KeloidPhase 2NCT04844840
A Study for Safety and Efficacy Evaluation of Various Doses of STP705 in Reducing Keloid Recurrence
A Phase 2 study testing STP705 in people with Keloid, run by Sirnaomics at 3 sites in United States.
Trial summary
Phase 2, randomized, double-blind, multiple arm, controlled study to evaluate safety \& efficacy of various doses of STP705 in reducing post Keloidectomy keloid recurrence. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Keloid
- What is being tested?
- STP705
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 29 participants
- Where
- 3 sitesUnited States
- Study dates
- 29 Apr 2021to 17 May 2023
- Phase
- Phase 2
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female ≥18 years of age, inclusive having at least one keloid scar.
- Female subjects of child-bearing potential must agree to the use of an effective method(s) of contraception beginning at or before the screening visit until one month after administration of the final study dose. For the purposes of the protocol, highly effective method(s) of contraception will be defined as consistently and correctly used implants, injectables, combined oral contraceptives, sexual abstinence or a vasectomized partner.
- The keloid scar(s) must have been present for at least one year with a target keloid area on the trunk or extremity (non-peri-orbital/-anogenital/-facial/-scalp), measures ≥0.30cm2, and be suitable for surgical excision which will result in a single wound no greater than 7cm long.
- Able and willing to give written informed consent.
- Willing to comply with the follow up schedule for 12 months.
- Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, or vital sign abnormalities as deemed by the PI.
Who cannot join
- Prior treatment of the keloid scar in the previous 6 weeks.
- The keloid scar must not have undergone prior surgical excisions (laser, cryotherapy or surgery).
- The keloid scar must not have undergone prior radiation treatment.
- Pregnant, lactating, or planning to become pregnant during the course of the study.
- Advanced or poorly controlled diabetes.
- Active local infection at the treatment site and/or systemic infection that would in the opinion of the Investigator affect the treatment site.
Show all 13Show fewer
- Any medical or surgical condition that will interfere with required study activities or assessments or that make the study treatments contraindicated in the opinion of the study Investigator.
- Unwilling to refrain from use of any other scar treatment therapy/scar improving product, during the study.
- Regular, continuous use of systemic corticosteroid therapy or topical corticosteroid use in the area to be treated.
- Current participation or participation within the last 1 months in the study of an investigational drug, device, or biologic.
- Unable or unwilling to follow post-operative instructions.
- Mentally or legally incapacitated or has significant emotional problems at the time of screening visit or expected during the conduct of the study.
- History or presence of hypersensitivity or idiosyncratic reaction to the study drug or related compounds, or drug product excipients.
Trial locations and contacts
3 sites in 1 country.
United States3 sites
Center for Clinical and Cosmetic Research
Aventura, Florida, 33180
Schweiger Dermatology
Hackensack, New Jersey, 07601
Investigate MD
Scottsdale, Arizona, 85255
About this study
Official title: A Phase 2, Multi-Center, Randomized, Multiple Arm, Controlled Pilot Study to Evaluate the Safety and Efficacy of Various Doses of STP705 in Reducing Post- Keloidectomy Keloid Recurrence
Phase 2, randomized, double-blind, multiple arm, controlled study to evaluate safety \& efficacy of various doses of STP705 in reducing post Keloidectomy keloid recurrence.
Read the detailed description
The objective of this study isto assess the safety, tolerability, and efficacy of various doses of STP705 and placebo via intradermal injection into the keloid excision site, to prevent the recurrence of keloids following their excision.
A total of up to 60 adult subjects will be enrolled. One eligible qualifying keloid will be excised. The subjects will be randomized to receive STP705, placebo or SOC alone (no injection) for treatment of the keloidectomy excision suture line.
To be eligible, keloid scar(s) must have been present for at least one year with a target keloid area on the trunk or extremity (non-peri-orbital/-anogenital/-scalp), measures ≥0.30cm2, and be suitable for surgical excision which will result in a single wound no greater than 7cm long.
The study is divided into 3 phase: screening phase (4 weeks), Treatment phase (up to 4 weeks +/- allowed windows), Follow up phase (up to 52 weeks +/- allowed windows).
- Conditions
- Keloid
- Being tested
- STP705, Placebo
- Medical subject headings
- Keloid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
STP705Drug
Also called STP705 Powder for Injection
STP705 is composed of two siRNA oligonucleotides, targeting TGF-β1 and COX-2 mRNA, respectively
PlaceboOther
Saline
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1: STP705 10 μg dose | Experimental | STP705 at the assigned dose will be injected intradermal into the excised keloid site Receives: Drug: STP705 |
| Cohort 2: STP705 20 μg dose | Experimental | STP705 at the assigned dose will be injected intradermal into the excised keloid site Receives: Drug: STP705 |
| Cohort 3: STP705 30 μg dose | Experimental | STP705 at the assigned dose will be injected intradermal into the excised keloid site Receives: Drug: STP705 |
| Cohort 4: STP705 40 μg dose | Experimental | STP705 at the assigned dose will be injected intradermal into the excised keloid site Receives: Drug: STP705 |
| Cohort 5: Placebo control | Placebo comparator | Placebo (saline) will be injected intradermal into the excised keloid site Receives: Other: Placebo |
| Cohort 6: SOC alone | No intervention | SOC (no injection) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Rate of Recurrence
Rate of recurrence in subjects undergone surgery alone (with or without placebo) vs surgery and STP705
Measured: 12 months
Secondary outcomes (5)
Change of Keloid volume/size
Change in size of post excision keloid from baseline by volumetric measurements using quantitative imaging
Measured: 12 months
Change of Keloid size
Change of Keloid scar appearance from baseline evaluated by caliper
Measured: 12 months
Change of Keloid scar appearance
Change of Keloid scar appearance from baseline evaluated by POSAS
Measured: 12 months
Change in DLQI score
The Dermatology Life Quality Index (DLQI) is a self-reported 10-item questionnaire assessing the impact of skin disease on the patient over the previous week. The items cover symptoms, treatment, activity limitations, and emotional reactions to having a skin disease. Nine items have four response options: "Not at all", "A little", "A lot", and "Very much", whereas item 7 first asks whether work or study has been prevented and then (if "No") to what degree the skin condition has been a problem at work/study ("A lot", "A little", or "Not at all"). Eight of the items also have a "Not relevant" option that is scored "0", indicating no problem. Individual item scores are summed to derive a total DLQI score that can range from 0 to 30, with higher scores indicating worse health- related quality of life (HRQL).
Measured: 12 months
Change in mVSS score
The modified Vancouver Scar Scale (mVSS) performs a comprehensive measurement rating characteristic of pigmentation, vascularity, pliability, and height. For each subject, a total Vancouver score was determined by summing the scores of the four individual parameters to generate a score ranging from 0 to 15 points, with higher scores indicating worse score severity.
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Apr 2021
- Study start29 Apr 2021
- Primary completion17 May 2023
- Study completion17 May 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for KeloidStudies 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
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 10 subjects each will be randomly allocated to either the assigned STP705 treatment group, placebo or SOC alone in a 1:1:1:1:1:1 ratio. An individual, independent of the clinical trial team, will develop the randomization schedules. The actual randomization assignment will be prepared through a web-based system. STP705 or placebo will be injected intradermally at the keloid excision site.
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 29 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sirnaomics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Mark Nestor, MD, Principal investigator, Center for Clinical and Cosmetic ResearchDavid Goldberg, MD, Principal investigator, Schweiger Dermatology GroupBrenda LaTowsky, MD, Principal investigator, Investigate MD
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04844840
- Sponsor's protocol ID
- SRN-705-007
- Status last verified
- Mar 2024
- First submitted
- 8 Apr 2021
- Last updated
- 19 Mar 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Mar 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Multi-Center, Randomized, Multiple Arm, Controlled Pilot Study to Evaluate the Safety and Efficacy of Various Doses of STP705 in Reducing Post- Keloidectomy Keloid Recurrence
- ClinicalTrials.gov ID
- NCT04844840
- Acronym / sponsor ID
- SRN-705-007
- Conditions
- Keloid
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 29 participants (actual)
- Lead sponsor
- SirnaomicsIndustry (pharma, biotech, devices)
- Study start
- 29 Apr 2021 (actual)
- Primary completion
- 17 May 2023 (actual)
- Study completion
- 17 May 2023 (actual)
- First posted
- 14 Apr 2021 (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.
Phase 2, randomized, double-blind, multiple arm, controlled study to evaluate safety \& efficacy of various doses of STP705 in reducing post Keloidectomy keloid recurrence.
Detailed description
The objective of this study isto assess the safety, tolerability, and efficacy of various doses of STP705 and placebo via intradermal injection into the keloid excision site, to prevent the recurrence of keloids following their excision.
A total of up to 60 adult subjects will be enrolled. One eligible qualifying keloid will be excised. The subjects will be randomized to receive STP705, placebo or SOC alone (no injection) for treatment of the keloidectomy excision suture line.
To be eligible, keloid scar(s) must have been present for at least one year with a target keloid area on the trunk or extremity (non-peri-orbital/-anogenital/-scalp), measures ≥0.30cm2, and be suitable for surgical excision which will result in a single wound no greater than 7cm long.
The study is divided into 3 phase: screening phase (4 weeks), Treatment phase (up to 4 weeks +/- allowed windows), Follow up phase (up to 52 weeks +/- allowed windows).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 6
- Model description
- 10 subjects each will be randomly allocated to either the assigned STP705 treatment group, placebo or SOC alone in a 1:1:1:1:1:1 ratio. An individual, independent of the clinical trial team, will develop the randomization schedules. The actual randomization assignment will be prepared through a web-based system. STP705 or placebo will be injected intradermally at the keloid excision site.
| Arm | Type | Receives |
|---|---|---|
| Cohort 1: STP705 10 μg dose | Experimental | Drug: STP705STP705 at the assigned dose will be injected intradermal into the excised keloid site |
| Cohort 2: STP705 20 μg dose | Experimental | Drug: STP705STP705 at the assigned dose will be injected intradermal into the excised keloid site |
| Cohort 3: STP705 30 μg dose | Experimental | Drug: STP705STP705 at the assigned dose will be injected intradermal into the excised keloid site |
| Cohort 4: STP705 40 μg dose | Experimental | Drug: STP705STP705 at the assigned dose will be injected intradermal into the excised keloid site |
| Cohort 5: Placebo control | Placebo comparator | Other: PlaceboPlacebo (saline) will be injected intradermal into the excised keloid site |
| Cohort 6: SOC alone | No intervention | –SOC (no injection) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Male or female ≥18 years of age, inclusive having at least one keloid scar.
- Female subjects of child-bearing potential must agree to the use of an effective method(s) of contraception beginning at or before the screening visit until one month after administration of the final study dose. For the purposes of the protocol, highly effective method(s) of contraception will be defined as consistently and correctly used implants, injectables, combined oral contraceptives, sexual abstinence or a vasectomized partner.
- The keloid scar(s) must have been present for at least one year with a target keloid area on the trunk or extremity (non-peri-orbital/-anogenital/-facial/-scalp), measures ≥0.30cm2, and be suitable for surgical excision which will result in a single wound no greater than 7cm long.
- Able and willing to give written informed consent.
- Willing to comply with the follow up schedule for 12 months.
Key exclusion criteria (13 listed)
- Prior treatment of the keloid scar in the previous 6 weeks.
- The keloid scar must not have undergone prior surgical excisions (laser, cryotherapy or surgery).
- The keloid scar must not have undergone prior radiation treatment.
- Pregnant, lactating, or planning to become pregnant during the course of the study.
- Advanced or poorly controlled diabetes.
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 |
|---|---|---|
| STP705Also: STP705 Powder for InjectionSTP705 is composed of two siRNA oligonucleotides, targeting TGF-β1 and COX-2 mRNA, respectively | Drug | Cohort 1: STP705 10 μg dose, Cohort 2: STP705 20 μg dose, Cohort 3: STP705 30 μg dose, Cohort 4: STP705 40 μg dose |
| PlaceboSaline | Other | Cohort 5: Placebo control |
Primary outcome
Rate of Recurrence
Time frame: 12 months
Rate of recurrence in subjects undergone surgery alone (with or without placebo) vs surgery and STP705
5 secondary outcomes
Change of Keloid volume/size
Time frame: 12 months
Change of Keloid size
Time frame: 12 months
Change of Keloid scar appearance
Time frame: 12 months
Change in DLQI score
Time frame: 12 months
Change in mVSS score
Time frame: 12 months
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 19 Mar 2024.
- 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.
Mark Nestor, MD principal investigator
Center for Clinical and Cosmetic Research
David Goldberg, MD principal investigator
Schweiger Dermatology Group
Brenda LaTowsky, MD principal investigator
Investigate MD
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing STP705 in people with Keloid, run by Sirnaomics at 3 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 6 inclusion and 13 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 19 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 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. 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 phase mean?
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?
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?
Rate of Recurrence (time frame: 12 months). 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 19 Mar 2024.