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Efficacy and Safety of Patidegib Gel 2% for Preventing Basal Cell Carcinomas on the Face of Adults With Gorlin Syndrome

Primary Purpose

Gorlin Syndrome

Status
Not yet recruiting
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Patidegib Topical Gel
Vehicle Gel
Sponsored by
Sol-Gel Technologies, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Gorlin Syndrome

Eligibility Criteria

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

Key Inclusion Criteria: The subject must be at least 18 years old at the Screening Visit. The subject must be confirmed to have positive PTCH1 mutation. The subject must have had at least 15 clinically typical BCCs present on the face within 24 months prior to randomization. The subject must have at least 10 BCCs on the face at Baseline/Day 1. The subject must be willing to abstain from application of any topical medication (prescription or over the counter) to facial skin for the duration of the trial. Key Exclusion Criteria: The subject has used topical treatment to the face or systemic therapies that might interfere with the evaluation of the study Investigational Product (IP). The subject is known to have hypersensitivity to any of the ingredients in the IP. The subject has uncontrolled systemic disease. The subject has been treated for invasive cancer within the past 5 years excluding chronic lymphocytic leukemia Stage 0 and non-melanoma skin cancer, Stage I cervical cancer, or ductal carcinoma in situ of the breast. Previous Hedgehog inhibitor therapy was considered to have failed for reasons other than unfavorable side effect(s).

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Patidegib Gel 2%

    Vehicle Gel

    Arm Description

    Patidegib Gel 2% (w/w), applied topically to the face twice daily for 12 months

    Vehicle Gel, applied topically to the face twice daily for 12 months

    Outcomes

    Primary Outcome Measures

    Number of new BCCs on the face at Month 12
    New BCCs, confirmed through dermoscopy, at Month 12 after twice-daily treatment with either Patidegib Gel 2% or Vehicle Gel for 12 months

    Secondary Outcome Measures

    Full Information

    First Posted
    September 15, 2023
    Last Updated
    September 15, 2023
    Sponsor
    Sol-Gel Technologies, Ltd.
    Collaborators
    Premier Research Group plc
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06050122
    Brief Title
    Efficacy and Safety of Patidegib Gel 2% for Preventing Basal Cell Carcinomas on the Face of Adults With Gorlin Syndrome
    Official Title
    A Multicenter, Randomized, Double Blind, Vehicle-controlled, Phase 3 Efficacy and Safety Study of Patidegib Gel 2% for the Reduction of Disease Burden of Persistently Developing Basal Cell Carcinomas (BCCs) in Subjects With Gorlin Syndrome
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 2023 (Anticipated)
    Primary Completion Date
    December 2025 (Anticipated)
    Study Completion Date
    December 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Sol-Gel Technologies, Ltd.
    Collaborators
    Premier Research Group plc

    4. Oversight

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

    5. Study Description

    Brief Summary
    The aim of this clinical study is to find out how well Patidegib Gel 2% works in preventing new basal cell carcinomas (BCCs) developing on the face of adults with Gorlin syndrome, and how safe Patidegib Gel 2% is to use. Participants will apply either Patidegib Gel 2% or a Vehicle Gel (with no active drug substance) to their face twice a day for a year (12 months). The number of new BCCs on the face will be compared between participants who used Patidegib Gel 2% or Vehicle Gel after 12 months.
    Detailed Description
    This is a global, multicenter, randomized, double-blind, stratified, vehicle-controlled study of the efficacy and safety of Patidegib Gel 2%, applied topically twice daily to the face of adult participants with Gorlin syndrome. Participants will be randomized (1:1) to receive either Patidegib Gel 2% or Vehicle Gel for 12 months. The assignment of participants to the 2 groups will be stratified by gender, age (≥60 or <60 years), and number of facial BCC lesions (10-15, 16-30 or >30) at baseline. All BCCs at baseline, and any new BCCs which develop during the study, will be photographed and tracked during the study. New BCCs will be confirmed by dermoscopy analysis.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    140 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Patidegib Gel 2%
    Arm Type
    Experimental
    Arm Description
    Patidegib Gel 2% (w/w), applied topically to the face twice daily for 12 months
    Arm Title
    Vehicle Gel
    Arm Type
    Placebo Comparator
    Arm Description
    Vehicle Gel, applied topically to the face twice daily for 12 months
    Intervention Type
    Drug
    Intervention Name(s)
    Patidegib Topical Gel
    Other Intervention Name(s)
    Patidegib, IPI-926, Saridegib, SGT-610
    Intervention Description
    Patidegib Gel 2% is a smooth, clear, colorless-to-yellow, viscous, hydro-alcoholic gel for topical administration.
    Intervention Type
    Drug
    Intervention Name(s)
    Vehicle Gel
    Intervention Description
    Vehicle Gel consists of the excipients of Patidegib Gel with no active patidegib. It is a smooth viscous gel for topical administration.
    Primary Outcome Measure Information:
    Title
    Number of new BCCs on the face at Month 12
    Description
    New BCCs, confirmed through dermoscopy, at Month 12 after twice-daily treatment with either Patidegib Gel 2% or Vehicle Gel for 12 months
    Time Frame
    Month 12

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Key Inclusion Criteria: The subject must be at least 18 years old at the Screening Visit. The subject must be confirmed to have positive PTCH1 mutation. The subject must have had at least 15 clinically typical BCCs present on the face within 24 months prior to randomization. The subject must have at least 10 BCCs on the face at Baseline/Day 1. The subject must be willing to abstain from application of any topical medication (prescription or over the counter) to facial skin for the duration of the trial. Key Exclusion Criteria: The subject has used topical treatment to the face or systemic therapies that might interfere with the evaluation of the study Investigational Product (IP). The subject is known to have hypersensitivity to any of the ingredients in the IP. The subject has uncontrolled systemic disease. The subject has been treated for invasive cancer within the past 5 years excluding chronic lymphocytic leukemia Stage 0 and non-melanoma skin cancer, Stage I cervical cancer, or ductal carcinoma in situ of the breast. Previous Hedgehog inhibitor therapy was considered to have failed for reasons other than unfavorable side effect(s).
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Vice President of Clinical Affairs
    Phone
    972-8-9313433
    Email
    info@sol-gel.com

    12. IPD Sharing Statement

    Learn more about this trial

    Efficacy and Safety of Patidegib Gel 2% for Preventing Basal Cell Carcinomas on the Face of Adults With Gorlin Syndrome

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