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Common WartPhase 3NCT03812510

Safety Study of A-101 Topical Solution for the Treatment of Common Warts

A Phase 3 study testing A-101 in people with Common Wart, run by Aclaris Therapeutics, Inc. at 46 sites in United States.

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

A Phase 3 Study of A-101 Topical Solution Applied Twice a Week in Subjects with Common Warts Read more about this study

Who is it for?
Ages 1 year and older
Conditions the study is for
Common Wart
What is being tested?
A-101
Could I receive a placebo?
No, everyone receives an active treatment
How many people
426 participants
Where
46 sitesUnited States
Study dates
7 Feb 2019to 20 Dec 2019
Phase
Phase 3
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 1 year and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Subject or legal guardian is able to comprehend and is willing to sign an informed consent/assent for participation in this study.
  • Subject must have completed study participation in either A-101-WART-301 or A-101-WART-302.
  • Male or female ≥ 1 years old.
  • Subject has a clinical diagnosis of common warts (verruca vulgaris).
  • Identified warts must have a longest axis of ≤8 mm

Who cannot join

  • Subject has clinically atypical warts.
  • Subject is immunocompromised
  • Subject has a history of Human Immunodeficiency Virus (HIV) infection.
  • Subject has had any Human Papilloma Virus (HPV) vaccine within 6 months prior to Visit 1.
  • Subject has used any of the following intralesional therapies within the specified period prior to Visit 1:
  • Immunotherapy (e.g., Candida antigen, mumps antigen, Trichophyton antigen); 8 weeks
Show all 26Show fewer
  • Anti-metabolite therapy (e.g., bleomycin, 5-fluorouracil); 8 weeks
  • Subject has used any of the following systemic therapies within the specified period prior to Visit 1:
  • Immunomodulatory/immunosuppressant therapy (e.g., etanercept, alefacept, infliximab); 16 weeks
  • Glucocorticosteroids (inhaled and intra-nasal steroids are permitted); 28 days
  • Subject has used any of the following topical therapies within the specified period prior to Visit 1 on or in the proximity to any of the common warts identified for treatment that in the investigator's opinion interferes with the study medication treatment or the study assessments:
  • LASER, light or other energy-based therapy (e.g., intense pulsed light [IPL], photodynamic therapy [PDT]); 180 days
  • Immunotherapy (e.g., imiquimod, squaric acid dibutyl ester [SADBE], etc.) 12 weeks
  • Liquid nitrogen, electrodesiccation, curettage; 60 days
  • Hydrogen peroxide; 90 days (other than IP from the 301/302 study)
  • Antimetabolite therapy (e.g., 5-fluorouracil); 8 weeks
  • Retinoids; 90 days
  • Over-the-counter (OTC) wart therapies and cantharidin; 28 days
  • Subject currently has or has had any of the following within the specified period prior to Visit 1 on or in a proximity to any of the common warts identified for treatment that, in the investigator's opinion, interferes with the study medication treatment or the study assessments:
  • Cutaneous malignancy; 180 days
  • Sunburn; currently
  • Pre-malignancy (e.g., actinic keratosis); currently
  • Subject has a history of sensitivity to any of the ingredients in the study medications.
  • Subject has any current skin or systemic disease (e.g., psoriasis, atopic dermatitis, eczema, sun damage), or condition (e.g., sunburn, excessive hair, open wounds) that, in the opinion of the investigator, might put the subject at undue risk by study participation or interfere with the study conduct or evaluations.
  • Participation in another therapeutic investigational drug/device trial (other than the Aclaris 301 or 302 study) in which administration of an investigational treatment occurred within 30 days prior to Visit 1.
  • Subject has an active malignancy.

Trial locations and contacts

46 sites in 1 country.

46 sites in 1 country

United States46 sites
  • Aclaris Investigational Site

    Anderson, South Carolina, 29644

  • Aclaris Investigational Site

    Arlington, Texas, 76011

  • Aclaris Investigational Site

    Austin, Texas, 78759

  • Aclaris Investigational Site

    Aventura, Florida, 33180

  • Aclaris Investigational Site

    Beachwood, Ohio, 44122

  • Aclaris Investigational Site

    Bexley, Ohio, 43209

  • Aclaris Invesgational Site

    Broomall, Pennsylvania, 19008

  • Aclaris Investigational Site

    Charleston, South Carolina, 29407

  • Aclaris Investigational Site

    College Station, Texas, 77845

  • Aclaris Investigational Site

    Denver, Colorado, 80210

  • Aclaris Investigational Site

    Encinitas, California, 92024

  • Aclaris Investigational Site

    Fort Smith, Arkansas, 72916

  • Aclaris Investigational Site

    Fort Washington, Pennsylvania, 19034

  • Aclaris Investigational Site

    Fountain Inn, South Carolina, 29644

  • Aclaris Investigational Site

    Fountain Valley, California, 92708

  • Aclaris Investigational Site

    Fridley, Minnesota, 55432

  • Aclaris Investigational Site

    Glendale, Arizona, 85308

  • Aclaris Investigational Site

    Hot Springs, Arkansas, 71913

  • Aclaris Investigational Site

    Houston, Texas, 77598

  • Aclaris Investigational Site

    Indianapolis, Indiana, 46250

  • Aclaris Investigational Site

    Jacksonville, Florida, 32256

  • Aclaris Investigational Site

    Knoxville, Tennessee, 37922

  • Aclaris Investigational Site

    Las Vegas, Nevada, 89148

  • Aclaris Investigational Site

    Louisville, Kentucky, 40241

  • Aclaris Investigational Site

    Lynchburg, Virginia, 24501

  • Aclaris Investigational Site

    Miami, Florida, 33134

  • Aclaris Investigational Site

    Miami, Florida, 33144

  • Aclaris Investigational Site

    Mobile, Alabama, 36608

  • Aclaris Investigational Site

    Nashville, Tennessee, 37215

  • Aclaris Investigational Site

    New Albany, Indiana, 47150

  • Aclaris Investigational Site

    Newnan, Georgia, 30263

  • Aclaris Investigational Site

    Norfolk, Virginia, 23502

  • Aclaris Investigational Site

    Norfolk, Virginia, 23507

  • Aclaris Investigational Site

    Ocala, Florida, 34470

  • Aclaris Investigational Sites

    Omaha, Nebraska, 68144

  • Aclaris Investigational Site

    Pflugerville, Texas, 78660

  • Aclaris Investigational Site

    Raleigh, North Carolina, 27612

  • Aclaris Investigational Site

    Rochester, New York, 14623

  • Aclaris Investigational Site

    Rockville, Maryland, 20850

  • Aclaris Investigational Site

    Saint Joseph, Missouri, 64506

  • Aclaris Investigational Site

    San Antonio, Texas, 78213

  • Aclaris Investigational Site

    San Diego, California, 92121

  • Aclaris Investigational Site

    San Diego, California, 92123

  • Aclaris Investigational Site

    Spokane, Washington, 99202

  • Aclaris Investigational Site

    Upper Saint Clair, Pennsylvania, 15241

  • Aclaris Investigational Site

    Verona, New Jersey, 07044

Other trials in United States

About this study

Official title: A Phase 3 Open Label Safety Study of A-101 Topical Solution for the Treatment of Common Warts

A Phase 3 Study of A-101 Topical Solution Applied Twice a Week in Subjects with Common Warts

Read the detailed description

A Phase 3 Open Label Safety Study of A-101 Topical Solution for the Treatment of Common Warts

Conditions
Common Wart
Being tested
A-101
Keywords
common warts
Medical subject headings
Warts

What participants receive

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

  • A-101Drug

    Also called hydrogen peroxide 45%

    hydrogen peroxide topical solution 45%

Study groups in NCT03812510
Study groupRoleWhat they receive
A-101ExperimentalTopical Solution
Receives: Drug: A-101

What is being measured

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

  1. Proportion of Subjects With Treatment Emergent AEs After Application of A-101 45% for the Treatment of Common Warts

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies. In the A-101-WART-303 study, subjects will be followed every 6 weeks to assess for a recurrence or development of new common warts. If a recurrence occurs or a new wart develops these subjects may return to the site to receive A-101 Topical Solution 45% twice a week for an additional treatment cycle of 8 weeks.

    Measured: Baseline to a maximum of 341 days

Secondary outcomes (12)
  1. Durability of Response: Median Number of Days All Warts Remain Clear by Treatment Group and Treatment Cycle for Subjects With All Warts Achieving a Status of Clear (PWA=0) (Treatment Cycle 1)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    This endpoint measures the durability of response by time to wart recurrence by prior study treatment group in the Safety Population.

    Measured: Baseline to a maximum of 207 days

  2. Durability of Response: Median Number of Days All Warts Remain Clear by Treatment Group and Treatment Cycle for Subjects With All Warts Achieving a Status of Clear (PWA=0) (Treatment Cycle 2)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    Efficacy will be assessed using the Physician's Wart Assessment Scale (PWA) which is a 4 point scale. A higher amount of warts cleared represents a better outcome.

    Measured: Baseline to a maximum of 248 days

  3. Durability of Response: Median Number of Days All Warts Remain Clear by Treatment Group and Treatment Cycle for Subjects With All Warts Achieving a Status of Clear (PWA=0) (Treatment Cycle 3)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    Efficacy will be assessed using the Physician's Wart Assessment Scale (PWA) which is a 4 point scale. A higher amount of warts cleared represents a better outcome.

    Measured: Baseline to a maximum of 290 days

  4. Mean Per-Subject Percent of All Warts That Were Clear on the Physician Wart Assessment (PWA) Scale (Treatment Cycle 1)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    Efficacy will be assessed using the Physician's Wart Assessment Scale (PWA) which is a 4 point scale. A higher amount of warts cleared represents a better outcome.

    Measured: Baseline to a maximum of 207 days

  5. Mean Per-Subject Percent of All Warts That Were Clear on the Physician Wart Assessment (PWA) Scale (Treatment Cycle 2)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    Efficacy will be assessed using the Physician's Wart Assessment Scale (PWA) which is a 4 point scale. A higher amount of warts cleared represents a better outcome.

    Measured: Baseline to a maximum of 248 days

  6. Mean Per-Subject Percent of All Warts That Were Clear on the Physician Wart Assessment (PWA) Scale (Treatment Cycle 3)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    Efficacy will be assessed using the Physician's Wart Assessment Scale (PWA) which is a 4 point scale. A higher amount of warts cleared represents a better outcome.

    Measured: Baseline to a maximum of 290 days

  7. Mean Per-Subject Percent Wart Clearance for Subjects With Single Wart at Baseline by Treatment Group and Treatment Cycle (Treatment Cycle 1)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    Median time to achieve onset of Clearance (PWA=0) for all treated warts. Efficacy will be assessed using the Physician's Wart Assessment Scale (PWA) which is a 4 point scale. A higher amount of warts cleared represents a better outcome.

    Measured: Baseline to a maximum of 207 days

  8. Mean Per-Subject Percent Wart Clearance for Subjects With Single Wart at Baseline by Treatment Group and Treatment Cycle (Treatment Cycle 2)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    Median time to achieve onset of Clearance (PWA=0) for all treated warts. Efficacy will be assessed using the Physician's Wart Assessment Scale (PWA) which is a 4 point scale. A higher amount of warts cleared represents a better outcome.

    Measured: Baseline to a maximum of 248 days

  9. Mean Per-Subject Percent Wart Clearance for Subjects With Single Wart at Baseline by Treatment Group and Treatment Cycle (Treatment Cycle 3)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    Median time to achieve onset of Clearance (PWA=0) for all treated warts. Efficacy will be assessed using the Physician's Wart Assessment Scale (PWA) which is a 4 point scale. A higher amount of warts cleared represents a better outcome.

    Measured: Baseline to a maximum of 290 days

  10. Time to Clearance of All Warts Warts by Treatment Group and Treatment Cycle (Treatment Cycle 1)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    The median was unable to be calculated, so the 25th percentile was used as the time to achieve onset of Clearance (PWA=0) for all treated warts. Efficacy will be assessed using the Physician's Wart Assessment Scale (PWA) which is a 4 point scale. A higher amount of warts cleared represents a better outcome.

    Measured: Baseline to a maximum of 207 days

  11. Time to Clearance of All Warts Warts by Treatment Group and Treatment Cycle (Treatment Cycle 2)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    Median time to achieve onset of Clearance (PWA=0) for all treated warts. Efficacy will be assessed using the Physician's Wart Assessment Scale (PWA) which is a 4 point scale. A higher amount of warts cleared represents a better outcome.

    Measured: Baseline to a maximum of 248 days

  12. Time to Clearance of All Warts Warts by Treatment Group and Treatment Cycle (Treatment Cycle 3)

    Safety exposure will be measured by the proportion of subjects exposed to A-101 45% who have emergent adverse events. In order to be eligible for A-101-WART-303, subjects must have completed protocol treatment on either the A-101-WART-301 or A-101-WART-302 study. The A-101-WART-303 study was an open-label with a single arm where all subjects received A-101 Topical Solution 45% twice a week. Since A-101-WART-303 is an extension study, statistical analyses were performed by stratifying patients by treatment arms in the A-101-WART-301 or A-101-WART-302 studies.

    Median time to achieve onset of Clearance (PWA=0) for all treated warts. Efficacy will be assessed using the Physician's Wart Assessment Scale (PWA) which is a 4 point scale. A higher amount of warts cleared represents a better outcome.

    Measured: Baseline to a maximum of 290 days

Timeline

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

  1. First posted23 Jan 2019
  2. Study start7 Feb 2019
  3. Primary completion27 Nov 2019
  4. Study completion20 Dec 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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
426 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03812510
Sponsor's protocol ID
A-101-WART-303
Status last verified
Nov 2020
First submitted
10 Jan 2019
Last updated
23 Nov 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing A-101 in people with Common Wart, run by Aclaris Therapeutics, Inc. at 46 sites in United States.

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 5 inclusion and 26 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 23 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 46 sites in United States. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 23 Nov 2020). 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?

Proportion of Subjects With Treatment Emergent AEs After Application of A-101 45% for the Treatment of Common Warts (time frame: Baseline to a maximum of 341 days). 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 23 Nov 2020; AzTrials last refreshed its copy on 6 Nov 2026.

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