Topical NF-kappaB Decoy in the Treatment of Atopic Dermatitis

Atopic Dermatitis Clinical Trial

Official title:

A Phase 1/2 Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Dose-Ranging Study to Evaluate the Safety of Repeated Topical Application of Three Concentrations of NF-kappaB Decoy in Adults With Mild-to-Moderate Atopic Dermatitis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00125333
• Other study ID #: 110-01P
• Status: Completed
• Phase: Phase 1/Phase 2
• First received: July 28, 2005
• Last updated: November 18, 2008
• Start date: March 2005
• Est. completion date: November 2005

Study information

• Verified date: November 2008
• Source: Anesiva, Inc.
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Food and Drug Administration
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine whether this topical NF-kappaB Decoy candidate is safe in persons with atopic dermatitis. Preliminary evidence of efficacy (whether it is working) will also be evaluated.

Description:

This is a randomized, double-blind, placebo-controlled, parallel-group, dose-ranging study to evaluate the safety of repeated application of three concentrations of NF-kappaB Decoy in approximately 75 subjects with mild-to-moderate atopic dermatitis. The face, hands, feet, scalp, or groin may NOT be treated.

Other treatment agents are currently available for atopic dermatitis but present significant potential side effects (topical steroids) or are potent immunosuppressives (topical calcineurin inhibitors) with pending longer-term safety data.

NF-kappaB Decoy is a double-stranded deoxyribonucleic acid (DNA) oligodeoxynucleotide that mimics the NF-kappaB binding sequence on the chromosomal DNA, thereby inhibiting the production of the inflammatory response triggered by NF-kappaB. This mechanism of action presents a unique treatment modality.

A comprehensive series of nonclinical data have produced promising results.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 75
• Est. completion date: November 2005
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Are 18 through 65 years of age and sign an informed consent

• Have been given a diagnosis of mild to moderate atopic dermatitis as defined by:

*Pruritus; *Eczematous dermatitis (acute, subacute, chronic) involving at least current or prior flexural lesions with chronic or relapsing course; *Early age of onset (prior to 10 years of age, by history); *Personal or family history of atopy

• If receiving antihistamines, are on a stabilized dose, and expect to maintain this dose throughout the study

• Are females or males of reproductive potential who are compliant in using adequate birth control or are females or males not of reproductive potential

Exclusion Criteria:

• Have concomitant dermatologic or medical condition(s) which may interfere with the investigator's ability to evaluate the subject's response to the study drug

• Have immunocompromised status (such as known human immunodeficiency virus infection)

• Have any clinically significant abnormal clinical laboratory test results at Screening

• Have a history of malignancy not in remission for at least 5 years excluding basal cell carcinoma and nonperiorificial squamous cell carcinoma of the skin

• Have an active intercurrent infection

• Have applied any topical medication (including corticosteroid, calcineurin inhibitor, topical H1 and H2 antihistamines, topical antimicrobials, other medicated topical agents) or herbal preparation to the area selected for treatment within 1 week of the Day 1 visit; have used any systemic antibiotic within 1 week prior to the Day 1 visit; have used any systemic treatment for atopic dermatitis (including systemic corticosteroids, nonsteroidal immunosuppressants, or treatment with light) within 4 weeks prior to the Day 1 visit; have used an investigational drug for any reason within 4 weeks of the Day 1 visit; have used intranasal and/or inhaled corticosteroids at doses > 2 mg prednisone or equivalent per day within 4 weeks of the Day 1 visit; or have used immunosuppressive or immunomodulating drugs such as etanercept, alefacept, or infliximab within 16 weeks prior to Day 1

• Have a history of hypersensitivity or allergic reactions to parabens or any other ingredient in the vehicle formulation

• If female, are pregnant or lactating, or intend to become pregnant during the study period

• If male, have a female partner who is pregnant or lactating, or intends to become pregnant during the study period

• Have any reason which, in the opinion of the investigator, interferes with the ability of the subject to participate in or complete the trial, or which places the subject at undue risk

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Atopic Dermatitis
• Dermatitis
• Dermatitis, Atopic
• Eczema

Intervention

Drug:
• NF-kappaB Decoy

Locations

Country	Name	City	State
United States	Derm Research, Inc.	Austin	Texas
United States	Minnesota Clinical Study Center	Fridley	Minnesota
United States	Center for Clinical Studies	Houston	Texas
United States	Madison Skin & Research, Inc.	Madison	Wisconsin
United States	University of Miami Skin Research	Miami	Florida
United States	Mount Sinai School of Medicine	New York	New York
United States	Oregon Health & Science University, Department of Dermatology	Portland	Oregon
United States	Helendale Dermatology & Medical Spa, LLP	Rochester	New York
United States	Center for Clinical Studies	South Houston	Texas

Sponsors (1)

Lead Sponsor	Collaborator
Anesiva, Inc.

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	To evaluate the safety and tolerability of twice-daily topical application of three concentrations of NF-kappaB Decoy in adult subjects with mild-to-moderate atopic dermatitis
Secondary	To make a preliminary evaluation of the efficacy of the topical NF-kappaB Decoy in the treatment of mild-to-moderate atopic dermatitis in adult subjects
Secondary	To evaluate the systemic pharmacokinetic (PK) profile of NF-kappaB Decoy