- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05172726
Tapinarof for the Treatment of Plaque Psoriasis in Pediatric Subjects
September 7, 2023 updated by: Dermavant Sciences, Inc.
A Phase 3 Study of Tapinarof for the Treatment of Plaque Psoriasis in Pediatric Subjects
This is an open-label, multi-center, Phase 3 study to evaluate tapinarof cream, 1% in pediatric subjects with plaque psoriasis.
Study Overview
Detailed Description
This study is an open-label study, consisting of a 12-week primary treatment phase and an optional 40-week long-term extension phase in which all eligible subjects will receive tapinarof cream, 1% once daily.
At the end of the 12-week primary treatment phase subjects will have the option to continue for 40 additional weeks of treatment.
Subjects who choose not to participate in the optional 40-week long-term extension phase will complete a follow-up visit approximately one week after the end of the primary treatment phase.
Study Type
Interventional
Enrollment (Estimated)
100
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Philip Brown, MD, JD
- Phone Number: 480-666-0844
- Email: dermavantclinicaltrials@dermavant.com
Study Locations
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Alberta
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Calgary, Alberta, Canada, T2J7E1
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Edmonton, Alberta, Canada, T5J3S9
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Newfoundland and Labrador
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Saint John's, Newfoundland and Labrador, Canada, A1E1V4
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Ontario
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Markham, Ontario, Canada, L3P1X3
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Oshawa, Ontario, Canada, L1H1B9
- Recruiting
- Dermavant Clinical Trials
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Waterloo, Ontario, Canada, N2J1C4
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Quebec
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Montréal, Quebec, Canada, H2X2V1
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Arkansas
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Rogers, Arkansas, United States, 72758
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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California
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Fountain Valley, California, United States, 92708
- Recruiting
- Dermavant Clinical Site
-
Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Rancho Santa Margarita, California, United States, 92688
- Recruiting
- Dermavant Clinical Site
-
Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Florida
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Clearwater, Florida, United States, 33759
- Recruiting
- Dermavant Clinical Site
-
Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Miami Lakes, Florida, United States, 45324
- Recruiting
- Dermavant Clinical Site
-
Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Illinois
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Chicago, Illinois, United States, 60611
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Indiana
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Indianapolis, Indiana, United States, 46250
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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West Lafayette, Indiana, United States, 47906
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Ohio
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Fairborn, Ohio, United States, 45324
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Oregon
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Portland, Oregon, United States, 97210
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Site
- Email: dermavantclinicaltrials@dermavant.com
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Washington
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Spokane, Washington, United States, 92688
- Recruiting
- Dermavant Clinical Site
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Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Spokane, Washington, United States, 99202
- Recruiting
- Dermavant Clinical Site
-
Contact:
- Dermavant Clinical Trials
- Email: dermavantclinicaltrials@dermavant.com
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
2 years to 17 years (Child)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Male and female subjects ages 2 to 17 years with clinical diagnosis of chronic plaque psoriasis and stable disease for at least 3 months prior to the baseline visit
- Subject with plaque psoriasis covering ≥ 3% of the BSA at screening and baseline
- A PGA score of ≥ 2 at screening and baseline
- Female subjects of childbearing potential who are engaging in sexual activity that could lead to pregnancy should use acceptable birth control methods
- Must not be pregnant
- Subject, subject's parent, or legal representative must be capable of giving written informed consent/assent
Exclusion Criteria:
- Psoriasis other than plaque variant
- Any sign of infection of any of the psoriatic lesions
- Immunocompromised at screening
- Screening alanine aminotransferase (ALT) or aspartate aminotransferase (AST) ≥2.0x the upper limit of normal (ULN)
- Screening total bilirubin > 1.5x ULN
- Current or chronic history of liver disease
- Current or history of cancer within 5 years except for adequately treated cutaneous basal cell carcinoma, squamous cell carcinoma or carcinoma in situ of the cervix
- Major surgery within 8 weeks prior to baseline or has a major surgery planned during the study
- Known history of clinically significant drug or alcohol abuse in the last year prior to baseline
- Use of any prohibited medication or procedure within the indicated period before the baseline visit until the completion of the study completion or study discontinuation
- History of or ongoing serious illness or medical, physical, or psychiatric condition(s) that, in the Investigator's opinion may interfere with the subject's participation in the study, interpretation of results, safety of the subject or ability to understand and give informed consent
- Pregnant or lactating females.
- History of sensitivity to the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the Investigator or Medical Monitor, contraindicates their participation
- Previous known participation in a clinical study with tapinarof (previously known as GSK2894512 and WBI-1001)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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: Open Label
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applied topically once daily
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame: Screening up to Week 53
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Incidence, frequency, and duration of treatment emergent AEs and SAEs
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Screening up to Week 53
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Number of subjects with clinically significant laboratory test abnormalities
Time Frame: Screening up to Week 53
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Screening up to Week 53
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Number of subjects with clinically significant vital signs abnormalities
Time Frame: Screening up to Week 53
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Screening up to Week 53
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|
Investigator-Assessed Local Tolerability Scale (LTS) Scores
Time Frame: Baseline up to Week 52
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Local Tolerability Scale (LTS) is a clinical tool for assessing the presence and overall degree of irritation at the application sites, according to a 5-point scale (0-4).
Higher LTS scores represent more severe irritation.
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Baseline up to Week 52
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Subject (or Caregiver)-Assessed Local Tolerability Scale (LTS)
Time Frame: Baseline up to Week 52
|
Local Tolerability Scale (LTS) is a clinical tool for assessing the presence and overall degree of irritation at the application sites, according to a 5-point scale (0-4).
Higher LTS scores represent more severe irritation.
|
Baseline up to Week 52
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Detectable Time-Point (AUC0-t) of tapinarof cream, 1%.
Time Frame: Week 4 and Week 12
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Area under the plasma concentration-time curve from time zero to the last quantifiable time point.
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Week 4 and Week 12
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Maximum Plasma Concentration (Cmax) of tapinarof cream, 1%.
Time Frame: Week 4 and Week 12
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Maximum observed plasma concentration (Cmax).
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Week 4 and Week 12
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Time to Maximum Plasma Concentration (tmax) of tapinarof cream, 1%.
Time Frame: Week 4 and Week 12
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Time to maximum observed plasma concentration obtained directly from the observed concentration.
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Week 4 and Week 12
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Diana Villalobos, Dermavant Sciences, Inc.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Cappon GD and Hurtt ME. Developmental toxicity of the kidney. In: Kapp RW and Yyl L, editors. Reproductive Toxicology, Target Organ Series, 3rd edition. New York:Informa Healthcare, 2010:;93-204.
- Frazier KS and Seely JC. Urinary system. In: Sahota PS, Popp JA, Hardisty JF and Gopinath C, editors. Toxicologic Pathology: Nonclinical Safety Assessment. CRC Press, 2013;421-84.
- Basra MK, Salek MS, Camilleri L, Sturkey R, Finlay AY. Determining the minimal clinically important difference and responsiveness of the Dermatology Life Quality Index (DLQI): further data. Dermatology. 2015;230(1):27-33. doi: 10.1159/000365390. Epub 2015 Jan 20.
- Boehncke WH, Schon MP. Psoriasis. Lancet. 2015 Sep 5;386(9997):983-94. doi: 10.1016/S0140-6736(14)61909-7. Epub 2015 May 27.
- Fredriksson T, Pettersson U. Severe psoriasis--oral therapy with a new retinoid. Dermatologica. 1978;157(4):238-44. doi: 10.1159/000250839.
- Furue M, Hashimoto-Hachiya A, Tsuji G. Aryl Hydrocarbon Receptor in Atopic Dermatitis and Psoriasis. Int J Mol Sci. 2019 Oct 31;20(21):5424. doi: 10.3390/ijms20215424.
- Kalia YN, Nonato LB, Lund CH, Guy RH. Development of skin barrier function in premature infants. J Invest Dermatol. 1998 Aug;111(2):320-6. doi: 10.1046/j.1523-1747.1998.00289.x.
- Langley RG, Krueger GG, Griffiths CE. Psoriasis: epidemiology, clinical features, and quality of life. Ann Rheum Dis. 2005 Mar;64 Suppl 2(Suppl 2):ii18-23; discussion ii24-5. doi: 10.1136/ard.2004.033217.
- Mason AR, Mason J, Cork M, Dooley G, Hancock H. Topical treatments for chronic plaque psoriasis. Cochrane Database Syst Rev. 2013 Mar 28;(3):CD005028. doi: 10.1002/14651858.CD005028.pub3.
- Nestle FO, Kaplan DH, Barker J. Psoriasis. N Engl J Med. 2009 Jul 30;361(5):496-509. doi: 10.1056/NEJMra0804595. No abstract available.
- Nikolovski J, Stamatas GN, Kollias N, Wiegand BC. Barrier function and water-holding and transport properties of infant stratum corneum are different from adult and continue to develop through the first year of life. J Invest Dermatol. 2008 Jul;128(7):1728-36. doi: 10.1038/sj.jid.5701239. Epub 2008 Jan 17.
- Parisi R, Symmons DP, Griffiths CE, Ashcroft DM; Identification and Management of Psoriasis and Associated ComorbidiTy (IMPACT) project team. Global epidemiology of psoriasis: a systematic review of incidence and prevalence. J Invest Dermatol. 2013 Feb;133(2):377-85. doi: 10.1038/jid.2012.339. Epub 2012 Sep 27.
- Smith SH, Jayawickreme C, Rickard DJ, Nicodeme E, Bui T, Simmons C, Coquery CM, Neil J, Pryor WM, Mayhew D, Rajpal DK, Creech K, Furst S, Lee J, Wu D, Rastinejad F, Willson TM, Viviani F, Morris DC, Moore JT, Cote-Sierra J. Tapinarof Is a Natural AhR Agonist that Resolves Skin Inflammation in Mice and Humans. J Invest Dermatol. 2017 Oct;137(10):2110-2119. doi: 10.1016/j.jid.2017.05.004. Epub 2017 Jun 6.
- Thomas CL, Finlay AY. The 'handprint' approximates to 1% of the total body surface area whereas the 'palm minus the fingers' does not. Br J Dermatol. 2007 Nov;157(5):1080-1. doi: 10.1111/j.1365-2133.2007.08183.x. Epub 2007 Sep 13. No abstract available.
- Tollefson MM, Finnie DM, Schoch JJ, Eton DT. Impact of childhood psoriasis on parents of affected children. J Am Acad Dermatol. 2017 Feb;76(2):286-289.e5. doi: 10.1016/j.jaad.2016.09.014. Epub 2016 Nov 16.
- Zoetis T, Hurtt ME. Species comparison of anatomical and functional renal development. Birth Defects Res B Dev Reprod Toxicol. 2003 Apr;68(2):111-20. doi: 10.1002/bdrb.10013. No abstract available.
- Bronckers IM, Paller AS, van Geel MJ, van de Kerkhof PC, Seyger MM. Psoriasis in Children and Adolescents: Diagnosis, Management and Comorbidities. Paediatr Drugs. 2015 Oct;17(5):373-84. doi: 10.1007/s40272-015-0137-1.
- Burden-Teh E, Thomas KS, Ratib S, Grindlay D, Adaji E, Murphy R. The epidemiology of childhood psoriasis: a scoping review. Br J Dermatol. 2016 Jun;174(6):1242-57. doi: 10.1111/bjd.14507. Epub 2016 May 22.
- Evans NJ, Rutter N. Development of the epidermis in the newborn. Biol Neonate. 1986;49(2):74-80. doi: 10.1159/000242513.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
December 2, 2021
Primary Completion (Estimated)
May 1, 2026
Study Completion (Estimated)
June 1, 2026
Study Registration Dates
First Submitted
October 28, 2021
First Submitted That Met QC Criteria
December 10, 2021
First Posted (Actual)
December 29, 2021
Study Record Updates
Last Update Posted (Actual)
September 11, 2023
Last Update Submitted That Met QC Criteria
September 7, 2023
Last Verified
September 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- DMVT-505-3004
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
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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