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PsoriasisPhase 1NCT02574091

Icotinib Hydrochloride Cream in Healthy Adults and Psoriasis Patients

A Phase 1 study testing 1% icotinib hydrochloride cream and 2% icotinib hydrochloride cream in people with Psoriasis, run by Betta Pharmaceuticals Co., Ltd. at 1 site in New Zealand.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a phase I study to evaluate the safety, tolerability and pharmacokinetics of Icotinib Hydrochloride Cream in healthy adults and patients with mild to moderate psoriasis. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Psoriasis
What is being tested?
1% icotinib hydrochloride cream and 2% icotinib hydrochloride cream
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
28 participants
Where
1 siteNew Zealand
Study dates
26 Nov 2015to 19 Feb 2017
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • For Part 1-Healthy Participants
  • 18-50 years old (inclusive), male or female
  • Male participants should be ≥ 50 kg, female participants should be ≥ 45 kg; Body Mass Index (BMI) should be between 19 and 30 kg/m2 (inclusive)
  • In good health, with no history of diseases of major organs and no BP, HR, ECG or respiratory abnormality on physical examination
  • Adequate hepatic and renal function, as determined by clinical laboratory assessments of blood and urine
  • Negative serum pregnancy test at Screening and negative urine pregnancy test at Day -1 for females of child bearing potential
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  • Negative screen for drugs of abuse, alcohol, hepatitis B surface antigen (HBsAg), hepatitis C (HCV) and Human Immunodeficiency Virus (HIV) at screening; and negative drugs of abuse, alcohol pre dose on Day -1
  • Have signed a written informed consent before entering the study
  • For Part 2 - Patients with Psoriasis
  • Clinical diagnosis of psoriasis for at least six months with multiple affected areas (excluding the face, scalp, genitals and groin) involving 2%-15% of the total Body Surface Area (BSA)
  • 18-65 years old
  • Male participants should be ≥ 50 kg, female participants should be ≥ 45 kg; BMI should be between 19 and 35 kg/m2 (inclusive)
  • In good health, with no history of diseases of major organs and no BP, HR, ECG or respiratory abnormality on physical examination
  • Adequate hepatic and renal function, as determined by clinical laboratory assessments of blood and urine
  • Negative serum pregnancy test at Screening and negative urine pregnancy test at Day -1 for females of child bearing potential
  • Negative screen for drugs of abuse, alcohol, HBsAg, HCV and HIV at screening; and negative drugs of abuse, alcohol pre dose on Day1
  • Women of child-bearing potential must agree to use adequate contraception prior to study entry, for the duration of study participation, and for 90 days following completion of therapy
  • Have signed a written informed consent before entering the study

Who cannot join

  • For Part 1-Healthy Participants
  • Any clinically significant central nervous system, cardiac, pulmonary, renal, gastrointestinal, respiratory, metabolic conditions (or history), or other pathological or physiological conditions that might interfere with the trial result
  • History of postural hypotension
  • Use of any topical agents (including non-medicated lotions such as sun screen, cosmetics, moisturizing lotion) at the administration site within a week before randomization
  • History of serious skin diseases (as determined by the investigator); no presence of skin ulceration at the test area at the time of the Screening visit
  • Current smoker, or a history of regular (more than weekly) use of tobacco- or nicotine-containing products within two months prior to screening
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  • History of excessive alcohol intake (more than four standard drinks daily, on average) or use of recreational drugs within the last three months
  • For Part 2 - Patients with Psoriasis
  • Any clinically significant central nervous system, cardiac, pulmonary, renal, gastrointestinal, respiratory, metabolic conditions (or history), or other pathological or physiological conditions that might interfere with the trial result
  • History of postural hypotension
  • Use of any topical agents (including non-medicated lotions such as sun screen, cosmetics, moisturizing lotion) at the administration site within a week before randomization
  • History of serious skin diseases (as determined by the investigator); no presence of skin ulceration at the test area at the time of the Screening visit
  • Excessive smoker(≥10 cigarettes per day), or a history of regular (more than weekly) use of tobacco- or nicotine-containing products within two months prior to screening
  • History of excessive alcohol intake (more than four standard drinks daily, on average) or use of recreational drugs within the last three months

Trial locations and contacts

1 site in 1 country.

New Zealand1 site
  • Christchurch Clinical Studies Trust

    Christchurch

Other trials in New Zealand

About this study

Official title: A Single-Center, Randomized, Double-blind, Placebo-Controlled Study to Evaluate Safety, Tolerability and Pharmacokinetics of Icotinib Hydrochloride Cream in Healthy Adult Participants, Followed by Patients With Mild to Moderate Psoriasis

This is a phase I study to evaluate the safety, tolerability and pharmacokinetics of Icotinib Hydrochloride Cream in healthy adults and patients with mild to moderate psoriasis.

Read the detailed description

Icotinib Hydrochloride is a small-molecule epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor, which has been approved for the treatment of advanced non-small-cell lung cancer (NSCLC) in China in its oral form. As EGFR is implicated in the pathogenesis of psoriasis, icotinib hydrochloride is being developed as a cream for the treatment of mild to moderate psoriasis. This is a single-center, randomized, double-blind, placebo-controlled study of icotinib hydrochloride cream by topical administration. The study is designed in two parts in healthy subjects (part 1) followed by patients with mild to moderate psoriasis (part 2). 1% and 2% icotinib hydrochloride cream will be initially applied to healthy subjects. Once the study in healthy adults shows favorable safety and tolerability, a study in patients with mild to moderate psoriasis will be followed. Approximately 28 subjects will be enrolled, including 12 healthy subjects (Part 1) and 16 patients with psoriasis (Part 2).

Conditions
Psoriasis
Being tested
1% icotinib hydrochloride cream, 2% icotinib hydrochloride cream, Placebo
Keywords
EGFR inhibitor, topical agent, psoriasis, phase 1
Medical subject headings
Psoriasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 1% icotinib hydrochloride creamDrug

    Also called no other name

    Topical administration for twice daily

  • 2% icotinib hydrochloride creamDrug

    Also called no other name

    Topical administration for twice daily.

  • PlaceboDrug

    Also called Blank Cream

    Topical administration for twice daily.

Study groups in NCT02574091
Study groupRoleWhat they receive
Cohort 1-ExperimentalExperimental4 healthy adult participants will be randomized to receive 1% icotinib hydrochloride cream, applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.
Receives: Drug: 1% icotinib hydrochloride cream
Cohort 1-PlaceboPlacebo comparator2 healthy adult participants will be randomized to receive placebo (blank cream), applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.
Receives: Drug: Placebo
Cohort 2-ExperimentalExperimental4 healthy adult participants will be randomized to receive 2% icotinib hydrochloride cream, applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.
Receives: Drug: 2% icotinib hydrochloride cream
Cohort 2-PlaceboPlacebo comparator2 healthy adult participants will be randomized to receive matching placebo, applied twice daily for 7 consecutive days (final dose on the morning of Day 8). The drug will be used topically to the back of each participant within an area of 15cm x 25cm.
Receives: Drug: Placebo
Cohort 3-ExperimentalExperimental6 patients with mild to moderate psoriasis will be randomized to receive 1% icotinib hydrochloride cream, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.
Receives: Drug: 1% icotinib hydrochloride cream
Cohort 3-PlaceboPlacebo comparator2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.
Receives: Drug: Placebo
Cohort 4-ExperimentalExperimental6 patients with mild to moderate psoriasis will be randomized to receive 2% icotinib hydrochloride cream, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.
Receives: Drug: 2% icotinib hydrochloride cream
Cohort 4-PlaceboPlacebo comparator2 patients with mild to moderate psoriasis will be randomized to receive matching placebo, applied twice daily for 13 consecutive days (final dose on the morning of Day 14). The drug will be applied topically to the psoriasis site (excluding face, scalp, genital and groin) on the arms and/or legs and/or trunk only.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Adverse events in healthy subjects

    Incidence and severity of Adverse Events (AE) Vital signs (temperature, Heart Rate (HR), BP and respiration); Clinical laboratory assessments (serum chemistry, hematology and urinalysis); ECG; Use of concomitant medications

    Measured: 8 days

  2. Adverse events in patients with mild to moderate psoriasis

    Incidence and severity of AEs; Vital signs (temperature, HR, BP and respiration); Clinical laboratory assessments (serum chemistry, hematology and urinalysis); ECG; Use of concomitant medications

    Measured: 14 days

Secondary outcomes (22)
  1. Tolerance-related skin reactions in healthy adult participants at the tested sites

    Skin irritation and allergy observation (including redness, swelling, itching, pain)

    Measured: 8 days

  2. Tolerance-related skin reactions in patients with mild to moderate psoriasis at the tested sites

    Skin irritation and allergy observation (including redness, swelling, itching, pain)

    Measured: 14 days

  3. To investigate peak plasma concentration (Cmax) of single-dose Icotinib Hydrochloride Cream in healthy adult participants

    Measured: 8 days

  4. To investigate time maximum concentration observed(tmax) of single-dose Icotinib Hydrochloride Cream in healthy adult participants

    Measured: 8 days

  5. To investigate area under the plasma concentration versus time curve(AUC) of single-dose Icotinib Hydrochloride Cream in healthy adult participants

    AUClast, AUC0-inf will be assessed

    Measured: 8 days

  6. To investigate half life(t1/2) of single-dose Icotinib Hydrochloride Cream in healthy adult participants

    Measured: 8 days

  7. To investigate stable peak plasma concentration (Cmaxss) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants

    Measured: 8 days

  8. To investigate time maximum concentration observed(tmax) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants

    Measured: 8 days

  9. To investigate area under the plasma concentration versus time curve(AUC) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants

    AUC0-12,AUClast, AUC0-inf will be assessed

    Measured: 8 days

  10. To investigate half life(t1/2) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants

    Measured: 8 days

  11. To investigate peak plasma concentration (Cmax) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis

    Measured: 14 days

  12. To investigate time maximum concentration observed(tmax) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis

    Measured: 14 days

  13. To investigate area under the plasma concentration versus time curve(AUC) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis

    AUClast, AUC0-inf will be assessed

    Measured: 14 days

  14. To investigate half life(t1/2) of single-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis

    Measured: 14 days

  15. To investigate stable peak plasma concentration (Cmaxss) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis

    Measured: 14 days

  16. To investigate time maximum concentration observed(tmax) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis

    Measured: 14 days

  17. To investigate area under the plasma concentration versus time curve(AUC) of repeat-dose Icotinib Hydrochloride Cream in patients with mild to moderate psoriasis

    AUC0-12,AUClast, AUC0-inf will be assessed

    Measured: 14 days

  18. To investigate half life(t1/2) of repeat-dose Icotinib Hydrochloride Cream in healthy adult participants

    Measured: 14 days

  19. Psoriasis Area and Severity Index (PASI) Scores in patients with mild to moderate psoriasis

    Measured: 14 days

  20. Dose-toxicity correlation in single-dose and repeat-dose administration

    If observable trends exist between dose applied (in Part 2 of the study) and toxicity and response parameters.

    Measured: 14 days

  21. Dermatology Life Quality Index (DLQI)

    Measured: 14 days

  22. Dose-response correlation in single-dose and repeat-dose administration

    Measured: 14 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Oct 2015 (estimated)
  2. Study start26 Nov 2015
  3. Primary completion19 Feb 2017
  4. Study completion19 Feb 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02574091
Sponsor's protocol ID
BD-ICC-NZ-I01
Status last verified
Jul 2017
First submitted
28 Sep 2015
Last updated
13 Jul 2017
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing 1% icotinib hydrochloride cream and 2% icotinib hydrochloride cream in people with Psoriasis, run by Betta Pharmaceuticals Co., Ltd. at 1 site in New Zealand.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 18 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in New Zealand. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adverse events in healthy subjects (time frame: 8 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jul 2017.

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