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Oral DS107 in Moderate to Severe Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Oral DS107
Placebo
Sponsored by
Dignity Sciences Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female subject aged 18 years and older.
  • Moderate to severe atopic dermatitis.

Exclusion Criteria:

  • Clinically significant impairment of renal or hepatic function.
  • History of hypersensitivity to any substance in Oral DS107 or placebo capsules.
  • Treatment with any experimental drug within 30 days prior to Day 0 visit (baseline).
  • Excessive sun exposure, use of tanning booths or other ultraviolet (UV) light sources and/or is planning a trip to sunny climate.

Sites / Locations

  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site
  • Dignity Sciences investigational site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Oral DS107 2g

Placebo

Arm Description

Oral DS1072g, 4 x 500mg capsules administered orally once a day

Placebo capsules matching Oral DS107 capsules

Outcomes

Primary Outcome Measures

Proportion of Patients Achieving an Investigator's Global Assessment (IGA) of 0 (Clear) or 1 (Almost Clear) and a Decrease of at Least 2 Points in IGA at Week 8.
The IGA is a global assessment of the current state of the disease. It is a 6-point morphological assessment of overall disease severity and will be determined according to the following definitions: 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), 4 (severe) and 5 (very severe). The scale uses clinical characteristics of erythema, infiltration, papulation and oozing/crusting as scoring guidelines for the overall severity assessment. A decrease in IGA indicates a positive outcome for the participant.

Secondary Outcome Measures

Change From Baseline in IGA at Week 2, 4 and 8.
The IGA is a global assessment of the current state of the disease. It is a 6-point morphological assessment of overall disease severity and will be determined according to the following definitions: 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), 4 (severe) and 5 (very severe). The scale uses clinical characteristics of erythema, infiltration, papulation and oozing/crusting as scoring guidelines for the overall severity assessment. A decrease in IGA indicates a positive outcome for the participant.
Change From Baseline in Eczema Area and Severity Index (EASI) at Week 2, 4 and 8.
EASI quantifies the severity of a patient's AD based on both lesion severity and the percent of BSA affected. The EASI is a composite score ranging from 0-72 that takes into account the degree of erythema, induration/papulation, excoriation, and lichenification (each scored from 0 to 3 separately, half points are permitted) for each of four body regions, with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. The severity of each sign is assessed using a 4-point scale (half points are permitted): 0 = no symptoms 1 = slight 2 = moderate 3 = marked A decrease in EASI score indicates a positive outcome for the participant.
Proportion of Patients Achieving at Least a 1-point Decrease in IGA at Week 8.
The IGA is a global assessment of the current state of the disease. It is a 6-point morphological assessment of overall disease severity and will be determined according to the following definitions: 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), 4 (severe) and 5 (very severe). The scale uses clinical characteristics of erythema, infiltration, papulation and oozing/crusting as scoring guidelines for the overall severity assessment. A decrease in IGA indicates a positive outcome for the participant.
Change From Baseline in the Patient Orientated Eczema Measure (POEM) at Week 2, 4 and 8.
The Patient-Oriented Eczema Measure (POEM) is a self-assessment of disease severity by the patient. POEM has a maximum value of twenty-eight based on the patient's response to seven questions scored according to the following scale: No Days = 0 1-2 Days = 1 3-4 Days = 2 5-6 Days = 3 Everyday = 4 POEM scale ranges from 0 to 28. 0 to 2 = clear or almost clear. 3 to 7 = mild eczema. 8 to 16 = moderate eczema. 17 to 24 = severe eczema. 25 to 28 = very severe eczema. Lower scores on the scale represent a better outcome for the patient.
Change From Baseline in the Dermatology Life Quality Index (DLQI) Score at Week 2, 4 and 8.
The DLQI is a simple 10-question validated questionnaire measuring the impact of a patients skin problem over a 1 week period, which was completed at each visit, except screening. The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. The DLQI can also be expressed as a percentage of the maximum possible score of 30.
Change From Baseline in Scoring of Atopic Dermatitis (SCORAD) at Week 2, 4 and 8.
The SCORAD grading system was developed by the European Task Force on Atopic Dermatitis and has been a standard tool to assess the AD severity in clinical studies. Six items (erythema, edema/papulation, oozing/crusts, excoriation, lichenification, and dryness) was selected to evaluate the AD severity. The intensity of each item is graded using a 4-point scale: 0 = No symptoms 1 = Mild 2 = Moderate 3 = Severe The overall BSA affected by AD was evaluated (from 0 to 100%) and included in the SCORAD scores. Loss of sleep and pruritus were evaluated by patients on a visual analog scale (0-10). The sum of these measures represents the SCORAD which can vary from 0 to 103. A decrease in SCORAD indicates a positive outcome for the participant.
Change From Baseline in the Patient's Visual Analog Scale (VAS) Pruritus Score at Week 2, 4 and 8.
The pruritus severity score was recorded with the SCORAD measurement and was evaluated as a separate endpoint. This was evaluated by asking subjects to indicate on the 10-cm scale (0-10) of the assessment form the point corresponding to the average value for the last three days/nights. A lower score represents a better outcome for the patient.
Change From Baseline in Body Surface Area (BSA) at Week 2, 4 and 8.
One patient's palm represents 1% of his/her total BSA. For all study visits except at screening, the BSA of involved skin will be measured with the SCORAD measurement and evaluated as a separate endpoint.
Number of Participants With TEAEs in Each Treatment Group
Number of participants with at least 1 TEAE.

Full Information

First Posted
August 5, 2014
Last Updated
September 9, 2022
Sponsor
Dignity Sciences Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02211417
Brief Title
Oral DS107 in Moderate to Severe Atopic Dermatitis
Official Title
A Randomised, Double-Blind, Placebo-Controlled, Phase II Study to Assess the Efficacy and Safety of Orally Administered DS107G to Patients With Moderate to Severe Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
September 2022
Overall Recruitment Status
Completed
Study Start Date
January 2015 (undefined)
Primary Completion Date
November 2015 (Actual)
Study Completion Date
December 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dignity Sciences Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will compare the safety and efficacy of Oral DS107 (2 g) to placebo in patients with moderate to severe atopic dermatitis. Oral DS107 (2 g) will be orally administered for 8 weeks, and will be compared against placebo. This study will enroll approximately 100 adult patients.
Detailed Description
Subjects will come to the clinic on 6 occasions: at screening, baseline, week 2, week 4, week 8 (end of treatment/early termination) and week 10 (follow-up). The primary efficacy variable will be the IGA. Secondary efficacy variables will include IGA (Investigator's Global Assessment), SCORAD (Scoring Atopic Dermatitis) Visual Analog Scale (VAS), EASI, BSA (Body Surface Area), POEM (Patient Orientated Eczema Measure), DLQI (Dermatology Life Quality Index).

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
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
102 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Oral DS107 2g
Arm Type
Experimental
Arm Description
Oral DS1072g, 4 x 500mg capsules administered orally once a day
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo capsules matching Oral DS107 capsules
Intervention Type
Drug
Intervention Name(s)
Oral DS107
Other Intervention Name(s)
DGLA (Dihomo-gamma-linolenic acid) 500 mg gelatin capsule
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Liquid paraffin capsule to mimic Oral DS107 500 mg gelatin capsule
Primary Outcome Measure Information:
Title
Proportion of Patients Achieving an Investigator's Global Assessment (IGA) of 0 (Clear) or 1 (Almost Clear) and a Decrease of at Least 2 Points in IGA at Week 8.
Description
The IGA is a global assessment of the current state of the disease. It is a 6-point morphological assessment of overall disease severity and will be determined according to the following definitions: 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), 4 (severe) and 5 (very severe). The scale uses clinical characteristics of erythema, infiltration, papulation and oozing/crusting as scoring guidelines for the overall severity assessment. A decrease in IGA indicates a positive outcome for the participant.
Time Frame
Week 8
Secondary Outcome Measure Information:
Title
Change From Baseline in IGA at Week 2, 4 and 8.
Description
The IGA is a global assessment of the current state of the disease. It is a 6-point morphological assessment of overall disease severity and will be determined according to the following definitions: 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), 4 (severe) and 5 (very severe). The scale uses clinical characteristics of erythema, infiltration, papulation and oozing/crusting as scoring guidelines for the overall severity assessment. A decrease in IGA indicates a positive outcome for the participant.
Time Frame
Baseline, Week 2, Week 4 and Week 8
Title
Change From Baseline in Eczema Area and Severity Index (EASI) at Week 2, 4 and 8.
Description
EASI quantifies the severity of a patient's AD based on both lesion severity and the percent of BSA affected. The EASI is a composite score ranging from 0-72 that takes into account the degree of erythema, induration/papulation, excoriation, and lichenification (each scored from 0 to 3 separately, half points are permitted) for each of four body regions, with adjustment for the percent of BSA involved for each body region and for the proportion of the body region to the whole body. The severity of each sign is assessed using a 4-point scale (half points are permitted): 0 = no symptoms 1 = slight 2 = moderate 3 = marked A decrease in EASI score indicates a positive outcome for the participant.
Time Frame
Baseline, Week 2, Week 4 and Week 8
Title
Proportion of Patients Achieving at Least a 1-point Decrease in IGA at Week 8.
Description
The IGA is a global assessment of the current state of the disease. It is a 6-point morphological assessment of overall disease severity and will be determined according to the following definitions: 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate), 4 (severe) and 5 (very severe). The scale uses clinical characteristics of erythema, infiltration, papulation and oozing/crusting as scoring guidelines for the overall severity assessment. A decrease in IGA indicates a positive outcome for the participant.
Time Frame
Up to 8 weeks.
Title
Change From Baseline in the Patient Orientated Eczema Measure (POEM) at Week 2, 4 and 8.
Description
The Patient-Oriented Eczema Measure (POEM) is a self-assessment of disease severity by the patient. POEM has a maximum value of twenty-eight based on the patient's response to seven questions scored according to the following scale: No Days = 0 1-2 Days = 1 3-4 Days = 2 5-6 Days = 3 Everyday = 4 POEM scale ranges from 0 to 28. 0 to 2 = clear or almost clear. 3 to 7 = mild eczema. 8 to 16 = moderate eczema. 17 to 24 = severe eczema. 25 to 28 = very severe eczema. Lower scores on the scale represent a better outcome for the patient.
Time Frame
Baseline, Week 2, Week 4 and Week 8
Title
Change From Baseline in the Dermatology Life Quality Index (DLQI) Score at Week 2, 4 and 8.
Description
The DLQI is a simple 10-question validated questionnaire measuring the impact of a patients skin problem over a 1 week period, which was completed at each visit, except screening. The DLQI is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired. The DLQI can also be expressed as a percentage of the maximum possible score of 30.
Time Frame
Baseline, Week 2, Week 4 and Week 8
Title
Change From Baseline in Scoring of Atopic Dermatitis (SCORAD) at Week 2, 4 and 8.
Description
The SCORAD grading system was developed by the European Task Force on Atopic Dermatitis and has been a standard tool to assess the AD severity in clinical studies. Six items (erythema, edema/papulation, oozing/crusts, excoriation, lichenification, and dryness) was selected to evaluate the AD severity. The intensity of each item is graded using a 4-point scale: 0 = No symptoms 1 = Mild 2 = Moderate 3 = Severe The overall BSA affected by AD was evaluated (from 0 to 100%) and included in the SCORAD scores. Loss of sleep and pruritus were evaluated by patients on a visual analog scale (0-10). The sum of these measures represents the SCORAD which can vary from 0 to 103. A decrease in SCORAD indicates a positive outcome for the participant.
Time Frame
Baseline, Week 2, Week 4 and Week 8
Title
Change From Baseline in the Patient's Visual Analog Scale (VAS) Pruritus Score at Week 2, 4 and 8.
Description
The pruritus severity score was recorded with the SCORAD measurement and was evaluated as a separate endpoint. This was evaluated by asking subjects to indicate on the 10-cm scale (0-10) of the assessment form the point corresponding to the average value for the last three days/nights. A lower score represents a better outcome for the patient.
Time Frame
Baseline, Week 2, Week 4 and Week 8
Title
Change From Baseline in Body Surface Area (BSA) at Week 2, 4 and 8.
Description
One patient's palm represents 1% of his/her total BSA. For all study visits except at screening, the BSA of involved skin will be measured with the SCORAD measurement and evaluated as a separate endpoint.
Time Frame
Baseline, Week 2, Week 4 and Week 8
Title
Number of Participants With TEAEs in Each Treatment Group
Description
Number of participants with at least 1 TEAE.
Time Frame
Up to 14 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subject aged 18 years and older. Moderate to severe atopic dermatitis. Exclusion Criteria: Clinically significant impairment of renal or hepatic function. History of hypersensitivity to any substance in Oral DS107 or placebo capsules. Treatment with any experimental drug within 30 days prior to Day 0 visit (baseline). Excessive sun exposure, use of tanning booths or other ultraviolet (UV) light sources and/or is planning a trip to sunny climate.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Climax, Ph.D.
Organizational Affiliation
Dignity Sciences Ltd.
Official's Role
Study Chair
Facility Information:
Facility Name
Dignity Sciences investigational site
City
Arlington Heights
State/Province
Illinois
Country
United States
Facility Name
Dignity Sciences investigational site
City
West Dundee
State/Province
Illinois
Country
United States
Facility Name
Dignity Sciences investigational site
City
Warren
State/Province
Michigan
Country
United States
Facility Name
Dignity Sciences investigational site
City
Verona
State/Province
New Jersey
Country
United States
Facility Name
Dignity Sciences investigational site
City
New York
State/Province
New York
Country
United States
Facility Name
Dignity Sciences investigational site
City
Rochester
State/Province
New York
Country
United States
Facility Name
Dignity Sciences investigational site
City
Hazleton
State/Province
Pennsylvania
Country
United States
Facility Name
Dignity Sciences investigational site
City
Philadelphia
State/Province
Pennsylvania
Country
United States
Facility Name
Dignity Sciences investigational site
City
Calgary
State/Province
Alberta
Country
Canada
Facility Name
Dignity Sciences investigational site
City
Edmonton
State/Province
Alberta
Country
Canada
Facility Name
Dignity Sciences investigational site
City
Markham
State/Province
Ontario
Country
Canada
Facility Name
Dignity Sciences investigational site
City
Windsor
State/Province
Ontario
Country
Canada
Facility Name
Dignity Sciences investigational site
City
Drummondville
State/Province
Quebec
Country
Canada
Facility Name
Dignity Sciences investigational site
City
Montreal
State/Province
Quebec
Country
Canada

12. IPD Sharing Statement

Citations:
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11227040
Citation
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Results Reference
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PubMed Identifier
19275928
Citation
Kawashima H, Toyoda-Ono Y, Suwa Y, Kiso Y. Subchronic (13-week) oral toxicity study of dihomo-gamma-linolenic acid (DGLA) oil in rats. Food Chem Toxicol. 2009 Jun;47(6):1280-6. doi: 10.1016/j.fct.2009.03.001. Epub 2009 Mar 9.
Results Reference
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PubMed Identifier
7762522
Citation
Makrides M, Simmer K, Neumann M, Gibson R. Changes in the polyunsaturated fatty acids of breast milk from mothers of full-term infants over 30 wk of lactation. Am J Clin Nutr. 1995 Jun;61(6):1231-3. doi: 10.1093/ajcn/61.6.1231.
Results Reference
background
PubMed Identifier
19502748
Citation
Teraoka N, Kawashima H, Shiraishi-Tateishi A, Tanaka T, Nakamura J, Kakutani S, Kiso Y. Oral supplementation with dihomo-gamma-linolenic acid-enriched oil altered serum fatty acids in healthy men. Biosci Biotechnol Biochem. 2009 Jun;73(6):1453-5. doi: 10.1271/bbb.90112. Epub 2009 Jun 7.
Results Reference
background
PubMed Identifier
22411689
Citation
Tanaka T, Kakutani S, Horikawa C, Kawashima H, Kiso Y. Oral supplementation with dihomo-gamma-linolenic acid (DGLA)-enriched oil increases serum DGLA content in healthy adults. Lipids. 2012 Jun;47(6):643-6. doi: 10.1007/s11745-012-3664-3. Epub 2012 Mar 14.
Results Reference
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Oral DS107 in Moderate to Severe Atopic Dermatitis

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