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Topical KB105 for the Treatment of TGM1-deficient Autosomal Recessive Congenital Ichthyosis (ARCI)

Primary Purpose

Autosomal Recessive Ichthyosis

Status
Not yet recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
KB105
Placebo
Sponsored by
Krystal Biotech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Autosomal Recessive Ichthyosis

Eligibility Criteria

6 Months - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria: Subject, or legally authorized representative, must be willing and able to give informed consent/assent Aged ≥6 months A genetically confirmed diagnosis of TGM1-deficient ARCI Clinical diagnosis of lamellar ichthyosis Two target areas located on similar anatomical regions with the same scaling severity by IGA and scaling severity ≥3 Subjects taking systemic retinoids must be on a stable regimen for at least 4 weeks and agree to continue to take the medication consistently throughout the study. If the subject prefers to withhold systemic retinoids during the study, then a minimum 4-week washout period is required Clinically stable and in good general health Key Exclusion Criteria: Subject has a physical condition or other dermatological disorder (e.g., atopic, seborrheic, or contact dermatitis, psoriasis, tinea infections, etc.) which, in the Investigator's opinion, might impair evaluation of the target areas or which exposes the subject to unacceptable risk by study participation Participation in another clinical study or treatment with an investigational agent within 30 days or 5 half-lives, whichever is longer Any condition or illness (including a history or current evidence of substance abuse or dependence) that, in the opinion of the Investigator, would impact a subject's ability to complete all study-related procedures and/or poses an additional risk to the assessment of safety of KB105 Women who are pregnant or nursing Subject who is unwilling to comply with contraception requirements per protocol Subject is known to be noncompliant or is unlikely to comply with the requirements of the study protocol in the opinion of the Investigator

Sites / Locations

  • Mission Dermatology

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

KB105

Placebo

Arm Description

Weekly topical application

Weekly topical application

Outcomes

Primary Outcome Measures

Composite Investigator's Global Assessment (IGA) Responder (Comparison of proportion of responder KB105 target areas to responder placebo target areas)
Responder target areas are defined as: Target areas with ≥2 point reduction from baseline on IGA scaling severity at Week 9 or Target areas with ≥1 point reduction from baseline on IGA scaling severity for 2 consecutive weeks (Week 8 and Week 9)

Secondary Outcome Measures

Composite regional Visual Index of Ichthyosis Severity (VIIS) responder (Comparison of proportion of responder KB105 target areas to responder placebo target areas)
Responder target areas are defined as: Target areas with ≥2 point reduction from baseline on VIIS scaling score at Week 9 or Target areas with ≥1 point reduction from baseline on VIIS scaling score for 2 consecutive weeks (Week 8 and Week 9)
Visual Index of Ichthyosis Severity score change from baseline
Change from baseline in regional Visual Index of Ichthyosis Severity (VIIS) scaling scores, where 0 is normal and 4 is severe
Investigator's Global Assessment change from baseline
Change from baseline in Investigator's Global Assessment (IGA) scaling severity scores, where 0 is clear and 4 is severe
Investigator's Global Assessment (IGA) 2 point responder
Comparison of proportion of KB105 and placebo target areas with ≥2 point reduction from baseline on IGA scaling severity at Week 9
Investigator's Global Assessment (IGA) 1 point responder
Comparison of proportion of KB105 and placebo target areas with ≥1 point reduction from baseline on IGA scaling severity for 2 consecutive weeks (Week 8 and Week 9)
Visual Index of Ichthyosis Severity (VIIS) 2 point responder
Comparison of proportion of KB105 and placebo target areas with ≥2 point reduction from baseline on regional VIIS scaling severity at Week 9
Visual Index of Ichthyosis Severity (VIIS) 2 point responder
Comparison of proportion of KB105 and placebo target areas with ≥1 point reduction from baseline on regional VIIS scaling severity for 2 consecutive weeks (Week 8 and Week 9)

Full Information

First Posted
February 9, 2023
Last Updated
February 20, 2023
Sponsor
Krystal Biotech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05735158
Brief Title
Topical KB105 for the Treatment of TGM1-deficient Autosomal Recessive Congenital Ichthyosis (ARCI)
Official Title
A Phase 2, Randomized, Placebo-controlled Study of Topical KB105, a Replication-defective, Non-integrating HSV-1 Vector Expressing Human Transglutaminase 1 (TGM1) for the Treatment of TGM1-deficient Autosomal Recessive Congenital Ichthyosis (ARCI)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
March 2023 (Anticipated)
Primary Completion Date
March 2024 (Anticipated)
Study Completion Date
April 2024 (Anticipated)

3. Sponsor/Collaborators

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

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
KB105-02 is an intrasubject randomized, placebo-controlled, double-blind study to evaluate the safety and efficacy of KB105 in children and adults with autosomal recessive congenital ichthyosis (ARCI).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Autosomal Recessive Ichthyosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
An intra-participant parallel study. Matched target areas will be randomized within the participant, such that one target area receives KB105 and the other target area will receive placebo. An additional target area may be selected to receive open-label treatment with KB105.
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
15 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
KB105
Arm Type
Experimental
Arm Description
Weekly topical application
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Weekly topical application
Intervention Type
Biological
Intervention Name(s)
KB105
Intervention Description
Replication-defective, non-integrating HSV-1 vector expressing TGM1 formulated as a topical gel
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Visually matched excipient gel
Primary Outcome Measure Information:
Title
Composite Investigator's Global Assessment (IGA) Responder (Comparison of proportion of responder KB105 target areas to responder placebo target areas)
Description
Responder target areas are defined as: Target areas with ≥2 point reduction from baseline on IGA scaling severity at Week 9 or Target areas with ≥1 point reduction from baseline on IGA scaling severity for 2 consecutive weeks (Week 8 and Week 9)
Time Frame
Week 9
Secondary Outcome Measure Information:
Title
Composite regional Visual Index of Ichthyosis Severity (VIIS) responder (Comparison of proportion of responder KB105 target areas to responder placebo target areas)
Description
Responder target areas are defined as: Target areas with ≥2 point reduction from baseline on VIIS scaling score at Week 9 or Target areas with ≥1 point reduction from baseline on VIIS scaling score for 2 consecutive weeks (Week 8 and Week 9)
Time Frame
Week 9
Title
Visual Index of Ichthyosis Severity score change from baseline
Description
Change from baseline in regional Visual Index of Ichthyosis Severity (VIIS) scaling scores, where 0 is normal and 4 is severe
Time Frame
Up to 11 weeks
Title
Investigator's Global Assessment change from baseline
Description
Change from baseline in Investigator's Global Assessment (IGA) scaling severity scores, where 0 is clear and 4 is severe
Time Frame
Up to 11 weeks
Title
Investigator's Global Assessment (IGA) 2 point responder
Description
Comparison of proportion of KB105 and placebo target areas with ≥2 point reduction from baseline on IGA scaling severity at Week 9
Time Frame
Week 9
Title
Investigator's Global Assessment (IGA) 1 point responder
Description
Comparison of proportion of KB105 and placebo target areas with ≥1 point reduction from baseline on IGA scaling severity for 2 consecutive weeks (Week 8 and Week 9)
Time Frame
Week 9
Title
Visual Index of Ichthyosis Severity (VIIS) 2 point responder
Description
Comparison of proportion of KB105 and placebo target areas with ≥2 point reduction from baseline on regional VIIS scaling severity at Week 9
Time Frame
Week 9
Title
Visual Index of Ichthyosis Severity (VIIS) 2 point responder
Description
Comparison of proportion of KB105 and placebo target areas with ≥1 point reduction from baseline on regional VIIS scaling severity for 2 consecutive weeks (Week 8 and Week 9)
Time Frame
Week 9

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Subject, or legally authorized representative, must be willing and able to give informed consent/assent Aged ≥6 months A genetically confirmed diagnosis of TGM1-deficient ARCI Clinical diagnosis of lamellar ichthyosis Two target areas located on similar anatomical regions with the same scaling severity by IGA and scaling severity ≥3 Subjects taking systemic retinoids must be on a stable regimen for at least 4 weeks and agree to continue to take the medication consistently throughout the study. If the subject prefers to withhold systemic retinoids during the study, then a minimum 4-week washout period is required Clinically stable and in good general health Key Exclusion Criteria: Subject has a physical condition or other dermatological disorder (e.g., atopic, seborrheic, or contact dermatitis, psoriasis, tinea infections, etc.) which, in the Investigator's opinion, might impair evaluation of the target areas or which exposes the subject to unacceptable risk by study participation Participation in another clinical study or treatment with an investigational agent within 30 days or 5 half-lives, whichever is longer Any condition or illness (including a history or current evidence of substance abuse or dependence) that, in the opinion of the Investigator, would impact a subject's ability to complete all study-related procedures and/or poses an additional risk to the assessment of safety of KB105 Women who are pregnant or nursing Subject who is unwilling to comply with contraception requirements per protocol Subject is known to be noncompliant or is unlikely to comply with the requirements of the study protocol in the opinion of the Investigator
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Brittani Agostini, RN, CCRC
Phone
412-586-5830
Email
bagostini@krystalbio.com
Facility Information:
Facility Name
Mission Dermatology
City
Rancho Santa Margarita
State/Province
California
ZIP/Postal Code
92688
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Topical KB105 for the Treatment of TGM1-deficient Autosomal Recessive Congenital Ichthyosis (ARCI)

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