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Study to Evaluate the Efficacy and Safety of ZL-3101 in Subjects With Subacute Eczema

Primary Purpose

Eczema

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
ZL-3101
Placebo
Sponsored by
Zai Lab Pty. Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Eczema focused on measuring subacute

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female subjects between 18 and 65 years of age inclusive, at the time of signing the informed consent; from outpatient clinic;
  2. Subjects with a diagnosis of subacute eczema (Zhao 2001). Subacute eczema is often developed from improperly treated acute eczema or a few with presented subacute eczema from early on-set. Subacute eczema usually presents with papule, excoriations, crusting and pruritus. Occasionally patient will present with papulovesicle, blister and erosion. Patients also need to meet the requirement of:

    • Subjects must have body surface area (BSA) disease involvement between 3-10% (inclusive) as assessed by palm method;
    • IGA score of 2 or 3;
    • Skin lesions should be on the trunk or extremities, without palms/soles, face/scalp, and vulvar areas involved;
  3. Based on TCM theory (Zheng 2002), patients with TCM "damp - heat" symptoms to be included. It is subject to TCM investigator's assessment, and symptoms could be (but not limited to):

    • Main symptoms: erythema, pruritus, papule with less exudation;
    • Secondary symptoms: Mild infiltration, excoriations, crusting, papulovesicle, blister, irritability, thirst, yellowish urine and dry stool;
    • Tongue and pulse analysis: red tongue with yellow or yellowish coating, slippery pulse model;
  4. Subjects are general in good health; except for eczema, there are no other health conditions that possibly interfere with the study results;
  5. A signed and dated written informed consent is obtained from the subject.

Exclusion Criteria:

  1. The subject presents with or has the history of any systemic disorders or active skin diseases (e.g. psoriasis) that would in any way confound interpretation of the study results;
  2. The subject has a current complication of overt bacterial, fungal or viral infection for which treatment with anti-infective are indicated;
  3. Have the history of hepatic and kidney function insufficiency, hepatic dysfunction ALT or AST>1.5 ULN, kidney function BUN, Cr>1.5 ULN;
  4. QT interval corrected according to Bazett's formula or QT interval corrected according to Fridericia's formula ≥450 msec; or QTc ≥480 msec in subjects with bundle branch block;
  5. Have the history or examination verified by physical and screening of clinically significant cardiovascular, pulmonary, gastrointestinal, liver, renal, hematological, neurological, abnormalities and psychology disorders which will interfere with the efficacy and/or safety of the individual subject;
  6. History of allergy to any component of test medications to be used in the study;
  7. The subject has been exposed to below therapy within the set timeframe:

    • Systemic administration of anti-histamine agents 1 week
    • Systemic administration of corticosteroid 4 weeks;
    • Topical corticosteroid agents administered in the diseased skin 1 week;
    • Systemic administration of immunosuppressive drugs 4 weeks;
    • Topical immunosuppressive drugs administered in the diseased skin 1 week;
    • Systemic administration of any TCM drugs 2 weeks;
    • Topical administration of any TCM drugs 1 week;
    • UV therapy 4 weeks

    The use of inhaled/intranasal steroids is permitted prior to and during the conduct of the study if already being used by the subject.

  8. The subject has a past history of alcohol or drug abuse;
  9. Pregnant women (as confirmed by a positive urine human chorionic gonadotrophin (HCG) test), women who are breast feeding, or sexually active women of child bearing potential who are not practicing an acceptable method of birth control (birth control pill, patch, implant, barrier with spermicidal jelly, IUD, etc.), as determined by the investigator. An acceptable method of birth control must be used during the entire study in sexually active women of childbearing potential. A woman of childbearing potential is defined as one who is biologically capable of becoming pregnant. Abstinence is considered as a medically acceptable form of contraception;
  10. The subject has received an investigational drug or participated in any other research trial within 30 days;
  11. Other subjects that investigator deemed as unsuitable for the trial;
  12. Subject's EASI score reaches 2 and above for lichenification and/or edema.

Sites / Locations

  • Beijing Hospital of Traditional Chinese Medicine
  • Dongzhimen Hospital, Beijing University of Chinese Medicine
  • Guang'anmen Hospital, China Academy of Chinese Medical Sciences
  • Jiangsu Province Hospital of Traditional Chinese Medicine
  • Shanghai Dermatology Hospital
  • Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

ZL-3101(Fugan) bid group

ZL-3101(Fugan) qd group

placebo group

Arm Description

Fugan AM + Fugan PM

Fugan AM + Placebo PM

Placebo AM + Placebo PM

Outcomes

Primary Outcome Measures

Eczema Area and Severity Index (EASI) score changes from baseline to day 21
To evaluate efficacy of Fugan ointment applied to involved skin of subjects with mild to moderate subacute eczema

Secondary Outcome Measures

Full Information

First Posted
April 25, 2017
Last Updated
January 22, 2019
Sponsor
Zai Lab Pty. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03134352
Brief Title
Study to Evaluate the Efficacy and Safety of ZL-3101 in Subjects With Subacute Eczema
Official Title
A Multi-center, Randomized, Double-blind, Parallel, Placebo Controlled Phase II Study to Evaluate the Efficacy and Safety of Fugan Ointment (ZL-3101) in Subjects With Subacute Eczema
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
April 26, 2017 (Actual)
Primary Completion Date
May 25, 2018 (Actual)
Study Completion Date
September 10, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Zai Lab Pty. Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a double-blind, randomized, placebo-controlled multi-center phase IIA study to evaluate the clinical efficacy and safety of Fugan ointment versus placebo applied to involved skin of subjects with mild to moderate subacute eczema.
Detailed Description
In this study, patients will be recruited and randomized in a ratio of 2:2:1 into Fugan bid group (Fugan AM + Fugan PM), Fugan qd group (Fugan AM + Placebo PM), and placebo group (Placebo AM + Placebo PM). Randomization will be stratified by disease severity (mild IGA=2 vs. moderate IGA=3). The patients will be given 3-week treatment and followed up for two weeks after the treatment. Screening period is set as 1 week. Subjects will be given 3-week treatment and followed up for two weeks after the treatment. Approximately 310 subjects will be randomized to achieve 250 evaluable subjects completing the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Eczema
Keywords
subacute

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
290 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ZL-3101(Fugan) bid group
Arm Type
Experimental
Arm Description
Fugan AM + Fugan PM
Arm Title
ZL-3101(Fugan) qd group
Arm Type
Experimental
Arm Description
Fugan AM + Placebo PM
Arm Title
placebo group
Arm Type
Placebo Comparator
Arm Description
Placebo AM + Placebo PM
Intervention Type
Drug
Intervention Name(s)
ZL-3101
Other Intervention Name(s)
Fugan ointment
Intervention Description
A brown ointment, 10g/tube, 0.4g herb/g ointment, Topical
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
A brown ointment, 10g/tube, 0.02 g herb/g ointment (5% of Fugan active ointment), Topical
Primary Outcome Measure Information:
Title
Eczema Area and Severity Index (EASI) score changes from baseline to day 21
Description
To evaluate efficacy of Fugan ointment applied to involved skin of subjects with mild to moderate subacute eczema
Time Frame
21 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subjects between 18 and 65 years of age inclusive, at the time of signing the informed consent; from outpatient clinic; Subjects with a diagnosis of subacute eczema (Zhao 2001). Subacute eczema is often developed from improperly treated acute eczema or a few with presented subacute eczema from early on-set. Subacute eczema usually presents with papule, excoriations, crusting and pruritus. Occasionally patient will present with papulovesicle, blister and erosion. Patients also need to meet the requirement of: Subjects must have body surface area (BSA) disease involvement between 3-10% (inclusive) as assessed by palm method; IGA score of 2 or 3; Skin lesions should be on the trunk or extremities, without palms/soles, face/scalp, and vulvar areas involved; Based on TCM theory (Zheng 2002), patients with TCM "damp - heat" symptoms to be included. It is subject to TCM investigator's assessment, and symptoms could be (but not limited to): Main symptoms: erythema, pruritus, papule with less exudation; Secondary symptoms: Mild infiltration, excoriations, crusting, papulovesicle, blister, irritability, thirst, yellowish urine and dry stool; Tongue and pulse analysis: red tongue with yellow or yellowish coating, slippery pulse model; Subjects are general in good health; except for eczema, there are no other health conditions that possibly interfere with the study results; A signed and dated written informed consent is obtained from the subject. Exclusion Criteria: The subject presents with or has the history of any systemic disorders or active skin diseases (e.g. psoriasis) that would in any way confound interpretation of the study results; The subject has a current complication of overt bacterial, fungal or viral infection for which treatment with anti-infective are indicated; Have the history of hepatic and kidney function insufficiency, hepatic dysfunction ALT or AST>1.5 ULN, kidney function BUN, Cr>1.5 ULN; QT interval corrected according to Bazett's formula or QT interval corrected according to Fridericia's formula ≥450 msec; or QTc ≥480 msec in subjects with bundle branch block; Have the history or examination verified by physical and screening of clinically significant cardiovascular, pulmonary, gastrointestinal, liver, renal, hematological, neurological, abnormalities and psychology disorders which will interfere with the efficacy and/or safety of the individual subject; History of allergy to any component of test medications to be used in the study; The subject has been exposed to below therapy within the set timeframe: Systemic administration of anti-histamine agents 1 week Systemic administration of corticosteroid 4 weeks; Topical corticosteroid agents administered in the diseased skin 1 week; Systemic administration of immunosuppressive drugs 4 weeks; Topical immunosuppressive drugs administered in the diseased skin 1 week; Systemic administration of any TCM drugs 2 weeks; Topical administration of any TCM drugs 1 week; UV therapy 4 weeks The use of inhaled/intranasal steroids is permitted prior to and during the conduct of the study if already being used by the subject. The subject has a past history of alcohol or drug abuse; Pregnant women (as confirmed by a positive urine human chorionic gonadotrophin (HCG) test), women who are breast feeding, or sexually active women of child bearing potential who are not practicing an acceptable method of birth control (birth control pill, patch, implant, barrier with spermicidal jelly, IUD, etc.), as determined by the investigator. An acceptable method of birth control must be used during the entire study in sexually active women of childbearing potential. A woman of childbearing potential is defined as one who is biologically capable of becoming pregnant. Abstinence is considered as a medically acceptable form of contraception; The subject has received an investigational drug or participated in any other research trial within 30 days; Other subjects that investigator deemed as unsuitable for the trial; Subject's EASI score reaches 2 and above for lichenification and/or edema.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bin Li
Organizational Affiliation
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing Hospital of Traditional Chinese Medicine
City
Beijing
Country
China
Facility Name
Dongzhimen Hospital, Beijing University of Chinese Medicine
City
Beijing
Country
China
Facility Name
Guang'anmen Hospital, China Academy of Chinese Medical Sciences
City
Beijing
Country
China
Facility Name
Jiangsu Province Hospital of Traditional Chinese Medicine
City
Nanjing
Country
China
Facility Name
Shanghai Dermatology Hospital
City
Shanghai
Country
China
Facility Name
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM
City
Shanghai
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Study to Evaluate the Efficacy and Safety of ZL-3101 in Subjects With Subacute Eczema

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