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Epidermoid CystPhase 2NCT05597995

Treatment of Epidermoid Cysts

A Phase 2 study testing Sodium Tetradecyl Sulfate in people with Epidermoid Cyst, run by Goldman, Butterwick, Fitzpatrick and Groff.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The objective of this study is to determine the efficacy, safety, tolerability, and patient satisfaction associated with the treatment of epidermoid cysts with injected 1.5% sodium tetradecyl sulfate (STS) foam. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Epidermoid Cyst
What is being tested?
Sodium Tetradecyl Sulfate
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
No sites listed yet
Study dates
1 Nov 2022to 30 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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Adults in good general health based on the investigator's judgment and medical history aged 18-80 years old
  • Must be willing to sign a photography release and ICF.
  • Subject must be willing to undergo study procedures, including STS foam injection and excision with simple closure with an expected linear scar.
  • Epidermal inclusion cyst on the skin (not on mucosa or genitals) at least 4 mm in size
  • Negative urine pregnancy test at the time of study entry (if applicable)
  • Females will be either of non-childbearing potential defined as:
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  • Having no uterus
  • No menses for at least 12 months. Or; Female subjects of childbearing potential must agree to use an effective method of birth control during the course of the study. All systemic birth control measures must be in consistent use for at least 30 days prior to study enrollment participation. Acceptable forms of birth control are below:
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  • Oral contraceptive pill, injection, implant, patch, vaginal ring, intrauterine device
  • Intrauterine coil
  • Bilateral tubal ligation
  • Hysterectomy
  • Barrier method used with an additional form of contraception (e.g., sponge, spermicide, or condom)
  • Abstinence (If practicing abstinence, must agree to use a barrier method described above (4) If they become sexually active).
  • Vasectomized (must agree to use barrier method described above (4) if they become sexually active with an un-vasectomized partner).

Who cannot join

  • Pregnancy or planned pregnancy during the study or currently breastfeeding.
  • Previously excised cysts or actively inflamed cysts will not be included in the study.
  • Presence of incompletely healed wound in the treatment area.
  • Any UNCONTROLLED systemic disease -a potential patient in whom therapy for a systemic disease is not yet stabilized will not be considered for entry into the study.
  • Significant history or current evidence of a medical, psychological, or other disorder that, in the investigator's opinion, would preclude enrollment into the study.
  • Allergy to STS.
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  • Active dermatitis, active bacterial, neurologic, fungal, or viral infection in the proposed treatment area.
  • Inability to ambulate following the procedure.
  • Current participation or participation within 30 days prior to the start of this study in a drug or other investigational research study.

Trial locations and contacts

No sites are listed yet.

Andrea Pacheco contact

8586571004

apacheco@clderm.com

Sherif Mikhail, MD contact

8586571004

smikhail@westderm.com

About this study

Official title: A Prospective Clinical Trial Evaluating the Efficacy of 1.5% Sodium Tetradecyl Sulfate Foam Injection for the Treatment of Epidermoid Cysts

The objective of this study is to determine the efficacy, safety, tolerability, and patient satisfaction associated with the treatment of epidermoid cysts with injected 1.5% sodium tetradecyl sulfate (STS) foam.

Read the detailed description

The primary objective is to determine the efficacy of STS foam injection on EIC with an endpoint of clinical resolution and cyst wall destruction on histology.

Enrolled subjects will undergo aspiration of cyst contents through an 18g needle immediately followed by injection of 1.5% STS foam (until the cyst is full and foam is flowing out of the injection site) followed by surgical excision 60 days later. The foam will be created by diluting 3% STS with an equal volume of normal saline then mixing with air in a 1:4 ratio using a female-to-female coupler.

Conditions
Epidermoid Cyst
Being tested
Sodium Tetradecyl Sulfate
Keywords
epidermoid, cyst, epidermoid cyst, small bumps beneath skin
Medical subject headings
Epidermal Cyst, Cysts

What participants receive

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

  • Sodium Tetradecyl SulfateDrug

    Also called 1.5% sodium tetradecyl sulfate foam

    subjects epidermoid cysts will be treated with 1.5% sodium tetradecyl sulfate foam

Study groups in NCT05597995
Study groupRoleWhat they receive
Treatment with 1.5% sodium tetradecyl sulfate foamExperimentaleach subject will have cyst contents aspirated through an 18g needle followed by an injection of 1.5% STS solution foamed 1:4 with air until foam is flowing out of the injection site.
Receives: Drug: Sodium Tetradecyl Sulfate

What is being measured

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

  1. Investigator Assessment of EIC (Epidermal inclusion cysts) resolution

    Investigator Assessment of EIC (Epidermal inclusion cysts) resolution or recurrence Did the cyst resolve (involution or substantial decrease in size and clinical appearance)?

    (circle one)

    Resolved Did not resolve

    Measured: Day 60

  2. Cyst wall destruction on histologic examination as determined by a board-certified dermatopathologist

    A dermatopathologist will examine the excised cysts to determine if the cyst lining was damaged by injection of STS foam, as demonstrated by the presence of necrotic squamous epithelium.

    Measured: Day 60

Secondary outcomes (3)
  1. Subject satisfaction rating

    1. Extremely satisfied
    2. Satisfied
    3. Slightly satisfied
    4. Slight dissatisfied
    5. Dissatisfied
    6. Extremely satisfied

    Measured: Day 60

  2. Investigator skin irritation assessment (Draize scale)

    Investigator skin irritation assessment (Draize scale) Score Erythema Edema

    0 No erythema No Edema

    1. Very slight Erythema very slight edema
    2. Well-defined erythema Well-defined Edema
    3. Moderate-to-severe erythema Moderate edema (raised approx 1mm)
    4. Severe erythema (beet redness) Severe edema (raised greater than 1mm and extending beyond area of exposure)

    Measured: Baseline, Day 1, Day 7

  3. Subject injection site pain assessment on visual analog scale

    Visual Analog Scale

    Rate your pain on a scale of 1 to 10 ( circle one)

    1 2 3 4 5 6 7 8 9 10

    Measured: Baseline, Day 1, Day 7

Timeline

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

  1. First posted28 Oct 2022
  2. Study start1 Nov 2022 (estimated)
  3. Primary completion30 May 2023 (estimated)
  4. Study completion30 May 2023 (estimated)

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Enrolled subjects will undergo aspiration of cyst contents through an 18g needle immediately followed by injection of 1.5% STS foam (until the cyst is full and foam is flowing out of the injection site) followed by surgical excision 60 days later. The foam will be created by diluting 3% STS with an equal volume of normal saline then mixing with air in a 1:4 ratio using a female-to-female coupler.
Masking
None (open label)
Enrolment
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05597995
Sponsor's protocol ID
EIC-STS
Status last verified
Oct 2022
First submitted
20 Oct 2022
Last updated
28 Oct 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Sodium Tetradecyl Sulfate in people with Epidermoid Cyst, run by Goldman, Butterwick, Fitzpatrick and Groff.

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 16 inclusion and 9 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: status not confirmed, as of the sponsor's last update on 28 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.

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 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Andrea Pacheco (8586571004, apacheco@clderm.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Investigator Assessment of EIC (Epidermal inclusion cysts) resolution (time frame: Day 60). The study lists 2 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 28 Oct 2022.

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