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Open Label, Safety and Efficacy Study of QRX003 Lotion in Subjects With Netherton Syndrome

Primary Purpose

Netherton Syndrome

Status
Recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
QRX003, 4% Lotion
Sponsored by
Quoin Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Netherton Syndrome

Eligibility Criteria

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

Inclusion Criteria: Subject is a male or non-pregnant female at least 18 years of age. Females must be post-menopausal , surgically sterile , or use an effective method of birth control , for the duration of the study and for 3 months following completion of treatment. Women of childbearing potential (WOCBP) must have a negative urine pregnancy test (UPT) at Visit 1/Screening and Visit 2/Baseline. Subject has a clinical diagnosis of NS and agrees to genetic testing at Visit 1/Screening for confirmation of NS diagnosis if the subject does not have test results confirming a SPINK5 mutation. Subject has NS lesions in the Treatment Area (i.e., arms or lower legs). Subject is in good general health and free of any disease state or physical condition that might impair evaluation of NS or exposes the subject to an unacceptable risk by study participation. Subject is on a stable treatment regimen including systemic therapy for NS prior to baseline that is expected to remain stable for the duration of the study Exclusion Criteria: Subject is pregnant, lactating, or is planning to become pregnant during the study. Subject has any skin pathology in the Treatment Area or condition that, could interfere with the evaluation of the test article or requires use of interfering topical, systemic, or surgical therapy. Subject has active cancer of any type excluding non-melanoma skin cancer outside of the Treatment Area. Subject has diabetes of any type, except non-insulin dependent diabetes mellitus that is reasonably controlled. Subject has evidence of active infection during screening, or serious infection within 30 days prior to Visit 2/Baseline. Subject has known human immunodeficiency virus, hepatitis B or C virus, or active or latent tuberculosis. Subject has used ultraviolet phototherapy within the Treatment Area within 4 weeks prior to Visit 2/Baseline. Subject has used topical prescription treatment in the Treatment Area within 2 weeks prior to Visit 2/Baseline. Subject has used any topical bland moisturizers/emollients in the Treatment Area within 24 hours prior to Visit 2/Baseline. Subject is currently enrolled in an investigational drug, biologic, or device study. Subject has used an investigational drug, biologic, or device treatment within 30 days prior to Visit 2/Baseline.

Sites / Locations

  • Site #1Recruiting
  • Site #2

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

QRX003, 4%

Arm Description

Subjects will apply test article once daily in the morning (QAM) for 12 weeks

Outcomes

Primary Outcome Measures

Proportion of subjects with 1-point reduction on IGA
Proportion of subjects with 1-point reduction on the Investigator's Global Assessment (IGA) from Baseline. The IGA assesses overall severity of a subject's NS based on a 5-point scale where 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, and 4 = severe.
Proportion of subjects with 2-point reduction on IGA
Proportion of subjects with 2-point reduction in IGA from Baseline.
NS surface area change
Change from Baseline in total Body Surface Area (BSA) affected by NS in the Treatment Area
WI-NRS score change
Change from Baseline in the Worst Itch-Numeric Rating Scale (WI-NRS) score ≥4. Itch severity is graded on an 11-point scale where 0 represents "no itch" and 10 represents "worst itch imaginable".
Assessment of subject satisfaction with treatment based on TSQM
Assessment of subject satisfaction with treatment based on the Treatment Satisfaction Questionnaire for Medication (TSQM). The TSQM measures a subject's level of satisfaction or dissatisfaction with the treatment. Composite scores can range from 0 to 100; higher scores indicate better satisfaction.
Proportion of subjects requiring rescue therapy
Proportion of subjects requiring rescue therapy
Safety Assessment-AEs
Any local and systemic AEs (Adverse Events)/serious AEs
Safety Assessment-LSRs
Number of subjects with presence of the following LSRs (Local Skin Reactions): edema, excoriations, oozing/vesiculation/crusting, and erosions at any study visit.

Secondary Outcome Measures

Full Information

First Posted
March 16, 2023
Last Updated
March 28, 2023
Sponsor
Quoin Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT05789056
Brief Title
Open Label, Safety and Efficacy Study of QRX003 Lotion in Subjects With Netherton Syndrome
Official Title
A Multicenter, Open Label Study of QRX003 Lotion in Subjects With Netherton Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 14, 2023 (Actual)
Primary Completion Date
July 30, 2023 (Anticipated)
Study Completion Date
December 24, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Quoin Pharmaceuticals

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
To assess the safety, tolerability, and efficacy of QRX003 lotion (4%) when added to standard of care treatment regimen, including systemic therapy in subjects with Netherton syndrome

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Netherton Syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Single Group Assignment
Model Description
Open Label
Masking
None (Open Label)
Masking Description
Open Label
Allocation
N/A
Enrollment
10 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
QRX003, 4%
Arm Type
Experimental
Arm Description
Subjects will apply test article once daily in the morning (QAM) for 12 weeks
Intervention Type
Drug
Intervention Name(s)
QRX003, 4% Lotion
Intervention Description
QRX003Topical Lotion containing 4% active drug (serine protease inhibitor)
Primary Outcome Measure Information:
Title
Proportion of subjects with 1-point reduction on IGA
Description
Proportion of subjects with 1-point reduction on the Investigator's Global Assessment (IGA) from Baseline. The IGA assesses overall severity of a subject's NS based on a 5-point scale where 0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, and 4 = severe.
Time Frame
Up to week 16
Title
Proportion of subjects with 2-point reduction on IGA
Description
Proportion of subjects with 2-point reduction in IGA from Baseline.
Time Frame
Up to week 16
Title
NS surface area change
Description
Change from Baseline in total Body Surface Area (BSA) affected by NS in the Treatment Area
Time Frame
Up to week 16
Title
WI-NRS score change
Description
Change from Baseline in the Worst Itch-Numeric Rating Scale (WI-NRS) score ≥4. Itch severity is graded on an 11-point scale where 0 represents "no itch" and 10 represents "worst itch imaginable".
Time Frame
Up to week 16
Title
Assessment of subject satisfaction with treatment based on TSQM
Description
Assessment of subject satisfaction with treatment based on the Treatment Satisfaction Questionnaire for Medication (TSQM). The TSQM measures a subject's level of satisfaction or dissatisfaction with the treatment. Composite scores can range from 0 to 100; higher scores indicate better satisfaction.
Time Frame
Up to week 16
Title
Proportion of subjects requiring rescue therapy
Description
Proportion of subjects requiring rescue therapy
Time Frame
Up to week 16
Title
Safety Assessment-AEs
Description
Any local and systemic AEs (Adverse Events)/serious AEs
Time Frame
Up to week 16
Title
Safety Assessment-LSRs
Description
Number of subjects with presence of the following LSRs (Local Skin Reactions): edema, excoriations, oozing/vesiculation/crusting, and erosions at any study visit.
Time Frame
Up to week 16

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is a male or non-pregnant female at least 18 years of age. Females must be post-menopausal , surgically sterile , or use an effective method of birth control , for the duration of the study and for 3 months following completion of treatment. Women of childbearing potential (WOCBP) must have a negative urine pregnancy test (UPT) at Visit 1/Screening and Visit 2/Baseline. Subject has a clinical diagnosis of NS and agrees to genetic testing at Visit 1/Screening for confirmation of NS diagnosis if the subject does not have test results confirming a SPINK5 mutation. Subject has NS lesions in the Treatment Area (i.e., arms or lower legs). Subject is in good general health and free of any disease state or physical condition that might impair evaluation of NS or exposes the subject to an unacceptable risk by study participation. Subject is on a stable treatment regimen including systemic therapy for NS prior to baseline that is expected to remain stable for the duration of the study Exclusion Criteria: Subject is pregnant, lactating, or is planning to become pregnant during the study. Subject has any skin pathology in the Treatment Area or condition that, could interfere with the evaluation of the test article or requires use of interfering topical, systemic, or surgical therapy. Subject has active cancer of any type excluding non-melanoma skin cancer outside of the Treatment Area. Subject has diabetes of any type, except non-insulin dependent diabetes mellitus that is reasonably controlled. Subject has evidence of active infection during screening, or serious infection within 30 days prior to Visit 2/Baseline. Subject has known human immunodeficiency virus, hepatitis B or C virus, or active or latent tuberculosis. Subject has used ultraviolet phototherapy within the Treatment Area within 4 weeks prior to Visit 2/Baseline. Subject has used topical prescription treatment in the Treatment Area within 2 weeks prior to Visit 2/Baseline. Subject has used any topical bland moisturizers/emollients in the Treatment Area within 24 hours prior to Visit 2/Baseline. Subject is currently enrolled in an investigational drug, biologic, or device study. Subject has used an investigational drug, biologic, or device treatment within 30 days prior to Visit 2/Baseline.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
TI Clinical Research
Phone
858-571-1800
Ext
147
Email
clinicalresearch@therapeuticsinc.com
First Name & Middle Initial & Last Name or Official Title & Degree
Oleg G Khatsenko
Phone
858-571-1800
Ext
166
Email
okhatsenko@therapeuticsinc.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tony Andrasfay
Organizational Affiliation
Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Site #1
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Oleg G Khatsenko
Phone
858-571-1800
Ext
166
Email
okhatsenko@therapeuticsinc.com
Facility Name
Site #2
City
San Antonio
State/Province
Texas
ZIP/Postal Code
72218
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Oleg G Khatsenko
Phone
858-571-1800
Ext
166
Email
okhatsenko@therapeuticsinc.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Open Label, Safety and Efficacy Study of QRX003 Lotion in Subjects With Netherton Syndrome

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