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SHP-141C in Plaque Type Psoriasis

Primary Purpose

Plaque Type Psoriasis

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
SHP-141C
Placebo to SHP-141C
Betamethasone Valerate
Calcipotriol
Sponsored by
TetraLogic Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Plaque Type Psoriasis focused on measuring psoriasis

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Mild to moderate chronic plaque-type psoriasis.
  2. psoriasis of at least one year.
  3. Stable disease for at least two weeks prior to the commencement of study treatment.
  4. One nominated target lesions must have areas of at least 86 x 57 mm2.
  5. BMI of less than 35 kg/m2. -

Exclusion Criteria:

  1. Dermatological Conditions

    • Subjects with erythrodermic, guttate, palmar, plantar or generalised pustular forms of psoriasis.
    • Subjects with scalp, palmar or plantar psoriasis only.
    • Subjects with any skin condition other than psoriasis, in particular eczema, cutaneous infections, significant sun damage or an inherited skin disorder (other than psoriasis).
  2. Concurrent Medical Conditions

    • History of clinically significant intercurrent disease of any type (other than psoriasis).
    • A history of moderate or severe asthma during the last 10 years.
    • Major chronic inflammatory disease .
    • Congenital immunodeficiency or cancer prone syndrome.
    • History of abnormal bleeding tendencies or thrombophlebitis, or a history of Hepatitis B, Hepatitis C or HIV infection.
    • History of malignancy (other than adequately treated skin carcinoma or carcinoma-in-situ of the cervix).
  3. Laboratory Status

    • Any evidence of organ dysfunction, which is confirmed on re-examination to be clinically significant (i.e. in the opinion of the Medical Officer would jeopardise the safety of the subject or impact on the validity of the study results),
    • A creatinine clearance of less than 75 mL/min.
    • Liver function test > 1.5 x upper limit of normal other than an isolated bilirubin.
    • Hepatitis B surface antigen, Hepatitis C antibody, HIV antibodies.
  4. Treatment with any of the following within 4 weeks prior to the commencement of study treatment and for the duration of the study:

    • Systemic retinoids.
    • Immunosuppressant agents (e.g. methotrexate, cyclosporine, azathioprine, thioguanine prednisone, prednisolone, hydroxyurea or mycophenolate mofetil).
    • Phototherapy or photochemotherapy.
    • High potency topical corticosteroids.
    • "Alternative medicine" treatments for psoriasis.
    • Prolonged sun exposure or tanning bed use, which may in the opinion of the Investigator, modify disease activity.
  5. Topical treatment of the 2 target lesions with any of the following within 2 weeks prior to commencement of study treatment and for the duration of the study

    • Moderate potency topical corticosteroids.
    • Vitamin D analogues and topical retinoids.
    • Keratolytics, coal tar and dithranol.
  6. Concurrent Medications Subjects have received or anticipate receiving a new medicine (prescription, over-the-counter or herbal), given systemically or topically, within 14 days prior to the start of dosing. Subjects may be enrolled if stable on existing therapy (having been on it for at least 60 days) as determined by the Principal Investigator.
  7. Hypersensitivity History of allergy and/or hypersensitivity to any of the stated ingredients of the formulations or other topical agents. A known hypersensitivity to lignocaine, or all surgical dressings that may be used in the study procedures.
  8. Females who are lactating, pregnant or planning to become pregnant.
  9. Drug and Alcohol Abuse History of, or current evidence of, abuse of alcohol or any drug substance, licit or illicit, or positive urine drug and alcohol screen for drugs of abuse and alcohol.
  10. Psychiatric Disorder History of any psychiatric illness which may impair the ability to provide written informed consent
  11. Participation in a research study within 30 days of the start of dosing.

Sites / Locations

  • Nucleus Network Limited

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

SHP-141C & Placebo & Calcipotriol & Betamethasone Valerate

Arm Description

A 100 mg dose of SHP-141C cream at three concentrations (0.5%, 1.0% and 2.0%), a matched placebo cream and two reference treatments: Calcipotriol 0.005% cream and Betamethasone Valerate 0.02% cream, applied topically to a selected plaque on each subject, six times per week over 28 days for a total of 24 doses.

Outcomes

Primary Outcome Measures

Change from baseline in Local Plaque Severity Index (LPSI)
Measurement of plaque severity including erythema, induration, and desquamation.

Secondary Outcome Measures

The number of patients with adverse events
Adverse event data for each subject will be collected.

Full Information

First Posted
July 11, 2012
Last Updated
July 10, 2014
Sponsor
TetraLogic Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01646567
Brief Title
SHP-141C in Plaque Type Psoriasis
Official Title
A Double-Blind, Within-Subject Randomised, Placebo-Controlled, Proof of Concept, Comparison Study of SHP-141C Topical Cream in Psoriasis, Using the Microplaque Assay.
Study Type
Interventional

2. Study Status

Record Verification Date
July 2014
Overall Recruitment Status
Completed
Study Start Date
September 2012 (undefined)
Primary Completion Date
November 2012 (Actual)
Study Completion Date
November 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
TetraLogic Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the safety, tolerability and clinical activity of the SHP-141C topical cream formulations in patients with plaque type psoriasis.
Detailed Description
Psoriasis is a chronic, relapsing immunoinflammatory disorder. Chronic plaque psoriasis is the most common (85% - 90%) type. Cutaneous features of individual plaques include circular with centrifugal expansion, induration with sharp demarcation from surrounding skin, erythema and hyperkeratosis. Psoriasis has a negative impact on physical and mental aspects of life that is similar to other major chronic conditions. The modalities of psoriasis treatments can be divided into four main categories: topical, phototherapy, systemic drug therapies and systemic biological treatments. The currently available treatments for psoriasis result in either disease suppression or disease remission.There are many treatment options for the management of psoriasis using topical modalities; however all are lacking with respect to patient satisfaction and durability of treatment. Most current topical treatments, and many treatments in development, are based on modifications of a steroid structure or on Vitamin D. Recent research has identified a broad role for histone deacetylase (HDAC) proteins in numerous signaling pathways critical to cancer cell survival, such as epigenetic inheritance, gene regulation, mitosis,signal transduction and importantly, inflammation. Theoretically modulation of HDAC could lead to clinical benefit in inflammatory diseases.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Plaque Type Psoriasis
Keywords
psoriasis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
N/A
Enrollment
14 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SHP-141C & Placebo & Calcipotriol & Betamethasone Valerate
Arm Type
Experimental
Arm Description
A 100 mg dose of SHP-141C cream at three concentrations (0.5%, 1.0% and 2.0%), a matched placebo cream and two reference treatments: Calcipotriol 0.005% cream and Betamethasone Valerate 0.02% cream, applied topically to a selected plaque on each subject, six times per week over 28 days for a total of 24 doses.
Intervention Type
Drug
Intervention Name(s)
SHP-141C
Other Intervention Name(s)
SHAPE
Intervention Description
Topical Cream
Intervention Type
Drug
Intervention Name(s)
Placebo to SHP-141C
Other Intervention Name(s)
Placebo to SHAPE
Intervention Description
Placebo Topical Cream
Intervention Type
Drug
Intervention Name(s)
Betamethasone Valerate
Other Intervention Name(s)
Celestone-M
Intervention Description
Topical cream, 0.02%
Intervention Type
Drug
Intervention Name(s)
Calcipotriol
Other Intervention Name(s)
Daivonex
Intervention Description
Topical cream, 0.005%
Primary Outcome Measure Information:
Title
Change from baseline in Local Plaque Severity Index (LPSI)
Description
Measurement of plaque severity including erythema, induration, and desquamation.
Time Frame
Baseline, day 15, day 33
Secondary Outcome Measure Information:
Title
The number of patients with adverse events
Description
Adverse event data for each subject will be collected.
Time Frame
daily to and including Day33

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Mild to moderate chronic plaque-type psoriasis. psoriasis of at least one year. Stable disease for at least two weeks prior to the commencement of study treatment. One nominated target lesions must have areas of at least 86 x 57 mm2. BMI of less than 35 kg/m2. - Exclusion Criteria: Dermatological Conditions Subjects with erythrodermic, guttate, palmar, plantar or generalised pustular forms of psoriasis. Subjects with scalp, palmar or plantar psoriasis only. Subjects with any skin condition other than psoriasis, in particular eczema, cutaneous infections, significant sun damage or an inherited skin disorder (other than psoriasis). Concurrent Medical Conditions History of clinically significant intercurrent disease of any type (other than psoriasis). A history of moderate or severe asthma during the last 10 years. Major chronic inflammatory disease . Congenital immunodeficiency or cancer prone syndrome. History of abnormal bleeding tendencies or thrombophlebitis, or a history of Hepatitis B, Hepatitis C or HIV infection. History of malignancy (other than adequately treated skin carcinoma or carcinoma-in-situ of the cervix). Laboratory Status Any evidence of organ dysfunction, which is confirmed on re-examination to be clinically significant (i.e. in the opinion of the Medical Officer would jeopardise the safety of the subject or impact on the validity of the study results), A creatinine clearance of less than 75 mL/min. Liver function test > 1.5 x upper limit of normal other than an isolated bilirubin. Hepatitis B surface antigen, Hepatitis C antibody, HIV antibodies. Treatment with any of the following within 4 weeks prior to the commencement of study treatment and for the duration of the study: Systemic retinoids. Immunosuppressant agents (e.g. methotrexate, cyclosporine, azathioprine, thioguanine prednisone, prednisolone, hydroxyurea or mycophenolate mofetil). Phototherapy or photochemotherapy. High potency topical corticosteroids. "Alternative medicine" treatments for psoriasis. Prolonged sun exposure or tanning bed use, which may in the opinion of the Investigator, modify disease activity. Topical treatment of the 2 target lesions with any of the following within 2 weeks prior to commencement of study treatment and for the duration of the study Moderate potency topical corticosteroids. Vitamin D analogues and topical retinoids. Keratolytics, coal tar and dithranol. Concurrent Medications Subjects have received or anticipate receiving a new medicine (prescription, over-the-counter or herbal), given systemically or topically, within 14 days prior to the start of dosing. Subjects may be enrolled if stable on existing therapy (having been on it for at least 60 days) as determined by the Principal Investigator. Hypersensitivity History of allergy and/or hypersensitivity to any of the stated ingredients of the formulations or other topical agents. A known hypersensitivity to lignocaine, or all surgical dressings that may be used in the study procedures. Females who are lactating, pregnant or planning to become pregnant. Drug and Alcohol Abuse History of, or current evidence of, abuse of alcohol or any drug substance, licit or illicit, or positive urine drug and alcohol screen for drugs of abuse and alcohol. Psychiatric Disorder History of any psychiatric illness which may impair the ability to provide written informed consent Participation in a research study within 30 days of the start of dosing.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peter Foley
Organizational Affiliation
The Alfred
Official's Role
Principal Investigator
Facility Information:
Facility Name
Nucleus Network Limited
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3004
Country
Australia

12. IPD Sharing Statement

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SHP-141C in Plaque Type Psoriasis

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