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- Essai clinique NCT07914088
A Study for AR100DP1 in Mild to Moderate Atopic Dermatitis
A Phase II Double-Blind Study to Evaluate the Safety, Tolerability, and Efficacy of AR100DP1 in Subjects With Mild to Moderate Atopic Dermatitis
This study is composed of a two-arm, double-blind, randomized, placebo-controlled, Phase II study to evaluate the efficacy of AR100DP1 compared to placebo on AD lesion area(s) in subjects with mild to moderate AD.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Eligible subjects with mild to moderate AD will have 14 days of treatment with 0.5% AR100DP1 or placebo on all AD lesion area(s). At Screening Visit, all AD lesions will be measured and recorded in cm², and the investigator will identify one or multiple patches of AD lesions with an Investigator's Global Assessment (IGA) score of 1 to 3, and a maximum total treated area of 1,050 cm². For topical administration of IP, AR100DP1 will be applied on all AD lesion area(s) two times a day for 14 days. At subsequent visits, the lesion regions of all applied study IP will be traced, measured, and recorded. If any existing AD lesion expands or a new AD lesion with an IGA score of 1 to 3 is detected during the study period, the investigational product (IP) may continue to be applied, provided that the total treated area does not exceed 1.5 times the total AD lesion area defined on Day 1.
Type d'étude
Inscription (Estimé)
Phase
- Phase 2
Contacts et emplacements
Coordonnées de l'étude
- Nom: Yeh B Wu
- Numéro de téléphone: +886-3-573-3608
- E-mail: ybw333@arjilbio.com
Lieux d'étude
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Taiwan
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Taipei, Taiwan, Taïwan, 110
- Recrutement
- Taipei Medical University Hospital
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Contact:
- Ming-Hsiu Lin
- Numéro de téléphone: +886-2-2737-2181
- E-mail: mailto:minghsiu@tmu.edu.tw
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Taoyuan, Taiwan, Taïwan, 333
- Pas encore de recrutement
- Chang Gung Memorial Hospital-Linkou
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Contact:
- Chun-Bing Chen
- Numéro de téléphone: +886-3-3281200
- E-mail: chunbing.chen@gmail.com
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Dated and signed informed consent
- Either gender, ≥ 18 years old (the legal age of consent majority is 18 years old in Taiwan)
- Confirmed clinical diagnosis of atopic dermatitis (based on the criteria of Hanifin and Rajka for AD)
- Clinical diagnosis of AD with clinically consistent and stable disease status, defined as AD lesions with the Investigator's Global Assessment (IGA) score of 1(almost clear) to 3(moderate) for at least 4 weeks prior to Screening Visit, at the investigator's discretion
- Not expected to require regular AD maintenance therapy during the study period, at the investigator's discretion
- Have AD lesion area(s) with an IGA score of 1 to 3 at the Screening Visit and Day 1, with a maximum total treated area of 1,050 cm², as judged by the Investigator.
- Have a pruritus NRS score of ≥ 2 for both the average itch and the worst itch in the past 24 hours, as assessed at Screening Visit and Day 1 prior to randomization
- Subject of childbearing potential must agree to use abstinence to intercourse, or highly effective contraceptives from signing informed consent to 14 days after the last dose of study drug administration
Exclusion Criteria:
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Fluctuating or actively infected AD judged by the investigator
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Have any AD lesion with an IGA score of 4 at the Screening Visit or Day 1, as judged by the Investigator
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History of the following conditions, including irritant contact dermatitis, allergic contact dermatitis, skin infections (such as scabies), or other autoimmune skin diseases
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Active or potentially recurrent dermatologic condition other than atopic dermatitis that may confound evaluation (e.g. fungal infection), judged by the investigator
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Received systemic medication including immunosuppressant, phototherapy, or other therapy, which could affect AD within 4 weeks before Day 1
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Received systemic antihistamine within 5 half-lives (see Appendix 1 for half-lives of common antihistamine) prior to Day 1 (except for permitted background medication, Fexofenadine)
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Received systemic corticosteroid within 2 days or 5 half-lives, whichever is longer, prior to Day 1
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Received topical medication including corticosteroid, immunosuppressant, anti-histamine, phototherapy, calcineurin inhibitors, or other therapy for AD lesion area(s) within 1 week before Day 1
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Plan to receive immunosuppressive agents (including azathioprine, mycophenolate, cyclophosphamide, chlorambucil, methotrexate, cyclosporine)
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Unwilling or unable to comply with the criteria in Life Style Guidelines (Section 5.3) during the study
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History of use of biologic therapy (including intravenous immunoglobulin) within 12 weeks or 5 half-lives (whichever is longer) prior to Day 1
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Received any other investigational drug within 4 weeks prior to Day 1
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Required or received systemic CYP3A4 inhibitors with strong potency within 1 week prior to Day 1, including but not limited to clarithromycin, itraconazole, nefazodone, and atazanavir, evaluated by the investigator
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Treatment for any type of cancer (except squamous cell carcinoma, basal cell carcinoma, or carcinoma in situ of the skin, curatively treated with cryosurgery or surgical excision only) within 5 years before Day 1
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Had surgery within 4 weeks prior to Day 1, or plan to have surgery during the study.
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Known hypersensitivity to any of the components of the study drug
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Active clinically serious infection or any known history of immunodeficiency, including human immunodeficiency virus (HIV) infection
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Current uncontrolled asthma
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Any of the following serum test abnormalities:
- Total bilirubin > 1.5 × ULN
- AST or ALT > 3.0 × ULN
- Serum albumin < 2.5 g/dL
- Creatinine > 1.5 × ULN
- Any other ≥ Grade 2 (grading of NCI-CTCAE v6.0) laboratory abnormality at baseline (other than those listed above)
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With ongoing acute diseases or within the past 2 years serious medical conditions (e.g. concomitant illness) such as cardiovascular (e.g. New York Heart Association (NYHA) grade III or IV), hepatic (e.g. Child-Pugh Class C), psychiatric condition (e.g. alcoholism, drug abuse), medical history, physical findings, or laboratory abnormality that in the investigators' opinion could interfere with the results of the trial or adversely affect the safety of the subject
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Female subject who is lactating or has positive urine pregnancy test at Screening and Day 1
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Other conditions not suitable for participating in this study judged by the investigator
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Plan to donate blood, sperm, or eggs from Screening Visit until Final Visit
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Quadruple
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 0.5% AR100DP1
AD subjects receive 0.5% AR100DP1 |
Investigational drug administered according to the protocol schedule. |
|
Comparateur placebo: Placebo
AD subjects receive placebo |
Visually identical placebo containing no active ingredient |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
The change of IGA to 0 or 1 at visit 4 after 14 days treatment
Délai: From Visit 2 (Day 1) to Visit 4 (Day 15) (14 days treatment)
|
Proportion of subjects with the Investigator's Global Assessment (IGA) score of 0 or 1 at Visit 4 (Day 15). |
From Visit 2 (Day 1) to Visit 4 (Day 15) (14 days treatment)
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Efficacy - the change of IGA
Délai: Evaluated at Visit 3 (Day 8), Visit 5 (Day 22), and Visit 6 (Day 29)
|
Proportion of subjects achieving the Investigator's Global Assessment (IGA) score of 0 (clear) or 1 (almost clear) at Visit 3 (Day 8), Visit 5 (Day 22), and Visit 6 (Day 29) |
Evaluated at Visit 3 (Day 8), Visit 5 (Day 22), and Visit 6 (Day 29)
|
|
Efficacy - the change of lesion area(s) (cm²)
Délai: Evaluated at Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
Change from baseline (Visit 2) of lesion area(s) to Visit 3-6 |
Evaluated at Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
|
Efficacy - the change of pruritus NRS
Délai: Evaluated at Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
Change from baseline (Visit 2) in pruritus NRS(Numerical Rating Scale) of itch level on lesion area(s) to Visit 3-6 |
Evaluated at Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
|
Efficacy - the change ≥ 2 points of reduction of pruritus NRS
Délai: Evaluated at Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
Proportion of subjects having ≥ 2 points of reduction from baseline (Visit 2) in pruritus NRS for worst itch in the past 24 hours on lesion area(s) to Visit 3-6 |
Evaluated at Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
|
Efficacy - the change of signs of atopic dermatitis
Délai: Evaluated at Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
Change from baseline (Visit 2) in signs of atopic dermatitis (erythema, edema/papulation, excoriation, and lichenification) with grading from 0(none) to 3(severe) on lesion area(s) to Visit 3-6 |
Evaluated at Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
|
Safety- AE and SAE
Délai: Evaluated at Visit 2 (Day 1), Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
Incidence of AE and SAE during Visit 2-6 and AE will be categorized by severity (toxicity grade) and relationship to the study intervention |
Evaluated at Visit 2 (Day 1), Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
|
Safety - change of vital sign
Délai: Evaluated at Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
Change from baseline (Visit 2) in vital signs to Visit 3-6 |
Evaluated at Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
|
Safety - abnormality in physical examination occurred
Délai: Evaluated at Visit 2 (Day 1), Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
Abnormality in physical examination at Visit 2-6 |
Evaluated at Visit 2 (Day 1), Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
|
Safety - ECG result
Délai: Evaluated at Visit 2 (Day 1), Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
Transition of ECG result from normal to abnormal findings from baseline (Visit 2) to Visit 3-6 |
Evaluated at Visit 2 (Day 1), Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
|
Safety - Lab parameters
Délai: Evaluated at Visit 1 (-14 to -1 Day), (Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
Change from baseline (Visit 1) in laboratory parameters to Visit 3-6 |
Evaluated at Visit 1 (-14 to -1 Day), (Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
|
Safety - assessment of local tolerability
Délai: Evaluated at Visit 2 (Day 1), Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
Proportion of subjects with scores of 0 and 1 in each symptom of assessment of local tolerability (erythema, edema, vesiculation, and excoriation) with grading from 0 (none) to 3 (severe) at Visit 2-6 |
Evaluated at Visit 2 (Day 1), Visit 3 (Day 8), Visit 4 (Day 15), Visit 5 (Day 22) and Visit 6 (Day 29)
|
Collaborateurs et enquêteurs
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Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Maladies génétiques, innées
- Maladies du système immunitaire
- Hypersensibilité immédiate
- Hypersensibilité
- Maladies de la peau
- Maladies de la peau, Génétique
- Maladies de la peau, eczémateux
- Dermatite
- Maladies et anomalies congénitales, héréditaires et néonatales
- Maladies de la peau et du tissu conjonctif
- Dermatite atopique
Autres numéros d'identification d'étude
- AR100DP1-02
Plan pour les données individuelles des participants (IPD)
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Informations sur les médicaments et les dispositifs, documents d'étude
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