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Study of Crisaborole Ointment 2% in Mild to Moderate Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Unknown status
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Crisaborole 2% Top Oint
Sponsored by
Massachusetts General Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis

Eligibility Criteria

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

Inclusion Criteria:

  1. Subject is a male or female aged at least 2 years of age.
  2. Subject has confirmed clinical diagnosis of active atopic dermatitis (AD) according to the Hanifin and Rajka criteria.
  3. AD diagnosed at least 6 months prior to the screening visit and severity of disease has been stable for the past month.
  4. Subject has a BSA covered with atopic dermatitis of at least 1% (excluding face, scalp, genitals, groin area) [face, genitals and groin will not for be used photos]
  5. Subject has a global ISGA of mild (2) or moderate (3) at the baseline visit.
  6. Subject must be willing to avoid excessive exposure to natural or artificial ultraviolet radiation.
  7. Women of childbearing potential who are heterosexually active must practice a highly effective method of birth control such as an oral, injected or implanted hormonal methods of contraception, intrauterine device (IUD), spermicidal condom, male partner sterilization (the vasectomized partner should be the sole partner for that subject) or true abstinence. If a female subject's childbearing potential changes after start of the study (e.g., a woman who is not heterosexually active becomes active, a premenarchal woman experiences menarche), she must begin practicing a highly effective method of birth control, as described above.
  8. Women of childbearing potential must have a negative pregnancy test at the baseline visit.
  9. Willingness to participate in medical photography with end use by Pfizer for publication and medical education purposes
  10. Subject and/or parent/ legal guardian has voluntarily signed and dated an informed consent form and assent form, if applicable, approved by Partners Institutional Review Board (IRB) indicating that he or she understands the purpose of and procedures required for the study and is willing to participate in the study (including photography consent).

Exclusion Criteria:

  1. Clinically significant medical disorder, condition, or disease including other dermatologic conditions that may interfere with study assessments and photographs.
  2. Recent psychiatric condition (within the past year) or active suicidal ideation or behavior.
  3. Unstable AD (not having stable severity over the past month).
  4. Significant active infection requiring systemic antibiotics.
  5. Treatment with topical corticosteroids or topical calcineurin inhibitors within 2 weeks of the baseline visit.
  6. Having used any of the following treatments within 4 weeks before the baseline visit, or any condition that, in the opinion of the investigator, is likely to require immunosuppressive/immunomodulating drugs (e.g., systemic corticosteroids, cyclosporine, mycophenolate-mofetil, interferon gamma, Janus kinase inhibitors, azathioprine, methotrexate, etc.) during the study.
  7. Treatment with biologics within 5 half-lives (if known) or 16 weeks before the baseline visit, whichever is longer.
  8. Subject with any planned surgical or medical procedure that would overlap with study participation from screening through end of study
  9. Currently has a malignancy or has a history of malignancy within 5 years before screening (except for a nonmelanoma skin cancer that has been adequately treated).
  10. Is pregnant, nursing, or planning a pregnancy (women).
  11. Previous failure of efficacy following crisaborole use.
  12. History of angioedema or anaphylaxis to topical products.
  13. Known allergies, hypersensitivity, or intolerance to crisaborole or its components.
  14. Participation in another clinical research study with an investigational drug within 4 weeks before randomization in this study

Sites / Locations

  • MGH Clinical Unit for Research Trials in Skin (CURTIS)

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Crisaborole

Arm Description

Crisaborole is a low molecular weight benzoxaborole PDE-4 inhibitor for the treatment of mild-to-moderate atopic dermatitis in adults and children 2 years and above. Crisaborole ointment 2% is topically applied as a thin layer twice daily for 4 weeks to all AD lesions.

Outcomes

Primary Outcome Measures

Time to success (in days) on ISGA
Time to success (in days) on ISGA (to clear or almost clear with at least a 2-grade improvement) for intensive group through study completion, an average of 4 weeks, will be summarized by 25th percentile, median, and corresponding 95% CIs via Kaplan-Meier method. Kaplan-Meier plot will be provided as well.
Time to success (by week) on ISGA
Time to success (by week) on ISGA (to clear or almost clear with at least a 2-grade improvement) for all subjects through study completion, an average of 4 weeks, will be summarized by 25th percentile, median, and corresponding 95% CI via Kaplan-Meier method. Kaplan-Meier plot will be provided as well. (pooled all subjects, at days 1, 8,15, 21 and 29)

Secondary Outcome Measures

Full Information

First Posted
December 20, 2019
Last Updated
February 22, 2021
Sponsor
Massachusetts General Hospital
Collaborators
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT04214197
Brief Title
Study of Crisaborole Ointment 2% in Mild to Moderate Atopic Dermatitis
Official Title
An Open Label, Photo Documentation Study of Crisaborole Ointment 2% in Mild to Moderate Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Unknown status
Study Start Date
February 3, 2020 (Actual)
Primary Completion Date
July 2021 (Anticipated)
Study Completion Date
August 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Massachusetts General Hospital
Collaborators
Pfizer

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to document the timing of improvement in atopic dermatitis symptoms and severity following the application of crisaborole ointment 2% in patients 2 years or older with mild to moderate atopic dermatitis. Crisaborole ointment 2% will be applied topically twice daily for four weeks and progress will be assessed by photography and patient-reports.

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 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
150 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Crisaborole
Arm Type
Other
Arm Description
Crisaborole is a low molecular weight benzoxaborole PDE-4 inhibitor for the treatment of mild-to-moderate atopic dermatitis in adults and children 2 years and above. Crisaborole ointment 2% is topically applied as a thin layer twice daily for 4 weeks to all AD lesions.
Intervention Type
Drug
Intervention Name(s)
Crisaborole 2% Top Oint
Intervention Description
Crisaborole is a low molecular weight benzoxaborole PDE-4 inhibitor for the treatment of mild-to-moderate atopic dermatitis in adults and children 2 years and above. Crisaborole ointment 2% is topically applied as a thin layer twice daily for 4 weeks to all AD lesions.
Primary Outcome Measure Information:
Title
Time to success (in days) on ISGA
Description
Time to success (in days) on ISGA (to clear or almost clear with at least a 2-grade improvement) for intensive group through study completion, an average of 4 weeks, will be summarized by 25th percentile, median, and corresponding 95% CIs via Kaplan-Meier method. Kaplan-Meier plot will be provided as well.
Time Frame
At days 1, 8,15, 21 and 29
Title
Time to success (by week) on ISGA
Description
Time to success (by week) on ISGA (to clear or almost clear with at least a 2-grade improvement) for all subjects through study completion, an average of 4 weeks, will be summarized by 25th percentile, median, and corresponding 95% CI via Kaplan-Meier method. Kaplan-Meier plot will be provided as well. (pooled all subjects, at days 1, 8,15, 21 and 29)
Time Frame
At days 1, 8,15, 21 and 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is a male or female aged at least 2 years of age. Subject has confirmed clinical diagnosis of active atopic dermatitis (AD) according to the Hanifin and Rajka criteria. AD diagnosed at least 6 months prior to the screening visit and severity of disease has been stable for the past month. Subject has a BSA covered with atopic dermatitis of at least 1% (excluding face, scalp, genitals, groin area) [face, genitals and groin will not for be used photos] Subject has a global ISGA of mild (2) or moderate (3) at the baseline visit. Subject must be willing to avoid excessive exposure to natural or artificial ultraviolet radiation. Women of childbearing potential who are heterosexually active must practice a highly effective method of birth control such as an oral, injected or implanted hormonal methods of contraception, intrauterine device (IUD), spermicidal condom, male partner sterilization (the vasectomized partner should be the sole partner for that subject) or true abstinence. If a female subject's childbearing potential changes after start of the study (e.g., a woman who is not heterosexually active becomes active, a premenarchal woman experiences menarche), she must begin practicing a highly effective method of birth control, as described above. Women of childbearing potential must have a negative pregnancy test at the baseline visit. Willingness to participate in medical photography with end use by Pfizer for publication and medical education purposes Subject and/or parent/ legal guardian has voluntarily signed and dated an informed consent form and assent form, if applicable, approved by Partners Institutional Review Board (IRB) indicating that he or she understands the purpose of and procedures required for the study and is willing to participate in the study (including photography consent). Exclusion Criteria: Clinically significant medical disorder, condition, or disease including other dermatologic conditions that may interfere with study assessments and photographs. Recent psychiatric condition (within the past year) or active suicidal ideation or behavior. Unstable AD (not having stable severity over the past month). Significant active infection requiring systemic antibiotics. Treatment with topical corticosteroids or topical calcineurin inhibitors within 2 weeks of the baseline visit. Having used any of the following treatments within 4 weeks before the baseline visit, or any condition that, in the opinion of the investigator, is likely to require immunosuppressive/immunomodulating drugs (e.g., systemic corticosteroids, cyclosporine, mycophenolate-mofetil, interferon gamma, Janus kinase inhibitors, azathioprine, methotrexate, etc.) during the study. Treatment with biologics within 5 half-lives (if known) or 16 weeks before the baseline visit, whichever is longer. Subject with any planned surgical or medical procedure that would overlap with study participation from screening through end of study Currently has a malignancy or has a history of malignancy within 5 years before screening (except for a nonmelanoma skin cancer that has been adequately treated). Is pregnant, nursing, or planning a pregnancy (women). Previous failure of efficacy following crisaborole use. History of angioedema or anaphylaxis to topical products. Known allergies, hypersensitivity, or intolerance to crisaborole or its components. Participation in another clinical research study with an investigational drug within 4 weeks before randomization in this study
Facility Information:
Facility Name
MGH Clinical Unit for Research Trials in Skin (CURTIS)
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
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Links:
URL
https://www.massgeneral.org/Dermatology/
Description
MGH Dermatology

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Study of Crisaborole Ointment 2% in Mild to Moderate Atopic Dermatitis

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