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Safety and Efficacy Study of EXC 001 to Improve the Appearance of Scars From Prior Breast Surgery

Phase 2
Completed
Conditions
Reduction in Hypertrophic Skin Scarring
Interventions
Registration Number
NCT01346969
Lead Sponsor
Pfizer
Brief Summary

The study will investigate the efficacy of various doses and regimens of EXC 001 in reducing skin scarring in subjects undergoing revision of scars from prior surgery. The study will also evaluate the safety and tolerability of EXC 001 and placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
68
Inclusion Criteria
  • Subjects must have previous had breast surgery resulting in unacceptable scars.
  • Subject has chosen to have breast scars revised.
  • Subject must not be pregnant or lactating.
Exclusion Criteria
  • Currently pregnant or pregnant during the 6 months, prior to inclusion in the study or lactating.
  • Participation in another clinical trial within 30 days prior to the start of the study.
  • Any other condition or prior therapy, which, in the opinion of the PI, would make the subject unsuitable for the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Group 1EXC 001-
Group 2EXC 001-
Group 3EXC 001-
Group 4EXC 001-
Primary Outcome Measures
NameTimeMethod
Physician Observer Scar Assessment Score at Week 24Week 24

Physician assessment of scar was done using a valid published 10-point rating scale. Physician rated vascularity, pigmentation, thickness, relief, pliability, surface area and overall opinion for scar on a score of 1 = normal skin to 10 = worst scar imaginable, where lower scores indicated better outcome. Composite score was the sum of all the scores, except the overall opinion score, and range from 6 (best score) to 60 (worst score), where lower scores indicated better outcome. Within participant treatment difference was assessed between the treatment regimens each participant received.

Secondary Outcome Measures
NameTimeMethod
Physician Observer Scar Assessment ScoreWeek 11, 18

Physician observer scar assessment score was done using a valid published 10-point rating scale. Physician rated vascularity, pigmentation, thickness, relief, pliability, surface area and overall opinion for a scar on a score of 1 = normal skin to 10 = worst scar imaginable, where lower scores indicated better outcome. Composite score was the sum of all the scores except the overall opinion score and range from 6 (best score) to 60 (worst score), where lower scores indicated better outcome. Within participant treatment difference was assessed between the treatment regimens each participant received.

Number of Participants With Physician Photonumeric Guide Scar Assessment ScoreWeek 24

Physician rated severity of each scar using a photonumeric guide on a scale range from 1 to 5 (where 1 = minimal, 2 = mild, 3 = moderate, 4 = severe, 5 = very severe). Number of participants with different ratings of scar severity were reported. Same participant was reported twice, once for each breast's scar (dosing for 1 breast = 4 times EXC 001 and for other breast = 3 times).

Subject Observer Scar Assessment ScoreWeek 24

Participants rated pain, itching, color, stiffness, thickness, irregularity, and overall opinion of scar on 10-point scale. For pain and itching associated with scar: range = 1 (no, not at all) to 10 (yes, worst imaginable) and for other parameters associated with scar compared to normal skin: range = 1 (no, same as normal skin) to 10 (yes, very different). Composite score = sum of all scores except overall opinion and range 6 (best) to 60 (worst). Scar appearance composite score = sum of all scores except overall opinion, pain and itching, range 4 (best) to 40 (worst). Within participant treatment difference was assessed between the treatment regimens each participant received. A lower score indicated a better outcome.

Number of Participants With Participant Photonumeric Guide Scar Assessment ScoreWeek 24

Participants rated severity of each scar using a photonumeric guide on a scale range from 1 to 5 (where 1 = minimal, 2 = mild, 3 = moderate, 4 = severe, 5 = very severe). Number of participants with different ratings of scar severity were reported. Same participant was reported twice, once for each breast's scar (dosing for 1 breast = 4 times EXC 001 and for other breast = 3 times).

Expert Panel Scar Assessment ScoreWeek 11, 18, 24

Scar assessment by an expert panel was done on blinded photographs using 100 millimeter (mm) visual analog scale (VAS) where a score of 0 = best possible scar and a score of 100 = worst possible scar, where lower scores indicated better outcome. The rater first marked a rating for the "worse" scar and then rated the other scar. The difference between these two ratings was the "improvement of scar severity." If there was no difference, the expert could check a box to indicate that determination. This method provided information on the absolute severity of the scars as well as the differences between the two scars in the pair.

Trial Locations

Locations (12)

Bayside Ambulatory Center

🇺🇸

Miami, Florida, United States

Endeavor Clinical Trials,P.A.

🇺🇸

San Antonio, Texas, United States

Aesthetic Plastic Surgery Miami

🇺🇸

Miami, Florida, United States

Skin Deep Laser Medical Spa

🇺🇸

Pasadena, California, United States

Bright Health Physicans Plastic Surgery and Aesthetic Medicine

🇺🇸

Whittier, California, United States

Texas Plastic Surgery

🇺🇸

San Antonio, Texas, United States

Altus Research

🇺🇸

Lake Worth, Florida, United States

Body Aesthetic Plastic Surgery

🇺🇸

Saint Louis, Missouri, United States

New Jersey Plastic Surgery

🇺🇸

Montclair, New Jersey, United States

BAXTER Plastic Surgery

🇺🇸

Mountlake Terrace, Washington, United States

Mark L. Jewell,MD Surgery Center

🇺🇸

Eugene, Oregon, United States

Connall Consmetic Surgery

🇺🇸

Tualatin, Oregon, United States

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