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PsoriasisPhase 1NCT03399526

1404003_OpenPsori.PlaqueTest to Eval.Eff.of Diff.Comp. to Mapracorat

A Phase 1 study testing Mapracorat (ZK 245186, BAY 86-5319), Prednicarbate 0.25% ointment and Clobetasol 0.05% ointment in people with Psoriasis, run by Bayer at 1 site in Germany.

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

Evaluation of efficacy and safety of Mapracorat 0.1% ointment and 4 comparator ointments in male and female subjects 18 to 65 years with stable plaque-type psoriasis treated once daily 6 days a week for a maximum of 4 weeks. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Psoriasis
What is being tested?
Mapracorat (ZK 245186, BAY 86-5319), Prednicarbate 0.25% ointment and Clobetasol 0.05% ointment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteGermany
Study dates
11 Feb 2013to 31 May 2013
Phase
Phase 1
Are there results?
None posted in the registry

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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female subjects 18 to 65 years of age with stable plaque-type psoriasis, plaques of adequate size to allow for evaluation of 5 test fields, on comparable body area; thickness of the echo-lucent band under the entry echo as assessed by ultrasound of at least 200 μm

Who cannot join

  • Positive testing in urine drug screening
  • Pregnancy or lactation
  • A history of relevant diseases, especially-incompletely cured pre-existing diseases for which it could have been assumed that the absorption, distribution, excretion and effect of the study drugs would not be normal
  • Volunteers with severe kidney or liver disease
  • Volunteers with concurrent/acute viral infections in the test field areas (e.g. herpes simplex, varicella) or other specific skin alterations (skin tuberculosis, syphilitic skin lesions)
  • Severe disease within the last 4 weeks prior to the first study drug administration
Show all 18Show fewer
  • Volunteers with known hypersensitivity reaction when applying adhesive bandages
  • Volunteers who were treated with any systemic therapy for psoriasis (e.g. methotrexate, cyclosporin A, etretinate, acitretin, PUVA, fumaric acid) three months prior to screening
  • Volunteers who were treated with any systemic corticosteroids (oral, intramuscular, high-dose inhaled, rectal) 4 weeks prior to screening
  • Volunteers who were treated with any local therapy for psoriasis (e.g. corticosteroids, calcitriol analogues, dithranol, phototherapy) 2 weeks prior to screening
  • Target plaques localized on head and neck, elbows and knees, palms and soles, nails and folds or other mechanically strained sites
  • Volunteers with guttate or pustular psoriasis
  • Volunteers with spontaneously improving or rapidly deteriorating plaque-type psoriasis
  • Volunteers with erythrodermic type of psoriasis
  • Volunteers with severe recalcitrant psoriasis requiring additional therapy
  • Presence of hepatitis B virus surface antigen, hepatitis C virus antibodies or human immune deficiency virus antibodies
  • Clinico-chemical parameters of clinically significant deviation
  • Volunteers with a known allergy to any of the excipients of the trial medication

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Study site

    Hamburg, 20095

Other trials in Germany

About this study

Official title: A 28-day, Double-blind, Randomized, Reference-controlled Open Psoriasis Plaque Test for Within Subject Comparison of Efficacy and Safety of Mapracorat 0.1% Ointment and 4 Reference Products in Symptomatic Volunteers With Stable Plaque-type Psoriasis

Evaluation of efficacy and safety of Mapracorat 0.1% ointment and 4 comparator ointments in male and female subjects 18 to 65 years with stable plaque-type psoriasis treated once daily 6 days a week for a maximum of 4 weeks.

Primary objective was to compare the efficacy of all test compounds by measurement of psoriatic infiltrate thickness (PIT) with 20 MHz B mode ultrasound.

Secondary objectives were to assess safety of all test compounds by measurement of the atrophogenic potential on non-lesional skin with 20 MHz B mode ultrasound, to assess the efficacy of all test compounds by measurement of intensity of erythema measured by chromametry, to assess the efficacy of all test compounds by visual assessment of the skin in the test fields using a 5-point score, to assess the safety of all test compounds by visual assessments of formation of teleangiectasia using a 5-point score, to assess the safety of all test compounds by visual assessment of atrophy using a 5-point score, to assess the safety of all test compounds by visual assessment of local tolerability using a 5-point score, to visualize the therapeutic index given by PIT versus non lesional skin thickness.

Conditions
Psoriasis
Being tested
Mapracorat (ZK 245186, BAY 86-5319), Prednicarbate 0.25% ointment, Clobetasol 0.05% ointment, Calcipotriene 0.005% ointment, Calcipotriene 0.005%/Betamethasone dipropionate 0.05% ointment
Medical subject headings
Psoriasis

What participants receive

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

  • Mapracorat (ZK 245186, BAY 86-5319)Drug

    0.1% (1 mg/g) of the active ingredient mapracorat plus excipients as ointment

  • Prednicarbate 0.25% ointmentDrug

    0.25% (2.5 mg/g) of the active ingredient prednicarbate as ointment

  • Clobetasol 0.05% ointmentDrug

    0.05% (0.5 mg/g) of the active ingredient clobetasol as ointment

  • Calcipotriene 0.005% ointmentDrug

    0.005% (0.05 mg/g) of the active ingredient calcipotriene as ointment

  • Calcipotriene 0.005%/Betamethasone dipropionate 0.05% ointmentDrug

    0.005% (0.05 mg/g) of the active ingredient calcipotriene/0.05% (0.5 mg/g) of the active ingredient betamethasone dipropionate as ointment

Study groups in NCT03399526
Study groupRoleWhat they receive
MapracoratExperimental10 µL of mapracorat was applied on 6 days a week for up to 4 weeks onto the corresponding test fields (3 cm2) of the affected skin plaques (15 cm2 were treated in total [diameter 2 cm, distance to next test field at least 2 cm]). 200 µL of mapracorat was applied on 6 days a week for up to 4 weeks onto the defined test fields (12.5 cm2 were treated in total [diameter 1.8 cm, distance to next test field at least 1.5 cm]) occluded with Finn chambers of the non-lesional skin areas of 2.5 cm2
Receives: Drug: Mapracorat (ZK 245186, BAY 86-5319)
PrednicarbateActive comparator10 µL of prednicarbate was applied on 6 days a week for up to 4 weeks onto the corresponding test fields (3 cm2) of the affected skin plaques (15 cm2 were treated in total [diameter 2 cm, distance to next test field at least 2 cm]). 200 µL of prednicarbate was applied on 6 days a week for up to 4 weeks onto the defined test fields (12.5 cm2 were treated in total [diameter 1.8 cm, distance to next test field at least 1.5 cm]) occluded with Finn chambers of the non-lesional skin areas of 2.5 cm2
Receives: Drug: Prednicarbate 0.25% ointment
ClobetasolActive comparator10 µL of clobetasol was applied on 6 days a week for up to 4 weeks onto the corresponding test fields (3 cm2) of the affected skin plaques (15 cm2 were treated in total [diameter 2 cm, distance to next test field at least 2 cm]). 200 µL of clobetasol was applied on 6 days a week for up to 4 weeks onto the defined test fields (12.5 cm2 were treated in total [diameter 1.8 cm, distance to next test field at least 1.5 cm]) occluded with Finn chambers of the non-lesional skin areas of 2.5 cm2
Receives: Drug: Clobetasol 0.05% ointment
CalcipotrieneActive comparator10 µL of calcipotriene was applied on 6 days a week for up to 4 weeks onto the corresponding test fields (3 cm2) of the affected skin plaques (15 cm2 were treated in total [diameter 2 cm, distance to next test field at least 2 cm]). 200 µL of calcipotriene was applied on 6 days a week for up to 4 weeks onto the defined test fields (12.5 cm2 were treated in total [diameter 1.8 cm, distance to next test field at least 1.5 cm]) occluded with Finn chambers of the non-lesional skin areas of 2.5 cm2
Receives: Drug: Calcipotriene 0.005% ointment
Calcipotriene/Betamethasone dipropionateActive comparator10 µL of calcipotriene/betamethasone dipropionate was applied on 6 days a week for up to 4 weeks onto the corresponding test fields (3 cm2) of the affected skin plaques (15 cm2 were treated in total [diameter 2 cm, distance to next test field at least 2 cm]). 200 µL of calcipotriene/betamethasone dipropionate was applied on 6 days a week for up to 4 weeks onto the defined test fields (12.5 cm2 were treated in total [diameter 1.8 cm, distance to next test field at least 1.5 cm]) occluded with Finn chambers of the non-lesional skin areas of 2.5 cm2
Receives: Drug: Calcipotriene 0.005%/Betamethasone dipropionate 0.05% ointment

What is being measured

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

  1. Baseline-corrected area under the curve of the psoriatic infiltrate thickness (PIT) measured by 20 MHz B mode ultrasound

    Assessment was done on the test fields on psoriatic plaques

    Measured: Prior to drug application from Day 1 and up to Day 29

Secondary outcomes (8)
  1. Skin thickness measurement of occluded test field on non-lesional skin (mean of triplicate measurement)

    Assessment was made on occluded test fields on non-lesional skin areas on the forearm

    Measured: Prior to drug application from Day 1 up to Day 60

  2. Clinical assessment of atrophy using a 5-point score

    Assessment was made on occluded test fields on non-lesional skin areas on the forearm

    Measured: Prior to drug application from Day 1 and up to Day 29

  3. Clinical assessment of telangiectasia using a 5-point score

    Assessment was made on occluded test fields on non-lesional skin areas on the forearm

    Measured: Prior to drug application from Day 1 and up to Day 29

  4. Clinical assessment of local tolerability using a 5-point score

    Assessment was made on occluded test fields on non-lesional skin areas on the forearm

    Measured: Prior to drug application from Day 1 and up to Day 29

  5. PIT measured by 20 MHz B mode ultrasound

    Assessment was done on the test fields on psoriatic plaques

    Measured: Prior to drug application from Day 1 and up to Day 29

  6. Measurement of erythema using chromametry (mean of triplicate measurement)

    Assessment was done on the test fields on psoriatic plaques

    Measured: Prior to drug application from Day 1 and up to Day 29

  7. Clinical efficacy assessment of the skin in the test fields using a 5-point score

    Assessment was done on the test fields on psoriatic plaques

    Measured: Prior to drug application from Day 1 and up to Day 29

  8. Number of participants with adverse events

    Measured: Approximately 64-84 days

Timeline

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

  1. First posted16 Jan 2018
  2. Study start11 Feb 2013
  3. Primary completion31 May 2013
  4. Study completion31 May 2013

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03399526
Sponsor's protocol ID
16599
Other IDs
2012-004171-39
Status last verified
Dec 2017
First submitted
9 Jan 2018
Last updated
16 Jan 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Mapracorat (ZK 245186, BAY 86-5319), Prednicarbate 0.25% ointment and Clobetasol 0.05% ointment in people with Psoriasis, run by Bayer at 1 site in Germany.

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 18 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 16 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Baseline-corrected area under the curve of the psoriatic infiltrate thickness (PIT) measured by 20 MHz B mode ultrasound (time frame: Prior to drug application from Day 1 and up to Day 29). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 16 Jan 2018.

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