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
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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