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Atopic DermatitisPhase 4NCT03356977

A Study of Crisaborole Ointment 2% in Children Aged 3-24 Months With Mild to Moderate Atopic Dermatitis

A Phase 4 study testing Crisaborole ointment 2% in people with Atopic Dermatitis, run by Pfizer at 32 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This 4-week study will evaluate the safety, pharmacokinetics (PK), and efficacy of crisaborole ointment 2%, applied twice daily (BID) in subjects who are 3 months to less than 24 months of age with mild-to-moderate AD. Read more about this study

Who is it for?
Ages 3 to 23 months
Conditions the study is for
Atopic Dermatitis
What is being tested?
Crisaborole ointment 2%
Could I receive a placebo?
No, everyone receives an active treatment
How many people
137 participants
Where
32 sitesin 3 countries
Study dates
16 Jan 2018to 12 Apr 2019
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 3 to 23 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Aged ≥ 3 months at the screening visit to < 24 months on baseline/Day 1, diagnosed with AD

Who cannot join

  • Subjects with any clinically significant dermatological condition or disease (including active or potentially recurrent non-AD dermatological conditions that overlap with AD such as Netherton Syndrome)

Trial locations and contacts

32 sites in 3 countries.

32 sites in 3 countries

United States23 sites
  • DermResearch, Inc.

    Austin, Texas, 78759

  • Craig A. Spiegel, M.D.

    Bridgeton, Missouri, 63044

  • PI-Coor Clinical Research, LLC

    Burke, Virginia, 22015

  • Pediatric Associates of Charlottesville, PLC

    Charlottesville, Virginia, 22902

  • Pediatric Research of Charlottesville, LLC (Regulatory Only)

    Charlottesville, Virginia, 22902

  • Pediatric Research of Charlottesville, LLC

    Charlottesville, Virginia, 22902

  • Ohio Pediatric Research Association, Inc.

    Dayton, Ohio, 45414

  • Penn State Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • Burke Pharmaceutical Research

    Hot Springs, Arkansas, 71913

  • Tanner Clinic

    Layton, Utah, 84041

  • DS Research

    Louisville, Kentucky, 40241

  • Baumann Cosmetic and Research Institute

    Miami, Florida, 33137

  • Skin Specialists, PC

    Omaha, Nebraska, 68144

  • Oregon Health & Science University

    Portland, Oregon, 97239

  • Texas Dermatology and Laser Specialists

    San Antonio, Texas, 78218

  • Rady Children's Hospital - San Diego/University of California, San Diego

    San Diego, California, 92123

  • Rady Children's Hospital

    San Diego, California, 92123

  • University of California, San Francisco

    San Francisco, California, 94115

  • Timber Lane Allergy & Asthma Research, LLC

    South Burlington, Vermont, 05403

  • Dermatology Specialists of Spokane

    Spokane, Washington, 99202

  • IMMUNOe Research Centers

    Thornton, Colorado, 80233

  • Oklahoma State University - Center for Health Sciences

    Tulsa, Oklahoma, 74127

  • Jordan Valley Dermatology Center

    West Jordan, Utah, 84088

Other trials in United States

Australia6 sites
  • The Skin Centre

    Benowa, Queensland, 4217

  • Eastern Health

    Box Hill, Victoria, 3128

  • Sinclair Dermatology

    East Melbourne, Victoria, 3002

  • Australian Clinical Research Network Pty Ltd

    Maroubra, New South Wales, 2035

  • The Royal Children's Hospital

    Parkville, Victoria, 3052

  • Veracity Clinical Research

    Woolloongabba, Queensland, 4102

Other trials in Australia

Canada3 sites
  • Stollery Children's Hospital

    Edmonton, Alberta, T6G 2B7

  • Lynderm Research Inc.

    Markham, Ontario, L3P 1X2

  • SKiN Centre for Dermatology

    Peterborough, Ontario, K9J 5K2

Other trials in Canada

About this study

Official title: A PHASE 4, MULTICENTER, OPEN-LABEL SAFETY STUDY OF CRISABOROLE OINTMENT 2% IN CHILDREN AGED 3 MONTHS TO LESS THAN 24 MONTHS WITH MILD TO MODERATE ATOPIC DERMATITIS

This 4-week study will evaluate the safety, pharmacokinetics (PK), and efficacy of crisaborole ointment 2%, applied twice daily (BID) in subjects who are 3 months to less than 24 months of age with mild-to-moderate AD.

Read the detailed description

Approximately 125 subjects will be enrolled. Subjects must have mild-to-moderate AD involving at least 5% treatable %BSA assessed on Baseline/Day 1. Treatable %BSA will be defined as the percent of a subject's total body surface area that is AD-involved, excluding the scalp.

In addition, a cohort of at least 16 of the 125 subjects will be included in a subgroup for PK assessment. These subjects must have moderate AD and a minimum of 35% treatable %BSA, excluding the scalp, and must complete all PK assessments to be included in the PK analysis. Of these subjects, at least 3 subjects who are less than 9 months of age will be enrolled. Subjects discontinuing for reasons other than treatment emergent adverse event ( TEAE) may be replaced at the discretion of the sponsor to ensure 16 subjects complete the PK assessments. Only selected study sites will participate in the PK assessment.

Scheduled study visits/telephone contacts for all subjects will occur at Screening (up to 28 days prior to Baseline/Day 1), Baseline/Day 1, Day 8, Day 15, Day 22, Day 29 (end of treatment/early termination), Day 36, and Day 57 (end of study).

Being tested
Crisaborole ointment 2%
Medical subject headings
Dermatitis, Atopic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Crisaborole ointment 2%Drug

    Also called Eucrisa

    Applied BID

Study groups in NCT03356977
Study groupRoleWhat they receive
Crisaborole ointment 2%ExperimentalSubjects will be dosed for 28 days. A thin layer of ointment will be applied to all areas designated for treatment.
Receives: Drug: Crisaborole ointment 2%

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment Emergent Adverse Events (AEs), Serious Adverse Events (SAEs) and Site Reactions

    An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. Treatment-emergent were events between first dose of investigational product and up to 28 days after the last dose of investigational product that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-SAEs. Site reactions are reactions which occurred in participants at the site of application of investigational product.

    Measured: Baseline (Day 1) up to at least 28 days after last dose of investigational product (up to 60 days)

  2. Number of Participants With Clinically Significant Height Values Meeting Pre-defined Criteria

    Height of participants was measured in terms of centimeter (cm). The pre-defined criteria for measuring the height was less than (<) 55 cm and greater than (>) 92.5 cm.

    Measured: Baseline (Day 1) up to Day 29 (end of treatment)

  3. Number of Participants With Clinically Significant Weight Values Meeting Pre-defined Criteria

    Weight of participants was measured in terms of kilogram (kg). The pre-defined criteria of measuring the weight of participants was less than equal to (<=) 4.5 kg and >15 kg.

    Measured: Baseline (Day 1) up to Day 29 (end of treatment)

  4. Number of Participants With Clinically Significant Blood Pressure Values Meeting Pre-defined Criteria

    Diastolic Blood Pressure (DBP) and Systolic Blood Pressure (SBP) of participants was measured in terms of millimeters of mercury (mmHg). The clinically significant pre-defined criteria were, SBP: change of greater than equal to (>=) 30 mmHg increase from baseline (IFB) and SBP change of >= 30 mmHg decrease from baseline (DFB); DBP: change of >=20 mmHg IFB and DBP change of >=20 mmHg DFB.

    Measured: Baseline (Day 1) up to Day 29 (end of treatment)

  5. Number of Participants With Clinically Significant Pulse Rate Values Meeting Pre-defined Criteria

    Pulse rate of participants was measured in terms of beats per minute (bpm). The pre-defined criteria of measuring the pulse rate of participants was <90 bpm and >180 bpm.

    Measured: Baseline (Day 1) up to Day 29 (end of treatment)

  6. Number of Participants With Clinically Significant Respiratory Rate Values Meeting Pre-defined Criteria

    Respiratory rate was measured in terms of number of breaths per minute. The pre-defined criteria of measuring the respiratory rate of participants was < 22 breaths per min and > 53 breaths per min.

    Measured: Baseline (Day 1) up to Day 29 (end of treatment)

  7. Number of Participants With Clinically Significant Body Temperature Values Meeting Pre-defined Criteria

    Body temperature of participants was measured in degree Celsius. The normal body temperature value was >= 39 degree Celsius.

    Measured: Baseline (Day 1) up to Day 29 (end of treatment)

  8. Number of Participants With Clinically Significant Change From Baseline in Electrocardiogram (ECG) Values Meeting Pre-defined Criteria

    ECG of participants was measured in terms of millisecond (msec). ECG parameters included pulse rate (PR) interval, QRS interval, corrected QT interval using Fridericia's formula (QTcF). ECG values meeting pre-defined criteria were 1) PR interval: greater than equal to (>=) 25 percent (%) increase when baseline greater than (>)200 milliseconds (msec); or increase >=50% when baseline less than or equal to (<=200) msec; 2) QRS interval: >=25% increase when baseline >100 msec; >=50% increase when baseline <= 100 msec; 3) QTCF interval: QTc interval using Fridericia's formula (QTcF interval) > 30 msec. IFB stands for increase from baseline.

    Measured: Baseline (Day 1) up to Day 29 (end of treatment)

  9. Number of Participants With Clinically Significant Laboratory Parameters Meeting Pre-defined Criteria

    Criteria: hematology: hemoglobin, hematocrit, erythrocytes < 0.8*lower limit of normal (LLN), platelets <0.5*LLN >1.75*upper limit of normal (ULN), leukocytes <0.6* LLN >1.5* ULN, lymphocytes, lymphocytes/leukocytes, neutrophils, neutrophils/leukocytes <0.8* LLN >1.2* ULN, basophils, basophils/leukocytes, eosinophils, eosinophils/leukocytes monocytes monocytes/leukocytes >1.2*ULN. Clinical chemistry: bilirubin >1.5*ULN, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase >3.0*ULN, protein, albumin <0.8* LLN >1.2* ULN, blood urea nitrogen, creatinine >1.3* ULN, sodium <0.95*LLN >1.05*ULN, potassium, chloride, bicarbonate <0.9* LLN >1.1* ULN, glucose <0.6*LLN >1.5*ULN.

    Measured: Baseline (Day 1) up to Day 29 (end of treatment)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Nov 2017
  2. Study start16 Jan 2018
  3. Primary completion12 Apr 2019
  4. Study completion12 Apr 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
137 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03356977
Sponsor's protocol ID
C3291002
Other IDs
CARE 1
Status last verified
Sep 2019
First submitted
31 Oct 2017
Last updated
10 Oct 2019
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Publications

  • Schlessinger J, Shepard JS, Gower R, Su JC, Lynde C, Cha A, Ports WC, Purohit V, Takiya L, Werth JL, Zang C, Vlahos B; CARE 1 Investigators. Safety, Effectiveness, and Pharmacokinetics of Crisaborole in Infants Aged 3 to < 24 Months with Mild-to-Moderate Atopic Dermatitis: A Phase IV Open-Label Study (CrisADe CARE 1). Am J Clin Dermatol. 2020 Apr;21(2):275-284. doi: 10.1007/s40257-020-00510-6.

    PubMed 32212104

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Crisaborole ointment 2% in people with Atopic Dermatitis, run by Pfizer at 32 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in United States, Australia, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 Oct 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment Emergent Adverse Events (AEs), Serious Adverse Events (SAEs) and Site Reactions (time frame: Baseline (Day 1) up to at least 28 days after last dose of investigational product (up to 60 days)). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03356977, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Oct 2019; AzTrials last refreshed its copy on 6 Nov 2026.

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