- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00282724
Efficacy and Safety of Two Doses of Liarozole vs. Placebo for the Treatment of Lamellar Ichthyosis
A Randomized, Double-blind, Placebo-controlled Phase II/III Trial to Evaluate the Efficacy and Safety of 2 Doses of Oral Liarozole (75 mg od and 150 mg od) Given During 12 Weeks in Lamellar Ichthyosis
Study Overview
Detailed Description
Lamellar ichthyosis is an autosomal recessive disorder that is apparent at birth and is present throughout life. Although the disorder is not life threatening, it is quite disfiguring and causes considerable psychological stress to affected patients. Prevalence is less than 1 case per 300,000 individuals. Treatment is mainly symptomatic i.e. emollients with or without keratolytic agents. Treatment with systemic retinoids is reserved for those patients, refractory to conventional therapy, because of the long-term adverse effects and teratogenicity of systemic retinoids.
Liarozole may provide a new concept for the treatment of this condition. Because of its mechanism of action, retinoic acid (RA) levels will only be increased in tissues that are targets for RA production.
The proposed Phase II/III study intends to evaluate the efficacy of liarozole compared with placebo, in patients with lamellar ichthyosis.
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
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Brussels, Belgium
- Academisch Ziekenhuis Vrije Universiteit Brussel
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Geel, Belgium
- Geel
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Montreal, Canada
- Hôpital Saint-Justine
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St John, Canada
- NewLab Clinical Research Inc.
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Santo Domingo, Dominican Republic
- Instituto Dermatológico
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Nantes, France
- Hôtel Dieu CHU
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Bad Salzschlirf, Germany
- Tomesa Fachklinik
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Dueren, Germany
- Dueren
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Magdeburg, Germany
- Otto-von-Guericke-Universität
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Muenster, Germany
- University Hospital Muenster
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Milano, Italy
- Fondazione Policlinico Mangiagalli e Regina Elena
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Rome, Italy
- Istituto Dermopatico dell'Immacolata
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Maastricht, Netherlands
- Academisch Ziekenhuis Maastricht
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Rotterdam, Netherlands
- University Hospital Rotterdam
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Oslo, Norway
- Rikshospitalet Universitetsklinikk
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Uppsala, Sweden
- Uppsala University Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects of either sex aged 14 years or older.
- Clinical diagnosis of lamellar ichthyosis
- Women of childbearing potential should use appropriate contraception
- Women of childbearing potential should have a negative pregnancy test at screening visit.
- Subjects are, except for their lamellar ichthyosis, in good general health.
- Subjects and legal representative(s), if applicable, signed informed consent.
Exclusion Criteria:
- Subject is receiving topical (except emollient), UV treatment or systemic treatment for ichthyosis.
- Subject is pregnant or breast feeding.
- History or suspicion of alcohol or drug abuse.
- Significant co-existing diseases.
- Clinically significant abnormal ECG
- History of hypersensitivity to retinoids or any of the ingredients in the trial medication.
- Clinically relevant laboratory abnormalities at screening.
- Use of immune-suppressive drugs including topical or systemic corticosteroids.
- Participation in an investigational trial 30 days prior to the start of the trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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Efficacy: Investigator's Global Assessment
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Secondary Outcome Measures
Outcome Measure |
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Quality of Life
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Safety and tolerability
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Pharmacokinetics
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Overall Scaling Score
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Severity scores of other symptoms
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Koen van Rossem, MD, PhD, Barrier Therapeutics/ Stiefel, a GSK Company
Publications and helpful links
General Publications
- Van Wauwe JP, Coene MC, Goossens J, Cools W, Monbaliu J. Effects of cytochrome P-450 inhibitors on the in vivo metabolism of all-trans-retinoic acid in rats. J Pharmacol Exp Ther. 1990 Jan;252(1):365-9.
- Van Wauwe J, Van Nyen G, Coene MC, Stoppie P, Cools W, Goossens J, Borghgraef P, Janssen PA. Liarozole, an inhibitor of retinoic acid metabolism, exerts retinoid-mimetic effects in vivo. J Pharmacol Exp Ther. 1992 May;261(2):773-9.
- Van Wauwe J, Coene MC, Cools W, Goossens J, Lauwers W, Le Jeune L, Van Hove C, Van Nyen G. Liarozole fumarate inhibits the metabolism of 4-keto-all-trans-retinoic acid. Biochem Pharmacol. 1994 Feb 11;47(4):737-41. doi: 10.1016/0006-2952(94)90137-6.
- Kang S, Duell EA, Kim KJ, Voorhees JJ. Liarozole inhibits human epidermal retinoic acid 4-hydroxylase activity and differentially augments human skin responses to retinoic acid and retinol in vivo. J Invest Dermatol. 1996 Aug;107(2):183-7. doi: 10.1111/1523-1747.ep12329579.
- Dockx P, Decree J, Degreef H. Inhibition of the metabolism of endogenous retinoic acid as treatment for severe psoriasis: an open study with oral liarozole. Br J Dermatol. 1995 Sep;133(3):426-32. doi: 10.1111/j.1365-2133.1995.tb02672.x.
- Berth-Jones J, Todd G, Hutchinson PE, Thestrup-Pedersen K, Vanhoutte FP. Treatment of psoriasis with oral liarozole: a dose-ranging study. Br J Dermatol. 2000 Dec;143(6):1170-6. doi: 10.1046/j.1365-2133.2000.03884.x.
- Bhushan M, Burden AD, McElhone K, James R, Vanhoutte FP, Griffiths CE. Oral liarozole in the treatment of palmoplantar pustular psoriasis: a randomized, double-blind, placebo-controlled study. Br J Dermatol. 2001 Oct;145(4):546-53. doi: 10.1046/j.1365-2133.2001.04411.x.
- Lucker GP, Heremans AM, Boegheim PJ, van de Kerkhof PC, Steijlen PM. Oral treatment of ichthyosis by the cytochrome P-450 inhibitor liarozole. Br J Dermatol. 1997 Jan;136(1):71-5.
- Vahlquist A, Blockhuys S, Steijlen P, van Rossem K, Didona B, Blanco D, Traupe H. Oral liarozole in the treatment of patients with moderate/severe lamellar ichthyosis: results of a randomized, double-blind, multinational, placebo-controlled phase II/III trial. Br J Dermatol. 2014 Jan;170(1):173-81. doi: 10.1111/bjd.12626.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Skin Diseases
- Congenital Abnormalities
- Infant, Newborn, Diseases
- Genetic Diseases, Inborn
- Skin Diseases, Genetic
- Skin Abnormalities
- Keratosis
- Ichthyosiform Erythroderma, Congenital
- Ichthyosis
- Ichthyosis, Lamellar
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Dermatologic Agents
- Hormone Antagonists
- Androgen Antagonists
- Liarozole
Other Study ID Numbers
- BT0500INT001
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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