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

Related trials

Other published trials that may interest you.