Clinical trial • Phase III • Dermatology|Other

CLOBETASOL PROPIONATE for Vulval lichen sclerosus|Lichen sclerosus

Phase III trial of CLOBETASOL PROPIONATE for Vulval lichen sclerosus|Lichen sclerosus.

Overview

Trial Therapeutic Area
Dermatology|Other
Trial Disease
Vulval lichen sclerosus|Lichen sclerosus
Trial Stage
Phase III
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
31-12-2024
First CTIS Authorization Date
27-04-2025

Trial design

Randomised, arm i: 0.05% clobetasol propionate (topical); arm ii: 0.1% mometasone furoate (topical); arm iii: 0.03% tacrolimus (topical). dosing frequency/schedule not specified in source.-controlled Phase III trial across 1 site in Poland.

Randomised
Yes
Comparator
Arm I: 0.05% clobetasol propionate (topical); Arm II: 0.1% mometasone furoate (topical); Arm III: 0.03% tacrolimus (topical). Dosing frequency/schedule not specified in source.
Target Sample Size
93
Trial Duration For Participant
450

Eligibility

Recruits 93 paediatric patients.

Pregnancy Exclusion
Pregnancy or lactation.
Vulnerable Population
Trial includes minors aged 2 to 18 years. Informed voluntary consent must be obtained from the parent/legal representative; patients who are 13 years of age or older must also provide their own consent/assent. Age-specific informed consent/assent documents are provided (e.g., Parent/Guardian ICF; ICFs for children 2-5 yo and 6-12 yo; ICF for participation of a minor).

Inclusion criteria

  • {"criterion_text":"- Age from 2 to 18 years old."}
  • {"criterion_text":"- Obtaining informed voluntary consent from the parent/legal representative for the patient's participation in the study and obtaining the patient's consent (patients who are 13 years of age or older)."}
  • {"criterion_text":"- Ability and willingness to comply with the requirements of the study protocol."}
  • {"criterion_text":"- A confirmed clinical diagnosis of vulval lichen sclerosus."}
  • {"criterion_text":"- No contraindications to the use of any components of the study preparations."}
  • {"criterion_text":"- Good general condition based on physical examination."}
  • {"criterion_text":"- Achievement of not less than 1 point on the Sn-LTS scale."}
  • {"criterion_text":"- Normal levels of ACTH (corticotropin) hormone and cortisol."}
  • {"criterion_text":"- The patient is not in the phase of active immunization (a minimum interval of 2 weeks between immunization and taking a dose of the investigational medicinal product)."}

Exclusion criteria

  • {"criterion_text":"- Topical treatment of the vulvar area with preparations containing corticosteroids or immunomodulatory drugs within 4 weeks before the randomization visit."}
  • {"criterion_text":"- Systemic treatment with preparations containing corticosteroids or immunomodulatory drugs within 4 weeks before the randomization visit (W1)."}
  • {"criterion_text":"- Chronic infections and lesions of the vulva or vagina, other than lichen sclerosus."}
  • {"criterion_text":"- Congenital or acquired immunodeficiency."}
  • {"criterion_text":"- Pregnancy or lactation."}
  • {"criterion_text":"- Known hypersensitivity to, any of the preparations used in the study."}
  • {"criterion_text":"- Known psoriasis of the skin."}
  • {"criterion_text":"- Other disqualifying criteria in the researcher opinion."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Evaluation of treatment efficacy, assessed as the percentage of patients with significant clinical improvement after 12 weeks, defined as achieving a minimum 75% reduction in subjective and physical symptoms physical symptoms and achieving a minimum of 50% improvement in quality of life from the baseline for arms I, II and III.","definition_or_measurement_approach":"Defined as percentage of patients with significant clinical improvement after 12 weeks: achieving a minimum 75% reduction in subjective and physical symptoms and achieving a minimum of 50% improvement in quality of life from baseline for arms I, II and III."}
  • {"endpoint_text":"- Determining the safety of treatment for arms I, II and III.","definition_or_measurement_approach":"No further definition or measurement approach provided in the source."}

Secondary endpoints

  • {"endpoint_text":"- A comparison of treatment efficacy, assessed as the percentage of patients with complete remission after 12 weeks, defined as the complete absence of subjective and physical symptoms vs. to baseline between arms I, II and III.","definition_or_measurement_approach":"Defined as percentage of patients with complete remission after 12 weeks: complete absence of subjective and physical symptoms compared to baseline between arms I, II and III."}
  • {"endpoint_text":"- Comparison of the effectiveness of maintaining the treatment effect assessed as a percentage of patients with a significant one clinical improvement 15 months after starting treatment, defined as maintaining 75% reduction of signs and symptoms and improvement of quality of life in relation to values initial between arms I, II and III.","definition_or_measurement_approach":"Defined as percentage of patients maintaining clinical improvement 15 months after starting treatment: maintenance of 75% reduction of signs and symptoms and improvement of quality of life versus baseline between arms I, II and III."}
  • {"endpoint_text":"- Assessment of the impact of demographic, immunological, microbiota and selected gene expression factors on the effectiveness of treatment for regimens I, II and III.","definition_or_measurement_approach":"Assessment of associations between demographic, immunological, microbiota and selected gene expression factors and treatment effectiveness for regimens I, II and III (no further measurement detail provided)."}

Recruitment

Planned Sample Size
93
Recruitment Window Months
48
Consent Approach
Informed voluntary consent must be obtained from the parent/legal representative. Patients aged 13 years and older must also provide their own consent/assent. Age-specific consent documents are provided (Parent/Guardian ICF; ICF for Participation of a Minor; child ICFs for 2-5 yo and 6-12 yo).

Geography

Total Number Of Sites
1
Total Number Of Participants
93

Poland

Earliest CTIS Part Ii Submission Date
17-04-2025
Latest Decision Or Authorization Date
10-02-2026
Processing Time Days
299
Number Of Sites
1
Number Of Participants
93

Sites

Site Name
Uniwersytecki Szpital Dzieciecy W Lublinie
Department Name
Gynecological Clinic for Girls
Contact Person Name
Ewelina Grywalska
Contact Person Email
ewelina.grywalska@umlub.pl
Number Of Participants
93

Sponsor

Primary sponsor

Full Name
Uniwersytet Medyczny W Lublinie
Organisation Type
Educational Institution
Country Of Registered Address
Poland

Investigational products

Investigational Product Name
CLOBETASOL PROPIONATE
Active Substance
CLOBETASOL PROPIONATE
Modality
Small molecule
Routes Of Administration
TOPICAL USE
Route
Topical use
Authorisation Status
marketingAuthNumber: -
Starting Dose
0.05%
Dose Levels
0.05%
Maximum Dose
4.20 % (V/V) total
Investigational Product Name
MOMETASONE FUROATE
Active Substance
MOMETASONE FUROATE
Modality
Small molecule
Routes Of Administration
TOPICAL USE
Route
Topical use
Authorisation Status
marketingAuthNumber: -
Starting Dose
0.1%
Dose Levels
0.1%
Maximum Dose
8.4 % (V/V) total
Investigational Product Name
TACROLIMUS
Active Substance
TACROLIMUS
Modality
Small molecule
Routes Of Administration
TOPICAL USE
Route
Topical use
Authorisation Status
marketingAuthNumber: -
Starting Dose
0.03%
Dose Levels
0.03%
Maximum Dose
2.52 % (V/V) total

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