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Efficacy, Tolerability and Safety of LAS41004 Formulations in a Psoriasis Plaque Test

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
LAS41004-IMP1
LAS41004 IMP2
LAS41004 IMP3
LAS41004 IMP4
LAS41004 IMP6
LAS41004 IMP5
Sponsored by
Almirall, S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis focused on measuring psoriasis plaque test, topical application, atrophy measure

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Main Inclusion Criteria:

  • 18 to 75 years of age
  • Men and women with skin type I to IV (Fitzpatrick 1974).
  • Suffering from mild to moderate plaque psoriasis of at least 6 months duration that is amenable to local therapy.
  • With at least one stable psoriatic plaque in an area sufficient for product application meeting the following criteria:

    • Located at the trunk and/or the extremities (plaques located on the head, palms, or soles of the feet, intertriginous or genitoanal areas are not suitable).
    • Plaques with a clinical score of the parameter erythema and or induration of ≥ 2 for each sign at the screening visit. At Day 1 each parameter has to be scored ≥ 2.
    • Where more than one plaque is to be used, plaques should be comparable, with at least "2" in each score for erythema and induration.
    • • Body surface area (BSA) involvement < 10 %.
  • Prepared to give written informed consent specific to the trial, before any assessment is performed.
  • • In the case of women of childbearing potential using reliable methods of contraception which result in a low failure rate i.e. less than 1% per year (e.g. contraceptive implants or injectables, combined oral contraceptives, some intrauterine devices, sexual abstinence or vasectomized partner). During the study an additional barrier method (e.g. condoms) should be used. Non-childbearing potential is defined as surgical sterilization (hysterectomy, ovariectomy or tubal ligation), postmenopausal status (continuous amenorrhea of at least 2 years).
  • In the case of men with partners of childbearing potential willingness of using condoms during the study conduct and 1 month after end of treatment.

Main Exclusion Criteria:

  • • Patients who need systemic treatment for their psoriasis.

    • Severe forms of psoriasis or forms of psoriasis other than chronic plaque psoriasis,
    • Systemic treatment (see table below):

Corticosteroids, antibiotics 4 weeks prior to trial Day 1 and during conduct of trial Retinoids Ciclosporin Methotrexate Fumaric acid esters 3 months prior to trial Day 1 and during conduct of trial Anti-inflammatory substances, NSAIDs 2 weeks prior to trial Day 1 and during conduct of trial Biologics 6 months prior to trial Day 1 and during conduct of trial

  • Topical treatment of all other body regions with corticosteroids or immunosuppressants where more than 20 % of the body surface area is treated.
  • Diseases:

Significant skin infections caused by bacteria, viruses or fungi, including but not limited to tuberculosis, syphilis or varicella zoster infection Parasitic infections

Sites / Locations

  • proDERM GmbH

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Active Comparator

Arm Label

formulation 1

formulation 2

formulation 3

formulation 4

formulation 5

formulation 6

Arm Description

topical treatment, once daily for 4 weeks

topical treatment, once daily for 4 weeks

topical treatment, once daily for 4 weeks

topical treatment,once daily for 4 weeks

topical treatment, once daily for 4 weeks

topical treatment, once daily for 4 weeks

Outcomes

Primary Outcome Measures

Area under the curve, AUC, of the width of the echo-lucent band based on sonography measurements
The primary objective is to gain evidence suggesting efficacy of the investigational products in the treatment of plaque-type psoriasis as assessed by the AUC of the width of the echo-lucent band

Secondary Outcome Measures

erythema and induration
investigation of the individual scores for erythema and induration
local skin tolerability
Safety investigation of tolerability parameters assessed by a dermatologist
atrophy
investigation of skin atrophy assessments on non-lesional test areas
assessment of (serious) Adverse Events
Daily record will be performed and - if needed - causality and severity assessed

Full Information

First Posted
March 24, 2014
Last Updated
June 6, 2014
Sponsor
Almirall, S.A.
Collaborators
proDERM GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT02111499
Brief Title
Efficacy, Tolerability and Safety of LAS41004 Formulations in a Psoriasis Plaque Test
Official Title
A Randomized, Controlled, Observer-blind Psoriasis Plaque Test to Investigate the Anti-psoriatic Efficacy, Tolerability and Safety (Skin Atrophy) of LAS41004 Formulations in Patients With Mild to Moderate Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
June 2014
Overall Recruitment Status
Completed
Study Start Date
March 2014 (undefined)
Primary Completion Date
May 2014 (Actual)
Study Completion Date
June 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Almirall, S.A.
Collaborators
proDERM GmbH

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Clinical investigation of anti-psoriatic efficacy and atrophy
Detailed Description
In this trial three concentrations of bexarotene in combination with a fixed concentration of betamethasone dipropionate, as well as monotherapy with bexarotene, will be investigated regarding their efficacy, tolerability and safety in patients with mild to moderate plaque psoriasis and will be compared with the vehicle and an active comparator. Since a side effect of the application of corticosteroids is skin atrophy, additionally three non-lesional test areas (not affected by psoriasis) on the volar forearm will be treated with the active reference product, one of the fixed combinations and the vehicle. Skin atrophy will be investigated by visual assessment and ultrasound at these test areas

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psoriasis
Keywords
psoriasis plaque test, topical application, atrophy measure

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
formulation 1
Arm Type
Experimental
Arm Description
topical treatment, once daily for 4 weeks
Arm Title
formulation 2
Arm Type
Experimental
Arm Description
topical treatment, once daily for 4 weeks
Arm Title
formulation 3
Arm Type
Experimental
Arm Description
topical treatment, once daily for 4 weeks
Arm Title
formulation 4
Arm Type
Experimental
Arm Description
topical treatment,once daily for 4 weeks
Arm Title
formulation 5
Arm Type
Placebo Comparator
Arm Description
topical treatment, once daily for 4 weeks
Arm Title
formulation 6
Arm Type
Active Comparator
Arm Description
topical treatment, once daily for 4 weeks
Intervention Type
Drug
Intervention Name(s)
LAS41004-IMP1
Intervention Description
daily topical application
Intervention Type
Drug
Intervention Name(s)
LAS41004 IMP2
Intervention Description
daily topical application
Intervention Type
Drug
Intervention Name(s)
LAS41004 IMP3
Intervention Description
daily topical application
Intervention Type
Drug
Intervention Name(s)
LAS41004 IMP4
Intervention Description
daily topical application
Intervention Type
Drug
Intervention Name(s)
LAS41004 IMP6
Intervention Description
daily topical application
Intervention Type
Drug
Intervention Name(s)
LAS41004 IMP5
Intervention Description
once daily, topical
Primary Outcome Measure Information:
Title
Area under the curve, AUC, of the width of the echo-lucent band based on sonography measurements
Description
The primary objective is to gain evidence suggesting efficacy of the investigational products in the treatment of plaque-type psoriasis as assessed by the AUC of the width of the echo-lucent band
Time Frame
day 1 vs day 29
Secondary Outcome Measure Information:
Title
erythema and induration
Description
investigation of the individual scores for erythema and induration
Time Frame
day 1 vs day 29
Title
local skin tolerability
Description
Safety investigation of tolerability parameters assessed by a dermatologist
Time Frame
every day for 28 days
Title
atrophy
Description
investigation of skin atrophy assessments on non-lesional test areas
Time Frame
day1 vs day 29
Title
assessment of (serious) Adverse Events
Description
Daily record will be performed and - if needed - causality and severity assessed
Time Frame
from baseline to day 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Main Inclusion Criteria: 18 to 75 years of age Men and women with skin type I to IV (Fitzpatrick 1974). Suffering from mild to moderate plaque psoriasis of at least 6 months duration that is amenable to local therapy. With at least one stable psoriatic plaque in an area sufficient for product application meeting the following criteria: Located at the trunk and/or the extremities (plaques located on the head, palms, or soles of the feet, intertriginous or genitoanal areas are not suitable). Plaques with a clinical score of the parameter erythema and or induration of ≥ 2 for each sign at the screening visit. At Day 1 each parameter has to be scored ≥ 2. Where more than one plaque is to be used, plaques should be comparable, with at least "2" in each score for erythema and induration. • Body surface area (BSA) involvement < 10 %. Prepared to give written informed consent specific to the trial, before any assessment is performed. • In the case of women of childbearing potential using reliable methods of contraception which result in a low failure rate i.e. less than 1% per year (e.g. contraceptive implants or injectables, combined oral contraceptives, some intrauterine devices, sexual abstinence or vasectomized partner). During the study an additional barrier method (e.g. condoms) should be used. Non-childbearing potential is defined as surgical sterilization (hysterectomy, ovariectomy or tubal ligation), postmenopausal status (continuous amenorrhea of at least 2 years). In the case of men with partners of childbearing potential willingness of using condoms during the study conduct and 1 month after end of treatment. Main Exclusion Criteria: • Patients who need systemic treatment for their psoriasis. Severe forms of psoriasis or forms of psoriasis other than chronic plaque psoriasis, Systemic treatment (see table below): Corticosteroids, antibiotics 4 weeks prior to trial Day 1 and during conduct of trial Retinoids Ciclosporin Methotrexate Fumaric acid esters 3 months prior to trial Day 1 and during conduct of trial Anti-inflammatory substances, NSAIDs 2 weeks prior to trial Day 1 and during conduct of trial Biologics 6 months prior to trial Day 1 and during conduct of trial Topical treatment of all other body regions with corticosteroids or immunosuppressants where more than 20 % of the body surface area is treated. Diseases: Significant skin infections caused by bacteria, viruses or fungi, including but not limited to tuberculosis, syphilis or varicella zoster infection Parasitic infections
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kirstin Deuble-Bente, Dr med
Organizational Affiliation
proDERM GmbH
Official's Role
Principal Investigator
Facility Information:
Facility Name
proDERM GmbH
City
Schenefeld
State/Province
Schleswig-Holstein
ZIP/Postal Code
22869
Country
Germany

12. IPD Sharing Statement

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Efficacy, Tolerability and Safety of LAS41004 Formulations in a Psoriasis Plaque Test

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