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A Phase 1/2 Study of E6005 in Pediatric Subjects With Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
E6005 0.05%
Placebo
E6005 0.2%
Sponsored by
Dermavant Sciences GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis focused on measuring Dermatitis, Atopic, Pediatric, Adolescent, Child

Eligibility Criteria

2 Years - 15 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria

  1. Pediatric out-patients diagnosed with AD aged 2 to 15 years at the time of written informed consent. Diagnosis for AD should be made in accordance with the "Guidelines for Management of Atopic Dermatitis" by the Japanese Dermatological Association.
  2. Mild to moderate clinical symptoms appearing at baseline in areas where the application of study drug is possible, except the skin of face/head and non-dermal areas such as mucosa
  3. Evaluable skin lesions appearing at baseline. "Evaluable skin lesion" means rash area of 25 to 100 cm2 in the trunk or extremities, in which at least one of dermal symptoms (erythema, exudate/eschar, excoriation or lichenification) must be moderate in severity.
  4. Continuous use of an appropriate moisturizer for at least 14 days before baseline
  5. Females of child-bearing potential must be negative for pregnancy test at baseline and are able to practice effective contraception during the study period including the follow-up period
  6. Virile males and females of childbearing potential, who and whose partners consented to practice contraception throughout the study period after receiving an explanation using the informed consent form and the separately-prepared assent form
  7. Patients whose legally acceptable representatives (caregivers) are able to consent in writing to participate in the study and who are able to adhere to the protocol requirements. For patients aged 12 years or older at the time of informed consent, written consent should be obtained from the patients as well as their legally acceptable representatives (caregivers). Also for patients aged below 12 years, written informed consent should be obtained whenever possible.

Exclusion Criteria

  1. Use of biological products which may affect the pathological evaluation of AD within 6 months before the start of study treatment
  2. Concurrent or recent use of certain topical or systemic medications or phototherapy without a sufficient washout period, except hydrocortisone butyrate preparations used in areas which are unsuitable for application of study drug at the discretion of the investigator
  3. Currently has Kaposi's varicelliform eruption, scabies, molluscum contagiosum, impetigo contagious, psoriasis, connective tissue disorder, or Netherton's syndrome, etc, which may affect the pathological evaluation of AD
  4. Any past history or present illness of serious allergy such as anaphylactic shock, anaphylactic reaction and anaphylactoid reaction, or any past history or present illness of drug allergic reaction or hypersensitivity
  5. Has active infection that requires oral or intravenous administration of antibiotics, antifungal or antivirus agents at baseline
  6. Currently has an advanced disease or highly abnormal laboratory test result that may affect the safety of subject or the implementation of the study
  7. Difficulty in venous access for blood collection
  8. Any past history or present illness of malignant tumor, lymphoma, leukemia or lymphoproliferative disorder, except non-melanoma skin carcinoma (e.g., squamous cell carcinoma and basal cell carcinoma) which was completely removed and has not recurred or metastasized for at least 5 years
  9. Scheduled for surgery during the study
  10. Concurrently enrolled in another clinical study or used any investigational drug or device within 30 days before the date of informed consent
  11. Ineligible for participating in the study for other reasons, in the judgment of the investigator or subinvestigator

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

1

2

3

Arm Description

E6005 0.2% ointment applied twice a day to eczema areas

E6005 0.05% ointment applied twice a day to eczema areas

Placebo ointment applied twice a day to eczema areas

Outcomes

Primary Outcome Measures

Pharmacokinetics of E6005
The whole blood concentrations of E6005 and major metabolite will be evaluated at each visit
Number of participants with adverse events as a measure of the safety and tolerability of E6005
The safety variables include adverse events, clinical laboratory parameters, vital signs and ECG results.

Secondary Outcome Measures

Change from Baseline in severity score of targeted eczema
For targeted eczema defined at baseline, intensity of 4 symptoms (erythema, infiltration/papulation, excoriation, and lichenification) will be assessed using a 5-grade scoring method (0: clear, 1: almost clear, 2: mild, 3: moderate, 4: severe) (maximal score: 16).
Change from Baseline in severity assessment by Investigator's Global Assessment (IGA) for targeted eczema and whole application sites
Severity of AD dermal symptoms in targeted eczema and whole application sites wil be assessed based on a 6-grade scoring method (0: clear, 1: almost clear, 2: mild, 3: moderate, 4: severe, 5: most severe).
Change from Baseline in intensity of pruritus
1) Interview-based pruritus scores: Subjects or caregivers (who must not be changed throughout the study) will assess the intensity of pruritus day and night within 3 days before the visit. 2) Investigator-assessed pruritus: The investigator will assess pruritus conditions by grading into 5 levels (0: clear, 1: almost clear, 2: mild, 3: moderate, 4: severe) based on the comprehensive judgments of interview and scratching behaviors.

Full Information

First Posted
March 20, 2014
Last Updated
February 28, 2018
Sponsor
Dermavant Sciences GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT02094235
Brief Title
A Phase 1/2 Study of E6005 in Pediatric Subjects With Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
January 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dermavant Sciences GmbH

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a multicenter, double-blind, vehicle-control study of 0.05% and 0.2% E6005 ointment. Pediatric subjects with atopic dermatitis (AD) will be grouped into two; an elder group (childhood - adolescent: 7 to 15 years of age) and a younger group (children: 2 to 6 years of age) according to the sequential cohorts by confirming the safety.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
Dermatitis, Atopic, Pediatric, Adolescent, Child

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
62 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
E6005 0.2% ointment applied twice a day to eczema areas
Arm Title
2
Arm Type
Experimental
Arm Description
E6005 0.05% ointment applied twice a day to eczema areas
Arm Title
3
Arm Type
Placebo Comparator
Arm Description
Placebo ointment applied twice a day to eczema areas
Intervention Type
Drug
Intervention Name(s)
E6005 0.05%
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
0.5 g placebo ointment
Intervention Type
Drug
Intervention Name(s)
E6005 0.2%
Primary Outcome Measure Information:
Title
Pharmacokinetics of E6005
Description
The whole blood concentrations of E6005 and major metabolite will be evaluated at each visit
Time Frame
Up to 21 Days
Title
Number of participants with adverse events as a measure of the safety and tolerability of E6005
Description
The safety variables include adverse events, clinical laboratory parameters, vital signs and ECG results.
Time Frame
Up to 21 Days
Secondary Outcome Measure Information:
Title
Change from Baseline in severity score of targeted eczema
Description
For targeted eczema defined at baseline, intensity of 4 symptoms (erythema, infiltration/papulation, excoriation, and lichenification) will be assessed using a 5-grade scoring method (0: clear, 1: almost clear, 2: mild, 3: moderate, 4: severe) (maximal score: 16).
Time Frame
Baseline and Day 15
Title
Change from Baseline in severity assessment by Investigator's Global Assessment (IGA) for targeted eczema and whole application sites
Description
Severity of AD dermal symptoms in targeted eczema and whole application sites wil be assessed based on a 6-grade scoring method (0: clear, 1: almost clear, 2: mild, 3: moderate, 4: severe, 5: most severe).
Time Frame
Baseline and Day 15
Title
Change from Baseline in intensity of pruritus
Description
1) Interview-based pruritus scores: Subjects or caregivers (who must not be changed throughout the study) will assess the intensity of pruritus day and night within 3 days before the visit. 2) Investigator-assessed pruritus: The investigator will assess pruritus conditions by grading into 5 levels (0: clear, 1: almost clear, 2: mild, 3: moderate, 4: severe) based on the comprehensive judgments of interview and scratching behaviors.
Time Frame
Baseline and Day 15

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
15 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Pediatric out-patients diagnosed with AD aged 2 to 15 years at the time of written informed consent. Diagnosis for AD should be made in accordance with the "Guidelines for Management of Atopic Dermatitis" by the Japanese Dermatological Association. Mild to moderate clinical symptoms appearing at baseline in areas where the application of study drug is possible, except the skin of face/head and non-dermal areas such as mucosa Evaluable skin lesions appearing at baseline. "Evaluable skin lesion" means rash area of 25 to 100 cm2 in the trunk or extremities, in which at least one of dermal symptoms (erythema, exudate/eschar, excoriation or lichenification) must be moderate in severity. Continuous use of an appropriate moisturizer for at least 14 days before baseline Females of child-bearing potential must be negative for pregnancy test at baseline and are able to practice effective contraception during the study period including the follow-up period Virile males and females of childbearing potential, who and whose partners consented to practice contraception throughout the study period after receiving an explanation using the informed consent form and the separately-prepared assent form Patients whose legally acceptable representatives (caregivers) are able to consent in writing to participate in the study and who are able to adhere to the protocol requirements. For patients aged 12 years or older at the time of informed consent, written consent should be obtained from the patients as well as their legally acceptable representatives (caregivers). Also for patients aged below 12 years, written informed consent should be obtained whenever possible. Exclusion Criteria Use of biological products which may affect the pathological evaluation of AD within 6 months before the start of study treatment Concurrent or recent use of certain topical or systemic medications or phototherapy without a sufficient washout period, except hydrocortisone butyrate preparations used in areas which are unsuitable for application of study drug at the discretion of the investigator Currently has Kaposi's varicelliform eruption, scabies, molluscum contagiosum, impetigo contagious, psoriasis, connective tissue disorder, or Netherton's syndrome, etc, which may affect the pathological evaluation of AD Any past history or present illness of serious allergy such as anaphylactic shock, anaphylactic reaction and anaphylactoid reaction, or any past history or present illness of drug allergic reaction or hypersensitivity Has active infection that requires oral or intravenous administration of antibiotics, antifungal or antivirus agents at baseline Currently has an advanced disease or highly abnormal laboratory test result that may affect the safety of subject or the implementation of the study Difficulty in venous access for blood collection Any past history or present illness of malignant tumor, lymphoma, leukemia or lymphoproliferative disorder, except non-melanoma skin carcinoma (e.g., squamous cell carcinoma and basal cell carcinoma) which was completely removed and has not recurred or metastasized for at least 5 years Scheduled for surgery during the study Concurrently enrolled in another clinical study or used any investigational drug or device within 30 days before the date of informed consent Ineligible for participating in the study for other reasons, in the judgment of the investigator or subinvestigator
Facility Information:
City
Chitose-shi
State/Province
Hokkaido
Country
Japan
City
Eniwa-shi
State/Province
Hokkaido
Country
Japan
City
Sapporo-shi
State/Province
Hokkaido
Country
Japan

12. IPD Sharing Statement

Learn more about this trial

A Phase 1/2 Study of E6005 in Pediatric Subjects With Atopic Dermatitis

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