Atopic DermatitisNCT04008784
Improvement of Short Term Outcome of Mild to Moderate Atopic Dermatitis Using a Combination of Crisaborole and a Concomitant Topical Corticosteroid Over a 8 Week Period
An observational study of Atopic Dermatitis, run by Clinical Research Center of the Carolinas at 1 site in United States.
Trial summary
This trial is a single-center two arm, open label observational prospective study, that will evaluate the safety and efficacy of crisaborole ointment, 2% alone compared to a combination therapy of crisaborole and a topical corticosteroid (Triamcinolone Acetonide Ointment, 0.1%) over a 8 week period for the treatment… Read more about this study
- Who is it for?
- Ages 2 to 79 yearsHealthy volunteers can take part
- Conditions the study is for
- Atopic Dermatitis
- What is being tested?
- Crisaborole 2% Topical Application Ointment [EUCRISA] and Triamcinolone Acetonide 0.1% Ointment
- How many people
- 16 participants
- Where
- 1 siteUnited States
- Study dates
- 16 Sep 2019to 8 Sep 2020
- Phase
- Observational
- 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 2 to 79 years
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Study population: Male and female patients age 2 to 79 years of age with confirmed diagnosis of atopic dermatitis
Who may be able to join
- Male and female patients age 2 to 79 years of age with confirmed diagnosis of atopic dermatitis
- Clinical diagnosis of atopic dermatitis that has been clinically stable for ≥1 month
- Total body surface area (BSA) of atopic dermatitis involvement ≤35%, excluding involvement of the scalp.
- Patient or patient's parent(s)/legal representative guardian must be willing and able to apply study medications as directed, comply with study instructions, and commit to attending all visits.
- Females of childbearing potential must use at least one highly effective method of birth control. Males with partners of childbearing potential should inform them of their participation in this clinical study and use highly effective methods of birth control during the study.
- Patient or patient's parent(s)/legal representative must be capable of giving written informed consent or verbal assent, as applicable, which includes compliance with the requirements and restrictions listed in the consent/assent form; written informed consent must be obtained prior to any study related procedures.
Who cannot join
- Concurrent or recent use of certain topical or systemic medications or phototherapy without a sufficient washout period.
- Active or potentially recurrent dermatologic condition other than atopic dermatitis in the target lesion area that may confound evaluation.
- Significant confounding conditions as assessed by study doctor.
- History or evidence of allergies requiring acute or chronic treatment (except seasonal allergic rhinitis).
- Participated in any other trial of an investigational drug or device within 30 days or participation in a research study concurrent with this study
- Pregnancy or lactation.
Show all 25Show fewer
- History of sensitivity to the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the Investigator or medical monitor, contraindicates their participation.
- Patients with active infection in atopic dermatitis areas requiring antibiotics, antifungals, or antiviral agents within 7 days of Baseline (Day 0).
- Patients with pruritus due to conditions other than atopic dermatitis that, in the opinion of the Investigator, would either interfere with study evaluations or affect the safety of the patient.
- History of and/or concurrent condition of serious hypersensitivity (anaphylactic shock or anaphylactoid reaction) to PDE4 inhibitors.
- Use of any prohibited medication. Prohibited concomitant medications, therapy, etc.
- during the defined period are as listed below. If a patient requires any of these medications throughout the study period, he/she may be excluded from or discontinued from the study, at the discretion of the Investigator and medical monitor. • From 6 Months prior to the first application of the study drug: Biological products that might have significantly affected the evaluation of atopic dermatitis condition (e.g., tumor necrosis factor [TNF] inhibitors, antiimmunoglobulin [Ig]E antibodies, anti-CD20 antibodies, anti-interleukin [IL]-4 receptor
- From 21 days prior to the first application of study drug: Corticosteroid preparations (oral, injection, and suppository preparations) and topical corticosteroids that were classified as super-high potency (clobetasol propionate).
- Oral preparations and injections of immunosuppressants (cyclosporine, methotrexate, azathioprine, tacrolimus, etc.); Excessive sun exposure, tanning booth, other ultraviolet (UV) light source and phototherapy including psoralen and ultraviolet A (PUVA) therapy. • From 14 days prior to the first application of the study drug: any other topical phosphodiesterase 4 (PDE4) inhibitor; Tacrolimus and pimecrolimus cream and/or ointment; Topical corticosteroids that were classified as low, medium, or high potency (e.g., fluocinonide, triamcinolone acetonide, desonide, hydrocortisone).
- Eye drops and nasal preparations are allowed.
- From 7 days prior to the first application of the study drug: Oral or intravenous antibiotics, antifungal or antivirus medications Antihistamines/anti-allergics (oral, topical and injections): diphenhydramine, chlorpheniramine maleate, hydroxyzine).
- Visible skin disease or damaged skin at the application site
- Psoriasis and/or active atopic dermatitis/eczema
- Not willing to refrain from using any topical/systemic analgesics such as aspirin
- Pregnant, plan to become pregnant during the study, or are breast-feeding a child
- Using medication which, in the opinion of the investigative personnel, will interfere with the study results, including anti-inflammatory medications
- Any known sensitivity to adhesives;
- Received treatment for any type of internal cancer within 5 years prior to study entry; or have a history of, or are currently being treated for skin cancer;
- Has unstable AD or any consistent requirement for high-potency topical corticosteroids to manage AD signs and symptoms
- Has any clinically significant medical disorder, condition, or disease or clinically significant physical examination finding at Screening that may interfere with study objectives/safety of participants
Trial locations and contacts
1 site in 1 country.
United States1 site
Clinical Research Center of the Carolinas
Charleston, South Carolina, 29407
About this study
Official title: Improvement of Short Term Outcome of Mild to Moderate Atopic Dermatitis Using a Combination Treatment of Crisaborole Ointment, 2% and a Concomitant Topical Corticosteroid Over a 8 Week Period
This trial is a single-center two arm, open label observational prospective study, that will evaluate the safety and efficacy of crisaborole ointment, 2% alone compared to a combination therapy of crisaborole and a topical corticosteroid (Triamcinolone Acetonide Ointment, 0.1%) over a 8 week period for the treatment of mild to moderate atopic dermatitis.
Read the detailed description
Male and female subjects, ages 2 to 79 with mild to moderate atopic dermatitis and having an Investigator's Global Assessment Score on a five point scale of 2 or 3 will be enrolled.
Sixteen subjects will be enrolled and randomized 1:1. Eight subjects will be randomized to receive crisaborole alone which will be applied twice daily, once in the morning and once in the evening for 8 weeks. Eight subjects will be randomized to receive a combination therapy of a topical corticosteroid (Triamcinolone Acetonide Ointment, 0.1% and crisaborole ointment, 2% which will be applied twice a day, once in the morning and once in the evening for the first two weeks, followed by crisaborole alone for the following six weeks.
Subjects who meet the inclusion criteria and none of the exclusion criteria at the Screening visit will return to the clinic on Week 0 for Baseline measures and to start treatment which will continue for a period of 8 weeks. Subjects who do not need to undergo a wash-out period may combine the Screening visit and Baseline visit.
Screened subjects requiring a wash-out period (up to 4 weeks) prior to baseline measurements and beginning treatment will attend a total of 4 visits.
Following the Baseline (Week 0) visit, all subjects will report to the clinic for efficacy and safety evaluations at weeks 2, 4 and at the end of study at week 8.
- Conditions
- Atopic Dermatitis
- Being tested
- Crisaborole 2% Topical Application Ointment [EUCRISA], Triamcinolone Acetonide 0.1% Ointment
- 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 2% Topical Application Ointment [EUCRISA]Drug
Ointment
Triamcinolone Acetonide 0.1% OintmentDrug
Topical Corticosteroid
| Study group | Role | What they receive |
|---|---|---|
| Crisaborole 2% Topical Application Ointment [EUCRISA] | Crisaborole 2% Topical Application Ointment [EUCRISA] applied twice a day for 8 weeks Receives: Drug: Crisaborole 2% Topical Application Ointment [EUCRISA] | |
| Crisaborole 2% plus Triamcinolone Acetonide 0.1%Ointment | Crisaborole 2% plus Triamcinolone Acetonide 0.1% Ointment applied twice a day for the first 2 weeks, followed by Crisaborole 2% alone applied twice a day for the following 6 weeks Receives: Drug: Crisaborole 2% Topical Application Ointment [EUCRISA]; Drug: Triamcinolone Acetonide 0.1% Ointment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Investigator Global Assessment
2 grade or greater improvement from baseline
Measured: Week 8
Secondary outcomes (1)
Improvement in Patient Itching
Visual Analog Scale (1-10) for Itching improvement
Measured: Week 8
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jul 2019
- Study start16 Sep 2019
- Primary completion14 Jul 2020
- Study completion8 Sep 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Atopic DermatitisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 16 participants (actual)
Sponsor and investigators
- Lead sponsor
- Clinical Research Center of the Carolinas
- Sponsor type
- University, hospital or other
- Collaborators
- Pfizer
- Responsible party
- Sponsor
- Investigators
- Todd Schlesinger, MD, Principal investigator, Clinical Research Center of the Carolinas
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04008784
- Sponsor's protocol ID
- CRCC-2019-001
- Status last verified
- Apr 2021
- First submitted
- 26 Jun 2019
- Last updated
- 28 Apr 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Weidinger S, Novak N. Atopic dermatitis. Lancet. 2016 Mar 12;387(10023):1109-1122. doi: 10.1016/S0140-6736(15)00149-X. Epub 2015 Sep 13.
PubMed 26377142Patel NU, Felix K, Reimer D, Feldman SR. Calcipotriene/betamethasone dipropionate for the treatment of psoriasis vulgaris: an evidence-based review. Clin Cosmet Investig Dermatol. 2017 Sep 29;10:385-391. doi: 10.2147/CCID.S131727. eCollection 2017.
PubMed 29033598PL McCormack - American journal of clinical dermatology, 2011 - Springer
Study at a glance
From the registry record, last updated by the sponsor on 28 Apr 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Improvement of Short Term Outcome of Mild to Moderate Atopic Dermatitis Using a Combination Treatment of Crisaborole Ointment, 2% and a Concomitant Topical Corticosteroid Over a 8 Week Period
- ClinicalTrials.gov ID
- NCT04008784
- Acronym / sponsor ID
- CRCC-2019-001
- Conditions
- Atopic Dermatitis
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 16 participants (actual)
- Lead sponsor
- Clinical Research Center of the CarolinasUniversity, hospital or other
- Collaborators
- Pfizer
- Study start
- 16 Sep 2019 (actual)
- Primary completion
- 14 Jul 2020 (actual)
- Study completion
- 8 Sep 2020 (actual)
- First posted
- 5 Jul 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This trial is a single-center two arm, open label observational prospective study, that will evaluate the safety and efficacy of crisaborole ointment, 2% alone compared to a combination therapy of crisaborole and a topical corticosteroid (Triamcinolone Acetonide Ointment, 0.1%) over a 8 week period for the treatment of mild to moderate atopic dermatitis.
Detailed description
Male and female subjects, ages 2 to 79 with mild to moderate atopic dermatitis and having an Investigator's Global Assessment Score on a five point scale of 2 or 3 will be enrolled.
Sixteen subjects will be enrolled and randomized 1:1. Eight subjects will be randomized to receive crisaborole alone which will be applied twice daily, once in the morning and once in the evening for 8 weeks. Eight subjects will be randomized to receive a combination therapy of a topical corticosteroid (Triamcinolone Acetonide Ointment, 0.1% and crisaborole ointment, 2% which will be applied twice a day, once in the morning and once in the evening for the first two weeks, followed by crisaborole alone for the following six weeks.
Subjects who meet the inclusion criteria and none of the exclusion criteria at the Screening visit will return to the clinic on Week 0 for Baseline measures and to start treatment which will continue for a period of 8 weeks. Subjects who do not need to undergo a wash-out period may combine the Screening visit and Baseline visit.
Screened subjects requiring a wash-out period (up to 4 weeks) prior to baseline measurements and beginning treatment will attend a total of 4 visits.
Following the Baseline (Week 0) visit, all subjects will report to the clinic for efficacy and safety evaluations at weeks 2, 4 and at the end of study at week 8.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Crisaborole 2% Topical Application Ointment [EUCRISA] | – | Drug: Crisaborole 2% Topical Application Ointment [EUCRISA]Crisaborole 2% Topical Application Ointment [EUCRISA] applied twice a day for 8 weeks |
| Crisaborole 2% plus Triamcinolone Acetonide 0.1%Ointment | – | Drug: Crisaborole 2% Topical Application Ointment [EUCRISA], Drug: Triamcinolone Acetonide 0.1% OintmentCrisaborole 2% plus Triamcinolone Acetonide 0.1% Ointment applied twice a day for the first 2 weeks, followed by Crisaborole 2% alone applied twice a day for the following 6 weeks |
Who may qualify
- Ages
- 2 to 79 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Male and female patients age 2 to 79 years of age with confirmed diagnosis of atopic dermatitis
Key inclusion criteria (6 listed)
- Male and female patients age 2 to 79 years of age with confirmed diagnosis of atopic dermatitis
- Clinical diagnosis of atopic dermatitis that has been clinically stable for ≥1 month
- Total body surface area (BSA) of atopic dermatitis involvement ≤35%, excluding involvement of the scalp.
- Patient or patient's parent(s)/legal representative guardian must be willing and able to apply study medications as directed, comply with study instructions, and commit to attending all visits.
- Females of childbearing potential must use at least one highly effective method of birth control. Males with partners of childbearing potential should inform them of their participation in this clinical study and use highly effective methods of birth control during the study.
Key exclusion criteria (25 listed)
- Concurrent or recent use of certain topical or systemic medications or phototherapy without a sufficient washout period.
- Active or potentially recurrent dermatologic condition other than atopic dermatitis in the target lesion area that may confound evaluation.
- Significant confounding conditions as assessed by study doctor.
- History or evidence of allergies requiring acute or chronic treatment (except seasonal allergic rhinitis).
- Participated in any other trial of an investigational drug or device within 30 days or participation in a research study concurrent with this study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Crisaborole 2% Topical Application Ointment [EUCRISA]Ointment | Drug | Crisaborole 2% Topical Application Ointment [EUCRISA], Crisaborole 2% plus Triamcinolone Acetonide 0.1%Ointment |
| Triamcinolone Acetonide 0.1% OintmentTopical Corticosteroid | Drug | Crisaborole 2% plus Triamcinolone Acetonide 0.1%Ointment |
Primary outcome
Investigator Global Assessment
Time frame: Week 8
2 grade or greater improvement from baseline
1 secondary outcome
Improvement in Patient Itching
Time frame: Week 8
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Apr 2021.
- Background: PubMed 26377142Weidinger S, Novak N. Atopic dermatitis. Lancet. 2016 Mar 12;387(10023):1109-1122. doi: 10.1016/S0140-6736(15)00149-X. Epub 2015 Sep 13.
- Background: PubMed 29033598Patel NU, Felix K, Reimer D, Feldman SR. Calcipotriene/betamethasone dipropionate for the treatment of psoriasis vulgaris: an evidence-based review. Clin Cosmet Investig Dermatol. 2017 Sep 29;10:385-391. doi: 10.2147/CCID.S131727. eCollection 2017.
- BackgroundPL McCormack - American journal of clinical dermatology, 2011 - Springer
- NDA 207695 Risk Assessment ReviewLink provided by the sponsor.
- NDA 207695 Clinical ReviewLink provided by the sponsor.
- Crisaborole FULL PRESCRIPTION INFORMATIONLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Todd Schlesinger, MD principal investigator
Clinical Research Center of the Carolinas
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Atopic Dermatitis, run by Clinical Research Center of the Carolinas at 1 site 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 6 inclusion and 25 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 28 Apr 2021. 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 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.
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?
Investigator Global Assessment (time frame: Week 8). 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 NCT04008784, which also lists 3 linked publications.
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 28 Apr 2021.