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Clinical Trial to Evaluate UV-light-induced Allergic Skin Reactions After Application of Delgocitinib Cream

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
Registration Number
NCT04807751
Lead Sponsor
LEO Pharma
Brief Summary

Participants will have study medicine applied by site staff- delgocitinib cream or vehicle, and then exposed to UV light. The trial is designed to find out if delgocitinib cream can cause skin photoallergy after UV-light exposure in people with healthy skin.

Detailed Description

This is a single-centre, randomised, double-blind, vehicle-controlled, within-subject comparison phase 1 trial in Germany.

The trial consists of a screening phase, an induction phase, a rest phase, and a challenge phase. There will be 2 columns of test fields on each participant's back with the 3 treatments in either column for a total of 6 treatments. One column of test fields will be irradiated and the other will not be irradiated. All participants will be exposed to UV-light on skin treated delgocitinib cream or vehicle and on untreated skin on test fields to be irradiated.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Healthy subjects aged 18-64 years (inclusive).
  • Fitzpatrick skin type of I, II, or III.
Exclusion Criteria
  • Atopic dermatitis, eczema, psoriasis, acne, dermatitis solaris or suntan that could interfere with the test field evaluation, hyperpigmentation, multiple naevi, tattoos, blemishes, or dense body hair in the range of the test fields.
  • Any other skin disease or other visible skin condition noted on physical examination which in the investigator's opinion might interfere with the evaluation of the test field reaction.
  • Any history of or presence of cancerous or precancerous skin lesions in general including melanoma, lentigo maligna, basal cell carcinoma, dysplastic naevi or actinic keratoses.
  • History of or active or both photo-induced or photo-aggravated disease (e.g. cutaneous or lupus erythematodes, polymorphic light eruptions).
  • Use of any topical or systemic medication that could interfere with the trial objective within 2 weeks before randomisation until subject's end of trial.
  • Use of drugs that might cause photosensitising or phototoxic reactions within 4 weeks before randomisation until subject's end of trial.
  • Foreseeable intensive UV-light exposure to test fields within 4 weeks before randomisation until subject's end of trial (solar or artificial).

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Delgocitinib cream 20 mg/gDelgocitinib creamtopical occlusive administration
Delgocitinib cream vehicleDelgocitinib cream vehicletopical occlusive administration
Primary Outcome Measures
NameTimeMethod
Positive skin reaction at 72 hours after irradiationUp to 72 hours after irradiation

A reaction is considered positive if the skin reaction score for the irradiated test field is at least 1 point higher than both the non-irradiated test field exposed to the same strength of IMP, and the irradiated control field.

The evaluation of skin reaction at the end of the challenge phase performed using the following scale:

* 0 negative

* 1 equivocal

* 2 positive. A positive score indicates presence of a UV-light-induced allergic skin reaction.

Secondary Outcome Measures
NameTimeMethod
Number of adverse events from baseline to 14 days after subject's end of trialFrom baseline to 14 days after subject's end of trial (Day 5 of challenge phase, or if applicable Day 5 of re-challenge phase.

Treatment-emergent adverse event

Skin reaction score after irradiation during induction phaseup to Day 22

A reaction is considered positive if the skin reaction score for the irradiated test field is at least 1 point higher than both the non-irradiated test field exposed to the same strength of IMP, and the irradiated control field.

The grading for the skin reaction score will be performed according to the following 5-point scale:

* 0 No reaction

* 1 Erythema

* 2 Erythema with dermal infiltrate

* 3 Erythema with papulovesicles

* 4 Erythema with blisters, erosions

Skin reaction score after irradiation during the challenge phase (up to Day 40, Week 6).up to Day 40

A reaction is considered positive if the skin reaction score for the irradiated test field is at least 1 point higher than both the non-irradiated test field exposed to the same strength of IMP, and the irradiated control field.

The grading for the skin reaction score will be performed according to the following 5-point scale:

* 0 No reaction

* 1 Erythema

* 2 Erythema with dermal infiltrate

* 3 Erythema with papulovesicles

* 4 Erythema with blisters, erosions

Trial Locations

Locations (1)

Bioskin Research Center Dermatology

🇩🇪

Hamburg, Germany

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