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Safety and Explore the Efficacy of Multiple Doses of FURESTEM-AD Inj. for Moderate to Severe Chronic Atopic Dermatitis

Phase 1
Conditions
Atopic Dermatitis
Interventions
Biological: FURESTEM-AD inj
Registration Number
NCT04725136
Lead Sponsor
Kang Stem Biotech Co., Ltd.
Brief Summary

A Phase I/IIa Clinical Trial to Evaluate the Safety and Explore the Efficacy of Multiple Doses of FURESTEM-AD inj. for Moderate to Severe Chronic Atopic Dermatitis

Detailed Description

Phase 1: Multicenter, repeated administration, disclosure, dose escalation, Evaluate safety and tolerability and explore efficacy

Phase 2a: Multicenter, repeated administration, random assignment, double blinding, parallel, Efficacy and safety are evaluated for repeated administration compared to placebo and single administration.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
96
Inclusion Criteria
  1. Of either gender, aged >=19
  2. Atopic Dermatitis subjects who are coincident with Hanifin and Rajka diagnosis criteria
  3. Chronic Atopic Dermatitis that has been present for at least 3 years
  4. EASI>=16 at screening and baseline visit
  5. IGA>=3, SCORAD index>=25, BSA >=10% of AD involvement at screegning and baseline visit
  6. Subjects with documented record of inadequate response to the stable use of topical atopic dermatitis treatment within 24 weeks before participating in the study, or whom are inadvisable due to safety risks
  7. Subjects who understand and voluntarily sign an informed consent form
Exclusion Criteria
  1. Subjects with medical history or surgery/procedure history
  2. Subjects with diseases at the time of participation in this study (systemic infection, other serious skin disorders, pigmentation or extensive scarring in atopic dermatitis symptom region)
  3. Renal dysfunction with creatinine >2.0 mg/dL at screening
  4. Hepatic dysfunction with ALT or AST levels 2.5 times higher than the normal range at screening
  5. ALC<800/mm3 at screening
  6. Subjects with live vaccine administration within 12 weeks before baseline
  7. Receipt of leukotriene receptor antagonists, systemic steroids, systemic or topical antihistamines, phototherapy, or systemic immunosuppressants/modulators including janus kinase (JAK) inhibitors, and/or any other systemic therapy within 4 weeks before Baseline
  8. Receipt of topical steroids(class1~6), topical tacrolimus or pimecrolimus within 2 weeks before Baseline
  9. Subjects who need prohibited medication during clinical period
  10. Pregnant, breast-feeding women or women who plan to become pregnant during this study
  11. Subjects who currently participate in other clinical trial or participated in other clinical trial within 4 weeks
  12. Subjects with experience of administering FURESTEM-AD inj.
  13. Any other condition which the investigator judges would make patient unsuitable for study participation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
High-dose single administration groupFURESTEM-AD injFURESTEM-AD Inj 1.0 x 10\^8 cells /body 1 single subcutaneous injection, and Placebo 2 repeated subcutaneous injection at 4 week intervals
Low-dose repeat administration groupFURESTEM-AD injFURESTEM-AD Inj 5.0 x 10\^7 cells /body 3 repeated subcutaneous injection at 4 week intervals
PlaceboFURESTEM-AD injNormal saline(0.9% NaCl) 3 repeated subcutaneous injection at 4 week intervals
Low-dose single administration groupFURESTEM-AD injFURESTEM-AD Inj 5.0 x 10\^7 cells /body 1 single subcutaneous injection, and Placebo 2 repeated subcutaneous injection at 4 week intervals
High-dose repeat administration groupFURESTEM-AD injFURESTEM-AD Inj 1.0 x 10\^8 cells /body 3 repeated subcutaneous injection at 4 week intervals
Primary Outcome Measures
NameTimeMethod
Safety Assessment24 weeks follow-up after first treatment

safety information including drug tolerability

Secondary Outcome Measures
NameTimeMethod
Percentage of subjects whose EASI decreased by 50% or more at each evaluation visit compared to the baseline (EASI-50)24 weeks follow-up after first treatment
Rate of change and Change in SCORAD index from baseline at each visit24 weeks follow-up after first treatment

SCORAD index range is from 0 (clear) to 103 (severe)

Change and rate of change in Cytokine24 weeks follow-up after first treatment

CCL17(TARC), CCL18(PARC), CCL26(eotaxin-3), CCL27(CTACK), IL-4, IL-17A, IL-22, SCCA2

Change and rate of change eosinophil24 weeks follow-up after first treatment
Percentage of subjects whose SCORing Atopic Dermatitis (SCORAD) INDEX was decreased from baseline by more than 50% at each visit (SCORAD-50)24 weeks follow-up after first treatment
Change and rate of change DLQI24 weeks follow-up after first treatment
Percentage of subjects whose Eczema Area and Severity Index (EASI) was decreased from baseline by more than 75% at each visit (EASI-75)24 weeks follow-up after first treatment
Percentage of subjects whose IGA at each visit is 0 or 1, or improved to 2 or higher24 weeks follow-up after first treatment

IGA score is from 0 (clear) to 5 (severe)

Change and rate of change in Body Surface Area (BSA)24 weeks follow-up after first treatment
Change and rate of change in total serum Immunoglobulin E (IgE)24 weeks follow-up after first treatment
Change and rate of change POEM24 weeks follow-up after first treatment
Rate of change and Change in EASI from baseline24 weeks follow-up after first treatment

EASI range is from 0 (clear) to 72 (severe)

Percentage of subjects whose Investigator's Global Assessment (IGA) score at each visit is 0 or 124 weeks follow-up after first treatment

IGA score is from 0 (clear) to 5 (severe)

Change and rate of change Peak Pruritus NRS24 weeks follow-up after first treatment
Use the number and total amount of rescue24 weeks follow-up after first treatment

only Phase 2a

Trial Locations

Locations (2)

Dongguk University Medical Center

🇰🇷

Ilsan, Korea, Republic of

Seoul National Hospital

🇰🇷

Seoul, Korea, Republic of

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