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Phase 2a Study of the Safety, Tolerability, and Pharmacokinetics of Topically Administered PRN473 (SAR444727) in Patients With Mild to Moderate Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
PRN473 (SAR444727)
Placebo
Sponsored by
Principia Biopharma, a Sanofi Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female adults 18 to 70 years of age (inclusive) at the time of informed consent.
  • Diagnosed with mild to moderate AD.
  • History of AD for at least 6 months as determined by the Investigator through patient interview.
  • Stable disease for the 4 weeks prior to the screening visit with no significant flares in AD as determined by the Investigator.
  • Validated Investigator Global Assessment-atopic dermatitis (vIGA-AD) score of Moderate or Mild at Screening. The vIGA-AD is evaluated for the entire body except scalp, palms, soles and genitals.
  • Has AD involvement (excluding scalp, palms, soles and genitals) of at least 1.0% BSA and no more than 14.0% BSA.
  • Has at least two target lesions 100 cm2 or greater with a difference no greater than 1 point in lesion TSS and at least 5 cm apart located on the trunk (excluding genitals) or upper extremities (excluding palms).
  • If female, patients with child-bearing potential must have a negative pregnancy test, and agree to practice true abstinence or agree to use highly effective contraception.
  • If male, agree to use a male condom and highly effective contraception with female partners of child-bearing potential.
  • In good health as judged by the Investigator.

Exclusion Criteria:

  • Patients who have failed 2 or more prior systemic treatments for AD.
  • Patients who have received a live or attenuated vaccine in the last 12 weeks or intend to receive a live or attenuated vaccine during the study.
  • Patients who cannot discontinue prohibited medications and treatments prior to the Baseline visit and during the study.
  • Has unstable AD, based on the judgement of the Investigator, or any consistent requirement for high potency topical steroids to manage AD signs or symptoms.
  • Patients who have significant active systemic or localized bacterial, viral, fungal, and helminth infection in the last 30 days.
  • Patients unwilling to refrain from prolonged sun exposure or use of a tanning bed or other artificial light emitting devices for 4 weeks prior to Baseline and during the study.
  • Patients with other skin conditions that would interfere with evaluations of the effect of the study medication on AD, as determined by the Investigator.
  • Patients with known genetic dermatological conditions that overlap with AD, such as Netherton syndrome.
  • Previous use of a BTK inhibitor.
  • Women who are pregnant, wishing to become pregnant during the study, or are breastfeeding.
  • Patients currently undergoing allergy (eg, food allergy testing or skin prick testing), patch testing, or food challenges, or plan to do so during the study.
  • Patients who have undergone major surgery within 4 weeks prior to Day 1 or patients who have a major surgery planned during the study.
  • Regular use of drugs of abuse or regular alcohol consumption within 6 months prior to the study.

Sites / Locations

  • Collaborative Neuroscience Research-Site Number:8400004
  • California Allergy & Asthma Medical Group-Site Number:8400008
  • Florida International Research Center-Site Number:8400017
  • Lenus Research & Medical Group-Site Number:8400006
  • Clinical Research Trials of Florida, Inc-Site Number:8400013
  • Remington Davis Inc-Site Number:8400012
  • J&S Studies-Site Number:8400015
  • Center for Clinical Studies, LTD. LLP-Site Number:8400014
  • Progressive Clinical Research-Site Number:8400002
  • Investigational Site Number :1240008
  • Investigational Site Number :1240007
  • Investigational Site Number :1240002

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

PRN473 (SAR444727)

Placebo

Arm Description

Multiple topical doses of PRN473 (SAR444727) for 42 days

Multiple topical doses of placebo for 14 days, and PRN473 (SAR444727) for 28 days

Outcomes

Primary Outcome Measures

Adverse events (AEs) and serious AEs
Incidence of AEs and SAEs
Assessment of local cutaneous tolerability
Incidence and severity of application site events such as burning/stinging, itching, and erythema

Secondary Outcome Measures

Plasma PRN473 concentrations

Full Information

First Posted
July 28, 2021
Last Updated
February 7, 2023
Sponsor
Principia Biopharma, a Sanofi Company
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1. Study Identification

Unique Protocol Identification Number
NCT04992546
Brief Title
Phase 2a Study of the Safety, Tolerability, and Pharmacokinetics of Topically Administered PRN473 (SAR444727) in Patients With Mild to Moderate Atopic Dermatitis
Official Title
A Randomized, Intra-patient, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Topically Administered PRN473 (SAR444727) in Patients With Mild to Moderate Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
August 13, 2021 (Actual)
Primary Completion Date
December 29, 2022 (Actual)
Study Completion Date
December 29, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Principia Biopharma, a Sanofi Company

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Ph2a study that consists of a double-blind, intra-patient placebo-controlled treatment period and an open-label uncontrolled treatment period with objective to evaluate the safety, tolerability, PK and preliminary efficacy of PRN473 in up to 40 patients with mild to moderate AD. On Day 1 (Baseline) of the Blinded Period, 2 target lesions with a difference no greater than 1 point in Total Sign Score (TSS) will be randomly assigned to treatment in an intra-patient 1:1 manner, one lesion to PRN473 and the other to matching placebo. Participation will take approximately 13 weeks, including up to a 5-week screening period, a 6-week treatment period, end of study assessments 1 day after last dose, and a safety follow-up phone call 2 weeks after last dose.
Detailed Description
Study duration per patient is approximately 56 days including a 42-days treatment period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
39 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PRN473 (SAR444727)
Arm Type
Experimental
Arm Description
Multiple topical doses of PRN473 (SAR444727) for 42 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Multiple topical doses of placebo for 14 days, and PRN473 (SAR444727) for 28 days
Intervention Type
Drug
Intervention Name(s)
PRN473 (SAR444727)
Intervention Description
White to off-white gel suspension
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
White to off-white gel suspension
Primary Outcome Measure Information:
Title
Adverse events (AEs) and serious AEs
Description
Incidence of AEs and SAEs
Time Frame
Until Day 56
Title
Assessment of local cutaneous tolerability
Description
Incidence and severity of application site events such as burning/stinging, itching, and erythema
Time Frame
Until Day 56
Secondary Outcome Measure Information:
Title
Plasma PRN473 concentrations
Time Frame
Day 1 to Day 43

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female adults 18 to 70 years of age (inclusive) at the time of informed consent. Diagnosed with mild to moderate AD. History of AD for at least 6 months as determined by the Investigator through patient interview. Stable disease for the 4 weeks prior to the screening visit with no significant flares in AD as determined by the Investigator. Validated Investigator Global Assessment-atopic dermatitis (vIGA-AD) score of Moderate or Mild at Screening. The vIGA-AD is evaluated for the entire body except scalp, palms, soles and genitals. Has AD involvement (excluding scalp, palms, soles and genitals) of at least 1.0% BSA and no more than 14.0% BSA. Has at least two target lesions 100 cm2 or greater with a difference no greater than 1 point in lesion TSS and at least 5 cm apart located on the trunk (excluding genitals) or upper extremities (excluding palms). If female, patients with child-bearing potential must have a negative pregnancy test, and agree to practice true abstinence or agree to use highly effective contraception. If male, agree to use a male condom and highly effective contraception with female partners of child-bearing potential. In good health as judged by the Investigator. Exclusion Criteria: Patients who have failed 2 or more prior systemic treatments for AD. Patients who have received a live or attenuated vaccine in the last 12 weeks or intend to receive a live or attenuated vaccine during the study. Patients who cannot discontinue prohibited medications and treatments prior to the Baseline visit and during the study. Has unstable AD, based on the judgement of the Investigator, or any consistent requirement for high potency topical steroids to manage AD signs or symptoms. Patients who have significant active systemic or localized bacterial, viral, fungal, and helminth infection in the last 30 days. Patients unwilling to refrain from prolonged sun exposure or use of a tanning bed or other artificial light emitting devices for 4 weeks prior to Baseline and during the study. Patients with other skin conditions that would interfere with evaluations of the effect of the study medication on AD, as determined by the Investigator. Patients with known genetic dermatological conditions that overlap with AD, such as Netherton syndrome. Previous use of a BTK inhibitor. Women who are pregnant, wishing to become pregnant during the study, or are breastfeeding. Patients currently undergoing allergy (eg, food allergy testing or skin prick testing), patch testing, or food challenges, or plan to do so during the study. Patients who have undergone major surgery within 4 weeks prior to Day 1 or patients who have a major surgery planned during the study. Regular use of drugs of abuse or regular alcohol consumption within 6 months prior to the study.
Facility Information:
Facility Name
Collaborative Neuroscience Research-Site Number:8400004
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
Facility Name
California Allergy & Asthma Medical Group-Site Number:8400008
City
Los Angeles
State/Province
California
ZIP/Postal Code
90025
Country
United States
Facility Name
Florida International Research Center-Site Number:8400017
City
Miami
State/Province
Florida
ZIP/Postal Code
33173
Country
United States
Facility Name
Lenus Research & Medical Group-Site Number:8400006
City
Sweetwater
State/Province
Florida
ZIP/Postal Code
33172
Country
United States
Facility Name
Clinical Research Trials of Florida, Inc-Site Number:8400013
City
Tampa
State/Province
Florida
ZIP/Postal Code
33607
Country
United States
Facility Name
Remington Davis Inc-Site Number:8400012
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43215
Country
United States
Facility Name
J&S Studies-Site Number:8400015
City
Bryan
State/Province
Texas
ZIP/Postal Code
77802
Country
United States
Facility Name
Center for Clinical Studies, LTD. LLP-Site Number:8400014
City
Houston
State/Province
Texas
ZIP/Postal Code
77004
Country
United States
Facility Name
Progressive Clinical Research-Site Number:8400002
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78213
Country
United States
Facility Name
Investigational Site Number :1240008
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8L 3C3
Country
Canada
Facility Name
Investigational Site Number :1240007
City
London
State/Province
Ontario
ZIP/Postal Code
N6H 5L5
Country
Canada
Facility Name
Investigational Site Number :1240002
City
Quebec
ZIP/Postal Code
G1G 3Y8
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Learn more about this trial

Phase 2a Study of the Safety, Tolerability, and Pharmacokinetics of Topically Administered PRN473 (SAR444727) in Patients With Mild to Moderate Atopic Dermatitis

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