Clinical trial • Phase IV|Phase II • Dermatology
Halobetasol propionate for Plaque Psoriasis
Phase IV|Phase II trial of Halobetasol propionate for Plaque Psoriasis. open-label, none/not specified-controlled. 26 participants.
Overview
- Trial Therapeutic Area
- Dermatology
- Trial Disease
- Plaque Psoriasis
- Trial Stage
- Phase IV|Phase II
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 11-12-2024
- First CTIS Authorization Date
- 28-01-2025
Trial design
open-label, none/not specified-controlled Phase IV|Phase II trial across 3 sites in Poland.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 26
- Trial Duration For Participant
- 56
Eligibility
Recruits 26 paediatric patients.
- Pregnancy Exclusion
- Is pregnant, nursing an infant, or planning a pregnancy during the study period
- Vulnerable Population
- Pediatric participants aged 6 to 16 years 11 months are enrolled. Verbal and written informed consent/assent must be obtained from the subject and/or parent or legal guardian. Subject information sheets and informed consent forms are available for adults, for ages 13-16 years and for ages 7-12 years (documents listed in CTIS).
Inclusion criteria
- {"criterion_text":"- Male or female, of any race, 6 to 16 years 11 months of age at the time of informed consent/assent obtained.\n- Verbal and written informed consent/assent obtained from the subject and/or parent or legal guardian\n- Has a clinical diagnosis of psoriasis at the Screening and Baseline visit with an Investigator’s Global Assessment (IGA) score of 3 or 4. The face, scalp, axillae, and intertriginous areas are to be excluded in this assessment, if psoriasis is present.\n- Has an area of plaque psoriasis appropriate for topical treatment that involves a BSA of at least 10% at Screening and Baseline. The face, scalp, axillae, and intertriginous areas are to be excluded in this calculation\n- Is willing and able to avoid prolonged exposure of the treatment area to ultraviolet radiation (natural and artificial) for the duration of the study\n- Is in good general adrenal health, as determined by a 30-minute postcosyntropin stimulation serum cortisol level that is > 18 μg/dL at screening.\n- Is in good general health based on the subject’s medical history and a physical examination, with screening hematology and serum chemistry laboratory values within normal ranges or not clinically significant, as determined by the investigator\n- Pre-menses females (9 and older) and females of childbearing potential, must have a negative urine and serum pregnancy test at Screening and a negative urine pregnancy test at the Baseline visit prior to study drug application.\n- Females of childbearing potential and females who are pre-menses (9 and older) must be willing to practice effective contraception for the duration of the study. (Effective contraception is defined as stabilized on oral contraceptive for at least 3 months, IUD, condom with spermicidal, diaphragm with spermicidal, implant, Nuvaring, injection, transdermal patch or abstinence.). Females on birth control pills must have taken the same type pill for at least three months prior to entering the study and must not change type during the study. Those who have used birth control pills in the past must have discontinued usage at least three months prior to the start of the study\n- Subject is willing to comply with study instructions and return to the clinic for required visits."}
Exclusion criteria
- {"criterion_text":"- Has spontaneously improving or rapidly deteriorating plaque psoriasis or pustular psoriasis, as determined by the investigator\n- Has a history of adrenal disease\n- Presents with any concurrent skin condition that could interfere with the evaluation of the treatment areas, as determined by the investigator\n- Is pregnant, nursing an infant, or planning a pregnancy during the study period\n- Has received treatment with any investigational drug or device within 60 days or 5 drug half-lives (whichever is longer) prior to baseline, or is concurrently participating in another clinical study with an investigational drug or device.\n- Received treatment with a topical antipsoriatic drug product other than corticosteroids within 14 days prior to the Baseline visit, and/or treatment containing corticosteroids within 28 days prior to the screening HPA axis stimulation test.\n- Has used any phototherapy (including laser), photochemotherapy, or systemic non-biologic psoriasis therapy (such as newer oral psoriasis medications [eg, Otezla], methotrexate, retinoids or cyclosporine) within 4 weeks prior to the Baseline visit, or systemic corticosteroids within 28 days prior to the screening HPA axis stimulation test.\n- Has used immunomodulatory therapy (e.g., biologics) known to affect psoriasis within 3 months of baseline.\n- Has had prolonged exposure to natural or artificial sources of ultraviolet radiation within 4 weeks prior to screening or is intending to have exposure during the study thought likely by the investigator to modify the subject’s psoriasis\n- Is currently using lithium or Plaquenil\n- Has a history of hypersensitivity or allergic reaction to any of the study drug constituents.\n- Is unable to be compliant with study procedures, study drug administration requirements, study visit schedules, and prohibitions regarding the use of concomitant medications/therapies\n- Is unable to communicate or cooperate with the investigator.\n- Has any underlying disease deemed uncontrolled by the investigator that poses a concern for the subject’s safety while participating in the study.\n- Has a history of drug or alcohol abuse as determined by the investigator.\n- Is considered by the investigator, for any other reason, to be an unsuitable candidate for the study.\n- Has an abnormal sleep schedule or works at night.\n- Has a history of an adverse reaction to cosyntropin injection or similar test reagents"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Safety of IDP-122 (HP 0.01%) Lotion administered topically once daily\n- Systemic exposure of HP after topical application of IDP-122 Lotion once daily\n- Hypothalamic-pituitary-adrenal (HPA) axis suppression potential for IDP-122 Lotion when applied once daily","definition_or_measurement_approach":"Safety: clinical safety assessments as per study (not further specified in CTIS record). Systemic exposure: pharmacokinetic assessment of halobetasol propionate (HP) after topical application once daily (PK sampling; systemic exposure after 4 weeks is specified in objectives). HPA axis suppression potential: assessed using HPA axis stimulation testing (30-minute post-cosyntropin stimulation serum cortisol referenced in eligibility criteria)."}
Recruitment
- Planned Sample Size
- 26
- Recruitment Window Months
- 56
- Consent Approach
- Verbal and written informed consent/assent obtained from the subject and/or parent or legal guardian. Subject information and informed consent forms exist for adults, for ages 13-16 years, and for ages 7-12 years (documents listed in CTIS). No additional recruitment channel details provided in the CTIS record.
Geography
- Total Number Of Sites
- 3
- Total Number Of Participants
- 26
Poland
- Earliest CTIS Part Ii Submission Date
- 08-01-2025
- Latest Decision Or Authorization Date
- 28-01-2025
- Processing Time Days
- 20
- Number Of Sites
- 3
- Number Of Participants
- 26
Sites
- Site Name
- NZOZ Przychodnia Specjalistyczna "A-Derm-Serwis"
- Department Name
- Dermatology
- Contact Person Name
- Agata Kusiba-Strazynska
- Contact Person Email
- Aderm-serwis@hoga.pl
- Site Name
- Centrum Badan Klinicznych Pi-House Sp. z o.o.
- Department Name
- Dermatology
- Contact Person Name
- Aleksandra Okuniewska
- Contact Person Email
- a.okuniewska@gumed.edu.pl
- Site Name
- Dermedic Jacek Zdybski
- Department Name
- Dermatology
- Contact Person Name
- Jacek Zdybski
- Contact Person Email
- jacek@zdybski.pl
Sponsor
Primary sponsor
- Full Name
- Bausch Health Americas Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Investigational products
- Investigational Product Name
- Bryhali (IDP-122 Lotion)
- Active Substance
- Halobetasol propionate
- Modality
- Small molecule
- Routes Of Administration
- Topical administration
- Route
- Topical
- Authorisation Status
- Authorised (prodAuthStatus: 1)
- Starting Dose
- HP 0.01% once daily
- Frequency
- Once daily
- Maximum Dose
- 7 g per day; max total 392 g over 8 weeks
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