CT 327 in the Treatment of Psoriasis Vulgaris

A Randomized, Double-Blind, Placebo Controlled Phase II, Multi-Centre, Study of the Efficacy and Safety of CT 327, a Topical Cream Formulation of Pegylated K252a, When Administered Twice Daily for Eight Weeks to Patients With Mild to Moderate Psoriasis Vulgaris

This study will look at how safe and effective, a novel agent, CT 327 cream is in treating patients with mild to moderate psoriasis vulgaris (PV). Patients will be treated twice daily for 8 weeks on specific lesions of PV and safety and symptoms of PV will be assessed throughout the treatment period.

Study Overview

• Status: Completed
• Conditions: Psoriasis
• Intervention / Treatment: Drug: placebo; Drug: CT 327

• Study Type: Interventional
• Enrollment (Actual): 58
• Phase: Phase 2

Contacts and Locations

Study Locations

• Switzerland
  • Basel, Switzerland, CH-4031
    • University Hospital
  • Bern, Switzerland, 3010
    • Inselspital
  • St Gallen, Switzerland, CH-9007
    • Kantonsspital
  • Zürich, Switzerland, CH-8091
    • University Hospital
• United Kingdom
  • Cardiff, United Kingdom, CF14 5GJ
    • Synexus Wales
  • Midlands
    • Birmingham, Midlands, United Kingdom, B15 2SQ
      • Synexus Midlands
  • Strathclyde
    • Clydebank, Strathclyde, United Kingdom, G81 2DR
      • Synexus Scotland
• United States
  • North Carolina
    • Charlotte, North Carolina, United States, 28209
      • Metrolina Medical Research
    • Wilmington, North Carolina, United States, 28401
      • New Hanover Medical Research
    • Winston-Salem, North Carolina, United States, 27103
      • Piedmont Medical Research, LLC
  • Tennessee
    • Clarksville, Tennessee, United States, 37040
      • Premier Medical Group, P.C.
    • Johnson City, Tennessee, United States, 37604
      • East Tennessee Medical Research

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 70 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Age > 18 and < 71 years of age
• Able to give informed consent
• Diagnosis of mild (affecting < 3% BSA) to moderate (affecting < 10% BSA) Psoriasis Vulgaris, including, at baseline visit, two symmetrical lesions of at least 10 cm2 each

Exclusion Criteria:

• If female of childbearing potential not using an adequate and appropriate form of contraception such as oral contraceptive; intra-uterine device (IUD); contraceptive injection, implant or patch
• If female, are pregnant or lactating, or intend to become pregnant during the study period and one month thereafter
• Allergy to test drug or excipients
• Usage of topical corticosteroids or other topical treatments for PV within the last two weeks prior to study entry (including calcineurin inhibitor, topical H1 antihistamines, topical antimicrobials, other medicated topical agents) or herbal preparation to the area selected for treatment Within 4 weeks prior to study entry, have received systemic treatment for psoriasis (including systemic corticosteroids, nonsteroidals, immunosuppressants, or immunomodulating drugs, or treatment with light).
• Received treatment with systemic or locally acting medications which might counter or influence the study aim
• Presence of major medical illness requiring systemic therapy including cancers
• Clinical diagnosis of bacterial infection of the skin including impetigo and abscesses
• Any clinical relevant ECG abnormality
• Have any clinically significant abnormal clinical laboratory test results at screening
• Received any investigational drug or taking part in any clinical study within three months prior to this study
• History of drug, alcohol or other substance abuse or other factors limiting the ability to co-operate and to comply with this protocol
• Have concomitant dermatologic or medical condition(s) which may interfere with the investigator's ability to evaluate the subject's response to the study drug
• Have immune-compromised status (such as known human immunodeficiency virus infection)
• Have a history of malignancy, excluding basal cell carcinoma of the skin
• Have an active intercurrent infection
• Suffer from erythrodermic psoriasis, psoriasis punctata and pustular psoriasis or extended chronic stationary forms of psoriasis
• Have symptoms of a clinically significant illness that may influence the outcome of the study
• Have any reason which, in the opinion of the investigator, interferes with the ability of the subject to participate in or complete the trial, or which places the subject at undue risk

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Triple

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Placebo Comparator: Placebo only; Subjects will apply placebo cream to both target lesions	Drug: placebo; 1.0 g (w/w) placebo cream applied to both target lesions twice daily
Active Comparator: Active plus placebo; Subjects will apply CT 327 to one target lesion and placebo to the other target lesion	Drug: CT 327; 1.0 g CT 327 cream will be applied to one target lesion twice daily and 1.0 g placebo cream will be applied to the remaining target lesion twice daily

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Improvements from baseline on m-Psoriasis Area Severity Index Scale (m-PASI - modified to exclude area assessment): Proportion of subjects with a reduction in score of > 50% at Week 8	8 weeks

Secondary Outcome Measures

Outcome Measure	Time Frame
To assess the efficacy of an 8-week treatment of CT 327 vs Placebo in terms of improvements from baseline on: Proportion of subjects with a reduction in m-PASI-score of > 75% a Week 8	8 weeks

Collaborators and Investigators

• Sponsor: Creabilis SA

Study record dates

Study Major Dates

• Study Start: March 1, 2010
• Primary Completion (Actual): January 1, 2011
• Study Completion (Actual): January 1, 2011

Study Registration Dates

• First Submitted: October 15, 2009
• First Submitted That Met QC Criteria: October 15, 2009
• First Posted (Estimate): October 16, 2009

Study Record Updates

• Last Update Posted (Estimate): February 10, 2011
• Last Update Submitted That Met QC Criteria: February 9, 2011
• Last Verified: February 1, 2011

More Information

Terms related to this study

• Keywords: Mild to moderate psoriasis vulgaris
• Additional Relevant MeSH Terms: Skin Diseases; Skin Diseases, Papulosquamous; Psoriasis
• Other Study ID Numbers: CT 327 PV 01-09