- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03351114
Pilot Study Evaluating the Efficacy of a Topical PDE4 Inhibitor for Morphea
Study Overview
Detailed Description
A Phase 2, pilot, proof-of-concept, open label, single arm prospective study to assess the safety, tolerability and efficacy of using crisaborole 2% ointment for adult morphea. Patients identified by their physician, nurse, or other member of their clinical care team as meeting criteria for the study will be asked to apply crisaborole 2% ointment, twice daily, on affected plaques for 12 weeks. A 4 mm skin punch biopsy will be performed at baseline and at 12 weeks, on the same affected plaque. Dermal thickness will be measured and compared before and at the end of treatment. Patients will have a clinical assessment at baseline and at weeks 4, 8 and 12. After week 12, patients who need further treatment will undergo standard of care treatment as determined by their primary dermatologist. Physician and patient reported assessment and skin imaging will be performed at baseline, week 4, 8 and 12, and at week 20. Photography will also be performed at baseline and week 12. An optional post treatment follow-up will be performed at week 20.
Medication will be provided free of charge by Pfizer, as part of the grant that is funding this study. These will be dispensed by the study group at baseline and during the subsequent clinic visits.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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North Carolina
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Durham, North Carolina, United States, 27710
- Duke University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- >= 18 years of age
- Clinical diagnosis of morphea.
- <20% Total body surface area involvement.
- Does not require systemic immunosuppressive therapy for morphea.
- No immunosuppressive systemic therapy 1 month prior to starting the study (methotrexate, mycophenolate mofetil, azathioprine, cyclosporine, cyclophosphamide, prednisone >=10 mg PO daily).
- No immunomodulating topical therapy (topical steroids or topical calcineurin inhibitor), and no topical vitamin D analogue, 2 weeks prior to starting study.
- No allergy to crisaborole or vehicle.
- No known renal disease
- Able to give informed consent.
Exclusion Criteria:Subjects fulfilling any of the following criteria are not eligible for inclusion in this study.
- Clinical diagnosis of depression or history of suicidal ideation.
- Pregnant or breastfeeding women, with pregnant women being defined as the state of a female after conception until the termination of gestation, confirmed by a positive urine human chorionic gonadotropin (hCG) laboratory test. Women with a positive urine hCG at any time during the study will be withdrawn from the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Crisaborole 2% ointment
Crisaborole 2% ointment applied to affected skin twice per day.
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Apply Crisaborole 2% ointment to affected skin twice per day.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants Who Had a Reduction in Dermal Thickness of Sentinel Plaque
Time Frame: Baseline, 12 weeks
|
Change in dermal thickness on skin biopsy.
A sentinel plaque will be selected at baseline.
A 4 mm skin punch biopsy will be performed at baseline and at 12 weeks, on the same affected plaque.
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Baseline, 12 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of Reduction in DIET Score of Sentinel Plaque
Time Frame: Baseline and 12 weeks
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The DIET (Dyspigmentation, Induration, Erythema, and Telangiectasias) score is a physician-assessed, previously validated score.
Range is 0-12, and a higher score denotes increased activity or severity.
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Baseline and 12 weeks
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Percentage of Reduction in LoSCAT Score
Time Frame: Baseline,12 weeks
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LoSCAT (Localized Scleroderma Cutaneous Assessment Tool ) score is a physician-assessed, previously validated score.
It has 2 components, the LoSSI (localized scleroderma skin severity index, range 0-162), which measures disease activity, and LoSDI (localized scleroderma damage index, range 0-216).
The higher the number, the higher the disease activity and damage, respectively.
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Baseline,12 weeks
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Percentage of Reduction in Skindex-29 Score
Time Frame: Baseline and 12 weeks
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Skindex-29 is a health-related quality of life score; minimum score 30, maximum 150.
Lower score indicates a better quality of life.
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Baseline and 12 weeks
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Change in Dermal Thickness of Sentinel Plaque by Ultrasonography
Time Frame: Baseline, 4, 8 and 12 weeks, optional at 20 weeks
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B-Mode ultrasonographic imaging will be utilized to measure dermal thickness of the sentinel plaque
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Baseline, 4, 8 and 12 weeks, optional at 20 weeks
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Adela Cardones, MD, Duke UMC
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00086947
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.
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.
Clinical Trials on Morphea
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University Hospital, Strasbourg, FranceUnknown
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University of Texas Southwestern Medical CenterCompletedSymmetric Limited MorpheaUnited States
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Massachusetts General HospitalRegeneron PharmaceuticalsWithdrawn
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University Children's Hospital, ZurichCompleted
-
University of Alberta3MWithdrawn
-
Medical University of GrazRecruitingMorphea (Circumscribed Scleroderma) | Sclerotic Graft-versus-host Disease (GVHD)Austria
-
Medical College of WisconsinMayo Clinic; Seattle Children's Hospital; University of TorontoWithdrawn
-
Northwestern UniversityTerminated
-
The Hospital for Sick ChildrenCompleted
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University of Texas Southwestern Medical CenterCompletedScleroderma, Localized | Morphea | Scleroderma, CircumscribedUnited States
Clinical Trials on Crisaborole
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Northwestern UniversityPfizerCompleted
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PfizerCompletedAtopic DermatitisChina, United States, Turkey, Australia, Canada, Israel
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PfizerCompletedAtopic DermatitisUnited States, Australia, Canada
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PfizerCompleted
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PfizerCompleted
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PfizerCompletedStasis DermatitisUnited States
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Innovaderm Research Inc.CompletedDermatitis, AtopicCanada
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University of California, IrvinePfizerCompletedAtopic Dermatitis | Atopic Dermatitis EczemaUnited States