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Chronic Hand EczemaPhase 1/2NCT04378569

Safety and Efficacy of ARQ-252 Cream in Subjects With Chronic Hand Eczema

A Phase 1/2 study testing ARQ-252 cream 0.3% and ARQ-252 cream 0.1% in people with Chronic Hand Eczema, run by Arcutis Biotherapeutics, Inc. at 37 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 study will assess the safety and efficacy of ARQ-252 cream in subjects with chronic hand eczema Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Hand Eczema
What is being tested?
ARQ-252 cream 0.3% and ARQ-252 cream 0.1%
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
230 participants
Where
37 sitesin 3 countries
Study dates
20 Apr 2020to 24 Feb 2021
Phase
Phase 1/2
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants legally competent to sign and give informed consent.
  • Males and females 18 years of age and older (inclusive) at the time of consent.
  • Clinical diagnosis of chronic hand eczema, defined as hand eczema persistent for more than 3 months, or returned twice or more within the last 12 months. Generally stable disease for 6 weeks.
  • Chronic hand eczema involving at least 0.3% body surface area total (i.e., approximately a third of one handprint) lesions on both hands added together
  • Female subjects of childbearing potential (FOCBP) must have a negative serum pregnancy test at Screening and negative urine pregnancy test at Baseline. For FOCBP involved in any sexual intercourse that could lead to pregnancy: the subject must agree to use a highly effective contraceptive method for at least 4 weeks prior to Day 1. Additionally, from Day 1 until at least 4 weeks after the last investigational product administration, these subjects must agree to use at least 1 highly effective contraceptive method in addition to 1 barrier method according to the Contraception Requirements Section of the protocol.
  • Females of non-childbearing potential must either be post-menopausal with spontaneous amenorrhea for at least 12 months or have undergone surgical sterilization.
  • Males, if engaging in sexual intercourse with a female who is pregnant or a female of childbearing potential, must agree to use a condom every time during the study and every and every time subsequently until 4 weeks after the last dose of investigational product.
  • Subjects in good health as judged by the Investigator, based on medical history, physical examination, 12-lead electrocardiogram (ECG), serum chemistry labs, hematology values, and urinalysis.

Who cannot join

  • Concurrent skin diseases on the hands which, in the opinion of the Investigator, could confound the study (e.g., tinnea manuum).
  • Subjects with any presence or history of psoriasis.
  • History of a positive patch test with continued exposure to allergen. Subjects must have undergone diagnostic patch testing within 3 years prior to Baseline (Visit 2).
  • Subjects who cannot discontinue systemic and/or topical therapies for the treatment of chronic hand eczema prior to Baseline and during the study
  • Subjects with a history of chronic alcohol or drug abuse within 6 months prior to Baseline
  • Pregnant or lactating women or women planning to become pregnant during the study and / or within 28 days following the last dose of investigational product.
  • Subjects with any serious medical condition or clinically significant laboratory, ECG, vital signs or physical examination abnormality that would prevent study participation or place the subject at significant risk, as judged by the Investigator.

Trial locations and contacts

37 sites in 3 countries.

37 sites in 3 countries

United States25 sites
  • Arcutis Clinical Site 162

    Austin, Texas, 78759

  • Arcutis Clinical Site 174

    Aventura, Florida, 33180

  • Arcutis Clinical Site 239

    Beverly Hills, California, 90212

  • Arcutis Clinical Site 104

    College Station, Texas, 77845

  • Arcutis Clinical Site 167

    Coral Gables, Florida, 33134

  • Arcutis Clinical Site 212

    Detroit, Michigan, 48202

  • Arcutis Clinical Site 225

    Encino, California, 91436

  • Arcutis Clinical Site 112

    Fremont, California, 94538

  • Arcutis Clinical Site 115

    High Point, North Carolina, 27262

  • Arcutis Clinical Site 164

    Houston, Texas, 77056

  • Arcutis Clinical Site 214

    Indianapolis, Indiana, 46250

  • Arcutis Clinical Site 120

    Irvine, California, 92797

  • Arcutis Clinical Site 217

    Louisville, Kentucky, 40217

  • Arcutis Clinical Site 213

    Metairie, Louisiana, 70006

  • Arcutis Clinical Site 216

    New Brighton, Minnesota, 55112

  • Arcutis Clinical Site 171

    New York, New York, 10029

  • Arcutis Clinical Site 169

    Norfolk, Virginia, 23502

  • Arcutis Clinical Site 163

    Pflugerville, Texas, 78660

  • Arcutis Clinical Site 135

    Pittsburgh, Pennsylvania, 15213

  • Arcutis Clinical Site 173

    Portland, Oregon, 97210

  • Arcutis Clinical Site 125

    Rockville, Maryland, 20850

  • Arcutis Clinical Site 161

    San Antonio, Texas, 78213

  • Arcutis Clinical Site 110

    San Antonio, Texas, 78218

  • Arcutis Clinical Site 104

    Sanford, Florida, 32771

  • Arcutis Clinical Site 208

    Santa Monica, California, 90404

Other trials in United States

Canada10 sites
  • Arcutis Clinical Site 205

    Ajax, Ontario

  • Arcutis Clinical Site 218

    Barrie, Ontario

  • Arcutis Clinical Site 103

    London, Ontario

  • Arcutis Clinical Site 133

    Mississauga, Ontario

  • Arcutis Clinical Site 242

    Montreal

  • Arcutis Clinical Site 165

    Oakville, Ontario

  • Arcutis Clinical Site 109

    Peterborough, Ontario

  • Arcutis Clinical Site 241

    Richmond Hill, Ontario

  • Arcutis Clinical Site 207

    Surrey, British Columbia

  • Arcutis Clinical Site 106

    Waterloo, Ontario

Other trials in Canada

Australia2 sites
  • Arcutis Clinical Site 303

    East Melbourne, Victoria, 3002

  • Arcutis Clinical Site 306

    Westmead, New South Wales, 2145

Other trials in Australia

About this study

Official title: A Phase 1/2b, Multiple Dose and 12-Week, Parallel Group, Double Blind, Dose Ranging, Vehicle-Controlled Study of the Safety and Efficacy of ARQ-252 Cream 0.1% and ARQ-252 Cream 0.3% in Subjects With Chronic Hand Eczema

This study will assess the safety and efficacy of ARQ-252 cream in subjects with chronic hand eczema

Read the detailed description

This is a Phase 1/2b multiple dose, parallel group, double blind, vehicle-controlled study of the safety and efficacy of ARQ-252 cream in subjects with chronic hand eczema

Being tested
ARQ-252 cream 0.3%, ARQ-252 cream 0.1%, ARQ-252 Vehicle Cream

What participants receive

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

  • ARQ-252 cream 0.3%Drug

    ARQ-252 cream 0.3%

  • ARQ-252 cream 0.1%Drug

    ARQ-252 cream 0.1%

  • ARQ-252 Vehicle CreamDrug

    ARQ-252 Vehicle Cream

Study groups in NCT04378569
Study groupRoleWhat they receive
ARQ-252 cream 0.3% QD (once daily)Active comparatorActive Comparator
Receives: Drug: ARQ-252 cream 0.3%
ARQ-252 cream 0.3% BID (twice daily)Active comparatorActive Comparator
Receives: Drug: ARQ-252 cream 0.3%
ARQ-252 cream 0.1% QD (once daily)Active comparatorActive Comparator
Receives: Drug: ARQ-252 cream 0.1%
Vehicle cream BID (twice daily)Placebo comparatorPlacebo Comparator
Receives: Drug: ARQ-252 Vehicle Cream
Vehicle cream QD (once daily)Placebo comparatorPlacebo Comparator
Receives: Drug: ARQ-252 Vehicle Cream

What is being measured

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

  1. Cohort 1: Number of Participants With ≥1 Adverse Event (AE)

    The number of Cohort 1 participants with an AE is reported. An AE is any untoward or unfavorable medical occurrence in a human participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to participation in the research.

    Measured: Up to 3 weeks

  2. Cohort 1: Number of Participants With an Application Site Reaction

    The number of Cohort 1 participants with AEs coded as application site events is reported.

    Measured: Up to 3 weeks

  3. Cohort 1: Number of Participants With ≥1 Serious Adverse Event (SAE)

    The number of Cohort 1 participants with an SAE is reported. An SAE is any AE that results in death, is life-threatening (places the subject at immediate risk of death from the event as it occurred), requires inpatient hospitalization or prolongation of existing hospitalization, results in a persistent or significant disability/incapacity, results in a congenital anomaly/birth defect, or is any other adverse event that, based upon appropriate medical judgment, may jeopardize the subject's health.

    Measured: Up to 3 weeks

  4. Cohort 1: Number of Participants With Significant Changes in Hematology Laboratory Parameters

    The number of Cohort 1 participants with a significant change in hematology is reported.

    Measured: Up to 3 weeks

  5. Cohort 1: Number of Participants With Significant Changes in Chemistry Laboratory Parameters

    The number of Cohort 1 participants with a significant change in chemistry is reported.

    Measured: Up to 3 weeks

  6. Cohort 2: Investigator's Global Assessment (IGA) Score of 'Clear' or 'Almost Clear' at Week 12

    The IGA is 5-point scale assessing the severity of hand eczema; scores range from 0 ('completely clear') to 4 ('severe'), with higher scores indicating greater severity. The number of participants with an IGA score of 'clear' or 'almost clear' at Week 12 is presented.

    Measured: Week 12

Secondary outcomes (11)
  1. Cohort 2: Achievement of IGA Score of 'Clear' or 'Almost Clear' PLUS at Least a 2-point Improvement From Baseline

    The IGA is 5-point scale assessing the severity of hand eczema, with scores ranging from 0 ('completely clear') to 4 ('severe'), with higher scores indicating greater severity. The number of participants with an IGA score of 'clear' or 'almost clear' plus ≥2-point improvement (ie, decrease) from Baseline is presented.

    Measured: Weeks 2, 4, 8 and 12

  2. Cohort 2: Achievement of at Least a 2-point Improvement in IGA Score From Baseline

    The IGA is 5-point scale assessing the severity of hand eczema, with scores ranging from 0 ('completely clear') to 4 ('severe'), with higher scores indicating greater severity. The number of participants with ≥2-point improvement from baseline in IGA score is presented.

    Measured: Weeks 2, 4, 8 and 12

  3. Cohort 2: Achievement of IGA Score of 'Clear' or 'Almost Clear'

    The IGA is 5-point scale assessing the severity of hand eczema, with scores ranging from 0 ('completely clear') to 4 ('severe'), with higher scores indicating greater severity. The number of participants with ≥2-point improvement from baseline is presented.

    Measured: Weeks 2, 4, and 8

  4. Cohort 2: Change From Baseline in Investigator's Global Assessment (IGA) Score

    The IGA is 5-point scale assessing the severity of hand eczema, with scores ranging from 0 ('completely clear') to 4 ('severe'), with higher scores indicating greater severity. The mean change from baseline in IGA score is presented, with lower scores indicating a reduction in symptom severity.

    Measured: Weeks 2, 4, 8, and 12

  5. Cohort 2: Change From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) Score

    The WI-NRS is a simple, single item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("no itch") to 10 ("worst imaginable itch") the subject experienced in the previous 24 hours. The mean change from baseline in WI-NRS is reported.

    Measured: Weeks 2, 4, 8, and 12

  6. Cohort 2: Achievement of ≥4-point Reduction From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) Pruritus Score

    The WI-NRS is a simple, single item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("no itch") to 10 ("worst imaginable itch") the subject experienced in the previous 24 hours (higher scores indicate higher itch severity). The mean change from baseline in WI-NRS is reported. The number of participants with a baseline WI-NRS score of ≥4 who achieved a ≥4-point reduction is reported.

    Measured: Weeks 2, 4, 8, and 12

  7. Cohort 2: Change From Baseline in Hand Eczema Severity Index (HECSI) Score

    The HECSI is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) on 5 areas of the hand (fingertips, fingers [except tips], palm, back of hand, wrists) by use of a standard scale. Each subscale is scored from 0 to 60; the total HECSI score ranges from 0 to 360 with higher scores indicating greater symptom severity. The mean change from baseline in HECSI is reported.

    Measured: Weeks 2, 4, 8, and 12

  8. Cohort 2: Change From Baseline in Numerical Rating Scale (NRS) for Pain Score

    The NRS Pain Scale is a widely-used instrument for pain screening. Participants rate the intensity of pain experienced in the past 24 hours on a scale from 0 ('no pain at all') to 10 ('worst pain possible'). The mean change from baseline NRS Pain score is reported.

    Measured: Weeks 2, 4, 8, and 12

  9. Cohort 2: The Rate of Achievement of ≥4-point Reduction From Baseline in Pain Numerical Rating Scale (NRS) Score

    The NRS Pain Scale is a widely-used instrument for pain screening. Participants rate the intensity of pain experienced in the past 24 hours on a scale from 0 ('no pain at all') to 10 ('worst pain possible'). The number of participants with ≥4-point reduction from baseline NRS Pain score is reported.

    Measured: Weeks 2, 4, 8, and 12

  10. Cohort 2: Change From Baseline in Overall Quality of Life in Hand Eczema Questionnaire (QOLHEQ) Score at Each Visit

    The QOLHEQ is an instrument to assess disease specific Health Related Quality of Life (HRQOL) in patients suffering from hand eczema. The QOLHEQ is a disease specific instrument, thereby only assessing impairments caused by hand eczema. It consists of 30 items which can be summarized according to four domains of HRQOL: Impairments because of (1) symptoms, (2) emotions, (3) limitations in functioning or (4) because of treatment and prevention. The scoring ranges from 0 ('no eczema') to 117 ('most severe eczema').

    Measured: Weeks 2, 4, 8, 12, 13

  11. Cohort 2: Change From Baseline in Total Body Surface Area (BSA) Affected by Disease

    The percentage of total body surface area (BSA) affected by chronic hand eczema (CHE) is a measure of the area of the subject's hands that is affected by CHE lesions, expressed as a percentage of total BSA. Based on the subject's hand method, the BSA of 1 side of 1 hand is assumed to be 1% of total BSA. The surface area of lesions on both sides of both hands are added to calculate the total BSA affected by CHE. The total BSA affected by CHE ranges from 0% (no CHE lesions) to 4% (the entire front and back sides of both hands are affected by CHE lesions).

    Measured: Weeks 2, 4, 8, 12

Timeline

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

  1. First posted7 May 2020
  2. Study start20 Apr 2020
  3. Primary completion24 Feb 2021
  4. Study completion24 Feb 2021

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
There are 2 cohorts of subjects. * Cohort 1 (Phase 1) is a multiple dose cohort in which subjects with chronic hand eczema will be assigned to ARQ-252 cream 0.3% QD x 2 weeks to be applied to both hands (approximately 4% of BSA). * Cohort 2 (Phase 2b) is a parallel group, double blind, vehicle-controlled cohort in which subjects with chronic hand eczema will be randomized to ARQ-252 cream 0.3% QD, ARQ-252 cream 0.3% BID, ARQ-252 cream 0.1% QD, vehicle cream BID or vehicle cream QD x 12 weeks to be applied to both hands (approximately 4% of BSA).
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
230 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04378569
Sponsor's protocol ID
ARQ-252-205
Status last verified
Apr 2024
First submitted
30 Apr 2020
Last updated
5 Apr 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing ARQ-252 cream 0.3% and ARQ-252 cream 0.1% in people with Chronic Hand Eczema, run by Arcutis Biotherapeutics, Inc. at 37 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 8 inclusion and 7 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 5 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States, Canada, Australia. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 5 Apr 2024). 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?

Cohort 1: Number of Participants With ≥1 Adverse Event (AE) (time frame: Up to 3 weeks). The study lists 6 primary outcomes in all. 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 5 Apr 2024.

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