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A Study to Determine the Efficacy of ZPL-3893787 in Subjects With Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ZPL-3893787
Placebo
Sponsored by
Ziarco Pharma Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Males and females aged 18-65 years inclusive with physician documented history or diagnosis of atopic dermatitis for at least 12 months prior to screening. Chronic AD should be diagnosed by the Eichenfield revised criteria of Hanifin and Rajka (Eichenfield, 2004)

Eczema Area and Severity Index (EASI) of ≥12 and <48.

An Investigator's Global Assessment (IGA) score ≥ 3 at both Screening and Day 0.

A mean pruritus score of ≥ 5 on a 0-10 scale over the 7 day Run In (Days -7 to -1)

Atopic dermatitis affecting ≥10% BSA

Exclusion Criteria:

AD of such severity (EASI >48) that the subject could not comply with the demands of the study and/or the subject is not a suitable candidate for a placebo-controlled study

Have concurrent skin disease (e.g. acne) of such severity in the study area that it could interfere with the study evaluation or presence of skin comorbidities that may interfere with study assessments.

Have an active skin infection or any other clinically apparent infections.

Hypersensitivity to mometasone or to any other ingredients contained by the topical corticosteroid product used as rescue medication in the study.

Have received phototherapy (e.g. UVA, UVB), or systemic therapy (e.g. immunosuppressants, cytostatics) known or suspected to have an effect on AD, within 4 weeks of the start of the Run In.

Have received systemic corticosteroids ([CS] e.g. oral, intravenous, intraarticular, rectal) within 4 weeks of the start of the Run in. Subjects on a stable maintenance dose (over the preceding 3 months) of inhaled or intranasal CS may participate.

Were treated with oral antihistamines or topical calcineurin inhibitors or topical steroids within 7 days of starting Run In; intranasal antihistamines for the treatment of allergic rhinitis are acceptable.

Sites / Locations

  • Belgium Study Site
  • Belgium Study Site
  • Belgium Study Site
  • German Study Site
  • German Study Site
  • German Study Site
  • German Study Site
  • German Study Site
  • Polish Study Site
  • Polish Study Site
  • Polish Study Site
  • Polish Study Site
  • Polish Study Site
  • UK Study Centre
  • UK Study Centre
  • UK Study Centre
  • UK Study Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ZPL-3893787

Placebo

Arm Description

30 mg ZPL-3893787 orally once daily for 8 weeks.

1 capsule orally once daily for 8 weeks.

Outcomes

Primary Outcome Measures

Change From Baseline in the Numerical Rating Score (NRS) for Pruritus (Worst Itch)
The participant used the Pruritus NRS to rate his or her worst itch in the previous 12 hours. This was assessed twice daily (in the morning soon after rising and the evening prior to retiring) and recorded in the eDiary. The scale ranges from 0 (no itching) to 10 (itching as bad as can be imagined). If only 1 measurement was collected on a particular day, that score was counted as the worst measurement.

Secondary Outcome Measures

Change From Baseline in Eczema Area and Severity Index (EASI) Score
The EASI is a validated tool used to measure the severity and extent of atopic eczema over 4 body regions (head and neck, upper limbs, trunk, and lower limbs). The intensity of a representative area of eczema and the approximate percentage affected by eczema are calculated for each region. A representative area of eczema is selected for each body region. The intensity of redness (erythema), thickness (induration, papulation, and edema), scratching (excoriation), and lichenification (lined skin) of eczema is assessed as: 0 - None - Mild - Moderate - Severe The total score incorporates the extent of body regions affected. Scores range from 0 to 72 with higher scores indicating more severe eczema. Total score is calculated by summing the EASI scores of 6 symptoms across 4 body regions

Full Information

First Posted
April 17, 2015
Last Updated
May 26, 2021
Sponsor
Ziarco Pharma Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT02424253
Brief Title
A Study to Determine the Efficacy of ZPL-3893787 in Subjects With Atopic Dermatitis
Official Title
A Randomized, Double-blind, Placebo Controlled, Parallel Group Study to Determine the Effects of 8 Weeks Treatment With Oral ZPL-3893787 (30 mg od x 56 Days) on Pruritus in Adult Subjects With Moderate to Severe Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Completed
Study Start Date
May 18, 2015 (Actual)
Primary Completion Date
January 2016 (Actual)
Study Completion Date
February 3, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ziarco Pharma Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This was a randomized, double blind, placebo controlled, parallel group study in approximately 90 subjects with moderate-severe AD Eczema Area and Severity Index (EASI) ≥12 and ≤ 48 (0-72 scale). Following a run-in subjects were randomized to receive either oral 30 mg ZPL-3893787 once daily (od) or placebo od for 8 weeks (56 days).

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
98 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ZPL-3893787
Arm Type
Experimental
Arm Description
30 mg ZPL-3893787 orally once daily for 8 weeks.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
1 capsule orally once daily for 8 weeks.
Intervention Type
Drug
Intervention Name(s)
ZPL-3893787
Intervention Description
ZPL-3893787
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matched Placebo
Primary Outcome Measure Information:
Title
Change From Baseline in the Numerical Rating Score (NRS) for Pruritus (Worst Itch)
Description
The participant used the Pruritus NRS to rate his or her worst itch in the previous 12 hours. This was assessed twice daily (in the morning soon after rising and the evening prior to retiring) and recorded in the eDiary. The scale ranges from 0 (no itching) to 10 (itching as bad as can be imagined). If only 1 measurement was collected on a particular day, that score was counted as the worst measurement.
Time Frame
Baseline to Week 8
Secondary Outcome Measure Information:
Title
Change From Baseline in Eczema Area and Severity Index (EASI) Score
Description
The EASI is a validated tool used to measure the severity and extent of atopic eczema over 4 body regions (head and neck, upper limbs, trunk, and lower limbs). The intensity of a representative area of eczema and the approximate percentage affected by eczema are calculated for each region. A representative area of eczema is selected for each body region. The intensity of redness (erythema), thickness (induration, papulation, and edema), scratching (excoriation), and lichenification (lined skin) of eczema is assessed as: 0 - None - Mild - Moderate - Severe The total score incorporates the extent of body regions affected. Scores range from 0 to 72 with higher scores indicating more severe eczema. Total score is calculated by summing the EASI scores of 6 symptoms across 4 body regions
Time Frame
Baseline to Week 8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females aged 18-65 years inclusive with physician documented history or diagnosis of atopic dermatitis for at least 12 months prior to screening. Chronic AD should be diagnosed by the Eichenfield revised criteria of Hanifin and Rajka (Eichenfield, 2004) Eczema Area and Severity Index (EASI) of ≥12 and <48. An Investigator's Global Assessment (IGA) score ≥ 3 at both Screening and Day 0. A mean pruritus score of ≥ 5 on a 0-10 scale over the 7 day Run In (Days -7 to -1) Atopic dermatitis affecting ≥10% BSA Exclusion Criteria: AD of such severity (EASI >48) that the subject could not comply with the demands of the study and/or the subject is not a suitable candidate for a placebo-controlled study Have concurrent skin disease (e.g. acne) of such severity in the study area that it could interfere with the study evaluation or presence of skin comorbidities that may interfere with study assessments. Have an active skin infection or any other clinically apparent infections. Hypersensitivity to mometasone or to any other ingredients contained by the topical corticosteroid product used as rescue medication in the study. Have received phototherapy (e.g. UVA, UVB), or systemic therapy (e.g. immunosuppressants, cytostatics) known or suspected to have an effect on AD, within 4 weeks of the start of the Run In. Have received systemic corticosteroids ([CS] e.g. oral, intravenous, intraarticular, rectal) within 4 weeks of the start of the Run in. Subjects on a stable maintenance dose (over the preceding 3 months) of inhaled or intranasal CS may participate. Were treated with oral antihistamines or topical calcineurin inhibitors or topical steroids within 7 days of starting Run In; intranasal antihistamines for the treatment of allergic rhinitis are acceptable.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Belgium Study Site
City
Brussels
Country
Belgium
Facility Name
Belgium Study Site
City
Leuven
Country
Belgium
Facility Name
Belgium Study Site
City
Liege
Country
Belgium
Facility Name
German Study Site
City
Goch
Country
Germany
Facility Name
German Study Site
City
Hamburg
Country
Germany
Facility Name
German Study Site
City
Hannover
Country
Germany
Facility Name
German Study Site
City
Mainz
Country
Germany
Facility Name
German Study Site
City
Munster
Country
Germany
Facility Name
Polish Study Site
City
Białystok
Country
Poland
Facility Name
Polish Study Site
City
Gdansk
Country
Poland
Facility Name
Polish Study Site
City
Lodz
Country
Poland
Facility Name
Polish Study Site
City
Poznan
Country
Poland
Facility Name
Polish Study Site
City
Tarnow
Country
Poland
Facility Name
UK Study Centre
City
Blackpool
Country
United Kingdom
Facility Name
UK Study Centre
City
Cannock
Country
United Kingdom
Facility Name
UK Study Centre
City
Leeds
Country
United Kingdom
Facility Name
UK Study Centre
City
Manchester
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Study to Determine the Efficacy of ZPL-3893787 in Subjects With Atopic Dermatitis

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