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Efficacy and Safety of Delgocitinib Cream in Adolescents 12-17 Years of Age With Moderate to Severe Chronic Hand Eczema (DELTA TEEN)

Primary Purpose

Chronic Hand Eczema

Status
Recruiting
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Delgocitinib
Cream vehicle
Sponsored by
LEO Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hand Eczema

Eligibility Criteria

12 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosis of CHE, defined as hand eczema that has persisted for more than 3 months or returned twice or more within the last 12 months.
  • Disease severity graded as moderate to severe at screening and baseline according to IGA-CHE.
  • Subjects who have a documented history of inadequate response to treatment with TCS or for whom TCS are documented to be otherwise medically inadvisable.

Exclusion Criteria:

  • Concurrent skin disease on the hands.
  • Clinically significant infection on the hands.
  • Systemic treatment with immunosuppressive drugs, immunomodulating drugs, retinoids, or corticosteroids within 28 days prior to baseline (steroid eyedrops and inhaled or intranasal steroids corresponding to up to 1 mg prednisolone for allergic conjunctivitis, asthma, or rhinitis are allowed).
  • Use of tanning beds, phototherapy, or bleach baths on the hands within 28 days prior to baseline.
  • Previous or current treatment with JAK inhibitors (including delgocitinib/LEO 124249), systemic or topical.
  • Cutaneously applied treatment with immunomodulators or TCS on the hands within 14 days prior to baseline.
  • Use of systemic antibiotics or cutaneously applied antibiotics on the hands within 14 days prior to baseline.
  • Other cutaneously applied therapy on the hands (except for the use of subject's own emollients) within 7 days prior to baseline.
  • Cutaneously applied treatments in regions other than the hands, which could interfere with clinical trial evaluations or pose a safety concern within 7 days prior to baseline.
  • Any disorder which is not stable and could:

    • Affect the safety of the subject throughout the trial.
    • Impede the subject's ability to complete the trial.

Sites / Locations

  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting
  • LEO Pharma investigational siteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Delgocitinib cream

Cream vehicle

Arm Description

Delgocitinib cream 20 mg/g twice daily

Cream vehicle twice daily

Outcomes

Primary Outcome Measures

IGA-CHE treatment success at Week 16
The Investigator's Global Assessment for chronic hand eczema© (IGA-CHE) is a 5 point scale used in clinical trials to rate the severity of the subject's CHE from 0 (clear) to 4 (severe). Treatment success means a score of 0 (clear) or 1 (almost clear) with a ≥2 step improvement from baseline.

Secondary Outcome Measures

HECSI-90 at Week 16
The Hand Eczema Severity Index (HECSI) is a scoring system to rate the severity of hand eczema. It gives a score from 0 (none) to 3 (severe) to 6 clinical signs of hand eczema: erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema over 5 regions of the hand - fingertips, fingers [except fingertips], palm of hands, back of hands, and wrists. Each region is then assigned an area score from 0 (0%) to 4 (>75%) depending on how much is covered by lesions. For each region a region score is calculated by adding up the severity scores for the 6 clinical signs and multiplying with the area score. The HESCI score equals the sum of the 5 region scores and ranges from 0 to 360. HECSI-90 is at least 90% improvement in HECSI score from baseline
Reduction of HESD itch score (weekly average) of ≥4 points from baseline at Week 16
The Hand Eczema Symptom Diary© (HESD) is an eDiary which patients use everyday to score the worst severity of 6 individual signs and symptoms of CHE over the past 24 hours from 0 (none) to 10 (severe). This endpoint will only assess the 'itch' component for participants with a baseline HESD itch score (weekly average) of ≥4 points.
Reduction of HESD pain score (weekly average) of ≥4 points from baseline at Week 16
The Hand Eczema Symptom Diary© (HESD) is an eDiary which patients use everyday to score the worst severity of 6 individual signs and symptoms of CHE over the past 24 hours from 0 (none) to 10 (severe). This endpoint will only assess the 'pain' component for participants with a baseline HESD pain score (weekly average) of ≥4 points.
Reduction of HESD score (weekly average) of ≥4 points from baseline at Week 16
The Hand Eczema Symptom Diary© (HESD) is an eDiary which patients use everyday to score the worst severity of 6 individual signs and symptoms of CHE over the past 24 hours from 0 (none) to 10 (severe). The final HESD score is an average of these 6 individual scores. This endpoint will only assess the score for participants with a baseline HESD itch score (weekly average) of ≥4 points.
IGA-CHE treatment success at Week 2
The Investigator's Global Assessment for chronic hand eczema© (IGA-CHE) is a 5 point scale used in clinical trials to rate the severity of the subject's CHE from 0 (clear) to 4 (severe). Treatment success means a score of 0 (clear) or 1 (almost clear) with a ≥2 step improvement from baseline.
IGA-CHE treatment success at Week 4
The Investigator's Global Assessment for chronic hand eczema© (IGA-CHE) is a 5 point scale used in clinical trials to rate the severity of the subject's CHE from 0 (clear) to 4 (severe). Treatment success means a score of 0 (clear) or 1 (almost clear) with a ≥2 step improvement from baseline.
IGA-CHE treatment success at Week 8
The Investigator's Global Assessment for chronic hand eczema© (IGA-CHE) is a 5 point scale used in clinical trials to rate the severity of the subject's CHE from 0 (clear) to 4 (severe). Treatment success means a score of 0 (clear) or 1 (almost clear) with a ≥2 step improvement from baseline.
IGA-CHE treatment success at Week 12
The Investigator's Global Assessment for chronic hand eczema© (IGA-CHE) is a 5 point scale used in clinical trials to rate the severity of the subject's CHE from 0 (clear) to 4 (severe). Treatment success means a score of 0 (clear) or 1 (almost clear) with a ≥2 step improvement from baseline.
Change in cDLQI score from baseline to Week 16
The children's Dermatology Life Quality Index (cDLQI) is a validated questionnaire consisting of 10 items addressing the participant's perception of the impact of their skin disease on different aspects of their quality of life over the last week. Each question is scored from 0 (no impact) to 3 (high impact). The cDLQI score is the sum of the 10 items (score ranging from 0 to 30).
Number of treatment emergent AEs from baseline up to Week 18
An adverse event (AE) will be considered treatment emergent if started after the first application of treatment, or started before the first application of treatment and worsened in severity after treatment.

Full Information

First Posted
April 27, 2022
Last Updated
July 3, 2023
Sponsor
LEO Pharma
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1. Study Identification

Unique Protocol Identification Number
NCT05355818
Brief Title
Efficacy and Safety of Delgocitinib Cream in Adolescents 12-17 Years of Age With Moderate to Severe Chronic Hand Eczema
Acronym
DELTA TEEN
Official Title
A Phase 3 Clinical Trial to Evaluate Efficacy and Safety of Twice-daily Applications of Delgocitinib Cream 20 mg/g Compared With Cream Vehicle for a 16-week Treatment Period in Adolescents 12-17 Years of Age With Moderate to Severe Chronic Hand Eczema
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 14, 2022 (Actual)
Primary Completion Date
June 3, 2024 (Anticipated)
Study Completion Date
June 17, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
LEO Pharma

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this trial is to test if delgocitinib cream is effective at treating chronic hand eczema (CHE) and what side effects it may have, in children aged 12-17. There will be a range of assessments that rate the severity and extent of CHE symptoms, general health and quality of life. Delgocitinib is a cream that suppresses specific processes in the body's response to diseases like CHE, such as inflammation. The trial will last up to 22 weeks and has a 1-4 week screening period, a 16 week treatment period and a 2 week follow up period. During the treatment period each child will use either delgocitinib cream or a cream vehicle twice a day. Which cream each child receives is chosen randomly by a computer. The cream vehicle is made of the same ingredients as the delgocitinib cream except for the active medical ingredient. There will be 8 visits with the trial doctor.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hand Eczema

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
92 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Delgocitinib cream
Arm Type
Experimental
Arm Description
Delgocitinib cream 20 mg/g twice daily
Arm Title
Cream vehicle
Arm Type
Placebo Comparator
Arm Description
Cream vehicle twice daily
Intervention Type
Drug
Intervention Name(s)
Delgocitinib
Intervention Description
Cream for topical application
Intervention Type
Drug
Intervention Name(s)
Cream vehicle
Intervention Description
The cream vehicle is similar to the delgocitinib cream except that it does not contain any active medical ingredient.
Primary Outcome Measure Information:
Title
IGA-CHE treatment success at Week 16
Description
The Investigator's Global Assessment for chronic hand eczema© (IGA-CHE) is a 5 point scale used in clinical trials to rate the severity of the subject's CHE from 0 (clear) to 4 (severe). Treatment success means a score of 0 (clear) or 1 (almost clear) with a ≥2 step improvement from baseline.
Time Frame
Week 16
Secondary Outcome Measure Information:
Title
HECSI-90 at Week 16
Description
The Hand Eczema Severity Index (HECSI) is a scoring system to rate the severity of hand eczema. It gives a score from 0 (none) to 3 (severe) to 6 clinical signs of hand eczema: erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema over 5 regions of the hand - fingertips, fingers [except fingertips], palm of hands, back of hands, and wrists. Each region is then assigned an area score from 0 (0%) to 4 (>75%) depending on how much is covered by lesions. For each region a region score is calculated by adding up the severity scores for the 6 clinical signs and multiplying with the area score. The HESCI score equals the sum of the 5 region scores and ranges from 0 to 360. HECSI-90 is at least 90% improvement in HECSI score from baseline
Time Frame
Week 16
Title
Reduction of HESD itch score (weekly average) of ≥4 points from baseline at Week 16
Description
The Hand Eczema Symptom Diary© (HESD) is an eDiary which patients use everyday to score the worst severity of 6 individual signs and symptoms of CHE over the past 24 hours from 0 (none) to 10 (severe). This endpoint will only assess the 'itch' component for participants with a baseline HESD itch score (weekly average) of ≥4 points.
Time Frame
Week 16
Title
Reduction of HESD pain score (weekly average) of ≥4 points from baseline at Week 16
Description
The Hand Eczema Symptom Diary© (HESD) is an eDiary which patients use everyday to score the worst severity of 6 individual signs and symptoms of CHE over the past 24 hours from 0 (none) to 10 (severe). This endpoint will only assess the 'pain' component for participants with a baseline HESD pain score (weekly average) of ≥4 points.
Time Frame
Week 16
Title
Reduction of HESD score (weekly average) of ≥4 points from baseline at Week 16
Description
The Hand Eczema Symptom Diary© (HESD) is an eDiary which patients use everyday to score the worst severity of 6 individual signs and symptoms of CHE over the past 24 hours from 0 (none) to 10 (severe). The final HESD score is an average of these 6 individual scores. This endpoint will only assess the score for participants with a baseline HESD itch score (weekly average) of ≥4 points.
Time Frame
Week 16
Title
IGA-CHE treatment success at Week 2
Description
The Investigator's Global Assessment for chronic hand eczema© (IGA-CHE) is a 5 point scale used in clinical trials to rate the severity of the subject's CHE from 0 (clear) to 4 (severe). Treatment success means a score of 0 (clear) or 1 (almost clear) with a ≥2 step improvement from baseline.
Time Frame
Week 2
Title
IGA-CHE treatment success at Week 4
Description
The Investigator's Global Assessment for chronic hand eczema© (IGA-CHE) is a 5 point scale used in clinical trials to rate the severity of the subject's CHE from 0 (clear) to 4 (severe). Treatment success means a score of 0 (clear) or 1 (almost clear) with a ≥2 step improvement from baseline.
Time Frame
Week 4
Title
IGA-CHE treatment success at Week 8
Description
The Investigator's Global Assessment for chronic hand eczema© (IGA-CHE) is a 5 point scale used in clinical trials to rate the severity of the subject's CHE from 0 (clear) to 4 (severe). Treatment success means a score of 0 (clear) or 1 (almost clear) with a ≥2 step improvement from baseline.
Time Frame
Week 8
Title
IGA-CHE treatment success at Week 12
Description
The Investigator's Global Assessment for chronic hand eczema© (IGA-CHE) is a 5 point scale used in clinical trials to rate the severity of the subject's CHE from 0 (clear) to 4 (severe). Treatment success means a score of 0 (clear) or 1 (almost clear) with a ≥2 step improvement from baseline.
Time Frame
Week 12
Title
Change in cDLQI score from baseline to Week 16
Description
The children's Dermatology Life Quality Index (cDLQI) is a validated questionnaire consisting of 10 items addressing the participant's perception of the impact of their skin disease on different aspects of their quality of life over the last week. Each question is scored from 0 (no impact) to 3 (high impact). The cDLQI score is the sum of the 10 items (score ranging from 0 to 30).
Time Frame
Week 16
Title
Number of treatment emergent AEs from baseline up to Week 18
Description
An adverse event (AE) will be considered treatment emergent if started after the first application of treatment, or started before the first application of treatment and worsened in severity after treatment.
Time Frame
Week 18

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of CHE, defined as hand eczema that has persisted for more than 3 months or returned twice or more within the last 12 months. Disease severity graded as moderate to severe at screening and baseline according to IGA-CHE. Subjects who have a documented history of inadequate response to treatment with TCS or for whom TCS are documented to be otherwise medically inadvisable. Exclusion Criteria: Concurrent skin disease on the hands. Clinically significant infection on the hands. Systemic treatment with immunosuppressive drugs, immunomodulating drugs, retinoids, or corticosteroids within 28 days prior to baseline (steroid eyedrops and inhaled or intranasal steroids corresponding to up to 1 mg prednisolone for allergic conjunctivitis, asthma, or rhinitis are allowed). Use of tanning beds, phototherapy, or bleach baths on the hands within 28 days prior to baseline. Previous or current treatment with JAK inhibitors (including delgocitinib/LEO 124249), systemic or topical. Cutaneously applied treatment with immunomodulators or TCS on the hands within 14 days prior to baseline. Use of systemic antibiotics or cutaneously applied antibiotics on the hands within 14 days prior to baseline. Other cutaneously applied therapy on the hands (except for the use of subject's own emollients) within 7 days prior to baseline. Cutaneously applied treatments in regions other than the hands, which could interfere with clinical trial evaluations or pose a safety concern within 7 days prior to baseline. Any disorder which is not stable and could: Affect the safety of the subject throughout the trial. Impede the subject's ability to complete the trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Clinical Disclosure
Phone
(+1) 877-557-1168
Email
clinicaltrialscontactus@leo-pharma.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Expert
Organizational Affiliation
LEO Pharma
Official's Role
Study Director
Facility Information:
Facility Name
LEO Pharma investigational site
City
Darlinghurst
ZIP/Postal Code
2010
Country
Australia
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Phillip
ZIP/Postal Code
2606
Country
Australia
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Woolloongabba
ZIP/Postal Code
4102
Country
Australia
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Brussels
ZIP/Postal Code
1200
Country
Belgium
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Gent
ZIP/Postal Code
9000
Country
Belgium
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Loverval
ZIP/Postal Code
6280
Country
Belgium
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Kingston
ZIP/Postal Code
K7L 2V7
Country
Canada
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Montreal
ZIP/Postal Code
H3T 1C5
Country
Canada
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Red Deer
ZIP/Postal Code
T4P1K4
Country
Canada
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
St. John's
ZIP/Postal Code
NL A1E 1V4
Country
Canada
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Winnipeg
ZIP/Postal Code
R3C 0N2
Country
Canada
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Nice
ZIP/Postal Code
06000
Country
France
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Reims
ZIP/Postal Code
51100
Country
France
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Rouen
ZIP/Postal Code
76031
Country
France
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Toulouse Cedex 9
ZIP/Postal Code
31059
Country
France
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Chorzow
ZIP/Postal Code
41-516
Country
Poland
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Kraków
ZIP/Postal Code
30-033
Country
Poland
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Kraków
ZIP/Postal Code
31-011
Country
Poland
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Kraków
ZIP/Postal Code
31-147
Country
Poland
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Warszawa
ZIP/Postal Code
02-625
Country
Poland
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Wrocław
ZIP/Postal Code
51-318
Country
Poland
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Alicante
ZIP/Postal Code
03010
Country
Spain
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Barcelona
ZIP/Postal Code
08041
Country
Spain
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Esplugues de Llobregat
ZIP/Postal Code
08950
Country
Spain
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Fuenlabrada
ZIP/Postal Code
28942
Country
Spain
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Granada
ZIP/Postal Code
18016
Country
Spain
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Pontevedra
ZIP/Postal Code
36001
Country
Spain
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Ipswich
ZIP/Postal Code
IP4 5PD
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
King's Lynn
ZIP/Postal Code
PE30 4ET
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Leytonstone
ZIP/Postal Code
E11 1NR
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
LEO Pharma investigational site
City
Walsall
ZIP/Postal Code
WS2 9PS
Country
United Kingdom
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Access Criteria
Data sharing is subject to approved scientifically sound research proposal and signed data agreement
IPD Sharing URL
http://leopharmatrials.com/for-professionals

Learn more about this trial

Efficacy and Safety of Delgocitinib Cream in Adolescents 12-17 Years of Age With Moderate to Severe Chronic Hand Eczema

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