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Impact of DFD-29 on Microbial Flora of Healthy, Adult Human Subjects When Administered Over 16 Weeks

Primary Purpose

Rosacea

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Minocycline hydrochloride capsules
Placebo
Sponsored by
Journey Medical Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Rosacea

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Male or non-pregnant, non-lactating female aged ≥ 18 and ≤ 65 years.
  2. Subjects must have understood, and signed IRB/IEC approved written ICF.
  3. Subjects must be willing to refrain from using all other antibiotics during the 16-week treatment period, other than the IP.
  4. Women of childbearing potential* must not be pregnant or lactating at the time of screening visit as documented by a negative urine pregnancy test.
  5. Women of childbearing potential must be willing to use an acceptable form of birth control during the trial from the day of the first dose administration to 30 days after the last administration of trial drug.
  6. All male subjects must agree to use accepted methods of birth control with their partners, throughout the study and until 30 days after the last administration of trial drug.
  7. Subjects must be in good health and free from any clinically significant disease, which may interfere with the evaluation of microbiota or the administration of the IP.

Exclusion Criteria:

  1. Female subjects who are pregnant, lactating or planning to become pregnant during trial participation.
  2. History of allergy or known sensitivity to minocycline, doxycycline, other tetracycline, or any component of the study medication.
  3. Clinically significant abnormal laboratory test results that, in the opinion of the Investigator, would compromise the subject's safety or ability to participate in the trial
  4. History of organ transplant requiring immunosuppression, HIV, or other immune compromised state.
  5. History of lupus-like syndrome, autoimmune hepatitis, vasculitis, or serum sickness.
  6. Any clinically significant condition that, in the opinion of the Investigator, would interfere with the study evaluations or would place the trial subject at undue safety risk.
  7. Subjects with an active acute or chronic systemic infections
  8. Subjects with planned surgery during the trial or within 30 days after the last dose administration
  9. Subjects who cannot avoid excessive exposure to UV radiation (use of tanning booths or extended /occupational exposure to sunlight)
  10. Subjects that have a medical history of photosensitivity or hyperpigmentation
  11. Female subjects with medical history within 3 months prior to randomization of having vaginitis or that use a vaginal douche or vaginal cleaning agent within 48 hours of any visit
  12. Subjects who used the following

    1. Non-tetracycline antibiotics (systemic) within 6 weeks prior to Baseline (BL)
    2. Tetracycline antibiotics (systemic) within 3 months prior to BL
  13. Subjects who consume excessive amounts of alcohol (greater than two drinks per day) or use drugs of abuse (including, but not limited to, cannabinoids, cocaine and barbiturates) within one year prior to screening
  14. Subjects who have been treated with systemic retinoids or therapeutic Vitamin A supplements > 10,000 IU/ day (multivitamin tablets are allowed) within 180 days prior to the BL
  15. Subjects who are on anti-coagulants or those likely to require anti-coagulants during the trial period
  16. Subjects who have used methoxyflurane or other nephrotoxic drugs (in the opinion of the Investigator) within the past 30 days of BL
  17. Subjects who have used topical retinoids or topical antibiotics to the face 30 days prior to BL
  18. Subjects who have used on their facial skin within 30 days prior to BL topical corticosteroids, topical anti-mycotic, topical azelaic acid or ivermectin
  19. Subjects who have participated in an investigational drug trial (i.e., subjects have been treated with an investigational drug) within 30 days prior to BL or where sufficient washout period has not been achieved; whichever period is longer.
  20. Subjects having symptoms of COVID-19 or have had close contact with someone with suspected or confirmed SARS-CoV-2 infection within 10 days prior to screening or who are at high risk of SARS-CoV-2 infection.

Sites / Locations

  • 3A Research, LLC
  • 3A Research, LLC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

DFD-29

Placebo

Arm Description

DFD-29 (minocycline hydrochloride) capsules, 40 mg will be administered orally once daily for 16 weeks.

Placebo capsules will be administered orally once daily for 16 weeks.

Outcomes

Primary Outcome Measures

Changes in the number of colony forming units (CFUs) of microbial species.
Change in the colony forming units (CFUs) of microbial species colonized from skin, gastrointestinal or vaginal swabs from Baseline (BL) to Week 16 in comparison of DFD-29 versus Placebo treatment groups
Changes in MIC90 of selected colonized microbial species.
Changes in MIC90 of the selected colonized microbial species to minocycline in the comparison of DFD-29 group versus Placebo treatment groups.

Secondary Outcome Measures

Full Information

First Posted
October 24, 2022
Last Updated
August 1, 2023
Sponsor
Journey Medical Corporation
Collaborators
Dr. Reddy's Laboratories Limited
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1. Study Identification

Unique Protocol Identification Number
NCT05597462
Brief Title
Impact of DFD-29 on Microbial Flora of Healthy, Adult Human Subjects When Administered Over 16 Weeks
Official Title
A Randomized, Double-blind Trial Evaluating the Effects of Treatment With DFD-29 Capsules 40 mg QD in Comparison to Placebo on Microbial Flora in Healthy Adult Human Subjects, When Administered Over a Period of 16 Weeks.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
September 30, 2022 (Actual)
Primary Completion Date
May 30, 2023 (Actual)
Study Completion Date
May 30, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Journey Medical Corporation
Collaborators
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
The purpose of this trial is to evaluate the effects of 16-week treatment with DFD-29 40 mg QD dose in comparison to Placebo on the skin, intestinal and vaginal microbiota.
Detailed Description
A multi-center (up to three sites), randomized, double-blind, placebo-controlled, parallel group trial with a treatment period of 16 weeks. Sixty (60) healthy adult human subjects will be randomized in a 2:1 ratio to receive treatment with DFD-29 (Minocycline Hydrochloride Capsules) 40 mg QD orally or matching Placebo (for DFD-29 capsules) QD orally for a period of 16 weeks. The trial will have a screening period (Day -30 to Day -1) and a trial treatment period (Day 1 to Day 113). There will be 6 planned visits to the study site for subjects. Impact on microbial flora will be assessed from skin swabs, stool samples and vaginal swabs (female subjects) taken at multiple timepoints.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rosacea

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
A multi-center, randomized, double-blind, placebo-controlled, parallel group trial with a treatment period of 16 weeks.
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
DFD-29
Arm Type
Experimental
Arm Description
DFD-29 (minocycline hydrochloride) capsules, 40 mg will be administered orally once daily for 16 weeks.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo capsules will be administered orally once daily for 16 weeks.
Intervention Type
Drug
Intervention Name(s)
Minocycline hydrochloride capsules
Other Intervention Name(s)
DFD-29
Intervention Description
Minocycline hydrochloride capsules, 40 mg will be administered orally once daily for 16 weeks.
Intervention Type
Other
Intervention Name(s)
Placebo
Other Intervention Name(s)
Placebo comparator
Intervention Description
Placebo capsules will be administered orally once daily for 16 weeks.
Primary Outcome Measure Information:
Title
Changes in the number of colony forming units (CFUs) of microbial species.
Description
Change in the colony forming units (CFUs) of microbial species colonized from skin, gastrointestinal or vaginal swabs from Baseline (BL) to Week 16 in comparison of DFD-29 versus Placebo treatment groups
Time Frame
Baseline to Week 16
Title
Changes in MIC90 of selected colonized microbial species.
Description
Changes in MIC90 of the selected colonized microbial species to minocycline in the comparison of DFD-29 group versus Placebo treatment groups.
Time Frame
Baseline to Week 16.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or non-pregnant, non-lactating female aged ≥ 18 and ≤ 65 years. Subjects must have understood, and signed IRB/IEC approved written ICF. Subjects must be willing to refrain from using all other antibiotics during the 16-week treatment period, other than the IP. Women of childbearing potential* must not be pregnant or lactating at the time of screening visit as documented by a negative urine pregnancy test. Women of childbearing potential must be willing to use an acceptable form of birth control during the trial from the day of the first dose administration to 30 days after the last administration of trial drug. All male subjects must agree to use accepted methods of birth control with their partners, throughout the study and until 30 days after the last administration of trial drug. Subjects must be in good health and free from any clinically significant disease, which may interfere with the evaluation of microbiota or the administration of the IP. Exclusion Criteria: Female subjects who are pregnant, lactating or planning to become pregnant during trial participation. History of allergy or known sensitivity to minocycline, doxycycline, other tetracycline, or any component of the study medication. Clinically significant abnormal laboratory test results that, in the opinion of the Investigator, would compromise the subject's safety or ability to participate in the trial History of organ transplant requiring immunosuppression, HIV, or other immune compromised state. History of lupus-like syndrome, autoimmune hepatitis, vasculitis, or serum sickness. Any clinically significant condition that, in the opinion of the Investigator, would interfere with the study evaluations or would place the trial subject at undue safety risk. Subjects with an active acute or chronic systemic infections Subjects with planned surgery during the trial or within 30 days after the last dose administration Subjects who cannot avoid excessive exposure to UV radiation (use of tanning booths or extended /occupational exposure to sunlight) Subjects that have a medical history of photosensitivity or hyperpigmentation Female subjects with medical history within 3 months prior to randomization of having vaginitis or that use a vaginal douche or vaginal cleaning agent within 48 hours of any visit Subjects who used the following Non-tetracycline antibiotics (systemic) within 6 weeks prior to Baseline (BL) Tetracycline antibiotics (systemic) within 3 months prior to BL Subjects who consume excessive amounts of alcohol (greater than two drinks per day) or use drugs of abuse (including, but not limited to, cannabinoids, cocaine and barbiturates) within one year prior to screening Subjects who have been treated with systemic retinoids or therapeutic Vitamin A supplements > 10,000 IU/ day (multivitamin tablets are allowed) within 180 days prior to the BL Subjects who are on anti-coagulants or those likely to require anti-coagulants during the trial period Subjects who have used methoxyflurane or other nephrotoxic drugs (in the opinion of the Investigator) within the past 30 days of BL Subjects who have used topical retinoids or topical antibiotics to the face 30 days prior to BL Subjects who have used on their facial skin within 30 days prior to BL topical corticosteroids, topical anti-mycotic, topical azelaic acid or ivermectin Subjects who have participated in an investigational drug trial (i.e., subjects have been treated with an investigational drug) within 30 days prior to BL or where sufficient washout period has not been achieved; whichever period is longer. Subjects having symptoms of COVID-19 or have had close contact with someone with suspected or confirmed SARS-CoV-2 infection within 10 days prior to screening or who are at high risk of SARS-CoV-2 infection.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Srinivas Sidgiddi, M.D.
Organizational Affiliation
Journey Medical Corporation
Official's Role
Study Director
Facility Information:
Facility Name
3A Research, LLC
City
Las Cruces
State/Province
New Mexico
ZIP/Postal Code
88011
Country
United States
Facility Name
3A Research, LLC
City
El Paso
State/Province
Texas
ZIP/Postal Code
79925
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
We will comply with the HIPAA regulations in this matter.
IPD Sharing Time Frame
Before database lock for the study

Learn more about this trial

Impact of DFD-29 on Microbial Flora of Healthy, Adult Human Subjects When Administered Over 16 Weeks

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