A Phase 1, Single-center, Randomized, Vehicle-controlled, Parallel-cohort Study Of Crisaborole Ointment 2% To Evaluate The Skin Irritation Potential In Adult Japanese Healthy Subjects, And To Evaluate The Safety, Tolerability And Pharmacokinetics In Adult Japanese Subjects With Mild To Moderate Atopic Dermatitis
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- Pfizer
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Cohort 1: Skin Irritation Index
研究概览
简要总结
This is a Phase 1 parallel-cohort study of crisaborole ointment 2% to evaluate the skin irritation potential in adult Japanese healthy subjects in Cohort 1, and to evaluate the safety, tolerability and PK in adult Japanese subjects with mild to moderate AD in Cohort 2.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 55 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy male Japanese subjects who, at the time of screening, are between the ages of 20 and 55 years, inclusive.
- •Healthy skin on which reddening can be easily recognized in the area of the test fields.
- •Male or female Japanese subjects aged 20 years to 55 years (inclusive) at the time of screening, and in generally good health except for AD.
- •Diagnosis of AD based on the criteria of Hanifin and Rajka (1980).
- •Has at least 25% Treatable %BSA on Day 1 (excluding the scalp and designated venous access areas).
- •Has an Investigator's static global assessment (ISGA) score of Mild (2) or Moderate (3) on Day 1.
排除标准
- •Subjects who have any visible skin disease at the application site which, in the opinion of the investigative personnel, will interfere with the evaluation of the test site reaction.
- •Subjects who have psoriasis and/or active AD/eczema.
- •Subjects who have a history of AD.
- •Subjects who have damaged skin in or around the test sites, including sunburn, excessively deep tans, uneven skin tones, tattoos, scars, excessive hair, numerous freckles, or other disfigurations of the test site.
- •Known sensitivity to any of the components of the investigational products.
- •History of the rash to the adhesive plaster, contact dermatitis to metal, or cosmetic and household articles.
- •Has any clinically significant medical disorder, condition, disease (including active or potentially recurrent dermatological conditions other than AD), significant physical examination or laboratory findings that may interfere with study objectives, in the Investigator's opinion.
- •Has unstable AD or a consistent requirement for strong to strongest potency topical corticosteroids to manage AD signs and symptoms.
- •Has a significant active systemic or localized infection, including known actively infected AD.
- •Has a history or evidence of clinically significant or severe allergies (eg, seasonal, pet dander, environmental, food) requiring acute or chronic treatment.
- •Has recent or anticipated concomitant use of topical or systemic therapies that might alter the course of AD.
- •Has a history of recent (within 4 weeks of Day 1) sunbathing, tanning bed use, or ultraviolet (UV) light B therapy (UVB) or psoralen plus UVA [PUVA]).
- •Has a known sensitivity to any of the components of crisaborole ointment 2%.
- •Pregnant female subjects; breastfeeding female subjects; female subjects of childbearing potential who are unwilling or unable to use a highly effective method of contraception as outlined in this protocol for the duration of the study and for at least 28 days after the last dose of investigational product.
研究组 & 干预措施
Crisaborole ointment 2%
干预措施: Crisaborole ointment 2% (Drug)
Vehicle
干预措施: Vehicle (Drug)
结局指标
主要结局
Cohort 1: Skin Irritation Index
时间窗: Day 3 to 4
The skin irritation index is a common measure of skin irritation potential (safety criteria) of investigational product and derived using skin irritation scores. Individual skin irritation score ranges from 0-4, where 0 = no reaction, 0.5 = mild erythema, 1 = erythema, 2 = erythema with edema and papula, 3 = erythema with edema, papula and small water blister, 4 = large water blister, higher score indicates more skin irritation. For each investigational product, the skin irritation index was calculated as the sum of the maximum individual skin irritation scores divided by the number of evaluable participants and multiplied by 100, which ranged from 0 to 400; where, lower score indicated less skin irritation and higher score indicated more skin irritation.
Cohort 2: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs)
时间窗: Baseline up to Day 36
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to 28 days after last dose of study drug (up to Day 36) that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-serious AEs.
Cohort 2: Number of Participants With Clinically Significant Vital Signs Abnormalities
时间窗: Baseline up to end of treatment (Day 8)
Vital signs included pulse rate and blood pressure. Clinical significance of vital signs was determined at the investigator's discretion.
Cohort 2: Number of Participants With Laboratory Tests Abnormalities
时间窗: Baseline up to end of treatment (Day 8)
Laboratory tests abnormalities included: hematology (haemoglobin\[Hb\], haematocrit and erythrocytes\<0.8\*lower limit of normal\[LLN\]; erythrocyte mean corpuscular volume, erythrocyte mean corpuscular Hb and erythrocyte mean corpuscular Hb concentration \<0.9\*LLN and \>1.1\*upper limit of normal\[ULN\]; platelets \<0.5\*LLN and \>1.75\*ULN; leukocytes \<0.6\*LLN and \>1.5\*ULN; lymphocytes/leukocytes\[%\], neutrophils/leukocytes\[%\] \<0.8\*LLN and \>1.2\*ULN; basophils/leukocytes\[%\], eosinophils/leukocytes\[%\], monocytes/leukocytes\[% \]\>1.2\*ULN); clinical chemistry(bilirubin\>1.5\*ULN; aspartate aminotransferase, alanine aminotransferase and alkaline phosphatase\>3.0\*ULN; protein and albumin\<0.8\*LLN and \>1.2\*ULN; urea nitrogen and creatinine \>1.3\*ULN; urate\>1.2\*ULN; sodium \<0.95\*LLN and \>1.05\*ULN; potassium, chloride and calcium \<0.9\*LLN and \>1.1\*ULN; fasting glucose \<0.6\*LLN and \>1.5\*ULN); and urinalysis (pH \<4.5 and \>8; glucose, ketones, protein, Hb, urobilinogen, bilirubin, nitrite and leukocyte esterase \>=1).
Cohort 2: Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities
时间窗: Baseline up to end of treatment (Day 8)
Criteria for clinically significant ECG abnormalities included: QT interval \>=500 milliseconds (msec); QT interval corrected using the Fridericia's formula (QTcF) \>=450 msec to \<480 msec, \>=480 msec and \>=500 msec; increase from baseline in QTcF interval \>=30 msec to \<60 msec and \>=60 msec.
次要结局
- Cohort 2: Maximum Observed Plasma Concentration (Cmax) of Crisaborole and Its Identified Main Oxidative Metabolites(Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8)
- Cohort 2: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Crisaborole and Its Metabolites(Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8)
- Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero Until the Last Measurable Concentration (AUClast) of Crisaborole and Its Identified Main Oxidative Metabolites(Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8)
- Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to the 24 Hours Post-Dose (AUC24) of Crisaborole and Its Identified Main Oxidative Metabolites (AN7602 and AN8323)(Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8)
- Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Tau (12 Hours Dosing Interval) (AUCtau) of Crisaborole and Its Identified Main Oxidative Metabolites(Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8)
- Cohort 1: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs)(Baseline up to Day 29)
- Cohort 2: Accumulation Ratio for Cmax (Rac [Cmax]) of Crisaborole and Its Identified Main Oxidative Metabolites(Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and 8)
- Cohort 2: Accumulation Ratio for AUCtau (Rac [AUCtau]) of Crisaborole and Its Identified Main Oxidative Metabolites(Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and 8)
