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Efficacy and Safety Study of CD2027 Ointment 3 Microgram Per Gram (mcg/g) Twice Daily Treatment for Adults With at Least Moderate Atopic Dermatitis

Phase 2
Completed
Conditions
Atopic Dermatitis
Interventions
Drug: CD2027 Ointment 3 mcg/g, twice daily
Drug: Vehicle Ointment, twice daily
Registration Number
NCT00919763
Lead Sponsor
Galderma R&D
Brief Summary

This was a multi-center, randomized, double-blind, parallel group study. Efficacy Objectives: To evaluate the efficacy of CD2027 ointment 3 mcg/g applied twice daily over 4 weeks versus its vehicle in adult participants with at least moderate atopic dermatitis.

Safety objective: To evaluate safety of CD2027 ointment 3 mcg/g when applied twice daily over 4 weeks versus its vehicle on 5 percent (%) - 20% involved Body Surface Area (BSA) (excluding Head/Neck) in adult participants with at least moderate atopic dermatitis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
102
Inclusion Criteria
  • Male or female participant, 18 years of age or older
  • Clinical diagnosis of atopic dermatitis according to Hanifin and Rajka criteria, of at least moderate intensity according to Investigator Global Assessment (IGA greater or equal to 3)
  • Body surface affected by the disease between 5% and 20% of total BSA, based on Rule of Nine's, excluding Head/Neck
  • At least one area (Target Lesion) which was representative of the participant's disease state, was not located on the hands, feet or genitalia, measures at least 10 cm^2, presented a Total Severity Score of at least 6/15 (total severity score defined as the sum of Erythema, Excoriation, Papulation/Induration, Oozing/Crusting and Lichenification) with oozing/crusting severity at most 1
Exclusion Criteria
  • The participant had albumin-adjusted calcium above the upper normal range from screening evaluation
  • The participant had history/signs/symptoms suggestive of an abnormality of calcium homeostasis (such as hyperparathyroidism, Paget's disease, adrenal insufficiency, hyperthyroidism)
  • The participant had signs/symptoms of urinary stones or has a history of urinary stones within the past 5 years prior to the Screening Visit

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CD2027 Ointment 3 mcg/g, twice dailyCD2027 Ointment 3 mcg/g, twice dailyParticipants applied 3 mcg/g CD2027 Ointment (up to 10 gram per application) topically, twice daily (at least 8 hours apart) over 4 weeks on atopic dermatitis lesions.
Vehicle Ointment, twice dailyVehicle Ointment, twice dailyParticipants applied Vehicle Ointment (up to 10 gram per application) topically, twice daily (at least 8 hours apart) over 4 weeks on atopic dermatitis lesions.
Primary Outcome Measures
NameTimeMethod
Total Severity Score (TSS) of Target Lesion at Baseline and Week 4Baseline, Week 4

TSS comprised of the sum of an assessment of erythema, excoriation, exudation, lichenification and pruritus, each on a scale of 0 to 3 to give a maximum score of 15; 0 (best) and 3 (worst) indicated total possible minimum score was 0 and total possible maximum score was 15. Lower score meant improvement in condition and higher score indicated worsening of condition.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Total Severity Score (TSS) for Individual Signs at Week 4Baseline, Week 4

TSS comprised of the sum of an assessment of erythema, excoriation, exudation, lichenification and pruritus, each on a scale of 0 to 3 to give a maximum score of 15; 0 (best) and 3 (Worst) indicated total possible minimum score was 0 and total possible maximum score was 15. Data for individual signs is reported in this outcome measure. Lower score meant improvement in condition and higher score indicated severity (worsening of condition) for each individual sign.

Erythema was evaluated on a four point scale of 0 to 3 where (0=none, 1=mild, 2=moderate, 3=severe). Excoriation evaluated on a four point scale of 0 to 3 where (0=none, 1=mild, 2=moderate, 3=severe). Exudation was evaluated on a four point scale of 0 to 3 where (0=none, 1=mild, 2=moderate, 3=severe). Lichenification was evaluated on a four point scale of 0 to 3 where (0=none, 1=mild, 2=moderate, 3=severe). Pruritus was evaluated on a four point scale of 0 to 3 where (0=none, 1=mild, 2=moderate, 3=severe).

Number of Participants With Investigator's Global Assessment (IGA) Score of "0" or "1" and Failure From Baseline of Greater Than 1 Points Over Week 4Baseline, Week 1, Week 2, Week 3, Week 4

IGA was an assessment scale used to determine severity of Atopic Dermatitis (AD) and clinical response to treatment on a 5-point scale (0=clear; 1=almost clear; 2=mild; 3=moderate; 4=severe) based on erythema and papulation/infiltration. Therapeutic response was an IGA score of 0 (clear) or 1 (almost clear). Participants with IGA score of "0" or "1" and a failure from baseline of greater than (\>1) points over 4 weeks were reported.

Percent Change From Baseline in Eczema Area and Severity Index (EASI) Total Score at Week 1, 2, 3, 4Baseline, Week1, Week2, Week 3, Week 4

The EASI score quantifies the severity and extent of AD and measures erythema, infiltration, excoriation and lichenification on a scale of 0 (none) to 3 (severe) on 4 anatomic regions of the body: head, trunk, upper limbs, and lower limbs. Degree of involvement on each of the 4 anatomic regions was scored on a scale of 0 (no eruption) to 6 (\>90%-100% eruption). The total score was the sum of the four body-region scores, maximum=72, minimum=0, Higher scores indicated greater disease severity.

Trial Locations

Locations (14)

Helendale Dermatology & Medical Spa, LLC

🇺🇸

Rochester, New York, United States

Minnesota Clinical Study Center

🇺🇸

Fridley, Minnesota, United States

Therapeutics Clinical Research, Inc.

🇺🇸

San Diego, California, United States

Longmont Medical Research Network

🇺🇸

Longmont, Colorado, United States

International Dermatology Research, Inc.

🇺🇸

Miami, Florida, United States

Arlington Research Center, Inc.

🇺🇸

Arlington, Texas, United States

Colorado Medical Research Center, Inc.

🇺🇸

Denver, Colorado, United States

Oregon Medical Research Center

🇺🇸

Portland, Oregon, United States

Burke Pharmaceutical Research

🇺🇸

Hot Springs, Arkansas, United States

Oregon Dermatology & Research Center

🇺🇸

Portland, Oregon, United States

Dermatology Specialists PSC

🇺🇸

Louisville, Kentucky, United States

Academic Dermatology Associates

🇺🇸

Albuquerque, New Mexico, United States

DermResearch Inc.

🇺🇸

Austin, Texas, United States

J&S Studies, Inc.

🇺🇸

College Station, Texas, United States

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