Clinical trial • Phase III • Dermatology
COPPER SULPHATE, ANHYDROUS; STANNOUS CHLORIDE DIHYDRATE; ZINC CHLORIDE; COBALT CHLORIDE; GOLD SODIUM THIOSULFATE; SODIUM TETRACHLOROPALLADATE; VANADIUM OXIDE SULFATE; AMMONIUM TITANIUM OXALATE MONOHYDRATE; NICKEL SULFATE; MANGANESE CHLORIDE TETRAHYDRATE; KALIUM BICHROMICUM for Allergic contact dermatitis
Phase III trial of COPPER SULPHATE, ANHYDROUS; STANNOUS CHLORIDE DIHYDRATE; ZINC CHLORIDE; COBALT CHLORIDE; GOLD SODIUM THIOSULFATE; SODIUM TETRACHLOROPAL…
Overview
- Trial Therapeutic Area
- Dermatology
- Trial Disease
- Allergic contact dermatitis
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 05-03-2024
- First CTIS Authorization Date
- 25-06-2024
Trial design
Randomised, open-label, comparator products include multiple established patch-test allergens used as references/comparators: tin allergen (stannous chloride 1%), sodium allergen (sodium tetrachloropalladate 3%), gold allergen (gold sodium thiosulfate (gst) 2.0%), nickel(ii)-sulfat 5% ointment, kobaltchlorid 1% ointment, kaliumdichromat 0.5% ointment, zinc allergen (zinc chloride 1%), copper allergen (copper sulfate pentahydrate 2%), vanadium allergen (vanadium oxide sulfate 1.3%), ammonium allergen (ammonium titanium oxide oxalate 21%), manganese allergen (manganese chloride tetrahydrate 2%). doses/concentrations are provided in product names (percent concentrations or mg amounts). route: cutaneous patch/ointments for patch testing. schedule: applied as patch tests per protocol (no detailed dosing schedule provided).-controlled Phase III trial across 5 sites in Germany, Netherlands, Italy.
- Randomised
- Yes
- Open Label
- Yes
- Comparator
- Comparator products include multiple established patch-test allergens used as references/comparators: Tin Allergen (stannous chloride 1%), Sodium Allergen (sodium tetrachloropalladate 3%), Gold Allergen (gold sodium thiosulfate (GST) 2.0%), Nickel(II)-sulfat 5% ointment, Kobaltchlorid 1% ointment, Kaliumdichromat 0.5% ointment, Zinc Allergen (zinc chloride 1%), Copper Allergen (copper sulfate pentahydrate 2%), Vanadium Allergen (vanadium oxide sulfate 1.3%), Ammonium Allergen (ammonium titanium oxide oxalate 21%), Manganese Allergen (manganese chloride tetrahydrate 2%). Doses/concentrations are provided in product names (percent concentrations or mg amounts). Route: cutaneous patch/ointments for patch testing. Schedule: applied as patch tests per protocol (no detailed dosing schedule provided).
- Target Sample Size
- 300
Eligibility
Recruits 300 No vulnerable populations selected; participants must understand and sign the approved Informed Consent form. Consent is required from adult participants (Inclusion criterion: 'Understands and signs the approved Informed Consent form which is consistent with all institutional, local and national regulations'). Assent is not applicable as only adults (18 years or older) are eligible..
- Pregnancy Exclusion
- b. Breastfeeding or pregnant (as determined by urine pregnancy test) or intending to become pregnant during the course of the study. Breastfeeding may be resumed upon completion of the study
- Vulnerable Population
- No vulnerable populations selected; participants must understand and sign the approved Informed Consent form. Consent is required from adult participants (Inclusion criterion: 'Understands and signs the approved Informed Consent form which is consistent with all institutional, local and national regulations'). Assent is not applicable as only adults (18 years or older) are eligible.
Inclusion criteria
- {"criterion_text":"- a.\t18 years of age or older"}
- {"criterion_text":"- b.\tGroup 1: Active dermatitis that is suspected to be allergic contact dermatitis to one or more of the metal panel allergens or a recent history (within the past 5 years) of dermatitis that is suspected to be due to metal allergy, and that resolved prior to enrollment due to treatment or elimination of exposure to the suspected metal trigger. Population may include individuals with suspected allergic contact dermatitis due to a positive patch test within the preceding 10 years and/or a metal implant. Group 2: No history or symptoms of dermatitis related skin disease."}
- {"criterion_text":"- c.\tGroup 2 only: No past or current body piercings, dental appliances, fillings, implants, prosthesis or restorations, surgical hardware, orthopedic implants or cardiac implants."}
- {"criterion_text":"- d.\tGroup 2 only: No routine occupational or long term exposure to metals"}
- {"criterion_text":"- e.\tUnable to become pregnant or willing to use an acceptable method of contraception to prevent pregnancy if female of childbearing potential"}
- {"criterion_text":"- f.\tUnderstands and signs the approved Informed Consent form which is consistent with all institutional, local and national regulations"}
Exclusion criteria
- {"criterion_text":"- a.\tParticipation in Clinical Evaluation of Metal Panel Allergens: Mercury, Aluminum and Palladium Dose Response Study, SP12 2PM2 201, or Clinical Evaluation of Metal Panel Allergens: Aluminum, Copper, Manganese, Molybdenum, Tin, Titanium, Vanadium and Zinc Dose Response Study, SP14 8MP 201."}
- {"criterion_text":"- j.\tInability to comply with patch test study requirements including multiple return visits and activity restrictions (e.g., protecting test panels from excess moisture due to showering or vigorous activity)."}
- {"criterion_text":"- k.\tParticipation in a clinical trial of an investigational drug, treatment or device during this study or 3 weeks prior to inclusion in this study."}
- {"criterion_text":"- l.\tAn opinion of the Investigator that deems the potential subject to be non-compliant, unable to return for study visits or complete the study as detailed in the protocol."}
- {"criterion_text":"- m.\tGERMANY ONLY: Alcohol abuse as well as drug and/or medication abuse."}
- {"criterion_text":"- n.\tGERMANY ONLY: Severe psychiatric, psychological or neurological disorders."}
- {"criterion_text":"- o.\tGERMANY ONLY: Patients in any relationship or dependency with the sponsor and/or investigator."}
- {"criterion_text":"- p.\tGERMANY ONLY: General inflammatory as well severe acute and chronic inflammatory diseases. GERMANY ONLY"}
- {"criterion_text":"- q.\tGERMANY ONLY: Malignancy during the previous 5 years. GERMANY ONLY"}
- {"criterion_text":"- r.\tGERMANY ONLY: Completed or ongoing long-term treatment with tranquilizer or psycho active drug."}
- {"criterion_text":"- b.\tBreastfeeding or pregnant (as determined by urine pregnancy test) or intending to become pregnant during the course of the study. Breastfeeding may be resumed upon completion of the study"}
- {"criterion_text":"- c.\tTopical treatment with corticosteroids or other immunosuppressive agents on or near the test area 14 days prior to inclusion through the end of the subject’s participation in the study."}
- {"criterion_text":"- d.\tSystemic treatment with corticosteroids (equivalent to > 10 mg prednisone) or other immunosuppressive agents 14 days prior to inclusion through the end of the subject’s participation in the study. Inhaled treatments and steroidal nose or eye drops are permitted."}
- {"criterion_text":"- e.\tTreatment with ultraviolet (UV) light (including tanning) during the 3 weeks prior to inclusion through the end of the subject’s participation in the study."}
- {"criterion_text":"- f.\tAcute dermatitis outbreak or dermatitis on or near the test area on the back."}
- {"criterion_text":"- g.\tKnown or suspected infection of the skin, joints or other site(s) associated with metal exposure"}
- {"criterion_text":"- h.\tCondition such as, fibromyalgia, chronic fatigue, depression, cognitive impairment, flu-like symptoms, diarrhea and/or headache without at least one of the symptoms related to metal exposure listed in Section 6.6."}
- {"criterion_text":"- i.\tCondition such as, psoriasis, dermatitis herpetiformis, mycosis fungoides or cutaneous T-cell lymphoma that may confound the evaluation of allergic contact dermatitis."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Concordance (agreement) between the hydrogel (investigational allergen) and petrolatum (reference allergen) patch testing methods using Cohen’s kappa calculation and by positive and negative percent agreement.","definition_or_measurement_approach":"Measured using Cohen’s kappa calculation and by positive and negative percent agreement comparing hydrogel (investigational allergen) versus petrolatum (reference allergen) patch test methods."}
Secondary endpoints
- {"endpoint_text":"- Measures of allergen safety and performance of device constituent.","definition_or_measurement_approach":"Assessment of allergen safety and performance of the device constituent; specific measures not detailed in the available record."}
Recruitment
- Planned Sample Size
- 300
- Recruitment Window Months
- 30
- Consent Approach
- Adults (18+) must understand and sign the approved Informed Consent Form consistent with institutional, local and national regulations. Site-specific ICF documents are listed (e.g., 'L1_Consent Dutch_Redacted', 'L1_ICF Adult Italy', 'L2_ ICF Processing of Personal Data'); consent is obtained from the participant (no assent procedures described).
Geography
- Total Number Of Sites
- 5
- Total Number Of Participants
- 95
Germany
- Earliest CTIS Part Ii Submission Date
- 27-03-2024
- Latest Decision Or Authorization Date
- 01-11-2024
- Processing Time Days
- 219
- Number Of Sites
- 2
- Number Of Participants
- 30
Sites
- Site Name
- Ludwig Maximilian University Of Munich
- Department Name
- Clinic and Polyclinic for Dematology and Allergology Institute
- Contact Person Name
- Burkhard Summer
- Contact Person Email
- burkhard.summer@med.uni-muenchen.de
- Site Name
- Ludwig Maximilian University Of Munich
- Department Name
- Clinic and Polyclinic for Dematology and Allergology Institute
- Contact Person Name
- Eva Oppel
- Contact Person Email
- eva.oppel@med.uni-muenchen.de
Netherlands
- Earliest CTIS Part Ii Submission Date
- 21-05-2024
- Latest Decision Or Authorization Date
- 04-11-2024
- Processing Time Days
- 167
- Number Of Sites
- 1
- Number Of Participants
- 20
Sites
- Site Name
- Amsterdam UMC
- Department Name
- Department of Dermatology
- Contact Person Name
- Thomas Rustemeyer
- Contact Person Email
- t.rustemeyer@amsterdamumc.nl
Italy
- Earliest CTIS Part Ii Submission Date
- 27-03-2024
- Latest Decision Or Authorization Date
- 10-02-2025
- Processing Time Days
- 320
- Number Of Sites
- 2
- Number Of Participants
- 45
Sites
- Site Name
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
- Department Name
- Dermatological Institute of Policlinical Hospital, University of Milan
- Contact Person Name
- Silvia Ferrucci
- Contact Person Email
- silvia.ferrucci@policlinico.mi.it
- Site Name
- Hospital Santa Maria Della Misericordia
- Department Name
- Department of Medicine and Surgery - University of Perugia, Italy
- Contact Person Name
- Luca Stingeni
- Contact Person Email
- luca.stingeni@unipg.it
Sponsor
Primary sponsor
- Full Name
- Smarthealth Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Third parties
- {"country":"","full_name":"SmartPractice","duties_or_roles":"Monetary support","organisation_type":""}
Investigational products
- Investigational Product Name
- Metal Panel Allergens
- Active Substance
- COPPER SULPHATE, ANHYDROUS; STANNOUS CHLORIDE DIHYDRATE; ZINC CHLORIDE; COBALT CHLORIDE; GOLD SODIUM THIOSULFATE; SODIUM TETRACHLOROPALLADATE; VANADIUM OXIDE SULFATE; AMMONIUM TITANIUM OXALATE MONOHYDRATE; NICKEL SULFATE; MANGANESE CHLORIDE TETRAHYDRATE; KALIUM BICHROMICUM
- Modality
- Small molecule
- Routes Of Administration
- CUTANEOUS USE
- Route
- CUTANEOUS USE
- Maximum Dose
- 0.49 mg
- Combination Treatment
- Yes
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