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PsoriasisPhase 1NCT05523011

Safety and Tolerability Study of MSC Exosome Ointment

A Phase 1 study testing Exosome ointment in people with Psoriasis, run by Paracrine Therapeutics Dermatology Pte. Ltd. at 1 site in Singapore.

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 1 study aims to evaluate the safety and tolerability of the application of the MSC exosome ointment with repeated topical application on adult healthy subjects (TID from Day 1 to 20). Read more about this study

Who is it for?
Ages 21 years and olderHealthy volunteers can take part
Conditions the study is for
Psoriasis
What is being tested?
Exosome ointment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteSingapore
Study dates
8 Mar 2022to 5 Apr 2022
Phase
Phase 1
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 21 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Signed ICF prior to entering the study or undergoing any study procedures.
  • Male or female, >21 years of age at the time of signing the informed consent.
  • Subject who had been fully vaccinated for COVID-19 and was not under quarantine or Stay Home Notice or on medical leave.
  • Subject who was willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
  • Subject was able to read and write in the English language.
  • For women who were not postmenopausal (> 12 months of non-therapy induced amenorrhea) or surgically sterile (absence of ovaries and/or uterus):
  • had a negative pregnancy test at screening
  • remained abstinent or used contraceptive methods during the treatment period and continued for at least 30 days (one menstrual cycle) after the last treatment dose.

Who cannot join

  • Subject had any serious skin condition that was not well controlled.
  • Subject was currently using topical treatments.
  • Pregnant or breast-feeding women.
  • Subject had received phototherapy, oral corticosteroids, oral retinoid, oral immunosuppressive / immune modulative drugs, cytostatic / cytotoxic drugs, cyclosporine, or methotrexate within 30 days prior to the first application of the study product.
  • Subject was currently using any medications including biologics or undergoing treatment known to affect skin conditions.
  • Subject had any other clinically significant laboratory abnormalities, co-morbidities or psychiatric conditions that would place the subject at increased risk or confound the objectives of the study.
  • Subject had used any investigational drugs or biologics and/or participated in any clinical trial within the last 60 days before the day of the first dose of the study drug or was taking part in a non-medication study that would interfere with study compliance or outcome assessments.

Trial locations and contacts

1 site in 1 country.

Singapore1 site
  • National University Hospital

    Singapore, 119074

Other trials in Singapore

About this study

Official title: A Phase 1, Open-label Study to Determine Safety and Tolerability of the Topical Application of Mesenchymal Stem/Stromal Cell (MSC) Exosome Ointment to Treat Psoriasis in Healthy Volunteers

This phase 1 study aims to evaluate the safety and tolerability of the application of the MSC exosome ointment with repeated topical application on adult healthy subjects (TID from Day 1 to 20). The results of this study were to provide the first clinical information on the drug's safety and inform the selection of administration of exosome ointment to be evaluated in subsequent clinical studies. The endpoints included to assess the safety and tolerability of exosome ointment for topical application in healthy adult volunteers are:

  • Frequency of treatment-emergent adverse events (TEAEs)
  • The incidence rate of local skin responses (LSR, i.e., erythema, flaking/scaling, crusting, swelling, vesiculation/pustulation, erosion/ulceration, hyperpigmentation, hypopigmentation, and scarring) [Time Frame: Days 1 and 21]
  • Changes from baseline in blood parameters (including hematology, chemistry, and other inflammation parameters such as C-reactive protein [CRP] and erythrocyte sedimentation rate [ESR]) [Time Frame: Days 1 and 21]
Read the detailed description

This study was conducted in accordance with the protocol and consensus ethical principles derived from international guidelines including the Declaration of Helsinki, Council for International Organizations of Medical Sciences (CIOMS) International Ethical Guidelines, applicable International Conference on Harmonization (ICH), Good Clinical Practice (GCP) Guidelines, and other applicable laws and regulations.

This was a Phase 1, single-center, open-label study. After signing an ICF, subjects underwent screening procedures on Day 1 prior to the first study product application to determine eligibility. Once eligible, all subjects (n=10) received topical treatment with the MSC exosome ointment immediately followed by Vesiderm liposome cream TID on the forearm with a gap of 4 hours between doses.

The study consisted of the following periods:

  • A Screening Period of 1 day (Day 1)
  • A Treatment Period of 20 days (Day 1 to 20)
  • An End of Study (EOS) Period of 1 day (Day 21 [+3 days]).

Screening Period

The subjects were screened for eligibility on Day 1 prior to the application of the study product. Subjects were asked to sign the ICF after having the study described to them. After obtaining written informed consent, subjects underwent the following screening procedures for participation in the study:

  • Inclusion/exclusion criteria assessments
  • Vital signs
  • Medical history
  • Demographic data review
  • Standard hematology panel
  • Renal panel
  • Liver function test
  • Inflammatory blood examinations
  • Pregnancy test (if applicable)
  • Concomitant medications

Identification, visual assessment, and photography of application area

A trained expert evaluator (an Investigator or designee) identified the area of study product application and performed visual assessments which were carried out using an adapted version of SCORing Atopic Dermatitis (SCORAD) scale and visual assessment score (VAS). A photograph of the area of application was also taken using a dedicated compact digital camera at the clinic where subject visits were done.

Treatment Period

After confirmation of the application site, the subjects applied exosome ointment along with Vesiderm liposome cream (TID per day). Each day (from Day 1 to 20), the study product was applied with a gap of 4 hours between each dose to a healthy area (one hand area) on the forearm using 1 fingertip unit (FTU). The Vesiderm liposome cream was meant to keep the application site moisturized.

All through the treatment period, the subjects completed the Subject Diary to capture adverse events (AEs; skin-related and other), concomitant medications, and time of study product application.

The site coordinator called the subjects every 3 days (Days 3, 6, 9, 12, 15, and 18) to follow up on the investigational product's (IP) compliance, and if subjects had any adverse events or had taken any concomitant medications during the period. Any AEs reported by the subject during the calls were to be referred to the investigator for appropriate review and follow-up.

End of Study (EOS) Period

The EOS period was on Day 21 (+3 days). The subjects visited the clinic on this day for the assessments such as vital signs, blood examinations (hematology, chemistry, and inflammatory blood examinations), photographs of the area of application, visual assessment of the area of application, AEs, and concomitant medications used.

The assessments at this visit were also to be conducted in case of early termination or withdrawal of any subject.

Conditions
Psoriasis
Being tested
Exosome ointment
Keywords
Mesenchymal stem/stromal cell, Exosome, Exosome ointment, Topical application, Safety and Tolerability, Extracellular vesicle
Medical subject headings
Psoriasis

What participants receive

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

  • Exosome ointmentDrug

    100 µg MSC exosomes/g ointment

Study groups in NCT05523011
Study groupRoleWhat they receive
Exosome OintmentExperimentalThe subjects will apply exosome ointment along with Vesiderm liposome cream (TID per day, 20 days). Each day (from Day 1 to 20), the study product will be applied with a gap of 4 hours between three doses to a healthy area (one hand area) on the forearm using 1 fingertip unit (FTU). The Vesiderm liposome cream is meant to keep the application site moisturized.
Receives: Drug: Exosome ointment

What is being measured

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

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    All through the treatment period, the subjects completed the Subject Diary to capture the frequency of TEAEs.

    Measured: Day 1 - 20

  2. Change From Baseline in the Systolic Blood Pressure After 20 Days of Treatment

    Systolic blood pressure (mmhg) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  3. Change From Baseline in the Diastolic Blood Pressure After 20 Days of Treatment

    Diastolic blood pressure (mmhg) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  4. Change From Baseline in the Heart Rate After 20 Days of Treatment

    Heart rate (beats/min) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  5. Change From Baseline in the Respiratory Rate After 20 Days of Treatment

    Respiratory rate (breaths/min) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  6. Change From Baseline in the Body Temperature After 20 Days of Treatment

    Body temperature (°C) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  7. Change From Baseline in the Basophils After 20 Days of Treatment

    Basophils (10^9 Basophils /L) were assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  8. Change From Baseline in the Eosinophils After 20 Days of Treatment

    Eosinophils (10^9 Eosinophils/L) were assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  9. Change From Baseline in the Hematocrit After 20 Days of Treatment

    hematocrit(%) assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  10. Change From Baseline in the Hemoglobin After 20 Days of Treatment

    Hemoglobin (g/dL) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  11. Change From Baseline in the Lymphocytes After 20 Days of Treatment

    Lymphocytes (10^9 Lymphocytes/L) were assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  12. Change From Baseline in the Monocytes After 20 Days of Treatment

    Monocytes (10^9 Monocytes/L) were assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  13. Change From Baseline in the Red Blood Cell After 20 Days of Treatment

    Red blood cell (10^12 Red blood cells/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  14. Change From Baseline in the White Blood Cell After 20 Days of Treatment

    White Blood Cell (10^9 White blood cells/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  15. Change From Baseline in the Bicarbonate After 20 Days of Treatment

    Bicarbonate (mmol/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  16. Change From Baseline in the Blood Urea Nitrogen After 20 Days of Treatment

    Blood urea nitrogen (mg/dL) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  17. Change From Baseline in the Calcium After 20 Days of Treatment

    Calcium (mmol/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  18. Change From Baseline in the Chloride After 20 Days of Treatment

    Chloride (mmol/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  19. Change From Baseline in the Creatinine After 20 Days of Treatment

    Creatinine (umol/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  20. Change From Baseline in the Glucose After 20 Days of Treatment

    Glucose (mmol/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  21. Change From Baseline in the Potassium After 20 Days of Treatment

    Potassium (mmol/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  22. Change From Baseline in the Sodium After 20 Days of Treatment

    Sodium (mmol/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  23. Change From Baseline in the Alanine Transaminase After 20 Days of Treatment

    Alanine transaminase (U/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  24. Change From Baseline in the Albumin After 20 Days of Treatment

    Albumin (g/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  25. Change From Baseline in the Alkaline Phosphatase After 20 Days of Treatment

    Alkaline phosphatase (U/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  26. Change From Baseline in the Aspartate Aminotransferase After 20 Days of Treatment

    Aspartate aminotransferase (U/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  27. Change From Baseline in the Direct Bilirubin After 20 Days of Treatment

    Direct bilirubin (umol/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  28. Change From Baseline in the Total Bilirubin After 20 Days of Treatment

    Total bilirubin (umol/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  29. Change From Baseline in the C-reactive Protein After 20 Days of Treatment

    C-reactive protein (mg/L) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  30. Change From Baseline in the Erythrocyte Sedimentation Rate After 20 Days of Treatment

    Erythrocyte sedimentation rate (mm/hr) was assessed on Day 1 (pre-treatment) and Day 21 (+3 days)

    Measured: Day 1 - 21+3

  31. Assessment of the Dryness of the Area of Application

    Visual assessments of the dryness of the area of application was carried out using an adapted version of SCORAD scale on Day 1 (pre-treatment) and Day 21 (+3 days).

    SCORAD scale assessment (range: 0-3) 0= none, 1= mild, 2= moderate, 3= severe

    Measured: Day 1 - 21+3

  32. Assessment of the Oozing/Crusting of the Area of Application

    Visual assessments of the oozing/crusting of the area of application was carried out using an adapted version of SCORAD scale on Day 1 (pre-treatment) and Day 21 (+3 days).

    SCORAD scale assessment (range: 0-3) 0= none, 1= mild, 2= moderate, 3= severe

    Measured: Day 1 - 21+3

  33. Assessment of the Redness of the Area of Application

    Visual assessments of the rednessof the area of application was carried out using an adapted version of SCORAD scale on Day 1 (pre-treatment) and Day 21 (+3 days).

    SCORAD scale assessment (range: 0-3) 0= none, 1= mild, 2= moderate, 3= severe

    Measured: Day 1 - 21+3

  34. Assessment of the Scratch Marks of the Area of Application

    Visual assessments of the scratch marks the area of application were carried out using an adapted version of SCORAD scale on Day 1 (pre-treatment) and Day 21 (+3 days).

    SCORAD scale assessment (range: 0-3) 0= none, 1= mild, 2= moderate, 3= severe

    Measured: Day 1 - 21+3

  35. Assessment of the Skin Thickening of the Area of Application

    Visual assessments of the skin thickening the area of application was carried out using an adapted version of SCORAD scale on Day 1 (pre-treatment) and Day 21 (+3 days).

    SCORAD scale assessment (range: 0-3) 0= none, 1= mild, 2= moderate, 3= severe

    Measured: Day 1 - 21+3

  36. Assessment of the Swelling of the Area of Application

    Visual assessments of the swelling of the area of application was carried out using an adapted version of SCORAD scale on Day 1 (pre-treatment) and Day 21 (+3 days).

    Measured: Day 1 - 21+3

  37. Assessment of the Itch of the Area of Application

    Subjective symptoms: The identified area of application was assessed for the subjective symptom itch, graded from 0 (no itch) to 10 (worst imaginable itch)

    Measured: Day 1 - 21+3

  38. Assessment of the Sleeplessness

    Subjective symptoms: The participant was assessed for the subjective symptom sleeplessness and graded from 0 (no sleeplessness) to 10 (worst imaginable sleeplessness)

    Measured: Day 1 - 21+3

Timeline

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

  1. First posted31 Aug 2022
  2. Study start8 Mar 2022
  3. Primary completion5 Apr 2022
  4. Study completion5 Apr 2022

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
Not applicable
Intervention model
Single group
Model description
Single-center, single-arm, open-label study
Masking
None (open label)
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05523011
Sponsor's protocol ID
PTD2021P001
Status last verified
Aug 2024
First submitted
25 Aug 2022
Last updated
31 Oct 2024
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Sharing of IPD is on a case-by-case basis.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Exosome ointment in people with Psoriasis, run by Paracrine Therapeutics Dermatology Pte. Ltd. at 1 site in Singapore.

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 7 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 31 Oct 2024. 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 Singapore. 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. 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?

Yes. Results are posted in the registry (first posted 31 Oct 2024). 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-emergent Adverse Events (TEAEs) (time frame: Day 1 - 20). The study lists 38 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 31 Oct 2024.

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