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Dermatitis, AtopicPhase 1NCT03798561

Study to Evaluate ASN008 Topical Gel (TG)

A Phase 1 study testing ASN008 TG in people with Dermatitis, Atopic and Pruritus, run by Asana BioSciences at 5 sites in 2 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 is an ascending dose escalation study to test the safety, tolerability and preliminary efficacy of ASN008 TG in first-in-human subjects Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Dermatitis, Atopic, Pruritus, Dermatitis Eczema
What is being tested?
ASN008 TG
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
24 participants
Where
5 sitesin 2 countries
Study dates
14 Jan 2019to 20 Mar 2020
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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Part A - Healthy Volunteers:
  • Written informed consent obtained prior to any required study-related procedure
  • Healthy female or male subject aged 18 to 65
  • Willing to use medically effective methods of birth control
  • Females of reproductive potential must have a negative serum pregnancy test at screening and negative serum or urine pregnancy test prior to first study drug application on Day 1
  • Non-smoker (no nicotine products for at least 6 months prior to screening)
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  • BMI ≥18.5 kg/m2 and ≤32.0 kg/m2 with minimum weight of 60 kg
  • Part B- Subjects with AD:
  • Written informed consent obtained prior to any required study-related procedure
  • Confirmed diagnosis of active atopic dermatitis (AD)
  • History of AD for at least 6 months prior to Day 1 with an investigator global assessment ≥3 and body surface area covered with 1-10% AD
  • Pruritus score (NRS)≥ 5 at screening and NRS ≥7 on Day 1

Who cannot join

  • Both Part A and Part B:
  • Pregnant or breast-feeding women
  • Skin disease that may interfere with study assessments
  • Febrile illness within 6 days prior to Day 1, history of cancer within 5 years of Day 1, major surgery within 8 weeks prior to Day1, known immunodeficiencies, positive for hepatitis B or C or HIV infection
  • Significant medical/surgical history or condition or current physical/laboratory/ECG/ vitals signs abnormality that might compromise the subject
  • Corrected QT duration ≥450 milliseconds or other significant ECG abnormality
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  • Received marketed or investigational biological agent within 12 weeks prior to Day 1 or JAK inhibitor or nonbiological product or device within 4 weeks of Day 1 or within 8 weeks of Day 1 if investigational product used or any drug/ substance that is a strong inhibitor or inducer of CYP3A4 or CYP2D6
  • Suspected hypersensitivity/allergy to lidocaine
  • Significant drug or alcohol abuse or mental illness in 2 years prior to Day 1
  • Part A Only- Healthy Volunteers:
  • -Used medications or skin emollients within 2 weeks prior to Day 1 unless approved by investigator and sponsor
  • Part B Only - Subjects with AD:
  • Has infected atopic dermatitis
  • Used dupilumab 12 weeks prior to Day 1
  • Used doxepin, hydroxyzine or diphenhydramine, urea containing topical products within 1 week prior to Day 1
  • Used systemic antibiotics or topical medicated treatment or other systemic treatments that could affect AD 2 weeks prior to Day 1
  • Received any UV-B phototherapy, excimer laser treatment or psoralen-UV-A treatment within 4 weeks prior to Day 1

Trial locations and contacts

5 sites in 2 countries.

5 sites in 2 countries

United States4 sites
  • Certified Research Associates

    Cortland, New York, 13045

  • Dermatology Consulting Services, PLLC

    High Point, North Carolina, 27262

  • Progressive Clinical Research

    San Antonio, Texas, 78213

  • Spaulding Research Clinic, Inc

    West Bend, Wisconsin, 53095

Other trials in United States

Canada1 site
  • Innovaderm Recherches Inc

    Montreal, Quebec, H2K4L5

Other trials in Canada

About this study

Official title: A Phase 1, Randomized, Double-Blind, Vehicle-Controlled Ascending Doses Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ASN008 Topical Gel in Healthy Volunteers and Subjects With Atopic Dermatitis

This is an ascending dose escalation study to test the safety, tolerability and preliminary efficacy of ASN008 TG in first-in-human subjects

Read the detailed description

This is a two part, randomized, blinded, vehicle-controlled study to determine a safe and tolerable dose of ASN008 TG. Part A will asses a single ascending dose of ASN008 TG in cohorts of healthy volunteers, while Part B will assess multiple ascending doses of TG, to be determined (TBD) based on Part A safety and tolerability, in patients with mild-to-moderate dermatitis. Results from Part A and B will characterize safety, tolerability and pharmacokinetics. Part B patients will be assessed for changes in pruritus based on a numerical rating scale (NRS) of pruritus at baseline and on Day 15.

Being tested
ASN008 TG, Placebo TG
Medical subject headings
Dermatitis, Atopic, Pruritus

What participants receive

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

  • ASN008 TGDrug

    ASN008 TG

  • Placebo TGDrug

    Placebo TG

Study groups in NCT03798561
Study groupRoleWhat they receive
82 µg/cm2 ASN008 TG or PlaceboExperimentalPART A: ASN008 TG 82 µg/cm2 single application in 7 days or Placebo TG (6 subjects ASN008: 2 subjects placebo) (6:2)
Receives: Drug: ASN008 TG; Drug: Placebo TG
164 µg/cm2 ASN008 TG or PlaceboExperimentalPART A: ASN008 TG 164 µg/cm2 single application in 7 days or Placebo (6:2)
Receives: Drug: ASN008 TG; Drug: Placebo TG
328 µg/cm2 ASN008 TG or PlaceboExperimentalPart A: ASN008 TG 328 µg/cm2 single application in 7 days or Placebo (6:2)
Receives: Drug: ASN008 TG; Drug: Placebo TG
492 µg/cm2 ASN008 TG or PlaceboExperimentalPart A: ASN008 TG 492 µg/cm2 single application in 7 days or Placebo (6:2)
Receives: Drug: ASN008 TG; Drug: Placebo TG
ASN008 TG TBD Cohort 1 or PlaceboExperimentalPart B: ASN008 TG Cohort 1 daily application for 15 days or Placebo (9 subjects ASN008: 3 subjects Placebo) (9:3)
Receives: Drug: ASN008 TG; Drug: Placebo TG
ASN008 TG TBD Cohort 2 or PlaceboExperimentalPart B: ASN008 TG Cohort 2 daily application for 15 days or Placebo (9:3)
Receives: Drug: ASN008 TG; Drug: Placebo TG
ASN008 TG TBD Cohort 3 or PlaceboExperimentalPart B: Placebo TG Cohort 3 daily application for 15 days or Placebo (9:3)
Receives: Drug: ASN008 TG; Drug: Placebo TG

What is being measured

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

  1. Evaluate safety and tolerability of ASN008 topical gel to define a maximum tolerated dose (Part A and B)

    Analyze incidence of treatment-emergent adverse events (TEAE)

    Measured: Part A: 14 days; Part B: 22 days

Secondary outcomes (6)
  1. Calculate area under the plasma concentration versus time curve (Part A and B)

    A plot of the concentration of ASN008 in plasma over time

    Measured: 7 days and 16 days

  2. Calculate the Pharmacokinetic Half-life (Part A and B)

    Derive maximum blood plasma concentration of Time required for ASN008 concentration to decrease by 50%

    Measured: 7 days and 16 days

  3. Calculate the Pharmacokinetic maximum concentration (Part A and B)

    Maximum concentration of ASN008 achieved after dosing

    Measured: 7 days and 16 days

  4. Change from baseline in pruritus NRS in AD subjects (Part B)

    Numeric Rating Scale ranging from 0 to 10; 0 indicates no itching; 10 indicates worst possible itching; Rating of pruritis based degree, duration, direction, disability, and distribution

    Measured: 22 days

  5. Change from baseline in Eczema Area and Severity Score (EASI) in AD subjects (Part B)

    Measurement of area and severity of atopic dermatitis based on composite score 0 to 72 encompassing degree of erythema, induration, excoriation and lichenification; each scored from 0 to 3 with 0 indicating none and 3 indicating severe

    Measured: 22 days

  6. Change from baseline in Investigator Global Assessment Score in AD subjects (Part B)

    5 point morphological assessment of overall disease severity scored from 0 to 4 with 0 indicating clear (no inflammation) and 4 indicating severe (marked erythema)

    Measured: 22 Days

Timeline

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

  1. First posted10 Jan 2019
  2. Study start14 Jan 2019
  3. Primary completion20 Mar 2020
  4. Study completion20 Mar 2020

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
Model description
Phase 1, multicenter, double-blind, vehicle-controlled, randomized ascending doses trial.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03798561
Sponsor's protocol ID
ASN008-101
Status last verified
May 2020
First submitted
4 Jan 2019
Last updated
9 May 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ramachandran R, Thompson SK, Malkmus S, Mieda T, Lin JH, Gupta S, Yaksh TL. Topical Application of ASN008, a Permanently Charged Sodium Channel Blocker, Shows Robust Efficacy, a Rapid Onset, and Long Duration of Action in a Mouse Model of Pruritus. J Pharmacol Exp Ther. 2020 Sep;374(3):521-528. doi: 10.1124/jpet.120.265074. Epub 2020 Jul 2.

    PubMed 32616515

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ASN008 TG in people with Dermatitis, Atopic and Pruritus, run by Asana BioSciences at 5 sites in 2 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 12 inclusion and 17 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 9 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States, 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 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?

Evaluate safety and tolerability of ASN008 topical gel to define a maximum tolerated dose (Part A and B) (time frame: Part A: 14 days; Part B: 22 days). 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 NCT03798561, 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 9 May 2023; AzTrials last refreshed its copy on 30 Oct 2026.

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