Clinical trial • Phase II • Dermatology

METHYL AMINOLEVULINATE HYDROCHLORIDE for Frontal fibrosing alopecia

Phase II trial of METHYL AMINOLEVULINATE HYDROCHLORIDE for Frontal fibrosing alopecia. open-label, none/not specified-controlled. 15 participants.

Overview

Trial Therapeutic Area
Dermatology
Trial Disease
Frontal fibrosing alopecia
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
17-10-2023
First CTIS Authorization Date
30-01-2024

Trial design

open-label, none/not specified-controlled Phase II trial across 1 site in Norway.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
15
Trial Duration For Participant
224

Eligibility

Recruits 15 No vulnerable populations selected. Participants must be ≥18 years old and be capable of giving signed informed consent as described in Appendix 1. Consent must be provided by the participant (no assent/parental consent arrangements described). Participants must be able to communicate in Norwegian or English..

Pregnancy Exclusion
The participant is pregnant or wish to become pregnant or is breastfeeding within the time frame of the study
Vulnerable Population
No vulnerable populations selected. Participants must be ≥18 years old and be capable of giving signed informed consent as described in Appendix 1. Consent must be provided by the participant (no assent/parental consent arrangements described). Participants must be able to communicate in Norwegian or English.

Inclusion criteria

  • {"criterion_text":"- The participant must be ≥18 years of age at the time of signing the informed consent\n- The participant must fulfill the criteria for classic FFA with a grade 2 or 3 of erythema and hyperkeratosis\n- The participant must be able to communicate in Norwegian or English\n- The participant must be capable of giving signed informed consent as described in Appendix 1 which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol\n- Females of reproductive age must use effective"}

Exclusion criteria

  • {"criterion_text":"- The participant has another medical condition in the area of interest on the scalp, making MN/PDT contraindicated (e.g., melanoma, morpheaform or other invasive keratinocyte carcinoma)\n- The patient has received systemic anti-inflammatory therapy (e.g., glucocorticoids, calcineurin inhibitors, ciclosporin A, azathioprine, methotrexate, anti-TNF, anti-interleukins JAK inhibitors or retinoids) within the last 12 weeks. NSAIDs are acceptable\n- The patient has another medical condition in the area of interest on the scalp, making the effects of MN/PDT difficult to interpret (e.g., psoriasis, seborrheic dermatitis)\n- The patient has another medical condition making MN/PDT contraindicated even if the area of interest is not affected at screening (e.g., cutaneous lupus, porphyria cutanea tarda or other porphyria)\n- The participant is pregnant or wish to become pregnant or is breastfeeding within the time frame of the study\n- The participant has current hypertension of ≥160/100 mm Hg\n- Any condition that in the view of the investigator would suggest that the patient is unable to comply with the study protocol and procedures\n- The patient has received topical corticosteroids or calcineurin inhibitors on the area of interest less than four weeks ago\n- The patient has received systemic 5-alpha reductase inhibitors less than twelve weeks ago\n- The patient has received topical anti-neoplastic therapy in the area of interest (e.g., imiquimod, 5-fluorouracil, PDT) within the last 12 weeks"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Reduction of the combined scoring of erythema and hyperkeratosis at week 32 compared to baseline (week 0)","definition_or_measurement_approach":"Combined scoring of erythema and hyperkeratosis measured at week 32 compared to baseline (week 0) as stated in the endpoint text."}

Secondary endpoints

  • {"endpoint_text":"- Reduction of the combined scoring of erythema and hyperkeratosis at week 4, 8, 20 and 32 compared to baseline (week 0)","definition_or_measurement_approach":"Combined scoring of erythema and hyperkeratosis measured at weeks 4, 8, 20 and 32 compared to baseline (week 0)."}
  • {"endpoint_text":"- Reduction of the (FFA) Global Staging Score week 32 compared to baseline (week 0)","definition_or_measurement_approach":"FFA Global Staging Score measured at week 32 compared to baseline (week 0)."}
  • {"endpoint_text":"- Change in investigators global assessment score week 32 compared to baseline (week 0)","definition_or_measurement_approach":"Investigator global assessment score change at week 32 versus baseline (week 0)."}
  • {"endpoint_text":"- Change in patient global assessment score week 32 compared to baseline (week 0)","definition_or_measurement_approach":"Participant global assessment score change at week 32 versus baseline (week 0)."}
  • {"endpoint_text":"- Percentage reduction of hair density at week 32 (ALODEXFFA score) compared to baseline (week 0)","definition_or_measurement_approach":"Percentage reduction in hair density measured by ALODEXFFA score at week 32 compared to baseline (week 0)."}
  • {"endpoint_text":"- Percentage change of hair density at week 4, 8, 20 and 32 (ALODEXFFA score) compared to baseline (week 0)","definition_or_measurement_approach":"Percentage change in hair density by ALODEXFFA score at weeks 4, 8, 20 and 32 versus baseline (week 0)."}
  • {"endpoint_text":"- Percentage increased hair density at week 32 compared to baseline (negative ALODEXFFA score)","definition_or_measurement_approach":"Percentage increase in hair density (negative ALODEXFFA score) at week 32 compared to baseline."}

Recruitment

Planned Sample Size
15
Recruitment Window Months
24
Consent Approach
Informed consent must be signed by participants who are ≥18 years old and capable of giving signed informed consent as described in Appendix 1. The ICF includes requirements and restrictions listed in the ICF and protocol. Participants must be able to communicate in Norwegian or English.

Geography

Total Number Of Sites
1
Total Number Of Participants
15

Norway

Earliest CTIS Part Ii Submission Date
16-01-2024
Latest Decision Or Authorization Date
30-01-2024
Processing Time Days
14
Number Of Sites
1
Number Of Participants
15

Sites

Site Name
Volvat Medisinske Senter AS
Department Name
Hudavdelingen
Contact Person Name
Daniel De La Rosa-Carrillo
Contact Person Email
daniel.carrillo@volvat.no
Number Of Participants
15

Sponsor

Primary sponsor

Full Name
Oslo University Hospital HF
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Norway

Third parties

  • {"country":"Norway","full_name":"Oslo University Hospital HF","duties_or_roles":"1,5,6","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
Metvix 160 mg/g Creme
Active Substance
METHYL AMINOLEVULINATE HYDROCHLORIDE
Modality
Small molecule
Routes Of Administration
TOPICAL ADMINISTRATION
Route
TOPICAL ADMINISTRATION
Authorisation Status
Marketing authorisation number: 2007119559 (prodAuthStatus 2)
Maximum Dose
Max daily dose 2.0 ml; max total dose 8.0 ml
Combination Treatment
Yes

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