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A Study Assessing the PK, PD, Safety, and Tolerability of SB414 in Psoriasis

Phase 1
Completed
Conditions
Psoriasis
Interventions
Drug: SB414 6%
Drug: Vehicle
Registration Number
NCT03445013
Lead Sponsor
Novan, Inc.
Brief Summary

The objectives of this study are to assess the pharmacokinetics, pharmacodynamics, safety, and tolerability of SB414 in subjects with mild to moderate plaque psoriasis.

Detailed Description

This is a phase 1b, multi-center, double-blind, randomized, vehicle-controlled study to be conducted in approximately 36 adult subjects with mild to moderate chronic plaque psoriasis. After obtaining informed consent, subjects will be randomized to active or vehicle treatment arms. Subjects will apply the study product (SB414 6% or Vehicle cream) twice daily to all affected areas of psoriasis on the trunk and/or extremities for 4 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
36
Inclusion Criteria
  • Be male or female, 18-70 years old, and in good general health;
  • Have a clinical diagnosis of stable chronic plaque psoriasis of mild to moderate severity based on the PSGA, involving 2-15% BSA (excluding the scalp/face), present for > 6 months;
  • Must have at least 2 target plaques on trunk and/or extremities at least 5 cm2 with a TPSS > 5 and thickness sub-score > 2. Target plaques cannot be located on the groin, hands, feet, neck, face, elbows, knees, ankles or scalp;
  • Be willing to not use any other systemic agents used to treat psoriasis or apply any other topical products (medicated or over-the-counter) to the treatment sites on the trunk and/or extremities during the study;
  • Women of childbearing potential (WOCBP) must have a negative UPT prior to randomization and must agree to use an effective method of birth control during the study and for 30 days after their final study visit.
Exclusion Criteria
  • Have inverse (i.e.: axillae, groin) or facial psoriasis only, erythrodermic psoriasis, guttate psoriasis, pustular psoriasis, drug-induced psoriasis, and /or psoriatic arthritis requiring treatment with disease modifying antirheumatic drugs (DMARDs);
  • Concurrent or recent use of topical or systemic medications without a sufficient washout period;
  • Are immunocompromised, including those who are known HIV positive or received immunosuppressive treatment within the past 6 months;
  • Female subjects who are pregnant, nursing mothers, or planning to become pregnant during the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SB414 6%SB414 6%SB414 6% topically twice daily
Vehicle CreamVehicleVehicle Cream topically twice daily
Primary Outcome Measures
NameTimeMethod
Plasma concentrations of hMAP3Day 29

Peak plasma concentrations of hMAP3 after topical application of SB414

Secondary Outcome Measures
NameTimeMethod
Safety Profile (Reported Adverse Events)Day 29

Reported Adverse Events

Subject Assessment of TolerabilityBaseline, Week 2 and Week 4

Subject-reported from 5-point tolerability scale overall presence and degree of itching and burning/stinging

Efficacy Assessed by Target Plaque Severity Score (TPSS)Baseline, Week 2 and Week 4

Target Plaque Severity Score will be collected

Pharmacodynamics of SB414Day 29

Change in relevant Pre and Post-dose tissue cytokine levels (mg/mg tissue)

Efficacy Assessed by Physician's Static Global AssessmentScreening, Baseline, Week 2 and Week 4

Physician's Static Global Assessment based on overall evaluation of the disease severity

Efficacy as assessed by Itch Numeric Rating Scale (NRS)Screening, Baseline, Week 2 and Week 4

Itching due to psoriasis as reported by subject on a 11-point rating scale

Trial Locations

Locations (4)

Novella Site# 247

🇺🇸

Boise, Idaho, United States

Novella Site# 183

🇺🇸

Austin, Texas, United States

Novella Site# 114

🇺🇸

Norfolk, Virginia, United States

Novella Site# 249

🇺🇸

College Station, Texas, United States

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