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Actinic KeratosisPhase 3NCT03285490

A Multi-Center Study to Evaluate the Efficacy and Safety of KX2-391 Ointment 1% on Actinic Keratosis on Face or Scalp (AK004)

A Phase 3 study testing KX2-391 Ointment 1% in people with Actinic Keratosis, run by Almirall, S.A. at 30 sites in United States.

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 Phase III study was designed to evaluate the efficacy and safety of KX2-391 Ointment 1% in adult participants when applied to an area of skin containing 4-8 stable, clinically typical actinic keratosis (AK) lesions on the face or scalp. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Actinic Keratosis
What is being tested?
KX2-391 Ointment 1%
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
351 participants
Where
30 sitesUnited States
Study dates
15 Sep 2017to 24 Apr 2019
Phase
Phase 3
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females greater than or equal to (>=) 18 years old.
  • A defined area on the face or scalp contains 4 to 8 clinically typical, visible, and discrete AK lesions.
  • Participants who in the judgment of the Investigator, were in good general health.
  • Females were postmenopausal (greater than [>] 45 years of age with at least 12 months of amenorrhea), surgically sterile (by hysterectomy, bilateral oophorectomy, or tubal ligation); or, if of childbearing potential, were using highly effective contraception for at least 30 days or 1 menstrual cycle, whichever was longer, prior to study treatment and agreed to continue to use highly effective contraception for at least 30 days following their last dose of study treatment. Highly effective contraception includes oral hormonal contraceptives, hormonal contraceptive implant, injection or patch, intrauterine device or complete abstinence from sexual intercourse.
  • Sexually active males who had not had a vasectomy, and whose partner was reproductively capable, must had agreed to use barrier contraception from Screening through 90 days after their last dose of study treatment.
  • All participants must had agreed not to donate sperm or eggs or attempt conception from Screening through 90 days following their last dose of study treatment.
  • Willing to avoid excessive sun or ultraviolet exposure.
  • Able to comprehend and were willing to sign the informed consent form (ICF).

Who cannot join

  • Clinically atypical and/or rapidly changing AK lesions on the treatment area.
  • Location of the selected area is:
  • On any location other than the face or scalp.
  • Within 5 centimeters (cm) of an incompletely healed wound.
  • Within 5 cm of a suspected basal cell carcinoma (BCC) or squamous cell carcinoma (SCC).
  • Been previously treated with KX2-391 Ointment.
Show all 21Show fewer
  • Anticipated need for in-patient hospitalization or in-patient surgery from Day 1 to Day 57.
  • Treatment with 5-fluorouracil (5-FU), imiquimod, ingenol mebutate, diclofenac, photodynamic therapy, or other treatments for AK within the treatment area or within 2 cm of the treatment area, within 8 weeks prior to the Screening visit.
  • Use of the following therapies and/or medications within 2 weeks prior to the Screening visit:
  • Cosmetic or therapeutic procedures (e.g., use of liquid nitrogen, surgical excision, curettage, dermabrasion, medium or greater depth chemical peel, laser resurfacing) within the treatment area or within 2 cm of the selected treatment area.
  • Acid-containing therapeutic products (eg, salicylic acid or fruit acids, such as alpha- and beta-hydroxyl acids and glycolic acids), topical retinoids, or light chemical peels within the treatment area or within 2 cm of the selected treatment area.
  • Topical salves (non-medicated/non-irritant lotion and cream were acceptable) or topical steroids within the treatment area or within 2 cm of the selected treatment area; artificial tanners within the treatment area or within 5 cm of the selected treatment area.
  • Use of the following therapies and/or medications within 4 weeks prior to the Screening visit:
  • Treatment with immunomodulators (eg, azathioprine), cytotoxic drugs (eg, cyclophosphamide, vinblastine, chlorambucil, methotrexate) or interferons/interferon inducers.
  • Treatment with systemic medications that suppress the immune system (eg, cyclosporine, prednisone, methotrexate, alefacept, infliximab).
  • Use of systemic retinoids (eg, isotretinoin, acitretin, bexarotene) within 6 months prior to the Screening visit.
  • A history of sensitivity and/or allergy to any of the ingredients in the study medication.
  • A skin disease (e.g., atopic dermatitis, psoriasis, eczema) or condition (e.g., scarring, open wounds) that, in the opinion of the Investigator, might interfere with the study conduct or evaluations, or which exposes the participant to unacceptable risk by study participation.
  • Other significant uncontrolled or unstable medical diseases or conditions that, in the opinion of the Investigator, would expose the participant to unacceptable risk by study participation.
  • Females who were pregnant or nursing.
  • Participated in an investigational drug trial during which an investigational study medication was administered within 30 days or 5 half-lives of the investigational product, whichever was longer, before dosing.

Trial locations and contacts

30 sites in 1 country.

30 sites in 1 country

United States30 sites
  • DermResearch

    Austin, Texas, 78759

  • Study Protocol, Inc

    Boynton Beach, Florida, 33437

  • Laser & Skin Surgery Center of Indiana

    Carmel, Indiana, 46032

  • Clinical Research Center of the Carolinas

    Charleston, South Carolina, 29407

  • Aventiv Research Inc.

    Dublin, Ohio, 43016

  • Hamzavi Dermatology

    Fort Gratiot, Michigan, 48059

  • AboutSkin Dermatology

    Greenwood Village, Colorado, 80111

  • Henderson Dermatology Research

    Henderson, Nevada, 89052

  • Burke Pharmaceutical Research

    Hot Springs, Arkansas, 71913

  • Suzanne Bruce and Associates, P.A., The Center for Skin Research

    Houston, Texas, 77056

  • Dawes Fretzin Clinical Research Group

    Indianapolis, Indiana, 46256

  • Dermatology Associates Of Knoxville, PC

    Knoxville, Tennessee, 37917

  • Clinical Trials of SWLA, LLC

    Lake Charles, Louisiana, 70601

  • DS Research

    Louisville, Kentucky, 40241

  • The Education & Research Foundation, Inc.

    Lynchburg, Virginia, 24501

  • Sweet Hope Research Specialty, Inc.

    Miami Lakes, Florida, 33016

  • Dermatology Specialists, Inc.

    Murrieta, California, 92562

  • Union Square Laser Dermatology

    New York, New York, 10003

  • Dermatology Specialists, Inc.

    Oceanside, California, 92056

  • Alliance Dermatology

    Phoenix, Arizona, 85032

  • Oregon Medical Research Center

    Portland, Oregon, 97223

  • Activmed Practices & Research, Inc

    Portsmouth, New Hampshire, 03801

  • Medisearch Clinical Trials

    Saint Joseph, Missouri, 64506

  • Clinical Trials of Texas, Inc.

    San Antonio, Texas, 78229

  • Skin Surgery Medical Group, Inc.

    San Diego, California, 92117

  • Synexus

    Santa Rosa, California, 95405

  • Dermatology Associates of Seattle

    Seattle, Washington, 98101

  • Rivergate Dermatology Clinical Research

    Springfield, Tennessee, 37072

  • Forward Clinical Trials, Inc.

    Tampa, Florida, 33624

  • Synexus US

    Tucson, Arizona, 85712

Other trials in United States

About this study

Official title: A Phase 3, Double-Blind, Vehicle-Controlled, Randomized, Parallel Group, Multicenter, Efficacy and Safety Study of KX2-391 Ointment 1% in Adult Subjects With Actinic Keratosis on the Face or Scalp

This Phase III study was designed to evaluate the efficacy and safety of KX2-391 Ointment 1% in adult participants when applied to an area of skin containing 4-8 stable, clinically typical actinic keratosis (AK) lesions on the face or scalp.

Read the detailed description

This study was a double-blinded, multicenter, efficacy, and safety study of KX2-391 ointment administered topically to the face or scalp of participants with AK.

The study consisted of Screening, Treatment, Follow-up, and Recurrence Follow-up Periods. Eligible participants received up to 5 consecutive days of topical treatment. Efficacy (lesion counts) and safety evaluations were performed.

Being tested
KX2-391 Ointment 1%, Placebo
Keywords
Actinic Keratosis, Keratosis, Keratosis, Actinic, Precancerous Conditions, Neoplasms, Sun Damaged Skin, Actinic Keratoses
Medical subject headings
Keratosis, Actinic, Keratosis, Precancerous Conditions, Neoplasms

What participants receive

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

  • KX2-391 Ointment 1%Drug

    Dose: 1% (250 mg single-use packets); Dosage form: Ointment; Route of administration: Topical

  • PlaceboDrug

    Dosage form: Ointment; Route of administration: Topical

Study groups in NCT03285490
Study groupRoleWhat they receive
KX2-391 Ointment 1%ExperimentalKX2-391 Ointment was applied once daily for 5 consecutive days on the face or scalp.
Receives: Drug: KX2-391 Ointment 1%
PlaceboPlacebo comparatorThe Vehicle Ointment was applied once daily for 5 consecutive days on the face or scalp.
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of Participants With Complete (100%) Clearance of Actinic Keratosis (AK) Lesions

    Complete clearance rate was defined as the percentage of participants at Day 57 with no clinically visible AK lesions in the treatment area.

    Measured: Day 57

Secondary outcomes (11)
  1. Percentage of Participants With Partial Clearance Rate of Actinic Keratosis Lesions at Day 57

    Partial clearance rate of AK lesions was defined as the percentage of participants with a greater than or equal to (>=) 75% reduction in the number of AK lesions identified at Baseline (Day 1 predose) in the treatment area.

    Measured: Day 57

  2. Overall Change From Baseline in Actinic Keratosis Lesion Counts at Days 8, 15, 29 and 57

    Overall the change from baseline in lesion count at each visit were summarized and reported using descriptive statistics by treatment location (face or scalp).

    Measured: Days 8, 15, 29 and 57

  3. Percentage of Participants With Recurrence of Actinic Keratosis Lesions Who Achieved Complete Clearance at Day 57

    Recurrence rate was estimated based on Kaplan-Meier method, with recurrence define as appearance of any AK lesions in the treatment area, including those recurred or newly identified.

    Measured: 3, 6, 9 and 12 months post-Day 57

  4. Number of Participants With Maximal Post Baseline Local Skin Reaction (LSR)

    Maximal post baseline LSR was defined as the highest grade of any LSR reported at any post baseline visits for a participant. The LSR assessment was an Investigator's (or sub-investigator's) assessment of the following signs on the treatment area: erythema, flaking/scaling, crusting, swelling, vesiculation/pustulation, and erosion/ulceration. The LSRs were graded on a 4-point scale ranging from 0=absent, 1=mild (slightly, barely perceptible), 2=moderate (distinct presence), and 3=severe (marked, intense).

    Measured: Day 57

  5. Number of Participants With Pigmentation and Scarring in the Treatment Area

    Absence or presence of pigmentation (i.e., hypopigmentation and hyperpigmentation) and scarring in the treatment area were assessed.

    Measured: Baseline (Day 1 predose), Days 5, 8, 15, 29 and 57

  6. Number of Participants With Adverse Event (AE), Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Events of Special Interests

    An AE was defined as any untoward medical occurrence in participant which does not necessarily have causal relationship with treatment. An AE was any unfavorable and unintended sign (including abnormal laboratory finding), symptom, or disease temporally associated with use of medicinal product, whether or not considered related to medicinal product. An SAE was any untoward medical occurrence that at any dose resulted in death; was life threatening; required persistent/significant disability/incapacity; resulted in initial or prolonged in patient hospitalization; was congenital anomaly/birth defect or otherwise considered medically important. TEAEs (serious and non-serious) were defined as either those AEs with onset after first dose or those pre-existing AEs that worsen after first dose. Events of special interest included skin cancers (including basal cell carcinoma, squamous cell carcinoma, melanoma and their location and treatment area), ocular exposure, overdose, and pregnancy.

    Measured: Baseline (Day 1 predose) up to Day 57

  7. Number of Participants With Adverse Events, Serious Adverse Events, Events of Special Interests Within the Treatment Area After Day 57 and up to 12 Months Post-Day 57

    An AE was defined as any untoward medical occurrence in participant which does not necessarily have causal relationship with treatment. An AE was any unfavorable and unintended sign (including abnormal laboratory finding), symptom, or disease temporally associated with use of medicinal product, whether or not considered related to medicinal product. An SAE was any untoward medical occurrence that at any dose resulted in death; was life threatening; required persistent/significant disability/incapacity; resulted in initial or prolonged in patient hospitalization; was congenital anomaly/birth defect or otherwise considered medically important. Events of special interest included skin cancers (including basal cell carcinoma, squamous cell carcinoma, melanoma and their location and treatment area), ocular exposure, overdose, and pregnancy.

    Measured: From Day 57 up to 12-months post-Day 57

  8. Number of Participants With Clinically Significant Safety Observations- Hematology, Blood Chemistry, Urinalysis

    Assessed laboratory parameters included hematology, blood chemistry and urinalysis. Clinical significance and abnormal observations were determined by the investigator.

    Measured: From Baseline (Day 1 predose) up to Day 57

  9. Number of Participants With Clinically Significant Safety Observations- Vital Signs

    Vital signs included measurement of pulse rate, systolic and diastolic blood pressure, respiratory rate, and body temperature. Clinical significance was determined by the investigator.

    Measured: From Baseline (Day 1 predose) up to Day 57

  10. Number of Participants With Clinically Significant Safety Observations- Physical Examination

    A physical examination included weight and height measurements was performed. Clinical significance was determined by the investigator.

    Measured: From Baseline (Day 1 predose) up to Day 57

  11. Number of Participants With Clinically Significant Safety Observations- Electrocardiograms (ECGs)

    ECG parameters included heart rhythm, heart rate, QRS intervals, QT intervals, RR intervals and corrected QT (QTc) intervals. Clinical significance was determined by the investigator.

    Measured: From Baseline (Day 1 predose) up to Day 57

Timeline

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

  1. First posted18 Sep 2017
  2. Study start15 Sep 2017
  3. Primary completion7 May 2018
  4. Study completion24 Apr 2019

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study tested KX2-391 Ointment 1% against a placebo.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
351 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03285490
Sponsor's protocol ID
KX01-AK-004
Other IDs
U1111-1191-8287
Status last verified
Feb 2021
First submitted
7 Sep 2017
Last updated
10 Mar 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Blauvelt A, Kempers S, Lain E, Schlesinger T, Tyring S, Forman S, Ablon G, Martin G, Wang H, Cutler DL, Fang J, Kwan MR; Phase 3 Tirbanibulin for Actinic Keratosis Group. Phase 3 Trials of Tirbanibulin Ointment for Actinic Keratosis. N Engl J Med. 2021 Feb 11;384(6):512-520. doi: 10.1056/NEJMoa2024040.

    PubMed 33567191

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing KX2-391 Ointment 1% in people with Actinic Keratosis, run by Almirall, S.A. at 30 sites in United States.

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 8 inclusion and 21 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 10 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in 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 phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 10 Mar 2021). 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?

Percentage of Participants With Complete (100%) Clearance of Actinic Keratosis (AK) Lesions (time frame: Day 57). 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 NCT03285490, 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 10 Mar 2021.

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