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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03154333
Registration number
NCT03154333
Ethics application status
Date submitted
10/05/2017
Date registered
16/05/2017
Titles & IDs
Public title
Safety and Efficacy of Diacerein 1% Ointment for Subjects With Epidermolysis Bullosa Simplex (EBS)
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Scientific title
An International, Multicenter, Randomized, Double-Blind, Parallel-Group Phase 2 Study Evaluating the Safety and Efficacy of Diacerein 1% Ointment Topical Formulation in Subjects With Epidermolysis Bullosa Simplex
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Secondary ID [1]
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CCP-020-301
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Epidermolysis Bullosa Simplex
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Skin
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Dermatological conditions
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Skin
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Other skin conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - diacerein 1% ointment
Treatment: Drugs - A placebo ointment
Experimental: diacerein 1% ointment - diacerein 1% ointment will be used for 8 weeks
Placebo comparator: vehicle ointment - vehicle ointment will be used for 8 weeks
Treatment: Drugs: diacerein 1% ointment
diacerein 1% ointment administered topically
Treatment: Drugs: A placebo ointment
vehicle ointment administered topically
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Proportion of Subjects Who Achieved = 60% Reduction in Body Surface Area (BSA) of EBS Lesions Within Assessment Area
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Assessment method [1]
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Analysis of the proportion of subjects who achieved a =60% reduction in Body Surface Area (BSA) of EBS lesions within Assessment Area from Baseline to Week 8
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Timepoint [1]
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Baseline to Week 8
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Secondary outcome [1]
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The Proportion of Subjects Who Achieved Success on the Investigator's Global Assessment (IGA)
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Assessment method [1]
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The investigator's global assessment (IGA) is a five-point scale that is used for overall clinical assessment of severity of disease and classifies EBS-involved skin with a score ranging from 0-4. Success on the IGA was defined as =2-point reduction from Baseline to Visit 6 (Week 8).
IGA Scoring:
0 = Clear; 1 = Near Clear; 2 = Mild; 3 = Moderate; 4 = Severe
Minimum score = 0 Maximum score = 4; higher score = worse outcome
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Timepoint [1]
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Baseline to Week 8
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Eligibility
Key inclusion criteria
Key
* Subject is at least 4 years of age at Screening
* Subject has a documented genetic mutation consistent with EBS. Gene mutations acceptable for inclusion are as follows: KRT5, KRT14, PLEC1, TGM5, PKP1, DSP, FERMT1, EXPH5, DST, KLHL24.
* Subject has an Assessment Area of EBS lesions to be treated, that is =2% body surface area (BSA) and the EBS lesions are in one or both of the following body areas:
* Localized: plantar and/or palmar areas
* Generalized: arms, legs, torso, hands and feet
* Subject's EBS lesions in the Assessment Area have an Investigator's Global Assessment (IGA) score of =3
* Subject/caregiver agrees to not use any topical therapies other than the study medication that might influence the status of the EBS lesions during the duration of the study
* Subject is non-pregnant as confirmed by a negative urine pregnancy screen, non-lactating and is not planning for pregnancy during the study period
* If the subject is a woman of childbearing potential, agrees to use an approved effective method of birth control
* Subject is in good general health and free of any known disease state or physical condition which might impair evaluation of the EBS lesions or which exposes the subject to an unacceptable risk by study participation
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Minimum age
4
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Subject has EBS lesions to be treated that are infected
* Subject has used any diacerein containing product within 6 months prior to Screening
* Subject has used systemic immunotherapy or cytotoxic chemotherapy within 60 days prior to Screening
* Subject has used systemic steroidal therapy or has used topical steroidal therapy on the EBS lesions to be treated within 30 days prior to Baseline
* Subject has evidence of a systemic infection or has used systemic antibiotics within 7 days prior to Screening
* Subject is currently using systemic analgesics and/or anti-histamine therapy, for treatment of EBS lesions unless on a stable regimen (i.e., the same dosing regimen) for at least 4 weeks prior to Screening
* Subject has used any systemic diuretics or cardiac glycosides or any systemic product that might put the subject at undue risk
* Subject has used any topical product containing allantoin on the EBS lesions to be treated within 30 days prior to Screening
* Subject has a current malignancy, or a history of treatment for a malignancy within 2 years prior to Screening
* Subject currently has diabetes mellitus (HbA1c =6.5%) or controlled diabetes (HbA1c < 6.5%)
* Subject has a history of cardiac, hepatic (ALT and or AST >2x ULN, Total bilirubin >1.5x ULN at Screening), or renal disease (eGFR<30 ml/min/1.73 m^2)
* Subject has a non-EBS skin disease or condition (e.g., sunburn) that might put the subject at undue risk by study participation or interferes with the study medication application or the study assessments
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
31/10/2018
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Sample size
Target
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Accrual to date
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Final
54
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Premier Specialists Pty Ltd; The Church - Kogarah
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Recruitment postcode(s) [1]
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2217 - Kogarah
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Recruitment outside Australia
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United States of America
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State/province [1]
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Arizona
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California
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Colorado
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Illinois
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Minnesota
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Missouri
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New York
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North Carolina
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Ohio
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South Carolina
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Texas
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Austria
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Salzburg
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France
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State/province [13]
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Cedex
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France
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Nice
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Germany
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Freiburg
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Israel
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Tel Aviv
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Netherlands
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Groningen
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United Kingdom
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England
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Country [19]
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United Kingdom
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State/province [19]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Castle Creek Pharmaceuticals, LLC
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Epidermolysis bullosa simplex (EBS) is a rare genetic skin disease characterized by fragility of the skin and mucous membranes resulting in painful blisters and erosions after minor trauma. The purpose of this study is to compare the efficacy of diacerein 1% ointment to vehicle ointment when applied once-daily for 8 weeks in subjects with EBS.
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Trial website
https://clinicaltrials.gov/study/NCT03154333
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mary Spellman, MD
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Address
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Castle Creek Pharmaceuticals
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Phone
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Fax
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Email
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Contact person for public queries
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Address
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/33/NCT03154333/SAP_000.pdf
Study protocol
https://cdn.clinicaltrials.gov/large-docs/33/NCT03154333/Prot_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03154333