investigator.
  2. Clinical laboratory results within the following ranges:

    1. granulocytes ≥2,000/mm3
    2. platelets >50,000/mm3
    3. serum creatinine ≤2X the upper limit of normal (ULN)
    4. Aspartate aminotransferase (AST), alanine aminotransferase (ALT), lactate dehydrogenase (LDH), alkaline phosphatase ≤3X the ULN.
  3. Subject must have no other "clinically significant" abnormal findings in his/her medical history, physical examination or clinical laboratory test results as assessed by the investigator.
  4. Subject must be willing to adhere to the instructions of the investigator and his or her research team.
  5. Subject must sign an Informed Consent Form prior to any study specific procedures and entry into the study.
  6. BCC (subtype: superficial or nodular) confirmed histologically by diagnostic shave biopsy at the Screening Visit. If previously confirmed, subjects can only have diagnosed BCC via shaved biopsy within 6 months of first study treatment.
  7. Biopsy removed ≤25% of the original volume of the target lesion.
  8. Primary BCC (i.e., no previous treatment)
  9. Lesion size ≥ 64 mm2 or 8 x 8 mm and ≤ 169 mm2 or 13 x 13 mm, i.e., the entire lesion must be covered by 13X13 mm area of the array containing the microneedles
  10. Subjects must avoid sunlight/ultraviolet light to the target lesion for the duration of the study.
  11. Female subjects must be:

    1. postmenopausal (no menstrual period for a minimum of 12 months), or
    2. surgically sterile upon entry into the study.
    3. female subjects of childbearing potential must have a negative pregnancy test upon entry into this study and agree to use a highly effective method of contraception from Screening until the final follow-up visit. Consult Section 5.5 in this protocol for a description of effective contraceptive methods. Female subjects must also have negative pregnancy tests before each dose is applied to female subjects
  12. Male subjects with female partners of child bearing potential must be either surgically sterile or agree to use a double-barrier contraception method (i.e., condom + diaphragm, condom or diaphragm + spermicidal gel or foam) from screening until the final follow-up visit.

Exclusion Criteria:

  1. Evidence of clinically significant, unstable medical conditions as assessed by the investigator.
  2. Previously demonstrated sensitivity to doxorubicin or carboxymethyl cellulose.
  3. Female subjects who are pregnant or breastfeeding.
  4. The subject has uncontrolled, significant intercurrent or recent illness.
  5. Concomitant anticoagulation with coumarin agents (e.g., warfarin), direct thrombin inhibitors (e.g. dabigatran), betrixaban, or platelet inhibitors (eg, clopidogrel). Prophylactic use of Low-dose aspirin for cardio-protection (per local applicable guidelines) and low-dose low molecular weight heparins (LMWH) are permitted.
  6. Topical therapy(ies) to the target lesion within 6 weeks of first treatment.
  7. Prior excisional surgery performed on the lesion to be treated in this study.
  8. Recent therapy(ies) to the BCC treatment area.
  9. Recurrent BCC (previously treated) at the site presented for treatment.
  10. BCC lesion to be treated is located in an area where excisional biopsy is undesired or aesthetically unacceptable to the subject
  11. Subject with other active malignancies except for non-metastatic prostate cancer, carcinoma in situ of the skin or cervix, and basal cell cancer in locations other than lesion of interest.
  12. Subject with evidence of metastatic malignancies.
  13. Concomitant disease requiring systemic immunosuppressive treatment.
  14. Genetic skin cancer disorder, e.g., basal cell nevus syndrome.
  15. Subject is currently participating or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study treatment (patients who are in a follow-up phase of an investigational study may participate as long as it has been 30 days after the last dose of the previous investigational agent).
  16. Evidence of dermatological disease or confounding skin condition within 3 mm margin of the target BCC lesion, e.g., SCC, actinic keratosis, rosacea, psoriasis, atopic dermatitis, eczema.
  17. Existing condition or treatment within 3 months prior to the Screening Visit that may have impact on clinical outcome for the treatment of BCC or delay in wound healing from the standard of care excision.

Sites / Locations

  • Beer Dermatology
  • New York and Presbyterian Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Doxorubicin-containing MNA - 100 µg

Placebo MNA for Training

Arm Description

A doxorubicin-containing array of 100 µg will be applied to subjects.

Training phase for application of arrays

Outcomes

Primary Outcome Measures

Number of subjects with Eradication of Basal Cell Cancer based on Histologic Analysis
Tissue will be excised and sectioned for histologic analysis
Number of subjects with dose-limiting toxicity and treatment-related adverse events by CTCAE v4.0
Determination of cutaneous tolerability of arrays after application

Secondary Outcome Measures

Full Information

First Posted
June 3, 2021
Last Updated
April 11, 2023
Sponsor
SkinJect, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04928222
Brief Title
Placebo Microneedles in Healthy Volunteers (Part I) and Efficacy/Safety of Doxorubicin Microneedles in Basal Cell Cancer Subjects (Part II)
Official Title
A Trial to Evaluate Placebo Microneedle Arrays in Healthy Human Volunteers (Part I), Followed by Proof of Concept Testing of Efficacy and Safety of Doxorubicin Microneedle Arrays in Subjects With Basal Cell Cancer (Part II)
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
September 24, 2021 (Actual)
Primary Completion Date
December 30, 2023 (Anticipated)
Study Completion Date
June 30, 2024 (Anticipated)

3. Sponsor/Collaborators

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

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
Part I is designed as a study of P-MNA application in healthy human volunteers. The goal of Part I is to determine several factors possibly affecting the rate and extent of microneedle array dissolution, such as anatomic location; age; duration of array exposure to the skin; and the criticality of proper array application to the skin. Part II will be a randomized study in which doxorubicin-containing arrays will be applied to subjects demonstrated by biopsy to have basal cell cancer. A subject will be randomized to one of four dose groups: placebo microneedle array and 50 µg, 100 µg, and 200 µg doses of doxorubicin in a tip-loaded, dissolvable microneedle arrays (D-MNA).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Basal Cell Carcinoma
Keywords
Basal cell cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Masking Description
Investigational product will have randomly generated product code on label.
Allocation
Randomized
Enrollment
25 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Doxorubicin-containing MNA - 100 µg
Arm Type
Active Comparator
Arm Description
A doxorubicin-containing array of 100 µg will be applied to subjects.
Arm Title
Placebo MNA for Training
Arm Type
Experimental
Arm Description
Training phase for application of arrays
Intervention Type
Combination Product
Intervention Name(s)
Doxorubicin-containing MNA
Intervention Description
A 15 x 15 millimeter array containing 400 dissolvable microneedles delivering active agent
Intervention Type
Drug
Intervention Name(s)
Placebo-containing MNA
Intervention Description
A 15 15 x 15 millimeter array containing 400 dissolvable microneedles containing placebo
Primary Outcome Measure Information:
Title
Number of subjects with Eradication of Basal Cell Cancer based on Histologic Analysis
Description
Tissue will be excised and sectioned for histologic analysis
Time Frame
Up to 4 weeks after the last array application to a subject
Title
Number of subjects with dose-limiting toxicity and treatment-related adverse events by CTCAE v4.0
Description
Determination of cutaneous tolerability of arrays after application
Time Frame
Assessment at week 2 of subject visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Adult males and females, 18+ years in general good health as assessed by the investigator. Clinical laboratory results within the following ranges: granulocytes ≥2,000/mm3 platelets >50,000/mm3 serum creatinine ≤2X the upper limit of normal (ULN) Aspartate aminotransferase (AST), alanine aminotransferase (ALT), lactate dehydrogenase (LDH), alkaline phosphatase ≤3X the ULN. Subject must have no other "clinically significant" abnormal findings in his/her medical history, physical examination or clinical laboratory test results as assessed by the investigator. Subject must be willing to adhere to the instructions of the investigator and his or her research team. Subject must sign an Informed Consent Form prior to any study specific procedures and entry into the study. BCC (subtype: superficial or nodular) confirmed histologically by diagnostic shave biopsy at the Screening Visit. If previously confirmed, subjects can only have diagnosed BCC via shaved biopsy within 6 months of first study treatment. Biopsy removed ≤25% of the original volume of the target lesion. Primary BCC (i.e., no previous treatment) Lesion size ≥ 64 mm2 or 8 x 8 mm and ≤ 169 mm2 or 13 x 13 mm, i.e., the entire lesion must be covered by 13X13 mm area of the array containing the microneedles Subjects must avoid sunlight/ultraviolet light to the target lesion for the duration of the study. Female subjects must be: postmenopausal (no menstrual period for a minimum of 12 months), or surgically sterile upon entry into the study. female subjects of childbearing potential must have a negative pregnancy test upon entry into this study and agree to use a highly effective method of contraception from Screening until the final follow-up visit. Consult Section 5.5 in this protocol for a description of effective contraceptive methods. Female subjects must also have negative pregnancy tests before each dose is applied to female subjects Male subjects with female partners of child bearing potential must be either surgically sterile or agree to use a double-barrier contraception method (i.e., condom + diaphragm, condom or diaphragm + spermicidal gel or foam) from screening until the final follow-up visit. Exclusion Criteria: Evidence of clinically significant, unstable medical conditions as assessed by the investigator. Previously demonstrated sensitivity to doxorubicin or carboxymethyl cellulose. Female subjects who are pregnant or breastfeeding. The subject has uncontrolled, significant intercurrent or recent illness. Concomitant anticoagulation with coumarin agents (e.g., warfarin), direct thrombin inhibitors (e.g. dabigatran), betrixaban, or platelet inhibitors (eg, clopidogrel). Prophylactic use of Low-dose aspirin for cardio-protection (per local applicable guidelines) and low-dose low molecular weight heparins (LMWH) are permitted. Topical therapy(ies) to the target lesion within 6 weeks of first treatment. Prior excisional surgery performed on the lesion to be treated in this study. Recent therapy(ies) to the BCC treatment area. Recurrent BCC (previously treated) at the site presented for treatment. BCC lesion to be treated is located in an area where excisional biopsy is undesired or aesthetically unacceptable to the subject Subject with other active malignancies except for non-metastatic prostate cancer, carcinoma in situ of the skin or cervix, and basal cell cancer in locations other than lesion of interest. Subject with evidence of metastatic malignancies. Concomitant disease requiring systemic immunosuppressive treatment. Genetic skin cancer disorder, e.g., basal cell nevus syndrome. Subject is currently participating or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study treatment (patients who are in a follow-up phase of an investigational study may participate as long as it has been 30 days after the last dose of the previous investigational agent). Evidence of dermatological disease or confounding skin condition within 3 mm margin of the target BCC lesion, e.g., SCC, actinic keratosis, rosacea, psoriasis, atopic dermatitis, eczema. Existing condition or treatment within 3 months prior to the Screening Visit that may have impact on clinical outcome for the treatment of BCC or delay in wound healing from the standard of care excision.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Susan M Buttler
Organizational Affiliation
SkinJect, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Beer Dermatology
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33411
Country
United States
Facility Name
New York and Presbyterian Hospital
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States

12. IPD Sharing Statement

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Placebo Microneedles in Healthy Volunteers (Part I) and Efficacy/Safety of Doxorubicin Microneedles in Basal Cell Cancer Subjects (Part II)

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