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Study Comparing AM001 Cream to Vehicle in the Treatment of Plaque Psoriasis

Primary Purpose

Plaque Psoriasis, Skin Diseases, Papulosquamous, Skin Diseases

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
AM001 Cream, 7.5%
Placebo of AM001 Cream
Sponsored by
AmDerma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  1. Subjects must provide Institutional Review Board (IRB) approved written informed consent.
  2. Subjects must be male or female, at least 18 years of age.
  3. Subjects with a definite diagnosis of plaque psoriasis that is clinically active (for at least 3 months), involving at least 3% and up to 20% of the body surface area (not including the scalp, face, hands, feet, and intertriginous areas).
  4. Subjects with an Investigator's Global Assessment (IGA) of disease severity of at least moderate severity (score ≥ 3) as an overall assessment.
  5. Subjects with a minimum plaque elevation of at least moderate severity (PASI grade ≥ 3) at the target lesion site.
  6. If females of childbearing potential, the subject must have a negative urine pregnancy test, and must have been using an acceptable form of birth control for at least two months prior to Screening and are willing to continue birth control throughout the study.
  7. Subjects must be willing and able to understand and comply with the requirements of the study, apply the study medication as instructed, return for the required treatment period visits, comply with therapy prohibitions, and be able to complete the study.
  8. Subjects must be in good health, as confirmed by medical history and physical exam, and free from any clinically significant disease/condition, other than plaque psoriasis, that might interfere with the study evaluations.
  9. Subjects must be willing to limit sun exposure overall. Subjects are prohibited from sunbathing or intentional tanning or intense sun exposure including the use of tanning booths/lights or other artificial UV light sources throughout the study.

Exclusion Criteria:

  1. Female subjects who are pregnant, nursing, or planning a pregnancy within the study participation period.
  2. Subjects who have a current diagnosis of guttate, pustular, inverse, exfoliative, or erythrodermic psoriasis.
  3. Subjects who have a history of psoriasis unresponsive to topical treatments.
  4. Subjects who have a history of a disorder that may interfere with the evaluation of plaque psoriasis (e.g., atopic dermatitis, contact dermatitis, tinea corporis, cutaneous lymphoma, etc.).
  5. Presence of pigmentation, extensive scarring, or pigmented lesions in the treatment areas, which could interfere with the rating of efficacy parameters.
  6. Subjects with unstable medical disorders, life-threatening disease, or current malignancies.
  7. Subjects with clinically significant ECG or laboratory abnormalities at Screening (as determined by the Investigator).
  8. Subjects who are immunosuppressed.
  9. Subjects who have a history of allergy or a known hypersensitivity to any component of the study medication.
  10. Subjects who have been treated with any systemic steroids within the 4 weeks prior to the study entry.
  11. Subjects who have been treated with systemic or photo antipsoriatic therapies/drugs within 4 weeks prior to study entry including methotrexate, cyclosporine, acitretin and other oral retinoids, broadband or narrowband UVB, PUVA, home or professional tanning lights or other nonprescription UV light sources, photodynamic therapy (PDT), lasers, mycophenalate mofetil (MMF), thioguanine, hydroxyurea, sirolimus, azathioprine, 6-mercaptopurine (6-MP), or etanercept.
  12. Subjects who have been treated with biologic therapy other than etanercept within 8 weeks prior to study entry. Vaccines will not be considered an exclusionary biologic treatment.
  13. Subjects who have been treated with any topical anti-psoriatic (e.g., salicylic acid, anthralin, tar, etc.,) any topical corticosteroid medications, topical retinoids (e.g., tazarotene, tretinoin), topical Vitamin D analogs (e.g., calcipotriene), topical immunosuppressants (e.g., tacrolimus, pimecrolimus) within 2 weeks prior to study entry.
  14. Subjects who have been treated with lithium, antimalarial agents, or quinidine within the 4 weeks prior to study entry.
  15. Subjects who have received radiation therapy and/or anti-neoplastic agents, or taken any immunosuppressant medication within 3 months prior to study entry.

Sites / Locations

  • International Dermatology Research, Inc.
  • Minnesota Clinical Study Center
  • Academic Dermatology Association
  • Dermatology Consulting Services
  • J & S Studies

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

AM001

Vehicle

Arm Description

AM001 Cream, 7.5%. 2x daily for 12 weeks.

Placebo of AM001 Cream. 2x daily for 12 weeks.

Outcomes

Primary Outcome Measures

Investigator's Global Assessment of Disease Severity (IGA)
An overall assessment of disease severity will be performed at each study visit.

Secondary Outcome Measures

Target Lesion Psoriasis Area Severity Index (PASI)
Erythema, Scaling and Plaque Elevation of the target lesion will be scored at baseline and at each subsequent study visit.
Body Surface Area (BSA)
The % BSA of all treatable psoriatic lesions and regions will be recorded at baseline and at week 12.
Target Lesion Area
The target lesion area will be measured at baseline and each-post-baseline visit.
Dermatology Life Quality Index (DLQI)
Measured at baseline and week 12.
Pharmacokinetics
Systemic absorption will be determined in a subgroup.

Full Information

First Posted
September 5, 2013
Last Updated
November 30, 2016
Sponsor
AmDerma
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1. Study Identification

Unique Protocol Identification Number
NCT01938599
Brief Title
Study Comparing AM001 Cream to Vehicle in the Treatment of Plaque Psoriasis
Official Title
A Multi-Center, Double-Blind, Randomized, Vehicle-Controlled, Parallel-Group Study Comparing AM001 Cream to Vehicle in the Treatment of Plaque Psoriasis
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
August 2013 (undefined)
Primary Completion Date
May 2014 (Actual)
Study Completion Date
August 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AmDerma

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To compare the safety and efficacy profile of AM001 Cream and its vehicle in the treatment of plaque psoriasis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Plaque Psoriasis, Skin Diseases, Papulosquamous, Skin Diseases
Keywords
Plaque Psoriasis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
92 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AM001
Arm Type
Experimental
Arm Description
AM001 Cream, 7.5%. 2x daily for 12 weeks.
Arm Title
Vehicle
Arm Type
Placebo Comparator
Arm Description
Placebo of AM001 Cream. 2x daily for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
AM001 Cream, 7.5%
Intervention Description
Cream, 2x daily for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo of AM001 Cream
Intervention Description
Cream, 2x daily for 12 weeks
Primary Outcome Measure Information:
Title
Investigator's Global Assessment of Disease Severity (IGA)
Description
An overall assessment of disease severity will be performed at each study visit.
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
Target Lesion Psoriasis Area Severity Index (PASI)
Description
Erythema, Scaling and Plaque Elevation of the target lesion will be scored at baseline and at each subsequent study visit.
Time Frame
12 Weeks
Title
Body Surface Area (BSA)
Description
The % BSA of all treatable psoriatic lesions and regions will be recorded at baseline and at week 12.
Time Frame
12 Weeks
Title
Target Lesion Area
Description
The target lesion area will be measured at baseline and each-post-baseline visit.
Time Frame
12 Weeks
Title
Dermatology Life Quality Index (DLQI)
Description
Measured at baseline and week 12.
Time Frame
12 Weeks
Title
Pharmacokinetics
Description
Systemic absorption will be determined in a subgroup.
Time Frame
2 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must provide Institutional Review Board (IRB) approved written informed consent. Subjects must be male or female, at least 18 years of age. Subjects with a definite diagnosis of plaque psoriasis that is clinically active (for at least 3 months), involving at least 3% and up to 20% of the body surface area (not including the scalp, face, hands, feet, and intertriginous areas). Subjects with an Investigator's Global Assessment (IGA) of disease severity of at least moderate severity (score ≥ 3) as an overall assessment. Subjects with a minimum plaque elevation of at least moderate severity (PASI grade ≥ 3) at the target lesion site. If females of childbearing potential, the subject must have a negative urine pregnancy test, and must have been using an acceptable form of birth control for at least two months prior to Screening and are willing to continue birth control throughout the study. Subjects must be willing and able to understand and comply with the requirements of the study, apply the study medication as instructed, return for the required treatment period visits, comply with therapy prohibitions, and be able to complete the study. Subjects must be in good health, as confirmed by medical history and physical exam, and free from any clinically significant disease/condition, other than plaque psoriasis, that might interfere with the study evaluations. Subjects must be willing to limit sun exposure overall. Subjects are prohibited from sunbathing or intentional tanning or intense sun exposure including the use of tanning booths/lights or other artificial UV light sources throughout the study. Exclusion Criteria: Female subjects who are pregnant, nursing, or planning a pregnancy within the study participation period. Subjects who have a current diagnosis of guttate, pustular, inverse, exfoliative, or erythrodermic psoriasis. Subjects who have a history of psoriasis unresponsive to topical treatments. Subjects who have a history of a disorder that may interfere with the evaluation of plaque psoriasis (e.g., atopic dermatitis, contact dermatitis, tinea corporis, cutaneous lymphoma, etc.). Presence of pigmentation, extensive scarring, or pigmented lesions in the treatment areas, which could interfere with the rating of efficacy parameters. Subjects with unstable medical disorders, life-threatening disease, or current malignancies. Subjects with clinically significant ECG or laboratory abnormalities at Screening (as determined by the Investigator). Subjects who are immunosuppressed. Subjects who have a history of allergy or a known hypersensitivity to any component of the study medication. Subjects who have been treated with any systemic steroids within the 4 weeks prior to the study entry. Subjects who have been treated with systemic or photo antipsoriatic therapies/drugs within 4 weeks prior to study entry including methotrexate, cyclosporine, acitretin and other oral retinoids, broadband or narrowband UVB, PUVA, home or professional tanning lights or other nonprescription UV light sources, photodynamic therapy (PDT), lasers, mycophenalate mofetil (MMF), thioguanine, hydroxyurea, sirolimus, azathioprine, 6-mercaptopurine (6-MP), or etanercept. Subjects who have been treated with biologic therapy other than etanercept within 8 weeks prior to study entry. Vaccines will not be considered an exclusionary biologic treatment. Subjects who have been treated with any topical anti-psoriatic (e.g., salicylic acid, anthralin, tar, etc.,) any topical corticosteroid medications, topical retinoids (e.g., tazarotene, tretinoin), topical Vitamin D analogs (e.g., calcipotriene), topical immunosuppressants (e.g., tacrolimus, pimecrolimus) within 2 weeks prior to study entry. Subjects who have been treated with lithium, antimalarial agents, or quinidine within the 4 weeks prior to study entry. Subjects who have received radiation therapy and/or anti-neoplastic agents, or taken any immunosuppressant medication within 3 months prior to study entry.
Facility Information:
Facility Name
International Dermatology Research, Inc.
City
Miami
State/Province
Florida
ZIP/Postal Code
33144
Country
United States
Facility Name
Minnesota Clinical Study Center
City
Fridley
State/Province
Minnesota
ZIP/Postal Code
55432
Country
United States
Facility Name
Academic Dermatology Association
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87106
Country
United States
Facility Name
Dermatology Consulting Services
City
High Point
State/Province
North Carolina
ZIP/Postal Code
27262
Country
United States
Facility Name
J & S Studies
City
College Station
State/Province
Texas
ZIP/Postal Code
77845
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study Comparing AM001 Cream to Vehicle in the Treatment of Plaque Psoriasis

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