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A Study to Evaluate the Safety and Efficacy of ATx201 in Subjects With Moderate Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 2
Locations
Canada
Study Type
Interventional
Intervention
ATx201 2% Cream
ATx201 Cream Vehicle
Sponsored by
UNION therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis

Eligibility Criteria

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

Inclusion Criteria:

  • clinically confirmed diagnosis of active atopic dermatitis
  • at least a 6-month history of atopic dermatitis and had no significant flares in atopic dermatitis for at least 4 weeks before screening
  • ≥2 areas of atopic dermatitis (excluding face, scalp, genitals, hands, and feet) of at least 3 × 3 cm; with a lesional TSS of ≥5 at Day 1 for each treatment area

Exclusion Criteria:

  • breastfeeding, pregnant, or is planning to become pregnant during the study.
  • clinically infected atopic dermatitis
  • Fitzpatrick's Skin Phototype ≥5
  • Presence of any tattoos, scratches, open sores, excessive hair, or skin damages in the target lesion areas
  • known to have immune deficiency or is immunocompromised.
  • history of cancer or lymphoproliferative disease within 5 years prior to Day 1.
  • major surgery within 8 weeks prior to Day 1 or has a major surgery planned during the study.
  • clinically significant medical condition or physical/laboratory/vital signs abnormality that would, in the opinion of the investigator, put the subject at undue risk or interfere with interpretation of study results.
  • known history of chronic infectious disease (e.g., hepatitis B, hepatitis C, or infection with human immunodeficiency virus).
  • used hydroxyzine or diphenhydramine within 1 week prior to Day 1.
  • used dupilumab within 12 weeks prior to Day 1.
  • received any nonbiological investigational product or device within 4 weeks prior to Day 1
  • used crisaborole and any other topical PDE-4 inhibitor within 4 weeks prior to Day 1.
  • used doxepin within 1 week prior to Day 1.
  • used topical products containing urea within 1 week prior to Day 1.
  • used nonurea-containing emollient anywhere on the body from 1 day before Day 1.
  • used systemic antibiotics or topical antibiotics on the treated areas within 2 weeks prior to Day 1.
  • used any topical medicated treatment for atopic dermatitis within 2 weeks prior to Day 1, including, but not limited to, topical corticosteroids, calcineurin inhibitors, tars, bleach, antimicrobials, medical devices, and bleach baths.
  • used systemic treatments (other than biologics) that could affect atopic dermatitis less than 4 weeks prior to Day 1 (e.g., retinoids, calcineurin inhibitors, methotrexate, cyclosporine, hydroxycarbamide [hydroxyurea], azathioprine, oral/injectable corticosteroids).
  • received any marketed or investigational biological agent within 12 weeks or 5 half-lives (whichever is longer) prior to Day 1.
  • excessive sun exposure, is planning a trip to a sunny climate, has received ultraviolet phototherapy, or has used tanning booths within 4 weeks prior to Day 1, or is not willing to minimize natural and artificial sunlight exposure during the study. Use of sunscreen products (excluding the treatment areas) and protective apparel are recommended when exposure cannot be avoided.
  • known or suspected allergy to ATx201 or any component of the investigational product.
  • known history of clinically significant drug or alcohol abuse in the last year prior to Day 1.
  • history of an allergic reaction or significant sensitivity to lidocaine or other local anesthetics.
  • history of hypertrophic scarring or keloid formation in scars or suture sites.
  • taking anticoagulant medication, such as heparin, low molecular weight-heparin, warfarin, or antiplatelets (nonsteroidal anti-inflammatory drugs and aspirin ≤81 mg will not be considered antiplatelets) within 2 weeks prior to Day 1, or has a contraindication to skin biopsies.

Sites / Locations

  • Innovaderm Research Inc

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

ATx201 2% CREAM

ATx201 Cream Vehicle

Arm Description

Outcomes

Primary Outcome Measures

Incidence of local and systemic treatment-emergent adverse events
# of TEAEs

Secondary Outcome Measures

Change from baseline in lesional Total Sign Score at Days 8, 15, and 22.
Change from baseline in lesional Treatment Areas Assessment at Days 8, 15, and 22
Change from baseline in skin barrier and biomarker levels at Day 22

Full Information

First Posted
September 25, 2017
Last Updated
March 19, 2018
Sponsor
UNION therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT03304470
Brief Title
A Study to Evaluate the Safety and Efficacy of ATx201 in Subjects With Moderate Atopic Dermatitis
Official Title
A Double-Blind, Randomized, Intraindividual, Vehicle-Controlled, Phase 2 Study to Evaluate the Safety and Efficacy of Topically Applied ATx201 in Subjects With Moderate Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
September 25, 2017 (Actual)
Primary Completion Date
March 5, 2018 (Actual)
Study Completion Date
March 5, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
UNION therapeutics

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase 2, 3-week, single-center, double-blind, randomized, two-arm, vehicle controlled study, with each individual receiving both active and vehicle treatment. Approximately 30 subjects with moderate atopic dermatitis will receive topically applied ATx201 CREAM 2% and matching vehicle once daily for 3 weeks (5 mg/cm2/day), without occlusion. ATx201 and vehicle will be applied on two separate target lesions of moderate atopic dermatitis (lesions of at least 3 × 3 cm, excluding the face, scalp, genitals, hands, and feet, ideally from the same anatomical location).

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
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ATx201 2% CREAM
Arm Type
Experimental
Arm Title
ATx201 Cream Vehicle
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
ATx201 2% Cream
Intervention Description
Anhydrous Cream
Intervention Type
Drug
Intervention Name(s)
ATx201 Cream Vehicle
Intervention Description
Anhydrous Cream
Primary Outcome Measure Information:
Title
Incidence of local and systemic treatment-emergent adverse events
Description
# of TEAEs
Time Frame
34 days
Secondary Outcome Measure Information:
Title
Change from baseline in lesional Total Sign Score at Days 8, 15, and 22.
Time Frame
22 Days
Title
Change from baseline in lesional Treatment Areas Assessment at Days 8, 15, and 22
Time Frame
22 Days
Title
Change from baseline in skin barrier and biomarker levels at Day 22
Time Frame
Day 22

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: clinically confirmed diagnosis of active atopic dermatitis at least a 6-month history of atopic dermatitis and had no significant flares in atopic dermatitis for at least 4 weeks before screening ≥2 areas of atopic dermatitis (excluding face, scalp, genitals, hands, and feet) of at least 3 × 3 cm; with a lesional TSS of ≥5 at Day 1 for each treatment area Exclusion Criteria: breastfeeding, pregnant, or is planning to become pregnant during the study. clinically infected atopic dermatitis Fitzpatrick's Skin Phototype ≥5 Presence of any tattoos, scratches, open sores, excessive hair, or skin damages in the target lesion areas known to have immune deficiency or is immunocompromised. history of cancer or lymphoproliferative disease within 5 years prior to Day 1. major surgery within 8 weeks prior to Day 1 or has a major surgery planned during the study. clinically significant medical condition or physical/laboratory/vital signs abnormality that would, in the opinion of the investigator, put the subject at undue risk or interfere with interpretation of study results. known history of chronic infectious disease (e.g., hepatitis B, hepatitis C, or infection with human immunodeficiency virus). used hydroxyzine or diphenhydramine within 1 week prior to Day 1. used dupilumab within 12 weeks prior to Day 1. received any nonbiological investigational product or device within 4 weeks prior to Day 1 used crisaborole and any other topical PDE-4 inhibitor within 4 weeks prior to Day 1. used doxepin within 1 week prior to Day 1. used topical products containing urea within 1 week prior to Day 1. used nonurea-containing emollient anywhere on the body from 1 day before Day 1. used systemic antibiotics or topical antibiotics on the treated areas within 2 weeks prior to Day 1. used any topical medicated treatment for atopic dermatitis within 2 weeks prior to Day 1, including, but not limited to, topical corticosteroids, calcineurin inhibitors, tars, bleach, antimicrobials, medical devices, and bleach baths. used systemic treatments (other than biologics) that could affect atopic dermatitis less than 4 weeks prior to Day 1 (e.g., retinoids, calcineurin inhibitors, methotrexate, cyclosporine, hydroxycarbamide [hydroxyurea], azathioprine, oral/injectable corticosteroids). received any marketed or investigational biological agent within 12 weeks or 5 half-lives (whichever is longer) prior to Day 1. excessive sun exposure, is planning a trip to a sunny climate, has received ultraviolet phototherapy, or has used tanning booths within 4 weeks prior to Day 1, or is not willing to minimize natural and artificial sunlight exposure during the study. Use of sunscreen products (excluding the treatment areas) and protective apparel are recommended when exposure cannot be avoided. known or suspected allergy to ATx201 or any component of the investigational product. known history of clinically significant drug or alcohol abuse in the last year prior to Day 1. history of an allergic reaction or significant sensitivity to lidocaine or other local anesthetics. history of hypertrophic scarring or keloid formation in scars or suture sites. taking anticoagulant medication, such as heparin, low molecular weight-heparin, warfarin, or antiplatelets (nonsteroidal anti-inflammatory drugs and aspirin ≤81 mg will not be considered antiplatelets) within 2 weeks prior to Day 1, or has a contraindication to skin biopsies.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Philippe Prokocimer
Organizational Affiliation
Sponsor CMO
Official's Role
Study Director
Facility Information:
Facility Name
Innovaderm Research Inc
City
Montréal
State/Province
Quebec
ZIP/Postal Code
H2K 4L5
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study to Evaluate the Safety and Efficacy of ATx201 in Subjects With Moderate Atopic Dermatitis

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