Clinical trial • Phase III • Dermatology
Methylprednisolone aceponate for Atopic dermatitis | Mild to moderate atopic dermatitis
Phase III trial of Methylprednisolone aceponate for Atopic dermatitis | Mild to moderate atopic dermatitis.
Overview
- Trial Therapeutic Area
- Dermatology
- Trial Disease
- Atopic dermatitis | Mild to moderate atopic dermatitis
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 14-05-2024
- First CTIS Authorization Date
- 28-05-2024
Trial design
Randomised, advantan 0.1% cream (methylprednisolone aceponate 0.1%) and vehicle (placebo cream); dose presented as 0.1% cream where stated; schedule not specified in provided data-controlled Phase III trial in Germany.
- Randomised
- Yes
- Comparator
- Advantan 0.1% cream (methylprednisolone aceponate 0.1%) and Vehicle (placebo cream); dose presented as 0.1% cream where stated; schedule not specified in provided data
- Target Sample Size
- 330
- Trial Duration For Participant
- 21
Eligibility
Recruits 330 paediatric patients.
- Pregnancy Exclusion
- Women with existing or intended pregnancy or during lactation
- Vulnerable Population
- Includes children and adolescents (from 6 years). For patients below 18 years written consent of legal guardian(s) and the child/adolescent is required after an age-appropriate information session; age-specific patient information and consent/assent documents are provided (documents for parents, adults, adolescents, children 6-9 years are included).
Inclusion criteria
- {"criterion_text":"- Women, men and children/adolescents of both sexes ≥ 6 years of age"}
- {"criterion_text":"- Written consent to study participation after patient information by the investigator"}
- {"criterion_text":"- In case of patients below the age of 18: Written consent to study participation of legal guardian(s) and child/adolescent patient after an age-appropriate patient- and legal guardian(s)- information session by the investigator"}
- {"criterion_text":"- Acute flare of atopic dermatitis according to the Investigator´s Global Assessment (IGA score 2 (mild) or 3 (moderate))"}
- {"criterion_text":"- Affected body surface (BSA) between at least 10% and not more than 40%"}
- {"criterion_text":"- For women of childbearing potential: Application of an established highly efficient contraceptive method during the whole study"}
- {"criterion_text":"- For all female patients of childbearing potential: Urine pregnancy test"}
Exclusion criteria
- {"criterion_text":"- Any systemic treatment of the atopic dermatitis within the last 4 weeks prior to study inclusion"}
- {"criterion_text":"- Other concomitant diseases which may - taking the present knowledge into account - influence the parameters evaluated in the study in a way that an objective evaluation would be impossible"}
- {"criterion_text":"- Other concomitant medication which may - taking the present knowledge into account - influence the methods of measurement used in this study or the resulting data"}
- {"criterion_text":"- Reasonable doubt concerning the co-operation of the patient"}
- {"criterion_text":"- Participation in another clinical study within the last 30 days prior to inclusion in this study"}
- {"criterion_text":"- Participation in this study at an earlier date"}
- {"criterion_text":"- Women with existing or intended pregnancy or during lactation"}
- {"criterion_text":"- Any topical treatment (e.g. topical immunomodulators such as tacrolimus ointment, pimecrolimus cream, topical antibiotics, topical glucocorticoids, other topical anti-inflammatory medication) or physical therapy (e.g. UV radiation) of the atopic dermatitis in the test area 2 weeks prior to study inclusion"}
- {"criterion_text":"- Presence of tuberculous or syphilitic processes in the treatment area"}
- {"criterion_text":"- Presence of viral infections (such as herpes or varicella), rosacea, perioral dermatitis, ulcera, acne vulgaris, atrophic skin diseases and vaccination skin reactions in the area to be treated."}
- {"criterion_text":"- Presence of bacterial and/or mycotic skin diseases in the treatment area"}
- {"criterion_text":"- Current diagnosis of glaucoma or cataract"}
- {"criterion_text":"- Known intolerance or hypersensitivity against methylprednisolone aceponate or any of the other ingredients in the study medication"}
- {"criterion_text":"- Sunburn, extensive scarring, or pigmented lesion(s) in any treatment area, which would interfere with evaluations"}
- {"criterion_text":"- Severe acute or chronic concomitant disease with severe impairment of the general condition"}
Endpoints
Primary endpoints
- {"endpoint_text":"- The primary endpoint of the study is the percent change from baseline (Visit 1) to Visit 4 (EoT) assessed by Eczema Area and Severity Index Score (EASI Score)","definition_or_measurement_approach":"Percent change from baseline (Visit 1) to Visit 4 (End of Treatment) assessed using the Eczema Area and Severity Index (EASI) score."}
Secondary endpoints
- {"endpoint_text":"- Percent change of Eczema Area and Severity Index Score (EASI Score) between baseline (Visit 1) and Visit 2 and Visit 3","definition_or_measurement_approach":"Percent change in EASI score between baseline and Visit 2 and Visit 3."}
- {"endpoint_text":"- Percent change of the total affected body surface area (BSA) between baseline (Visit 1) and Visit 2, Visit 3 and Visit 4","definition_or_measurement_approach":"Percent change in total affected BSA between baseline and Visits 2, 3, and 4 (EoT)."}
- {"endpoint_text":"- Change of the Investigator's Global Assessment (IGA) between baseline (Visit 1) and Visit 2, Visit 3 and Visit 4","definition_or_measurement_approach":"Change in Investigator's Global Assessment (IGA) score between baseline and Visits 2, 3, and 4."}
- {"endpoint_text":"- Evaluation of Overall Therapeutic Success by the investigator and patient at week 3 (EOT)","definition_or_measurement_approach":"Investigator and patient assessment of overall therapeutic success at Week 3 (End of Treatment)."}
- {"endpoint_text":"- Patient´s assessment of severity of pruritus at visits (Visit 1, Visit 2, Visit 3 and Visit 4)","definition_or_measurement_approach":"Patient-reported assessment of pruritus severity at Visits 1–4."}
Recruitment
- Planned Sample Size
- 330
- Recruitment Window Months
- 56
- Consent Approach
- Written informed consent is required from adult participants. For patients under 18 years, written consent of legal guardian(s) AND written consent/assent of the child/adolescent is required after an age-appropriate information session by the investigator. Age-specific subject information and consent/assent documents are provided (adult, parents, adolescents, children 6-9 years). Languages available are not specified in the provided data.
Methods
- Poster and flyer materials (document: K2_MPA-C_RecruitmenMaterial_Poster Flyer Design) - general public/potential patient recruitment
- Referral letters to physicians (document: K2_MPA-C_RecruitmenMaterial_Referral Letter) - targeting referring clinicians
- Newspaper advertisements (document: K2_MPA-C_RecruitmentMaterial_Newspaper) - general public outreach
- Study-specific informed consent and patient information materials for adults, parents, adolescents and children (documents listed) used during site-based recruitment
Geography
- Total Number Of Sites
- 11
- Total Number Of Participants
- 330
Germany
- Earliest CTIS Part Ii Submission Date
- 31-01-2024
- Latest Decision Or Authorization Date
- 15-04-2026
- Processing Time Days
- 805
- Number Of Sites
- 11
- Number Of Participants
- 330
Sites
- Site Name
- Hautarztpraxis
- Contact Person Name
- Anna Eisenberg
- Contact Person Email
- praxis@drannaeisenberg.de
- Site Name
- Hautarztpraxis Dr. Offers und Dr. Adamini
- Department Name
- Hautarztpraxis Dr. Offers und Dr. Adamini
- Contact Person Name
- Michael Offers
- Contact Person Email
- adamini.offers@web.de
- Site Name
- Haut-und Lasercentrum Potsdam - Dr. med. Tanja Fischer
- Department Name
- Haut- und Lasercentrum Potsdam
- Contact Person Name
- Tanja Fischer
- Contact Person Email
- fischer@hlcp.de
- Site Name
- MVZ Dermatologisches Zentrum Bonn GmbH
- Department Name
- Dermatologie
- Contact Person Name
- Uwe Reinhold
- Contact Person Email
- u.reinhold@derma-bonn.de
- Site Name
- Haut- und Laserzentrum Hunsrück, Gesundheitszentrum Simmern, Dermatologisches Studienzentrum
- Contact Person Name
- Mohammad Asefi
- Contact Person Email
- derma.studienzentrum@yahoo.de
- Site Name
- Dermatology Dr. Wildfeuer
- Department Name
- Hautarztpraxis Dr. Med. Thomas Wildfeuer
- Contact Person Name
- Thomas Wildfeuer
- Contact Person Email
- hautarztpraxis-dr.wildfeuer@gmx.de
- Site Name
- Praxis Dr. med. Abdou Zarzour
- Department Name
- Praxis Dr. med. Abdou Zarzour
- Contact Person Name
- Abdou Zarzour
- Contact Person Email
- info@hautarzthalle.de
- Site Name
- Hautarztpraxis Dr. Heiner Neubauer
- Contact Person Name
- Heiner Neubauer
- Contact Person Email
- studien@hautarzt-leipzig.de
- Site Name
- Hautarztpraxis Kock
- Contact Person Name
- Christian Kock
- Contact Person Email
- info@praxiskock.de
- Site Name
- Praxis Dr. Julia Reichle
- Department Name
- Praxis Dr. Julia Reichle
- Contact Person Name
- Julia Reichle
- Contact Person Email
- praxis-jreichle@web.de
- Site Name
- Hautarztpraxis Dr. Pfennig
- Contact Person Name
- Karsten Pfennig
- Contact Person Email
- info@dr-med-pfennig.de
Sponsor
Primary sponsor
- Full Name
- Dermapharm AG
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Germany
Contract research organisations
- Name
- GKM Gesellschaft fuer Therapieforschung mbH
- Responsibilities
- 10,11,6,7
- Name
- Symbio Clinical Research GmbH
- Responsibilities
- 1,2
Third parties
- {"country":"Germany","full_name":"GKM Gesellschaft fuer Therapieforschung mbH","duties_or_roles":"10,11,6,7","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"Symbio Clinical Research GmbH","duties_or_roles":"1,2","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Methylprednisolone Aceponate Cream
- Active Substance
- Methylprednisolone aceponate
- Modality
- Small molecule
- Routes Of Administration
- CUTANEOUS USE
- Route
- CUTANEOUS USE
- Starting Dose
- 0.1% cream
- Maximum Dose
- max daily amount 7 (mg/g); max total amount 150 (mg/g)
- Investigational Product Name
- Advantan 0.1% cream
- Active Substance
- Methylprednisolone aceponate
- Modality
- Small molecule
- Routes Of Administration
- CUTANEOUS USE
- Route
- CUTANEOUS USE
- Authorisation Status
- Marketing authorisation present for Advantan (marketingAuthNumber MA024/01501) as per product record
- Starting Dose
- 0.1% cream
- Maximum Dose
- max daily amount 7 (mg/g); max total amount 50 (mg/g)
- Investigational Product Name
- Vehicle to Methylprednisolone Aceponate Cream
- Modality
- Other
- Routes Of Administration
- TOPICAL USE
- Route
- TOPICAL USE
- Maximum Dose
- max daily amount 7 (mg/g); max total amount 150 (mg/g)
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