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A Study to Evaluate the Safety, Tolerability and Efficacy of AK3280 Cream on Hypertrophic Scar

Primary Purpose

Hypertrophic Scar

Status
Not yet recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
AK3280 Cream
Placebo cream
Sponsored by
Ark Biosciences Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypertrophic Scar

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 1) Patients who sign informed consent before participating in the study.
  • 2) Patients aged between 18 and 60 (including 18 and 60).
  • 3)Patients who understand and be willing to follow the study procedure and be able to complete the whole process of the study.
  • 4) Patients with visible hypertrophic scars in any location other than the face and anterior middle and upper neck caused by trauma or surgery and planned for surgical treatment.
  • 5) Patients with postoperative scar length ≥ 6 cm, and preoperative scar length ≥4cm.
  • 6) Women of childbearing age should have negative serum pregnancy test during screening period and on study day 1.

Exclusion Criteria:

  • 1) Patients who were systematically treated or topically treated with corticosteroids or immunosuppressants during the 30 days prior to the screening period;
  • 2) Patients who accepted systematically chemotherapy during 30 days prior to the screening period;
  • 3) Patients whose hypertrophic scars are being locally infected, or with sepsis;
  • 4) Hypertrophic scar patients with potential keloid trend or keloid history;
  • 5) Patients with autoimmune diseases or immune insufficiency or defects
  • 6)Patient with uncontrolled diabetes - HbA1c (glycosylated hemoglobin A1c) ≥ 8% ,with peripheral neuropathy, peripheral arterial atresia, or other vascular diseases;
  • 7) Patients with abnormal anticoagulation or coagulation function;
  • 8) Patients with atrophic skin diseases, rheumatism or hemopathy ;
  • 9) Patients with abnormal liver and kidney function: I. AST (Aspartate Transaminase) or ALT (Alanine Transaminase) > the upper limit of normal, and total bilirubin > the upper limit of normal; Ii. AST or ALT≥1.5 times of the upper limit of normal; Iii. Creatinine clearance rate< 60mL/ min ;
  • 10) Patients with infectious diseases such as positive antibody of HBV (hepatitis B virus) , HCV (hepatitis B virus), HIV (human immunodeficiency virus) or syphilis;
  • 11) The patients or their family have a history of hypersensitivity or allergies to multiple substances, or serious atopic dermatitis, or are not suitable for participate this study by investigator's judgment;
  • 12) Patients who are currently or possibly suffering from malignant tumors;
  • 13) Patients with definite diagnosis of mental illness with irregular medication;
  • 14) Patients received any treatment that may affect wound healing, cicatrization, hemostasis or anti-coagulation, possible interactions with investigational drug within 30 days prior to randomization;
  • 15) The investigators judge that patients have safety risk, or cannot complete this study or collect all blood concentration because of patient's general condition, comorbidity or medical history, or abnormal physical examination/vital signs/laboratory tests/electrocardiogram;
  • 16) Patients who have received scar ablation or X-ray therapy within the past 6 months;
  • 17) Patients have participated in other clinical trials of medicine or devices within 30 days prior to the screening period;
  • 18) Pregnant or lactating women;
  • 19) Women and men of reproductive age who are not willing to use highly effective contraception during the study period and at least 3 months after the last administration.

Sites / Locations

  • Shanghai Ninth People's Hospital,Shanghal JiaoTong University School of Medicine

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Arm Label

2% dose AK3280 cream

4% dose AK3280 cream

8% dose AK3280 cream

Placebo cream

Arm Description

After the 4-week screening period, Eligible subjects will be administered daily 2% dose AK3280 cream b.i.d. for 12weeks.

After the 4-week screening period, Eligible subjects will be administered daily 4% dose AK3280 cream b.i.d. for 12weeks.

After the 4-week screening period, Eligible subjects will be administered daily 8% dose AK3280 cream b.i.d. for 12weeks.

The same subject will be randomized to receive topical administration of AK3280 cream or placebo cream at S1 and S3, respectively.

Outcomes

Primary Outcome Measures

Assessment of adverse events(AE)/ serious adverse events (SAEs)
Adverse Events occurring from day1 to last visit will be assessed and graded according to Common Terminology Criteria for Adverse Events version 5.0.
Number of participants with abnormal Skin Examination
The skin examination should be performed under sufficient light and at room temperature , including skin lesion, inflammation, allergy, Scar hyperplasia.
Number of participants with abnormal vital signs
Vital signs: include pulse, respiration, body temperature and blood pressure
Number of participants with abnormal Physical examination findings
Physical examination : include height, weight, head and neck, mouth, chest, abdomen, lymph nodes, nerves and mind, limbs and other sites
Number of participants with abnormal 12-lead ECG readings
Number of participants with abnormal laboratory test results
Laboratory tests:include blood routine examination, blood biochemistry ,urine routine test and coagulation function

Secondary Outcome Measures

Within 12 weeks of topical administration, the proportion of scar hyperplasia/recurrence compared in S1 and S3 segment
There are 4 items in the VSS scale(Vancouver Scar Scale) , Vascularity、 Pigmentation、 Pliability and Height. A total of 13 points, with minimum 0 indicating normal skin and maximum 13 indicating the most scarring and worst appearance. Two trained and skilled physicians are required to objectively evaluate the scar of all subjects. The scar was observed after pressing with a special glass slide for 2 seconds, and the average score of both was used as the final score of VSS to reduce subjective bias. Scar hyperplasia/recurrence was defined as the Height item score of the VSS scale ≥2. If two investigators had different scores in Height item, for safety, the higher score would be final result.
Within 12 weeks of topical administration, the change of VSS (Vancouver Scar Scale ) total score compared in S1 and S3 segment from baseline
There are 4 items in the VSS scale(Vancouver Scar Scale) , Vascularity、 Pigmentation、 Pliability and Height. A total of 13 points, with minimum 0 indicating normal skin and maximum 13 indicating the most scarring and worst appearance. Two trained and skilled physicians are required to objectively evaluate the scar of all subjects. The scar was observed after pressing with a special glass slide for 2 seconds, and the average score of both was used as the final score of VSS to reduce subjective bias.
Within 12 weeks of topical administration, the change of mean thickness by 3D photography compared in S1 and S3 segment from baseline
Taking 5 points in each segment can automatically get the thickness of each point by 3D photography and calculate the average thickness.
Within 12 weeks of topical administration, the change of surface area per centimeter by 3D photography compared in S1 and S3 segment from baseline
Surface area can be obtained directly by 3D photography,then calculate the surface area per centimeter.
Within 12 weeks of topical administration, the change of volume per centimeter by 3D photography compared in S1 and S3 segment from baseline
Volume can be obtained directly by 3D photography,then calculate the volume per centimeter.
Within 12 weeks of topical administration, the change of blood flow in laser speckle imaging system compared in S1 and S3 segment from baseline
Blood perfusion of capillary of scar, para-scar and normal tissue will be tested by laser speckle imaging system to evaluate scar recurrence compared S1 with S3.
Cmax (Maximum observed concentration) of AK3280 after topical administration of AK3280 onitment.
Ctrough (trough level concentration) of AK3280 after topical administration of AK3280 onitment.
Tmax (Time of peak plasma concentration) of AK3280 after topical administration of AK3280 onitment.
AUC0-t (Area under the concentration-time curve from time zero to the last measurable concentration ) of AK3280 after topical administration of AK3280 onitment.
CL/F (apparent clearance) of AK3280 after topical administration of AK3280 onitment.
Cmax of AK3280 M2 after topical administration of AK3280 onitment.
Four metabolites (M1-M4) were detected in human plasma collected after oral administration of AK3280. M2 is the most abundant metabolite circulating in the blood, also found in urine.
Ctrough of AK3280 M2 after topical administration of AK3280 onitment.
Tmax of AK3280 M2 after topical administration of AK3280 onitment.
AUC0-t of AK3280 M2 after topical administration of AK3280 onitment.
CL/F of AK3280 M2 after topical administration of AK3280 onitment.

Full Information

First Posted
June 16, 2022
Last Updated
July 4, 2022
Sponsor
Ark Biosciences Inc.
Collaborators
Shanghai Ark Biopharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05434897
Brief Title
A Study to Evaluate the Safety, Tolerability and Efficacy of AK3280 Cream on Hypertrophic Scar
Official Title
A Randomized, Double-blind, Placebo Self-controlled Phase I/II Clinical Study to Evaluate the Safety, Tolerability and Preventive Efficacy of AK3280 Cream After Cicatrectomy in Patients With Hypertrophic Scar in China.
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
July 2022 (Anticipated)
Primary Completion Date
July 2023 (Anticipated)
Study Completion Date
November 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ark Biosciences Inc.
Collaborators
Shanghai Ark Biopharmaceutical Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
A randomized, double-blind, placebo self-controlled phase I/II clinical study to evaluate the safety, tolerability and preventive efficacy of different doses of AK3280 cream (AK3287 ) after cicatrectomy in Patients with Hypertrophic Scar in China.
Detailed Description
Thirty patients with hypertrophic scar who will scheduled for cicatrectomy and meet the all inclusion criteria and none of exclusion criteria will participate in this study. There will be 3 cohorts for 2%, 4%, 8% doses of AK3287 (AK3280 cream) in turn, and 10 participants in each cohort. Participants in every cohort will receive cicatrectomy on day -5, and their incisions will be divided into 3 parts with equal length after length measurement on day 1, named S1, S2, S3. S1 is proximal, and S3 is distal. AK3280 cream (AK3287 ) or placebo will topically administrated to S1 or S3 randomly, twice a day (BID). In this study, S1 and S3 paired, placebo self-control design will be adopted. The study includes a 4-week screening period, a 12-week drug observation period, and a 2-week safety follow-up period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypertrophic Scar

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
2% dose AK3280 cream
Arm Type
Experimental
Arm Description
After the 4-week screening period, Eligible subjects will be administered daily 2% dose AK3280 cream b.i.d. for 12weeks.
Arm Title
4% dose AK3280 cream
Arm Type
Experimental
Arm Description
After the 4-week screening period, Eligible subjects will be administered daily 4% dose AK3280 cream b.i.d. for 12weeks.
Arm Title
8% dose AK3280 cream
Arm Type
Experimental
Arm Description
After the 4-week screening period, Eligible subjects will be administered daily 8% dose AK3280 cream b.i.d. for 12weeks.
Arm Title
Placebo cream
Arm Type
Active Comparator
Arm Description
The same subject will be randomized to receive topical administration of AK3280 cream or placebo cream at S1 and S3, respectively.
Intervention Type
Drug
Intervention Name(s)
AK3280 Cream
Other Intervention Name(s)
AK3287
Intervention Description
Active Substance: AK3280, Pharmaceutical Form:Cream, Route of Administration: External use
Intervention Type
Drug
Intervention Name(s)
Placebo cream
Intervention Description
Active Substance: Placebo, Pharmaceutical Form: Cream, Route of Administration: External use
Primary Outcome Measure Information:
Title
Assessment of adverse events(AE)/ serious adverse events (SAEs)
Description
Adverse Events occurring from day1 to last visit will be assessed and graded according to Common Terminology Criteria for Adverse Events version 5.0.
Time Frame
Up to 14 weeks
Title
Number of participants with abnormal Skin Examination
Description
The skin examination should be performed under sufficient light and at room temperature , including skin lesion, inflammation, allergy, Scar hyperplasia.
Time Frame
Up to 14 weeks
Title
Number of participants with abnormal vital signs
Description
Vital signs: include pulse, respiration, body temperature and blood pressure
Time Frame
Up to 14 weeks
Title
Number of participants with abnormal Physical examination findings
Description
Physical examination : include height, weight, head and neck, mouth, chest, abdomen, lymph nodes, nerves and mind, limbs and other sites
Time Frame
Up to 14 weeks
Title
Number of participants with abnormal 12-lead ECG readings
Time Frame
Up to 14 weeks
Title
Number of participants with abnormal laboratory test results
Description
Laboratory tests:include blood routine examination, blood biochemistry ,urine routine test and coagulation function
Time Frame
Up to 14 weeks
Secondary Outcome Measure Information:
Title
Within 12 weeks of topical administration, the proportion of scar hyperplasia/recurrence compared in S1 and S3 segment
Description
There are 4 items in the VSS scale(Vancouver Scar Scale) , Vascularity、 Pigmentation、 Pliability and Height. A total of 13 points, with minimum 0 indicating normal skin and maximum 13 indicating the most scarring and worst appearance. Two trained and skilled physicians are required to objectively evaluate the scar of all subjects. The scar was observed after pressing with a special glass slide for 2 seconds, and the average score of both was used as the final score of VSS to reduce subjective bias. Scar hyperplasia/recurrence was defined as the Height item score of the VSS scale ≥2. If two investigators had different scores in Height item, for safety, the higher score would be final result.
Time Frame
4 weeks, 8 weeks, 12 weeks, and unscheduled visits (up to 14 weeks)
Title
Within 12 weeks of topical administration, the change of VSS (Vancouver Scar Scale ) total score compared in S1 and S3 segment from baseline
Description
There are 4 items in the VSS scale(Vancouver Scar Scale) , Vascularity、 Pigmentation、 Pliability and Height. A total of 13 points, with minimum 0 indicating normal skin and maximum 13 indicating the most scarring and worst appearance. Two trained and skilled physicians are required to objectively evaluate the scar of all subjects. The scar was observed after pressing with a special glass slide for 2 seconds, and the average score of both was used as the final score of VSS to reduce subjective bias.
Time Frame
4 weeks, 8 weeks, 12 weeks, and unscheduled visits (up to 14 weeks)
Title
Within 12 weeks of topical administration, the change of mean thickness by 3D photography compared in S1 and S3 segment from baseline
Description
Taking 5 points in each segment can automatically get the thickness of each point by 3D photography and calculate the average thickness.
Time Frame
4 weeks, 8 weeks, 12 weeks, and unscheduled visits (up to 14 weeks)
Title
Within 12 weeks of topical administration, the change of surface area per centimeter by 3D photography compared in S1 and S3 segment from baseline
Description
Surface area can be obtained directly by 3D photography,then calculate the surface area per centimeter.
Time Frame
4 weeks, 8 weeks, 12 weeks, and unscheduled visits (up to 14 weeks)
Title
Within 12 weeks of topical administration, the change of volume per centimeter by 3D photography compared in S1 and S3 segment from baseline
Description
Volume can be obtained directly by 3D photography,then calculate the volume per centimeter.
Time Frame
4 weeks, 8 weeks, 12 weeks, and unscheduled visits (up to 14 weeks)
Title
Within 12 weeks of topical administration, the change of blood flow in laser speckle imaging system compared in S1 and S3 segment from baseline
Description
Blood perfusion of capillary of scar, para-scar and normal tissue will be tested by laser speckle imaging system to evaluate scar recurrence compared S1 with S3.
Time Frame
4 weeks, 8 weeks, 12 weeks, and unscheduled visits (up to 14 weeks)
Title
Cmax (Maximum observed concentration) of AK3280 after topical administration of AK3280 onitment.
Time Frame
Up to 14 weeks
Title
Ctrough (trough level concentration) of AK3280 after topical administration of AK3280 onitment.
Time Frame
Up to 14 weeks
Title
Tmax (Time of peak plasma concentration) of AK3280 after topical administration of AK3280 onitment.
Time Frame
Up to 14 weeks
Title
AUC0-t (Area under the concentration-time curve from time zero to the last measurable concentration ) of AK3280 after topical administration of AK3280 onitment.
Time Frame
Up to 14 weeks
Title
CL/F (apparent clearance) of AK3280 after topical administration of AK3280 onitment.
Time Frame
Up to 14 weeks
Title
Cmax of AK3280 M2 after topical administration of AK3280 onitment.
Description
Four metabolites (M1-M4) were detected in human plasma collected after oral administration of AK3280. M2 is the most abundant metabolite circulating in the blood, also found in urine.
Time Frame
Up to 14 weeks
Title
Ctrough of AK3280 M2 after topical administration of AK3280 onitment.
Time Frame
Up to 14 weeks
Title
Tmax of AK3280 M2 after topical administration of AK3280 onitment.
Time Frame
Up to 14 weeks
Title
AUC0-t of AK3280 M2 after topical administration of AK3280 onitment.
Time Frame
Up to 14 weeks
Title
CL/F of AK3280 M2 after topical administration of AK3280 onitment.
Time Frame
Up to 14 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 1) Patients who sign informed consent before participating in the study. 2) Patients aged between 18 and 60 (including 18 and 60). 3)Patients who understand and be willing to follow the study procedure and be able to complete the whole process of the study. 4) Patients with visible hypertrophic scars in any location other than the face and anterior middle and upper neck caused by trauma or surgery and planned for surgical treatment. 5) Patients with postoperative scar length ≥ 6 cm, and preoperative scar length ≥4cm. 6) Women of childbearing age should have negative serum pregnancy test during screening period and on study day 1. Exclusion Criteria: 1) Patients who were systematically treated or topically treated with corticosteroids or immunosuppressants during the 30 days prior to the screening period; 2) Patients who accepted systematically chemotherapy during 30 days prior to the screening period; 3) Patients whose hypertrophic scars are being locally infected, or with sepsis; 4) Hypertrophic scar patients with potential keloid trend or keloid history; 5) Patients with autoimmune diseases or immune insufficiency or defects 6)Patient with uncontrolled diabetes - HbA1c (glycosylated hemoglobin A1c) ≥ 8% ,with peripheral neuropathy, peripheral arterial atresia, or other vascular diseases; 7) Patients with abnormal anticoagulation or coagulation function; 8) Patients with atrophic skin diseases, rheumatism or hemopathy ; 9) Patients with abnormal liver and kidney function: I. AST (Aspartate Transaminase) or ALT (Alanine Transaminase) > the upper limit of normal, and total bilirubin > the upper limit of normal; Ii. AST or ALT≥1.5 times of the upper limit of normal; Iii. Creatinine clearance rate< 60mL/ min ; 10) Patients with infectious diseases such as positive antibody of HBV (hepatitis B virus) , HCV (hepatitis B virus), HIV (human immunodeficiency virus) or syphilis; 11) The patients or their family have a history of hypersensitivity or allergies to multiple substances, or serious atopic dermatitis, or are not suitable for participate this study by investigator's judgment; 12) Patients who are currently or possibly suffering from malignant tumors; 13) Patients with definite diagnosis of mental illness with irregular medication; 14) Patients received any treatment that may affect wound healing, cicatrization, hemostasis or anti-coagulation, possible interactions with investigational drug within 30 days prior to randomization; 15) The investigators judge that patients have safety risk, or cannot complete this study or collect all blood concentration because of patient's general condition, comorbidity or medical history, or abnormal physical examination/vital signs/laboratory tests/electrocardiogram; 16) Patients who have received scar ablation or X-ray therapy within the past 6 months; 17) Patients have participated in other clinical trials of medicine or devices within 30 days prior to the screening period; 18) Pregnant or lactating women; 19) Women and men of reproductive age who are not willing to use highly effective contraception during the study period and at least 3 months after the last administration.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Minyan Guo
Phone
86-13651919464
Email
nora.guo@arkbiosciences.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jihong Liu
Organizational Affiliation
Medical Director
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Yan Wu
Organizational Affiliation
Chief Medical Officer
Official's Role
Study Chair
Facility Information:
Facility Name
Shanghai Ninth People's Hospital,Shanghal JiaoTong University School of Medicine
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200011
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Evaluate the Safety, Tolerability and Efficacy of AK3280 Cream on Hypertrophic Scar

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