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Efficacy and Safety of Novel Formulations of Topical Calcipotriol in Patients With Mild to Moderate Plaque Psoriasis (AKVANO-AKP01)

Primary Purpose

Psoriasis Vulgaris

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
AKVANO-Calcipotriol formulation 1
AKVANO-Calcipotriol formulation 2
AKVANO vehicle formulation 1
AKVANO vehicle formulation 2
Daivonex solution
Daivonex cream
Sponsored by
Lipidor AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis Vulgaris focused on measuring psoriasis plaque test, sonographic measurement, psoriatic infiltrate, clinical efficacy assessments, cutaneous safety, calcipotriene, calcipotriol

Eligibility Criteria

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

Inclusion Criteria:

All of the following criteria had to be met for inclusion of a subject in the clinical trial:

  • Subjects with psoriasis vulgaris in a chronic stable phase and mild or moderate plaque(s) with up to three plaque areas sufficient for six treatment fields
  • The target lesion(s) should have been on the trunk or extremities (excluding palms/soles); psoriatic lesion on the knees were not used as a target lesion
  • Plaques to be treated should have had a comparable psoriatic infiltrate thickness of at least 200 μm
  • The physical examination of the skin had to be without disease findings unless the investigator considered an abnormality to be irrelevant to the outcome of the clinical trial
  • Female volunteers of childbearing potential had to be either surgically sterile (hysterectomy or tubal ligation) or agree to use a reliable method of contraception with a failure rate of less than 1 % per year when used consistently and correctly such as implants, injectables, combined oral contraceptives, some intra-uterine devices [IUDs], sexual abstinence or had a vasectomized partner
  • Written informed consent obtained

Exclusion Criteria:

Subjects were excluded from the clinical trial when one or more of the following conditions were met:

  • Other skin disease noted on physical examination that was considered by the investigator to be relevant to the outcome of the trial;
  • Subjects with psoriasis guttata, psoriasis punctata, psoriasis erythrodermatica, psoriasis arthropathica and pustular psoriasis
  • Any topical antipsoriatic treatment on the plaques to be treated in this trial (including corticosteroids, except for salicylic acid) in the three months before first treatment and/or during the trial
  • Systemic treatment with antipsoriatics e.g. corticosteroids, cytostatics, retinoids in the three months before first treatment and during the trial
  • Treatment with systemic or locally acting medications which might have countered or influenced the trial aim (medications which were known to provoke or aggravate psoriasis, e.g. ß-blocker, antimalarial drugs, lithium) within three months before first treatment and/or during the trial
  • Known allergic reactions irritations or sensitivity to the active ingredients or other components of the investigational products;
  • Contraindications according to summary of product characteristics of Daivonex®
  • Evidence of drug or alcohol abuse
  • Pregnancy or nursing
  • UV-therapy within four weeks before first treatment and during the trial
  • Symptoms of a clinically significant illness that might have influenced the outcome of the trial in the four weeks before first treatment and during the trial
  • Participation in the treatment phase of another clinical trial within the last four weeks prior to the first treatment in this clinical trial
  • In the opinion of the investigator or physician performing the initial examination the subject should not have participated in the clinical trial, e.g. due to probable non-compliance or inability to understand the trial and give adequately informed consent
  • Close affiliation with the investigator (e.g. a close relative) or persons working at bioskin GmbH or subject was an employee of sponsor
  • Subject was institutionalized because of legal or regulatory order

Sites / Locations

  • bioskin GmbH

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Single arm with several test fields

Arm Description

Altogether six test fields (two active formulations, their corresponding vehicles and two comparators) located on the torso, or the extremities were randomly assigned for treatments per subject.

Outcomes

Primary Outcome Measures

Comparison of AKVANO-Calcipotriol formulations to their corresponding vehicles in terms of change in infiltrate thickness from baseline to Day 12
The thickness of psoriatic infiltrate will be recorded as echo lucent psoriatic band (ELB) using a 20 MHz high frequency sonograph (PROFI USB, Taberna pro Medicum, Lueneburg) on day 1 (baseline) and day 12 (end of treatment; EoT). Mean change of infiltrate thickness will be determined.

Secondary Outcome Measures

Comparison of AKVANO-Calcipotriol formulations to their corresponding comparators (Daivonex solution and cream) in terms of change in infiltrate thickness from baseline to Day 12
The thickness of psoriatic infiltrate will be recorded as echo lucent psoriatic band (ELB) using a 20 MHz high frequency sonograph (PROFI USB, Taberna pro Medicum, Lueneburg) on day 1 (baseline) and day 12 (end of treatment; EoT). Mean change of infiltrate thickness will be determined.
Comparison of AKVANO-Calcipotriol formulations to their corresponding vehicles and comparators in terms of change in infiltrate thickness and Area under curve (AUC) of change in infiltrate thickness from baseline to Day 8
The thickness of psoriatic infiltrate will be recorded as echo lucent psoriatic band (ELB) using a 20 MHz high frequency sonograph (PROFI USB, Taberna pro Medicum, Lueneburg) on day 1 (baseline) and day 8. Mean change of infiltrate thickness and AUC of infiltrate thickness will be determined.
Clinical assessment of the treatment efficacy of all formulations at day 8
Clinical assessment (global assessment) of the test fields will be made at visit (day 8 and 12) after day 1 using a defined five-point scale of worsened (-1), unchanged (0), slight improvement (1), clear improvement but not completely healed (2) and completely healed (3). The comparison of single test fields will be made to the untreated plaque(s) beneath the hydrocolloid dressing and next to the respective test field. Clinically apparent differences in erythema and infiltration will contribute to this global assessment. At baseline (Day 1) the score will be documented as "0" (unchanged).
Clinical assessment of the treatment efficacy of all formulations at day 12
Clinical assessment (global assessment) of the test fields will be made at visit (day 8 and 12) after day 1 using a defined five-point scale of worsened (-1), unchanged (0), slight improvement (1), clear improvement but not completely healed (2) and completely healed (3). The comparison of single test fields will be made to the untreated plaque(s) beneath the hydrocolloid dressing and next to the respective test field. Clinically apparent differences in erythema and infiltration will contribute to this global assessment. At baseline (Day 1) the score will be documented as "0" (unchanged).

Full Information

First Posted
August 1, 2022
Last Updated
August 3, 2022
Sponsor
Lipidor AB
Collaborators
Bioskin GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT05488990
Brief Title
Efficacy and Safety of Novel Formulations of Topical Calcipotriol in Patients With Mild to Moderate Plaque Psoriasis
Acronym
AKVANO-AKP01
Official Title
Phase I, Single-center, Randomized, Controlled Trial to Evaluate the Antipsoriatic Efficacy of Calcipotriol in Novel Formulations Compared to Marketed Calcipotriol Products and Evaluation of Their Cutaneous Safety in a Psoriasis Plaque Test
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
March 25, 2013 (Actual)
Primary Completion Date
June 17, 2013 (Actual)
Study Completion Date
June 17, 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lipidor AB
Collaborators
Bioskin GmbH

4. Oversight

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

5. Study Description

Brief Summary
This was a Phase I, single-center, randomized, controlled trial to evaluate the antipsoriatic efficacy of calcipotriol in novel formulations based on AKVANO technology as compared to marketed calcipotriol products (Daivonex® solution and cream) and to evaluate their cutaneous safety in a psoriasis plaque test
Detailed Description
This study was conducted to evaluate the efficacy and cutaneous safety of calcipotriol (50 μg/g) in novel formulations (AKVANO®) as compared to their corresponding vehicle formulations and marketed calcipotriol formulations (Daivonex®) in a psoriasis plaque test. In total, 24 subjects with chronic psoriasis vulgaris were enrolled in this single-centre, randomized, vehicle and comparator-controlled clinical trial and were treated under occlusion over a 12-day treatment period (10 applications). The anti-psoriatic effect was evaluated by sonographic measurement of the psoriatic infiltrate and investigators' clinical efficacy assessments.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis Vulgaris
Keywords
psoriasis plaque test, sonographic measurement, psoriatic infiltrate, clinical efficacy assessments, cutaneous safety, calcipotriene, calcipotriol

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single arm with several test fields
Arm Type
Experimental
Arm Description
Altogether six test fields (two active formulations, their corresponding vehicles and two comparators) located on the torso, or the extremities were randomly assigned for treatments per subject.
Intervention Type
Drug
Intervention Name(s)
AKVANO-Calcipotriol formulation 1
Other Intervention Name(s)
AKVC01
Intervention Description
Novel lipid based formulation (AKVANO) type 1 containing Calcipotriol (50 μg/g)
Intervention Type
Drug
Intervention Name(s)
AKVANO-Calcipotriol formulation 2
Other Intervention Name(s)
AKVC02
Intervention Description
Novel lipid based formulation (AKVANO) type 2 containing Calcipotriol (50 μg/g)
Intervention Type
Drug
Intervention Name(s)
AKVANO vehicle formulation 1
Other Intervention Name(s)
AKVC01 vehicle
Intervention Description
Novel lipid based formulation (AKVANO) vehicle 1
Intervention Type
Drug
Intervention Name(s)
AKVANO vehicle formulation 2
Other Intervention Name(s)
AKVC02 vehicle
Intervention Description
Novel lipid based formulation (AKVANO) vehicle 2
Intervention Type
Drug
Intervention Name(s)
Daivonex solution
Intervention Description
Daivonex solution containing Calcipotriol (50 μg/g)
Intervention Type
Drug
Intervention Name(s)
Daivonex cream
Intervention Description
Daivonex cream containing Calcipotriol (50 μg/g)
Primary Outcome Measure Information:
Title
Comparison of AKVANO-Calcipotriol formulations to their corresponding vehicles in terms of change in infiltrate thickness from baseline to Day 12
Description
The thickness of psoriatic infiltrate will be recorded as echo lucent psoriatic band (ELB) using a 20 MHz high frequency sonograph (PROFI USB, Taberna pro Medicum, Lueneburg) on day 1 (baseline) and day 12 (end of treatment; EoT). Mean change of infiltrate thickness will be determined.
Time Frame
12 days
Secondary Outcome Measure Information:
Title
Comparison of AKVANO-Calcipotriol formulations to their corresponding comparators (Daivonex solution and cream) in terms of change in infiltrate thickness from baseline to Day 12
Description
The thickness of psoriatic infiltrate will be recorded as echo lucent psoriatic band (ELB) using a 20 MHz high frequency sonograph (PROFI USB, Taberna pro Medicum, Lueneburg) on day 1 (baseline) and day 12 (end of treatment; EoT). Mean change of infiltrate thickness will be determined.
Time Frame
12 days
Title
Comparison of AKVANO-Calcipotriol formulations to their corresponding vehicles and comparators in terms of change in infiltrate thickness and Area under curve (AUC) of change in infiltrate thickness from baseline to Day 8
Description
The thickness of psoriatic infiltrate will be recorded as echo lucent psoriatic band (ELB) using a 20 MHz high frequency sonograph (PROFI USB, Taberna pro Medicum, Lueneburg) on day 1 (baseline) and day 8. Mean change of infiltrate thickness and AUC of infiltrate thickness will be determined.
Time Frame
8 days
Title
Clinical assessment of the treatment efficacy of all formulations at day 8
Description
Clinical assessment (global assessment) of the test fields will be made at visit (day 8 and 12) after day 1 using a defined five-point scale of worsened (-1), unchanged (0), slight improvement (1), clear improvement but not completely healed (2) and completely healed (3). The comparison of single test fields will be made to the untreated plaque(s) beneath the hydrocolloid dressing and next to the respective test field. Clinically apparent differences in erythema and infiltration will contribute to this global assessment. At baseline (Day 1) the score will be documented as "0" (unchanged).
Time Frame
8 days
Title
Clinical assessment of the treatment efficacy of all formulations at day 12
Description
Clinical assessment (global assessment) of the test fields will be made at visit (day 8 and 12) after day 1 using a defined five-point scale of worsened (-1), unchanged (0), slight improvement (1), clear improvement but not completely healed (2) and completely healed (3). The comparison of single test fields will be made to the untreated plaque(s) beneath the hydrocolloid dressing and next to the respective test field. Clinically apparent differences in erythema and infiltration will contribute to this global assessment. At baseline (Day 1) the score will be documented as "0" (unchanged).
Time Frame
12 days
Other Pre-specified Outcome Measures:
Title
All Adverse events (AEs) (non-treatment-emergent and treatment-emergent) will be documented.
Description
All Adverse events (AEs) (non-treatment-emergent and treatment-emergent) will be documented.
Time Frame
12 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
32 Years
Maximum Age & Unit of Time
69 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: All of the following criteria had to be met for inclusion of a subject in the clinical trial: Subjects with psoriasis vulgaris in a chronic stable phase and mild or moderate plaque(s) with up to three plaque areas sufficient for six treatment fields The target lesion(s) should have been on the trunk or extremities (excluding palms/soles); psoriatic lesion on the knees were not used as a target lesion Plaques to be treated should have had a comparable psoriatic infiltrate thickness of at least 200 μm The physical examination of the skin had to be without disease findings unless the investigator considered an abnormality to be irrelevant to the outcome of the clinical trial Female volunteers of childbearing potential had to be either surgically sterile (hysterectomy or tubal ligation) or agree to use a reliable method of contraception with a failure rate of less than 1 % per year when used consistently and correctly such as implants, injectables, combined oral contraceptives, some intra-uterine devices [IUDs], sexual abstinence or had a vasectomized partner Written informed consent obtained Exclusion Criteria: Subjects were excluded from the clinical trial when one or more of the following conditions were met: Other skin disease noted on physical examination that was considered by the investigator to be relevant to the outcome of the trial; Subjects with psoriasis guttata, psoriasis punctata, psoriasis erythrodermatica, psoriasis arthropathica and pustular psoriasis Any topical antipsoriatic treatment on the plaques to be treated in this trial (including corticosteroids, except for salicylic acid) in the three months before first treatment and/or during the trial Systemic treatment with antipsoriatics e.g. corticosteroids, cytostatics, retinoids in the three months before first treatment and during the trial Treatment with systemic or locally acting medications which might have countered or influenced the trial aim (medications which were known to provoke or aggravate psoriasis, e.g. ß-blocker, antimalarial drugs, lithium) within three months before first treatment and/or during the trial Known allergic reactions irritations or sensitivity to the active ingredients or other components of the investigational products; Contraindications according to summary of product characteristics of Daivonex® Evidence of drug or alcohol abuse Pregnancy or nursing UV-therapy within four weeks before first treatment and during the trial Symptoms of a clinically significant illness that might have influenced the outcome of the trial in the four weeks before first treatment and during the trial Participation in the treatment phase of another clinical trial within the last four weeks prior to the first treatment in this clinical trial In the opinion of the investigator or physician performing the initial examination the subject should not have participated in the clinical trial, e.g. due to probable non-compliance or inability to understand the trial and give adequately informed consent Close affiliation with the investigator (e.g. a close relative) or persons working at bioskin GmbH or subject was an employee of sponsor Subject was institutionalized because of legal or regulatory order
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Heinrich Siemetzki, MD
Organizational Affiliation
Bioskin GmbH
Official's Role
Principal Investigator
Facility Information:
Facility Name
bioskin GmbH
City
Bergmannstrasse 5
State/Province
Berlin
ZIP/Postal Code
10961
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35456628
Citation
Holmback J, Rinwa V, Halthur T, Rinwa P, Carlsson A, Herslof B. AKVANO(R): A Novel Lipid Formulation System for Topical Drug Delivery-In Vitro Studies. Pharmaceutics. 2022 Apr 5;14(4):794. doi: 10.3390/pharmaceutics14040794.
Results Reference
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Efficacy and Safety of Novel Formulations of Topical Calcipotriol in Patients With Mild to Moderate Plaque Psoriasis

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