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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