Study to Evaluate the Safety and Antipsoriatic Efficacy of BOS-475 in a Psoriasis Plaque Test
A Phase Ib, Multi-Center, Randomized, Vehicle- and Comparator-Controlled Trial, Double-Blind for the Investigational Medicinal Products, Observer-Blind for the Comparators to Evaluate the Safety and Antipsoriatic Efficacy of BOS-475 in a Psoriasis Plaque Test
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
-
Bochum, Germany
- Gemeinschaftspraxis Dr. med. Johannes Niesmann und Dr. med. Nick Othlinghaus Hauszentrum im Jahrhunderthaus - Zentrum für klinische Studien
-
Hamburg, Germany
- bioskin GmbH
-
Schwerin, Germany
- Klinische Forschung Schwerin GmbH
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Men, or women of non-childbearing potential aged 18-69 years (inclusive)
- Participants with chronic stable plaque psoriasis
- The target lesion(s) should be on the trunk or extremities (excluding palms/soles); psoriatic lesions on the knees or elbows are not to be used as target lesions.
- Willing and able to follow all trial procedures and complete the whole trial
- Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the Informed Consent Form (ICF) and in this protocol
- Willing to refrain from using any topical treatments on the target areas, other than those mandated by the protocol or for protocol procedures
Exclusion Criteria:
- Other skin disease or infection that is considered by the investigator to be relevant to the outcome of the trial
- Participants with acute psoriasis guttata, psoriasis punctata, psoriasis erythrodermatica or pustular psoriasis
- Any topical antipsoriatics on plaques potentially to be treated in this trial (including corticosteroids, vitamin D analogues, immunomodulators, retinoids, dithranol and tar) in the 4 weeks before first treatment and/or during the trial (pretreatment with salicylic acid is permitted on selected plaques; treatment on the face, ears and scalp is also permitted as lesions are not involved in the trial)
- Systemic treatment with antipsoriatics, e.g., corticosteroids, cytostatics, retinoids, dimethylfumarate or apremilast in the three months before first treatment and during the trial
- Systemic treatment with biological treatments: ustekinumab or secukinumab within six months or adalimumab, infliximab, and etanercept within three months before first treatment and during the trial. Any other previously used biologics for treatment of psoriasis should have been washed out for five half lives before first treatment.
- Ultraviolet A (UVA) or B-therapy within four weeks and psoralen and ultraviolet A (PUVA)-therapy within eight weeks before first treatment and during the trial treatment with concomitant medication that may affect and provoke or aggravate psoriasis, e.g., antimalarial drugs, lithium, beta-blockers, or angiotensin-converting-enzyme (ACE) inhibitors unless on a stable dose for 3 months before trial medication initiation
- History of malignancy within 5 years prior to dosing, except adequately treated non-invasive skin cancer (basal or squamous cell carcinoma
- Positive urine drug or breath alcohol test results during screening or at Day 1, or history of drug abuse within a year prior to the screening visit
- Excess alcohol consumption within 6 months prior to the trial defined as an average weekly intake of > 14 units for males and females. One unit is equivalent to 8 grams of alcohol: a half-pint (~240 milliliters [mL]) of beer, 1 glass (125 mL) of wine, or 1 (25 mL) measure of spirits
- Blood pressure (BP) >160 millimeters of mercury (mmHg) systolic or >95 mmHg diastolic at screening
- Participation in another clinical trial within the last six months for biological agents, or four weeks for small molecules prior to first treatment in this clinical trial
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: BOS-475 0.5%
Daily application of BOS-475 0.5%
|
topical cream
|
|
Experimental: BOS-475 1%
Daily application of BOS-475 1%
|
topical cream
|
|
Experimental: BOS-475 2%
Daily application of BOS-475 2%
|
topical cream
|
|
Placebo Comparator: Active ingredient-free vehicle cream
Daily application of vehicle cream
|
topical cream
|
|
Active Comparator: Daivonex cream
Daily application of Daivonex cream (calcipotriol 0.005%)
|
topical cream
|
|
Active Comparator: Betnesol-V cream (betamethasone 0.1%)
Daily application of Betnesol-V cream (betamethasone 0.1%)
|
topical cream
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of treatment-emergent adverse events (TEAEs)
Time Frame: up to Day 19
|
up to Day 19
|
|
Number of treatment-emergent application site reactions
Time Frame: up to Day 19
|
up to Day 19
|
|
Change from Baseline in systolic and diastolic blood pressure
Time Frame: Baseline; up to Day 19
|
Baseline; up to Day 19
|
|
Change from Baseline in pulse
Time Frame: Baseline; up to Day 19
|
Baseline; up to Day 19
|
|
Change from Baseline in respiration
Time Frame: Baseline; up to Day 19
|
Baseline; up to Day 19
|
|
Change from Baseline in body temperature
Time Frame: Baseline; up to Day 19
|
Baseline; up to Day 19
|
|
Number of participants with clinically significant physical examination findings
Time Frame: up to Day 19
|
up to Day 19
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from Baseline in psoriatic infiltrate thickness on Day 19 (assessed by measurement of the thickness of the Echo Poor Band [EPB] of the inflammatory infiltrate using 22-megahertz (MHz) sonography)
Time Frame: Baseline; Day 19
|
Baseline; Day 19
|
|
|
Change from Baseline in psoriatic infiltrate thickness on Days 8 and 15 (assessed by measurement of the thickness of the EPB of the inflammatory infiltrate using 22-MHz sonography)
Time Frame: Baseline; Days 8 and 15
|
Baseline; Days 8 and 15
|
|
|
Area under the curve (AUC) of change from Baseline in thickness of the EPB of the inflammatory infiltrate
Time Frame: Baseline; Day 19
|
Baseline; Day 19
|
|
|
Change from Baseline in the test fields compared to the surrounding plaque skin, as an evaluation of the antipsoriatic efficacy by clinical assessment, using a 5-point score
Time Frame: Baseline; Days 1, 8, 15, and 19 (End of Trial)
|
-1 = worsened; 0 = unchanged (no effect); 1 = slight improvement; 2 = clear improvement but not completely healed; 3 = completely healed.
|
Baseline; Days 1, 8, 15, and 19 (End of Trial)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Xiaobing Qian, MD, PhD, Boston Pharmaceuticals, Vice President, Clinical Development
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Skin Diseases
- Skin Diseases, Papulosquamous
- Psoriasis
- Physiological Effects of Drugs
- Anti-Inflammatory Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Dermatologic Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Betamethasone
- Calcipotriene
- Betamethasone sodium phosphate
Other Study ID Numbers
Other Study ID Numbers
- BOS-475-102
- 2019-002447-17 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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