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Dermatitis, AtopicPhase 1/2NCT02655679

An Ascending Multiple Dose Study of VTP-38543 in Adult Participants With Mild to Moderate Atopic Dermatitis

A Phase 1/2 study testing VTP-38543 in people with Dermatitis, Atopic, run by Vitae Pharmaceuticals, Inc. at 12 sites in 2 countries.

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

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and preliminary clinical efficacy of VTP-38543 administered as a cream, twice-daily, for 28 days in otherwise healthy adult male and female participants with mild to moderate atopic dermatitis. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Dermatitis, Atopic
What is being tested?
VTP-38543
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
104 participants
Where
12 sitesin 2 countries
Study dates
15 Dec 2015to 9 Sep 2016
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Mild to moderate atopic dermatitis with a minimum of 3 to a maximum of 15% body surface area (BSA) involvement
  • Investigator Global Assessments (IGA) score of 2 or 3
  • Body Mass Index (BMI) = 18 - 35 kg/m^2
  • Negative Pregnancy test for females

Who cannot join

  • Treatment for atopic dermatitis with systemic medications, topical agents, and parenteral biological/monoclonal antibody agents, within specific time period prior to dosing.
  • Organ dysfunction or any clinically significant deviation from normal in vital signs, physical examinations, labs, and Electrocardiogram (ECG) findings
  • Major surgery within 3 months of Screening
  • Use of prescription drugs, sedative antihistamine, medical devices for treatment of atopic dermatitis (AD), and topical products containing urea and/or ceramides within 14 prior to dosing
  • Excessive sun exposures, use of tanning booths or other ultraviolet (UV) light sources 4 weeks prior to dosing

Trial locations and contacts

12 sites in 2 countries.

12 sites in 2 countries

Canada7 sites
  • Kirk Barber Research

    Calgary, Alberta, T2G1B1CA

  • Dr Isabelle Delorme Inc

    Drummondville, Quebec, J2B 5L4

  • Stratica Medical Inc

    Edmonton, Alberta, T5K 1X3

  • Lynderm Research Inc

    Markham, Ontario, L3P 1X2

  • Innovaderm Research

    Montreal, Quebec, H2K4L5

  • The Center for Dermatology / Institution

    Richmond Hill, Ontario, L4B 1A5

  • Windsor Clinical Research Inc

    Windsor, Ontario, N8W 5L7

Other trials in Canada

United States5 sites
  • Hamzavi Dermatology

    Fort Gratiot, Michigan, 48059

  • Skin Specialty Dermatology

    New York, New York, 10155

  • Paddington Testing Company, Inc

    Philadelphia, Pennsylvania, 19103

  • Wake Research Associates, LLC

    Raleigh, North Carolina, 27612

  • Dundee Dermatology

    West Dundee, Illinois, 60118

Other trials in United States

About this study

Official title: A Randomized, Double-Blind, Vehicle-Controlled Ascending Multiple Dose and Clinical Proof-Of-Concept Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of VTP-38543 in Adult Patients With Mild to Moderate Atopic Dermatitis

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and preliminary clinical efficacy of VTP-38543 administered as a cream, twice-daily, for 28 days in otherwise healthy adult male and female participants with mild to moderate atopic dermatitis.

Read the detailed description

This is a randomized, double-blind, vehicle-controlled study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and preliminary clinical efficacy of VTP-38543 following twice-daily, every twelve hours (Q12h) administration for 28 days in otherwise healthy adult male and female participants with mild to moderate atopic dermatitis.

Evaluation of three ascending doses in three dose panels is planned for this trial. Dose Panel 1 (VTP-38543 0.05%) and Panel 2 (VTP-38543 0.15%) will each enroll 30 participants and randomize 20 to VTP-38543 and 10 to matching vehicle control (Vehicle without Transcutol®P). Dose Panel 3 (VTP-38543 1%) will enroll 40 participants and randomize 20 to VTP-38543 and 20 to matching vehicle control (Vehicle with Transcutol®P). A total of approximately 100 participants will participate in the trial.

Being tested
VTP-38543, Vehicle with Transcutol®P, Vehicle without Transcutol®P
Keywords
Eczema
Medical subject headings
Dermatitis, Atopic, Eczema

What participants receive

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

  • VTP-38543Drug

    VTP-38543 topical cream

  • Vehicle with Transcutol®POther

    Also called Transcutol®P is Diethylene Glycol Monoethyl Ether, NF.

    Vehicle matching VTP-38543 cream with Transcutol®P

  • Vehicle without Transcutol®POther

    Also called Transcutol®P is Diethylene Glycol Monoethyl Ether, NF.

    Vehicle matching VTP-38543 cream without Transcutol®P

Study groups in NCT02655679
Study groupRoleWhat they receive
VTP-38543 0.05%ExperimentalVTP-38543 0.05% administered topically every 12 hours for 28 days.
Receives: Drug: VTP-38543
VTP-38543 0.15%ExperimentalVTP-38543 0.15% administered topically every 12 hours for 28 days.
Receives: Drug: VTP-38543
Vehicle without Transcutol®PPlacebo comparatorVehicle without Transcutol®P administered topically every 12 hours for 28 days.
Receives: Other: Vehicle without Transcutol®P
VTP-38543 1%ExperimentalVTP-38543 1% administered topically every 12 hours for 28 days.
Receives: Drug: VTP-38543
Vehicle with Transcutol®PPlacebo comparatorVehicle with Transcutol®P administered topically every 12 hours for 28 days.
Receives: Other: Vehicle with Transcutol®P

What is being measured

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

  1. Number of Participants With Treatment-related Adverse Events (AEs)

    An Adverse Event is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. The number of participants with AEs related to treatment are reported.

    Measured: Baseline (Day 0) to Day 35

  2. Number of Participants With Clinically Significant Changes in Clinical Laboratory Values

    Clinical Laboratory tests included chemistry, hematology and urinalysis tests collected during the study. The investigator determined if the changes in laboratory results were clinically significant.

    Measured: Baseline (Day 0) to Day 35

  3. Number of Participants With Clinically Significant Changes in Vital Signs

    Vital signs included blood pressure, pulse, respiration rate and body temperature. The investigator determined if the changes in vital sign results were clinically significant.

    Measured: Baseline (Day 0) to Day 35

  4. Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Values

    A standard 12-lead ECG was performed. The investigator determined if the changes in ECG results were clinically significant.

    Measured: Baseline (Day 0) to Day 35

Secondary outcomes (11)
  1. Maximum Plasma Concentration (Cmax) for VTP-38543-001

    Measured: Day 0 (pre-dose, 1, 2, 4, 6, 9, and 12 hours post first dose), and Day 27 (pre-dose, 1, 2, 4, 6, 9, 12, 24, 48, and 72 hours post last dose)

  2. Time to Maximum Plasma Concentrations (Tmax) for VTP-38543

    Measured: Day 0 (pre-dose, 1, 2, 4, 6, 9, and 12 hours post first dose), and Day 27 (pre-dose, 1, 2, 4, 6, 9, 12, 24, 48, and 72 hours post last dose)

  3. Area Under the Plasma Concentration Versus Time Curve, From Time 0 to the Last Measurable Concentration (AUClast) for VTP-38543

    Measured: Day 0 (pre-dose, 1, 2, 4, 6, 9, and 12 hours post first dose), and Day 27 (pre-dose, 1, 2, 4, 6, 9, 12, 24, 48, and 72 hours post last dose)

  4. Area Under the Plasma Concentration Versus Time Curve, From Time 0 to 12 Hours (AUC0-12hr) for VTP-38543

    Measured: Day 0 (pre-dose, 1, 2, 4, 6, 9, and 12 hours post first dose), and Day 27 (pre-dose, 1, 2, 4, 6, 9, 12, 24, 48, and 72 hours post last dose)

  5. Elimination Half-life (t½) for VTP-38543

    Measured: Day 0 (pre-dose, 1, 2, 4, 6, 9, and 12 hours post first dose), and Day 27 (pre-dose, 1, 2, 4, 6, 9, 12, 24, 48, and 72 hours post last dose)

  6. Percentage Change From Baseline in Total Body Surface Area (BSA)

    Percent BSA was estimated using the palmar surface of the participant's hand up to the proximal interphalangeal joint, including the thumb, to approximate 1% of the participant's BSA. The overall BSA affected by atopic dermatitis was evaluated from 0 to 100% and divided by 5 for a maximum of 20. A negative percentage change indicates improvement.

    Measured: Baseline (Day 0) to Day 28

  7. Percentage Change From Baseline in Investigator Global Assessments (IGA) Score

    The investigator assessed the participant's atopic dermatitis using the 5-point IGA where 0=clear (Minor, residual discoloration, no erythema or induration/papulation, no oozing/crusting) to 4=Severe disease (Deep/bright red erythema with severe induration/papulation with oozing/crusting). A negative percentage change indicates improvement.

    Measured: Baseline (Day 0) to Day 28

  8. Percentage Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Score

    The investigator assessed severity of atopic dermatitis (AD) using scoring atopic dermatitis (SCORAD) score obtained from different individual scales. 6-items: erythema, edema/papulation, oozing/crusts, excoriation, lichenification, and dryness were graded on a 4-point scale where 0=Absent to 3=Severe. The individual scores were added together to get a score of 0 to 18 that was multiplied by 3.5 for a score of 0 to 63. The overall BSA affected by AD (0 to 100 %) was divided by 5 for a score 0 to 20. The participant used a 10-point Visual Analog Scale (VAS) to evaluate loss of sleep and the occurrence of pruritus averaged over the last 3 days where 0=None to Worst Imaginable. The sum of the 2 VAS scores was 0 to 20. The above measures were added together for a total possible SCORAD score of 0 (best) to 103 (worst). A negative percentage change indicates improvement.

    Measured: Baseline (Day 0) to Day 28

  9. Percentage Change From Baseline Eczema Area and Severity Index (EASI)

    The investigator assessed four body regions: Head and neck, Upper extremities, Trunk including axillae and groin, and Lower extremities including buttocks. Each body region was scored based on BSA where 0=No involvement to 6=90-100%. Each body region was assessed for erythema, infiltration/papulation, excoriation and lichenification using a 4-point scale where 0=None to 3=Severe. EASI total score was determined by combining the individual scores for each of the 4 body regions. The total for each region was calculated by [erythema + infiltration+ excoriation + lichenification * area involvement * a constant (constants Head and Neck=0.1, Upper Limbs=0.2, Trunk=0.3, Lower Limbs=0.4)]. The EASI total score was determined by combining the individual scores for each of the 4 body regions for a total possible score of 0 (best) to 72 (worst). A negative percentage change indicates improvement.

    Measured: Baseline (Day 0) to Day 28

  10. Percentage Change From Baseline in Pruritus VAS Score

    The participant used a 10-point VAS to assess the occurrence of pruritus (itchy skin) over the last 3 days where 0= None to 10=Worst Imaginable for a total possible score of 0 to 10. A negative percentage change indicates improvement.

    Measured: Baseline (Day 0) to Day 28

  11. Percentage Change From Baseline in VAS Sleep Score

    The participant used a 10-point VAS to evaluate loss of sleep averaged over the last 3 days where 0= None to 10=Worst imaginable for a total possible score of 0 to 10. A negative percentage change indicates improvement.

    Measured: Baseline (Day 0) to Day 28

Timeline

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

  1. First posted14 Jan 2016 (estimated)
  2. Study start15 Dec 2015
  3. Primary completion9 Sep 2016
  4. Study completion9 Sep 2016

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
104 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02655679
Sponsor's protocol ID
VTP-38543-001
Status last verified
Jan 2019
First submitted
11 Jan 2016
Last updated
15 Feb 2019
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Czarnowicki T, Dohlman AB, Malik K, Antonini D, Bissonnette R, Chan TC, Zhou L, Wen HC, Estrada Y, Xu H, Bryson C, Shen J, Lala D, Ma'ayan A, McGeehan G, Gregg R, Guttman-Yassky E. Effect of short-term liver X receptor activation on epidermal barrier features in mild to moderate atopic dermatitis: A randomized controlled trial. Ann Allergy Asthma Immunol. 2018 Jun;120(6):631-640.e11. doi: 10.1016/j.anai.2018.03.013. Epub 2018 Mar 19.

    PubMed 29567358

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing VTP-38543 in people with Dermatitis, Atopic, run by Vitae Pharmaceuticals, Inc. at 12 sites in 2 countries.

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 4 inclusion and 5 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 15 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in Canada, United States. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Feb 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Participants With Treatment-related Adverse Events (AEs) (time frame: Baseline (Day 0) to Day 35). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02655679, which also lists 1 linked publication.

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 15 Feb 2019.

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