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Efficacy and Steroid Sparing Potential Study of DGLA Cream in Patients With Moderate to Severe Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 2
Locations
Germany
Study Type
Interventional
Intervention
DS107E
Vehicle
Sponsored by
DS Biopharma
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:

  • Female and male volunteers aged 18-65 who are willing to give written informed consent.
  • Diagnosis of atopic dermatitis (> 6 months) according to the Hanifin and Raika Criteria;
  • Presence of at least 2 moderate to severe (target lesion score</=8) inflammatory lesions of comparable severity, erythema >/= 2
  • Patients with moderate to severe atopic dermatitis (IGA=3-4)
  • A body surface area score of less than 20%

Exclusion Criteria:

  • Clinically significant impairment of renal or hepatic function.
  • Other skin conditions that might interfere with atopic dermatitis diagnosis and/or evaluation (such as psoriasis or current viral, bacterial and fungal skin infections).
  • History of intolerance to any ingredient in DS107E DGLA cream or Vehicle or intolerance to any ingredient in Ecural®(Mometasone furoate 0.1%). Of note, any intolerance to PHB ester (benzoate, parabens) or soy or it's cross-allergen peanut, as these are ingredients of DS107E.
  • Use of biologics 3 months prior to start of treatment/ Day 0 visit (baseline), or 5 half-lives (whichever is longer).
  • Use of systemic treatments (other than biologics) that could affect atopic dermatitis less than 4 weeks prior to baseline visit (Day 0), e.g. retinoids, calcineurin inhibitors, methotrexate, cyclosporine, hydroxycarbamide (hydroxyurea), azathioprine and oral/injectable corticosteroids; Intranasal corticosteroids and inhaled corticosteroids for stable medical conditions are allowed.
  • Treatment with any experimental drug within 30 days prior to Day 0 visit (baseline), or 5 half lives (whichever is longer).
  • Excessive sun exposure, use of tanning booths or other ultraviolet (UV) light sources 4 weeks prior to Day 0 visit (baseline) and/or is planning a trip to sunny climate or to use tanning booths or other UV sources between screening and follow-up visits.
  • Use of any topical medicated treatment for atopic dermatitis 2 weeks prior to start of treatment/Day 0 visit (baseline), including but not limited to, topical corticosteroids, calcineurin inhibitors, tars, bleach, antimicrobials and bleach baths.
  • Use of topical products containing ceramides 2 weeks prior to Day 0. Topical products that do not contain ceramides are allowed.
  • Use of anti-histamines for atopic dermatitis within 2 weeks of baseline.
  • Medical history of chronic infectious disease (e.g., hepatitis B, hepatitis C or infection with human immunodeficiency virus).
  • History of clinically significant drug or alcohol abuse in the last year prior to Day 0 (baseline).

Sites / Locations

  • DS Biopharma Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

DS107E and Steroid

Vehicle and Steroid

Arm Description

First 7 days: Steroid taken topically once a day and DS107E taken once a day Next 28 days: DS107E taken topically twice a day

First 7 days: Steroid taken topically once a day and Vehicle taken once a day Next 28 days: Vehicle taken topically twice a day

Outcomes

Primary Outcome Measures

Eczema Area and Severity Index (EASI)
Four anatomic sites - head/neck, upper extremities, trunk and lower extremities - are assessed for erythema, induration (papules), excoriation and lichenification as seen on the day of the examination. The severity of each sign is assessed using a 4-point scale

Secondary Outcome Measures

Eczema Area and Severity Index (EASI)
Four anatomic sites - head/neck, upper extremities, trunk and lower extremities - are assessed for erythema, induration (papules), excoriation and lichenification as seen on the day of the examination. The severity of each sign is assessed using a 4-point scale
Investigator Global Assessment (IGA)
The IGA scale awards a score of 0-4 from clear to severe disease. IGA uses clinical characteristics of erythema, infiltration, population and oozing as scoring guidelines for the overall severity assessment.
SCORing Atopic Dermatitis
Six items (erythema, edema/papulation, oozing/crusts, excoriation, lichenification, and dryness) are selected to evaluate the AD severity. The intensity of each item is graded using a 4-point scale.
Target Lesion Score
Moderate to severe target lesions will be graded for erythema, induration, excoriation and lichenification using local SCORAD scales.
Visual Analogue Scale (VAS)
11 points scale to assess pruritus
Skin Tolerability
Skin tolerability will be self-assessed by the subjects using a questionnaire.
Dermatology Life Quality Index
The DLQI is a simple 10-question validated questionnaire which will be completed at each visit.
Erythema
Erythema will be assessed with the skin Colorimeter CL 400
Transepidermal Water Loss
Measures the effect on skin barrier function.
Time to Rescue Medication

Full Information

First Posted
January 30, 2018
Last Updated
September 17, 2018
Sponsor
DS Biopharma
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1. Study Identification

Unique Protocol Identification Number
NCT03676036
Brief Title
Efficacy and Steroid Sparing Potential Study of DGLA Cream in Patients With Moderate to Severe Atopic Dermatitis
Official Title
A Prospective, Randomised, Vehicle-Controlled, Double-Blind, Exploratory Clinical Trial To Assess The Efficacy And Steroid Sparing Potential Of DGLA Cream Topically Applied To Patients With Moderate To Severe Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
June 2015 (Actual)
Primary Completion Date
March 2018 (Actual)
Study Completion Date
July 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
DS Biopharma

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will investigate the steroid sparing potential of DS107E to vehicle in patients with moderate to severe atopic dermatitis. DS107E or vehicle will be topically administered with a steroid twice a day for the first 7 days. For the following 28 days DS107E or vehicle will be topically administered twice a day. This study will enrol approximately 40 adult patients.
Detailed Description
Subjects will come to the clinic on 7 occasions: Screening, Baseline, Day 7, Day 14, Day 21, Day 35 (End of Treatment) and Day 42 (Follow-up). The primary efficacy variable will be EASI (Eczema Area and Severity Index). The secondary efficacy variables will be EASI, IGA (Investigators Global Assessment), SCORAD (SCORing Atopic Dermatitis), Target Lesion Score, VAS (Visual Analogue Scale), Skin Tolerability, DLQI (Dermatology Life Quality Index), Erythema, TEWL (Transepidermal Water Loss) and Time to Rescue Medication.

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
Participant
Allocation
Randomized
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
DS107E and Steroid
Arm Type
Experimental
Arm Description
First 7 days: Steroid taken topically once a day and DS107E taken once a day Next 28 days: DS107E taken topically twice a day
Arm Title
Vehicle and Steroid
Arm Type
Placebo Comparator
Arm Description
First 7 days: Steroid taken topically once a day and Vehicle taken once a day Next 28 days: Vehicle taken topically twice a day
Intervention Type
Drug
Intervention Name(s)
DS107E
Other Intervention Name(s)
Mometasone Furoate
Intervention Type
Drug
Intervention Name(s)
Vehicle
Other Intervention Name(s)
Mometasone Furoate
Primary Outcome Measure Information:
Title
Eczema Area and Severity Index (EASI)
Description
Four anatomic sites - head/neck, upper extremities, trunk and lower extremities - are assessed for erythema, induration (papules), excoriation and lichenification as seen on the day of the examination. The severity of each sign is assessed using a 4-point scale
Time Frame
5 weeks
Secondary Outcome Measure Information:
Title
Eczema Area and Severity Index (EASI)
Description
Four anatomic sites - head/neck, upper extremities, trunk and lower extremities - are assessed for erythema, induration (papules), excoriation and lichenification as seen on the day of the examination. The severity of each sign is assessed using a 4-point scale
Time Frame
Days 7, 14, 21 and 35
Title
Investigator Global Assessment (IGA)
Description
The IGA scale awards a score of 0-4 from clear to severe disease. IGA uses clinical characteristics of erythema, infiltration, population and oozing as scoring guidelines for the overall severity assessment.
Time Frame
Days 7, 14, 21 and 35
Title
SCORing Atopic Dermatitis
Description
Six items (erythema, edema/papulation, oozing/crusts, excoriation, lichenification, and dryness) are selected to evaluate the AD severity. The intensity of each item is graded using a 4-point scale.
Time Frame
Days 7, 14, 21 and 35
Title
Target Lesion Score
Description
Moderate to severe target lesions will be graded for erythema, induration, excoriation and lichenification using local SCORAD scales.
Time Frame
Days 7, 14, 21 and 35
Title
Visual Analogue Scale (VAS)
Description
11 points scale to assess pruritus
Time Frame
Days 7, 14, 21 and 35
Title
Skin Tolerability
Description
Skin tolerability will be self-assessed by the subjects using a questionnaire.
Time Frame
Days 7, 14, 21 and 35
Title
Dermatology Life Quality Index
Description
The DLQI is a simple 10-question validated questionnaire which will be completed at each visit.
Time Frame
Days 7, 14, 21 and 35
Title
Erythema
Description
Erythema will be assessed with the skin Colorimeter CL 400
Time Frame
Days 7, 14, 21 and 35
Title
Transepidermal Water Loss
Description
Measures the effect on skin barrier function.
Time Frame
Days 7, 14, 21 and 35
Title
Time to Rescue Medication
Time Frame
5 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 Criteria: Female and male volunteers aged 18-65 who are willing to give written informed consent. Diagnosis of atopic dermatitis (> 6 months) according to the Hanifin and Raika Criteria; Presence of at least 2 moderate to severe (target lesion score</=8) inflammatory lesions of comparable severity, erythema >/= 2 Patients with moderate to severe atopic dermatitis (IGA=3-4) A body surface area score of less than 20% Exclusion Criteria: Clinically significant impairment of renal or hepatic function. Other skin conditions that might interfere with atopic dermatitis diagnosis and/or evaluation (such as psoriasis or current viral, bacterial and fungal skin infections). History of intolerance to any ingredient in DS107E DGLA cream or Vehicle or intolerance to any ingredient in Ecural®(Mometasone furoate 0.1%). Of note, any intolerance to PHB ester (benzoate, parabens) or soy or it's cross-allergen peanut, as these are ingredients of DS107E. Use of biologics 3 months prior to start of treatment/ Day 0 visit (baseline), or 5 half-lives (whichever is longer). Use of systemic treatments (other than biologics) that could affect atopic dermatitis less than 4 weeks prior to baseline visit (Day 0), e.g. retinoids, calcineurin inhibitors, methotrexate, cyclosporine, hydroxycarbamide (hydroxyurea), azathioprine and oral/injectable corticosteroids; Intranasal corticosteroids and inhaled corticosteroids for stable medical conditions are allowed. Treatment with any experimental drug within 30 days prior to Day 0 visit (baseline), or 5 half lives (whichever is longer). Excessive sun exposure, use of tanning booths or other ultraviolet (UV) light sources 4 weeks prior to Day 0 visit (baseline) and/or is planning a trip to sunny climate or to use tanning booths or other UV sources between screening and follow-up visits. Use of any topical medicated treatment for atopic dermatitis 2 weeks prior to start of treatment/Day 0 visit (baseline), including but not limited to, topical corticosteroids, calcineurin inhibitors, tars, bleach, antimicrobials and bleach baths. Use of topical products containing ceramides 2 weeks prior to Day 0. Topical products that do not contain ceramides are allowed. Use of anti-histamines for atopic dermatitis within 2 weeks of baseline. Medical history of chronic infectious disease (e.g., hepatitis B, hepatitis C or infection with human immunodeficiency virus). History of clinically significant drug or alcohol abuse in the last year prior to Day 0 (baseline).
Facility Information:
Facility Name
DS Biopharma Investigational Site
City
Lubeck
Country
Germany

12. IPD Sharing Statement

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Efficacy and Steroid Sparing Potential Study of DGLA Cream in Patients With Moderate to Severe Atopic Dermatitis

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