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
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
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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