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A Study in Subjects With Moderate Atopic Dermatitis

Primary Purpose

Atopic Dermatitis, Eczema, Atopic

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
ALX-101 Gel 1.5% and ALX-101 Gel Vehicle
ALX-101 Gel 5% and ALX-101 Gel Vehicle
Sponsored by
Ralexar Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis

Eligibility Criteria

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

Inclusion Criteria:

In order to be eligible for the study, subjects must fulfill all of the following criteria:

  1. Subject is at least 12 years of age
  2. Subject has a clinical diagnosis of stable AD characterized by:

    1. Pruritus
    2. Eczema (acute, subacute, chronic)

      • Typical morphology and distribution with age-specific patterns
      • Chronic or relapsing history
  3. Subject must have active AD covering 4-24% body surface area (BSA) (right and left treatment areas combined)
  4. Bilateral treatment areas of AD must be 5 cm apart
  5. Presence of AD with comparable bilateral target evaluation areas on (right and left sides of body) and within each bilateral treatment area:

    a. Bilateral target evaluation areas must each have active AD covering 0.5 -2% body surface area (BSA)

  6. Bilateral target evaluation areas of AD must each have a Physician's Global Assessment score of 3 ("moderate") to be treated
  7. Subject Visit 1 photographs are approved for enrollment by dermatology assessor
  8. If the subject is a woman of childbearing potential, she has a negative urine pregnancy test and agrees to use an approved effective method of birth control for the duration of the study
  9. Subject is non-pregnant and non-lactating
  10. Subject is in good general health and free of any known disease state or physical condition which, in the investigator's opinion, might impair evaluation of the AD being treated or which exposes the subject to an unacceptable risk by study participation
  11. Subject is willing and able to follow all study instructions and to attend all study visits
  12. Subject is able to comprehend and willing to sign an Informed Consent Form (ICF)/Assent Form (AF)
  13. Parent/guardian has the ability to understand, agree to and sign the study Informed Consent Form (ICF) prior to initiation of any protocol-related procedures as applicable; subject has the ability to give assent in the Assent Form (AF)
  14. All female subjects of childbearing potential must use acceptable methods of contraception from the Screening Visit continuously until 14 days after stopping study drug.

Exclusion Criteria:

Any subject who meets one or more of the following criteria will not be included in this study:

  1. Subject has spontaneously improving or rapidly deteriorating AD
  2. Subject has clinically infected AD
  3. Subject has any signs or symptoms associated with topical AD therapy (e.g., history of anaphylaxis, hypersensitivity reactions, skin atrophy, striae, pigmentary changes) which, in the investigator's opinion, might impair evaluation of the AD being treated or which exposes the subject to an unacceptable risk by study participation
  4. Subject has used any systemic immunosuppressive or immunomodulatory therapy (e.g., etanercept, alefacept, infliximab) within 16 weeks prior to Visit 1
  5. Subject has used any phototherapy (e.g., ultraviolet A, ultraviolet B) which, in the investigator's opinion, might affect AD within 4 weeks prior to Visit 1
  6. Subject has used any systemic therapy (e.g., systemic corticosteroids [intranasal and inhaled corticosteroids are allowed]), prednisone cyclosporine, immunosuppressants/immunomodulators, Janus Kinase (JAK) inhibitors, methotrexate, cytostatics) within 4 weeks prior to Visit 1 which, in the investigator's opinion, might impair evaluation of the AD being treated or which exposes the subject to an unacceptable risk by study participation
  7. Subject has used any systemic antibiotics within 2 weeks prior to Visit 1
  8. Subject has used any topical AD therapy (e.g., corticosteroids, calcineurin inhibitors, topical H1 and H2 antihistamines, topical antimicrobials, and other medicated topical agents) on the planned treatment area(s) within one week prior to Visit 1
  9. Subject has used emollients/moisturizers on the planned treatment area(s) within 4 hours prior to Visit 1
  10. Subject is currently using H1 antihistamines (e.g., diphenhydramine, terfenadine) UNLESS a stable dose has been used for at least 14 days prior to Visit 1
  11. Subject has a history of sensitivity to any of the ingredients in the study medications
  12. Subject has any known concomitant dermatologic or medical condition which, in the investigator's opinion, might impair evaluation of the bilateral treatment and/or target evaluation areas of AD being treated or which exposes the subject to an unacceptable risk by study participation (e.g., psoriasis, lichen planus, lichen simplex chronicus,…)
  13. Subject has participated in an investigational drug trial in which administration of an investigational study medication occurred within 30 days prior to Visit 1.

Sites / Locations

  • Ralexar Investigational Site 35
  • Ralexar Investigational Site 21
  • Ralexar Investigational Site 18
  • Ralexar Investigational Site 23
  • Ralexar Investigational Site 24
  • Ralexar Investigational Site 34
  • Ralexar Investigational Site 16
  • Ralexar Investigational Site 33
  • Ralexar Investigational Site 27
  • Ralexar Investigational Site 1
  • Ralexar Investigational Site 14
  • Ralexar Investigational Site 22
  • Ralexar Investigational Site 29
  • Ralexar Investigational Site 17
  • Ralexar Investigational Site 32
  • Ralexar Investigational Site 7
  • Ralexar Investigational Site 11
  • Ralexar Investigational Site 15
  • Ralexar Investigational Site 25
  • Ralexar Investigational Site 26
  • Ralexar Investigational Site 20
  • Ralexar Investigational Site 30
  • Ralexar Investigational Site 28
  • Ralexar Investigational Site 12
  • Ralexar Investigational Site 5
  • Ralexar Investigational Site 3
  • Ralexar Investigational Site 8
  • Ralexar Investigational Site 6
  • Ralexar Investigational Site 9
  • Ralexar Investigational Site 19
  • Ralexar Investigational Site 31
  • Ralexar Investigational Site 4
  • Ralexar Investigational Site 2
  • Ralexar Investigational Site 13
  • Ralexar Investigational Site 10

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

ALX-101 Gel 1.5% vs. ALX-101 Gel Vehicle

ALX-101 Gel 5% vs. ALX-101 Gel Vehicle

Arm Description

ALX-101 Gel 1.5% applied twice daily for 42 days to one treatment area and ALX-101 Gel Vehicle applied twice daily for 42 days to a second treatment area. Treatments will be randomly assigned to bilateral target areas.

ALX-101 Gel 5% applied twice daily for 42 days to one treatment area and ALX-101 Gel Vehicle applied twice daily for 42 days to a second treatment area. Treatments will be randomly assigned to bilateral target areas.

Outcomes

Primary Outcome Measures

Physician's Global Assessment (PGA)
The primary effectiveness analysis will be based on mean change in PGA score from baseline (Visit 2) to Visit 6.

Secondary Outcome Measures

Full Information

First Posted
June 1, 2017
Last Updated
October 23, 2018
Sponsor
Ralexar Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03175354
Brief Title
A Study in Subjects With Moderate Atopic Dermatitis
Official Title
A Multicenter, Randomized, Double-Blind, Bilateral, Vehicle-Controlled Study of the Safety and Efficacy of ALX-101 Topical Gel Administered Twice Daily in Adult and Adolescent Subjects With Moderate Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
October 2018
Overall Recruitment Status
Completed
Study Start Date
April 26, 2017 (Actual)
Primary Completion Date
June 29, 2018 (Actual)
Study Completion Date
June 29, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ralexar Therapeutics, 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
This is a randomized, double-blind, vehicle-controlled study to evaluate the safety and efficacy of ALX-101 Gel 1.5% and 5% and a matching ALX-101 Gel Vehicle when applied topically twice daily for 42 days to adult and adolescent subjects with moderate atopic dermatitis.
Detailed Description
The main objectives of this study are to: Evaluate the safety and tolerability of ALX-101 Gel 1.5% and 5% when applied topically in subjects with moderate atopic dermatitis compared with a matching ALX-101 Gel Vehicle Evaluate the dose-response relationship of ALX-101 Gel 1.5% and 5% when applied topically twice daily in subjects with moderate atopic dermatitis compared with a matching ALX-101 Gel Vehicle.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis, Eczema, Atopic

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
209 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ALX-101 Gel 1.5% vs. ALX-101 Gel Vehicle
Arm Type
Experimental
Arm Description
ALX-101 Gel 1.5% applied twice daily for 42 days to one treatment area and ALX-101 Gel Vehicle applied twice daily for 42 days to a second treatment area. Treatments will be randomly assigned to bilateral target areas.
Arm Title
ALX-101 Gel 5% vs. ALX-101 Gel Vehicle
Arm Type
Experimental
Arm Description
ALX-101 Gel 5% applied twice daily for 42 days to one treatment area and ALX-101 Gel Vehicle applied twice daily for 42 days to a second treatment area. Treatments will be randomly assigned to bilateral target areas.
Intervention Type
Drug
Intervention Name(s)
ALX-101 Gel 1.5% and ALX-101 Gel Vehicle
Intervention Description
Bilateral application of ALX-101 Gel 1.5% and ALX-101 Gel Vehicle
Intervention Type
Drug
Intervention Name(s)
ALX-101 Gel 5% and ALX-101 Gel Vehicle
Intervention Description
Bilateral application of ALX-101 Gel 5% and ALX-101 Gel Vehicle
Primary Outcome Measure Information:
Title
Physician's Global Assessment (PGA)
Description
The primary effectiveness analysis will be based on mean change in PGA score from baseline (Visit 2) to Visit 6.
Time Frame
Day 42

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: In order to be eligible for the study, subjects must fulfill all of the following criteria: Subject is at least 12 years of age Subject has a clinical diagnosis of stable AD characterized by: Pruritus Eczema (acute, subacute, chronic) Typical morphology and distribution with age-specific patterns Chronic or relapsing history Subject must have active AD covering 4-24% body surface area (BSA) (right and left treatment areas combined) Bilateral treatment areas of AD must be 5 cm apart Presence of AD with comparable bilateral target evaluation areas on (right and left sides of body) and within each bilateral treatment area: a. Bilateral target evaluation areas must each have active AD covering 0.5 -2% body surface area (BSA) Bilateral target evaluation areas of AD must each have a Physician's Global Assessment score of 3 ("moderate") to be treated Subject Visit 1 photographs are approved for enrollment by dermatology assessor If the subject is a woman of childbearing potential, she has a negative urine pregnancy test and agrees to use an approved effective method of birth control for the duration of the study Subject is non-pregnant and non-lactating Subject is in good general health and free of any known disease state or physical condition which, in the investigator's opinion, might impair evaluation of the AD being treated or which exposes the subject to an unacceptable risk by study participation Subject is willing and able to follow all study instructions and to attend all study visits Subject is able to comprehend and willing to sign an Informed Consent Form (ICF)/Assent Form (AF) Parent/guardian has the ability to understand, agree to and sign the study Informed Consent Form (ICF) prior to initiation of any protocol-related procedures as applicable; subject has the ability to give assent in the Assent Form (AF) All female subjects of childbearing potential must use acceptable methods of contraception from the Screening Visit continuously until 14 days after stopping study drug. Exclusion Criteria: Any subject who meets one or more of the following criteria will not be included in this study: Subject has spontaneously improving or rapidly deteriorating AD Subject has clinically infected AD Subject has any signs or symptoms associated with topical AD therapy (e.g., history of anaphylaxis, hypersensitivity reactions, skin atrophy, striae, pigmentary changes) which, in the investigator's opinion, might impair evaluation of the AD being treated or which exposes the subject to an unacceptable risk by study participation Subject has used any systemic immunosuppressive or immunomodulatory therapy (e.g., etanercept, alefacept, infliximab) within 16 weeks prior to Visit 1 Subject has used any phototherapy (e.g., ultraviolet A, ultraviolet B) which, in the investigator's opinion, might affect AD within 4 weeks prior to Visit 1 Subject has used any systemic therapy (e.g., systemic corticosteroids [intranasal and inhaled corticosteroids are allowed]), prednisone cyclosporine, immunosuppressants/immunomodulators, Janus Kinase (JAK) inhibitors, methotrexate, cytostatics) within 4 weeks prior to Visit 1 which, in the investigator's opinion, might impair evaluation of the AD being treated or which exposes the subject to an unacceptable risk by study participation Subject has used any systemic antibiotics within 2 weeks prior to Visit 1 Subject has used any topical AD therapy (e.g., corticosteroids, calcineurin inhibitors, topical H1 and H2 antihistamines, topical antimicrobials, and other medicated topical agents) on the planned treatment area(s) within one week prior to Visit 1 Subject has used emollients/moisturizers on the planned treatment area(s) within 4 hours prior to Visit 1 Subject is currently using H1 antihistamines (e.g., diphenhydramine, terfenadine) UNLESS a stable dose has been used for at least 14 days prior to Visit 1 Subject has a history of sensitivity to any of the ingredients in the study medications Subject has any known concomitant dermatologic or medical condition which, in the investigator's opinion, might impair evaluation of the bilateral treatment and/or target evaluation areas of AD being treated or which exposes the subject to an unacceptable risk by study participation (e.g., psoriasis, lichen planus, lichen simplex chronicus,…) Subject has participated in an investigational drug trial in which administration of an investigational study medication occurred within 30 days prior to Visit 1.
Facility Information:
Facility Name
Ralexar Investigational Site 35
City
Anniston
State/Province
Alabama
ZIP/Postal Code
36207
Country
United States
Facility Name
Ralexar Investigational Site 21
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35209
Country
United States
Facility Name
Ralexar Investigational Site 18
City
Laguna Hills
State/Province
California
ZIP/Postal Code
92653
Country
United States
Facility Name
Ralexar Investigational Site 23
City
Los Angeles
State/Province
California
ZIP/Postal Code
90045
Country
United States
Facility Name
Ralexar Investigational Site 24
City
Oceanside
State/Province
California
ZIP/Postal Code
92056
Country
United States
Facility Name
Ralexar Investigational Site 34
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Ralexar Investigational Site 16
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Ralexar Investigational Site 33
City
San Diego
State/Province
California
ZIP/Postal Code
92121
Country
United States
Facility Name
Ralexar Investigational Site 27
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
Ralexar Investigational Site 1
City
Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Ralexar Investigational Site 14
City
Pinellas Park
State/Province
Florida
ZIP/Postal Code
33781
Country
United States
Facility Name
Ralexar Investigational Site 22
City
Tampa
State/Province
Florida
ZIP/Postal Code
33618
Country
United States
Facility Name
Ralexar Investigational Site 29
City
Snellville
State/Province
Georgia
ZIP/Postal Code
30078
Country
United States
Facility Name
Ralexar Investigational Site 17
City
New Albany
State/Province
Indiana
ZIP/Postal Code
47150
Country
United States
Facility Name
Ralexar Investigational Site 32
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
Ralexar Investigational Site 7
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40241
Country
United States
Facility Name
Ralexar Investigational Site 11
City
Warren
State/Province
Michigan
ZIP/Postal Code
48088
Country
United States
Facility Name
Ralexar Investigational Site 15
City
Fridley
State/Province
Minnesota
ZIP/Postal Code
55432
Country
United States
Facility Name
Ralexar Investigational Site 25
City
Saint Joseph
State/Province
Missouri
ZIP/Postal Code
64506
Country
United States
Facility Name
Ralexar Investigational Site 26
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87106
Country
United States
Facility Name
Ralexar Investigational Site 20
City
New York
State/Province
New York
ZIP/Postal Code
10075
Country
United States
Facility Name
Ralexar Investigational Site 30
City
Stony Brook
State/Province
New York
ZIP/Postal Code
11790
Country
United States
Facility Name
Ralexar Investigational Site 28
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28217
Country
United States
Facility Name
Ralexar Investigational Site 12
City
Beachwood
State/Province
Ohio
ZIP/Postal Code
44122
Country
United States
Facility Name
Ralexar Investigational Site 5
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45236
Country
United States
Facility Name
Ralexar Investigational Site 3
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
Ralexar Investigational Site 8
City
Johnston
State/Province
Rhode Island
ZIP/Postal Code
02919
Country
United States
Facility Name
Ralexar Investigational Site 6
City
Spartanburg
State/Province
South Carolina
ZIP/Postal Code
29303
Country
United States
Facility Name
Ralexar Investigational Site 9
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37215
Country
United States
Facility Name
Ralexar Investigational Site 19
City
Austin
State/Province
Texas
ZIP/Postal Code
78745
Country
United States
Facility Name
Ralexar Investigational Site 31
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
Ralexar Investigational Site 4
City
Plano
State/Province
Texas
ZIP/Postal Code
75024
Country
United States
Facility Name
Ralexar Investigational Site 2
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78218
Country
United States
Facility Name
Ralexar Investigational Site 13
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23220
Country
United States
Facility Name
Ralexar Investigational Site 10
City
Spokane
State/Province
Washington
ZIP/Postal Code
99202
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Study in Subjects With Moderate Atopic Dermatitis

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