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A Study to Evaluate Two Concentrations of DFD-07 Cream, in Subjects With Actinic Keratosis (AK) of the Face and/or Scalp Over a 12-week Treatment Period

Primary Purpose

Actinic Keratosis (AK)

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Low dose DFD07 once daily
High dose DFD07 once daily
High dose DFD07 twice daily
Placebo twice daily
Sponsored by
Dr. Reddy's Laboratories Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Actinic Keratosis (AK)

Eligibility Criteria

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

Inclusion:

  1. Subject understands the study procedures, is willing to comply with the study procedures and required visits, and agrees to participate by giving written informed consent. Subjects with a legal guardian, must have the written informed consent of the legal guardian.
  2. Subject (or legal guardian) must be willing to authorize use and disclosure of protected health information collected for the study.
  3. Subjects must have 5 or more AK lesions that are non-hypertrophic and non-hyperkeratotic, contained within a single contiguous approximately 5 cm x 5 cm (25 cm2) region of face and/or scalp.
  4. Subjects must be 18 years of age or older. Male and female subjects can be enrolled.
  5. Female subjects of childbearing potential must agree to use contraception during the study which can include abstinence with an adequate secondary option should the subject become sexually active. All women of childbearing potential must complete a urine pregnancy test at the Baseline Visit (Visit 2) and the test result must be negative to be eligible for enrollment.

    A female is considered of childbearing potential unless she is:

    1. postmenopausal for at least 12 months prior to study product administration;
    2. without a uterus and/or both ovaries; or has been surgically sterile (i.e., tubal ligation) for at least 6 months prior to study product administration.

    Reliable methods of contraception are:

    1. hormonal methods or intrauterine device in use more than 90 days prior to study product administration; or
    2. barrier methods plus spermicide in use at least 14 days prior to study product administration.
    3. partner has had a vasectomy at least 3 months previous to study product administration.
    4. Essure

    Exception: Sexually inactive female subjects of childbearing potential are not required to practice a reliable method of contraception and may be enrolled at the investigator's discretion provided that they are counseled to remain sexually inactive for the duration of the study and understand the possible risks involved in getting pregnant during the study. An abstinent female must agree that if she becomes sexually active during the study she will use an acceptable form of contraception.

  6. Subjects must agree not to use any product on the treatment area during the entire course of study except for Investigator-approved cleanser, sunscreen, wash, and non-medicated make-up. Subjects should continue to use these Investigator-approved products for the duration of the study and should avoid any changes in these consumer products.
  7. Subjects must be willing to comply with sun avoidance measures for the face including use of Investigator-approved sunscreen and/or hats, have limited sun exposure time, and have no tanning bed use.
  8. Subjects must be in good general health as determined by the Investigator and supported by the medical history, and normal or not clinically significant abnormal vital signs (blood pressure and pulse rate). Subjects are eligible if:

    • Systolic blood pressure (BP) < 160 and > 85 mmHg
    • Diastolic BP < 100 and > 50 mmHg

Exclusion:

  1. Known or suspected hypersensitivity to any non-steroidal anti-inflammatory drugs (NSAID) or any component of the formulation of the study medication, including a history of asthma, urticarial, or other allergic-type reactions after taking aspirin or other NSAIDs.
  2. Known or suspected allergy to sulfonamides.
  3. Clinical evidence of severe, uncontrolled autoimmune, cardiovascular, gastrointestinal, hematological, hepatic, neurologic, pulmonary or renal disease.
  4. Recent (within 6 months) or planned coronary artery bypass graft surgery.
  5. Significant history (within the past year) of alcohol or drug abuse.
  6. Participation in any clinical research study within 30 days of the Baseline Visit.
  7. Concomitant use of cosmetics or other topical drug products on or near the selected treatment area, except for Investigator-approved cleanser, sunscreen, wash, and non-medicated makeup.
  8. Cosmetic or therapeutic procedures (e.g. laser, peeling, photodynamic therapy) within 2 weeks and within 2 cm of the selected treatment area.
  9. Other skin conditions within the selected treatment area (e.g. rosacea, psoriasis, atopic dermatitis, eczema, basal or squamous cell carcinoma or albinism).
  10. Any systemic cancer therapy or diagnosis within 6 months of the Baseline Visit.
  11. Females who are pregnant or lactating or planning to become pregnant during the study period.

Sites / Locations

  • Investigator Site 3
  • Investigator Site 1
  • Investigator Site 9
  • Investigator Site 18
  • Investigator Site 16
  • Investigator Site 8
  • Investigator Site 20
  • Investigator Site 7
  • Investigator Site 19
  • Investigator Site 17
  • Investigator Site 6
  • Investigator Site 13
  • Investigator Site 15
  • Investigator Site 14
  • Investigator Site 10
  • Investigator Site 4
  • Investigator Site 5
  • Investigator Site 11
  • Investigator Site 2
  • Investigator Site 12

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Low dose DFD07 once daily

High dose DFD07 once daily

High dose DFD07 twice daily

Placebo twice daily

Arm Description

Outcomes

Primary Outcome Measures

Proportion of Subjects With Complete Clearance of AK Lesions at the End of Study Visit at 16 Weeks
The proportion of subjects with complete clearance (absence of clinically visible or palpable AK lesions in the treatment area) of AK lesions at the End of Study Visit at 16 weeks (12 weeks treatment and 4 weeks treatment-free follow-up)

Secondary Outcome Measures

Proportion of Subjects With Partial Clearance at Week 16
Proportion of subjects with partial clearance of AK lesions at week 16 (12 weeks treatment and 4 weeks treatment free follow up period)

Full Information

First Posted
April 12, 2017
Last Updated
April 2, 2019
Sponsor
Dr. Reddy's Laboratories Limited
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1. Study Identification

Unique Protocol Identification Number
NCT03116698
Brief Title
A Study to Evaluate Two Concentrations of DFD-07 Cream, in Subjects With Actinic Keratosis (AK) of the Face and/or Scalp Over a 12-week Treatment Period
Official Title
A Multi-Center, Randomized, Double-Blind, Parallel-Group, Vehicle-Controlled Study to Evaluate the Dose-Response Relationship of the Efficacy and Safety of Two Concentrations of DFD-07 Cream, in Subjects With Actinic Keratosis (AK) of the Face and/or Scalp Over a 12-week Treatment Period.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2019
Overall Recruitment Status
Completed
Study Start Date
February 14, 2017 (Actual)
Primary Completion Date
November 13, 2017 (Actual)
Study Completion Date
July 5, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dr. Reddy's Laboratories Limited

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
Once or twice daily 12 week treatment in patients with Actinic Keratosis randomized to treatment in one of four arms.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Actinic Keratosis (AK)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
240 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Low dose DFD07 once daily
Arm Type
Experimental
Arm Title
High dose DFD07 once daily
Arm Type
Experimental
Arm Title
High dose DFD07 twice daily
Arm Type
Experimental
Arm Title
Placebo twice daily
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Low dose DFD07 once daily
Intervention Description
Low dose DFD07 once daily
Intervention Type
Drug
Intervention Name(s)
High dose DFD07 once daily
Intervention Description
High dose DFD07 once daily
Intervention Type
Drug
Intervention Name(s)
High dose DFD07 twice daily
Intervention Description
High dose DFD07 twice daily
Intervention Type
Drug
Intervention Name(s)
Placebo twice daily
Intervention Description
Placebo twice daily
Primary Outcome Measure Information:
Title
Proportion of Subjects With Complete Clearance of AK Lesions at the End of Study Visit at 16 Weeks
Description
The proportion of subjects with complete clearance (absence of clinically visible or palpable AK lesions in the treatment area) of AK lesions at the End of Study Visit at 16 weeks (12 weeks treatment and 4 weeks treatment-free follow-up)
Time Frame
16 Weeks
Secondary Outcome Measure Information:
Title
Proportion of Subjects With Partial Clearance at Week 16
Description
Proportion of subjects with partial clearance of AK lesions at week 16 (12 weeks treatment and 4 weeks treatment free follow up period)
Time Frame
16 weeks

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: Subject understands the study procedures, is willing to comply with the study procedures and required visits, and agrees to participate by giving written informed consent. Subjects with a legal guardian, must have the written informed consent of the legal guardian. Subject (or legal guardian) must be willing to authorize use and disclosure of protected health information collected for the study. Subjects must have 5 or more AK lesions that are non-hypertrophic and non-hyperkeratotic, contained within a single contiguous approximately 5 cm x 5 cm (25 cm2) region of face and/or scalp. Subjects must be 18 years of age or older. Male and female subjects can be enrolled. Female subjects of childbearing potential must agree to use contraception during the study which can include abstinence with an adequate secondary option should the subject become sexually active. All women of childbearing potential must complete a urine pregnancy test at the Baseline Visit (Visit 2) and the test result must be negative to be eligible for enrollment. A female is considered of childbearing potential unless she is: postmenopausal for at least 12 months prior to study product administration; without a uterus and/or both ovaries; or has been surgically sterile (i.e., tubal ligation) for at least 6 months prior to study product administration. Reliable methods of contraception are: hormonal methods or intrauterine device in use more than 90 days prior to study product administration; or barrier methods plus spermicide in use at least 14 days prior to study product administration. partner has had a vasectomy at least 3 months previous to study product administration. Essure Exception: Sexually inactive female subjects of childbearing potential are not required to practice a reliable method of contraception and may be enrolled at the investigator's discretion provided that they are counseled to remain sexually inactive for the duration of the study and understand the possible risks involved in getting pregnant during the study. An abstinent female must agree that if she becomes sexually active during the study she will use an acceptable form of contraception. Subjects must agree not to use any product on the treatment area during the entire course of study except for Investigator-approved cleanser, sunscreen, wash, and non-medicated make-up. Subjects should continue to use these Investigator-approved products for the duration of the study and should avoid any changes in these consumer products. Subjects must be willing to comply with sun avoidance measures for the face including use of Investigator-approved sunscreen and/or hats, have limited sun exposure time, and have no tanning bed use. Subjects must be in good general health as determined by the Investigator and supported by the medical history, and normal or not clinically significant abnormal vital signs (blood pressure and pulse rate). Subjects are eligible if: Systolic blood pressure (BP) < 160 and > 85 mmHg Diastolic BP < 100 and > 50 mmHg Exclusion: Known or suspected hypersensitivity to any non-steroidal anti-inflammatory drugs (NSAID) or any component of the formulation of the study medication, including a history of asthma, urticarial, or other allergic-type reactions after taking aspirin or other NSAIDs. Known or suspected allergy to sulfonamides. Clinical evidence of severe, uncontrolled autoimmune, cardiovascular, gastrointestinal, hematological, hepatic, neurologic, pulmonary or renal disease. Recent (within 6 months) or planned coronary artery bypass graft surgery. Significant history (within the past year) of alcohol or drug abuse. Participation in any clinical research study within 30 days of the Baseline Visit. Concomitant use of cosmetics or other topical drug products on or near the selected treatment area, except for Investigator-approved cleanser, sunscreen, wash, and non-medicated makeup. Cosmetic or therapeutic procedures (e.g. laser, peeling, photodynamic therapy) within 2 weeks and within 2 cm of the selected treatment area. Other skin conditions within the selected treatment area (e.g. rosacea, psoriasis, atopic dermatitis, eczema, basal or squamous cell carcinoma or albinism). Any systemic cancer therapy or diagnosis within 6 months of the Baseline Visit. Females who are pregnant or lactating or planning to become pregnant during the study period.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Srinivas R. Sidgiddi, M.D.
Organizational Affiliation
Dr. Reddy's Laboratories
Official's Role
Study Director
Facility Information:
Facility Name
Investigator Site 3
City
Cerritos
State/Province
California
ZIP/Postal Code
90703
Country
United States
Facility Name
Investigator Site 1
City
Fremont
State/Province
California
ZIP/Postal Code
94538
Country
United States
Facility Name
Investigator Site 9
City
Palm Springs
State/Province
California
ZIP/Postal Code
92262
Country
United States
Facility Name
Investigator Site 18
City
Santa Ana
State/Province
California
ZIP/Postal Code
92701
Country
United States
Facility Name
Investigator Site 16
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33486
Country
United States
Facility Name
Investigator Site 8
City
Lake City
State/Province
Florida
ZIP/Postal Code
32055
Country
United States
Facility Name
Investigator Site 20
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
Facility Name
Investigator Site 7
City
Miami
State/Province
Florida
ZIP/Postal Code
33126
Country
United States
Facility Name
Investigator Site 19
City
Miami
State/Province
Florida
ZIP/Postal Code
33162
Country
United States
Facility Name
Investigator Site 17
City
Ormond Beach
State/Province
Florida
ZIP/Postal Code
32174
Country
United States
Facility Name
Investigator Site 6
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33409
Country
United States
Facility Name
Investigator Site 13
City
Verona
State/Province
New Jersey
ZIP/Postal Code
07044
Country
United States
Facility Name
Investigator Site 15
City
Stony Brook
State/Province
New York
ZIP/Postal Code
11790
Country
United States
Facility Name
Investigator Site 14
City
Fort Washington
State/Province
Pennsylvania
ZIP/Postal Code
19034
Country
United States
Facility Name
Investigator Site 10
City
Austin
State/Province
Texas
ZIP/Postal Code
78660
Country
United States
Facility Name
Investigator Site 4
City
Houston
State/Province
Texas
ZIP/Postal Code
77055
Country
United States
Facility Name
Investigator Site 5
City
Plano
State/Province
Texas
ZIP/Postal Code
75024
Country
United States
Facility Name
Investigator Site 11
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Investigator Site 2
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Investigator Site 12
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78249
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study to Evaluate Two Concentrations of DFD-07 Cream, in Subjects With Actinic Keratosis (AK) of the Face and/or Scalp Over a 12-week Treatment Period

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