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Completed

NCT Number: NCT03798561

Study to Evaluate ASN008 Topical Gel (TG)

This is an ascending dose escalation study to test the safety, tolerability and preliminary efficacy of ASN008 TG in first-in-human subjects

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Innovaderm Recherches Inc, Montreal, Quebec, Canada

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About this study

This is a two part, randomized, blinded, vehicle-controlled study to determine a safe and tolerable dose of ASN008 TG. Part A will asses a single ascending dose of ASN008 TG in cohorts of healthy volunteers, while Part B will assess multiple ascending doses of TG, to be determined (TBD) based on Part A safety and tolerability, in patients with mild-to-moderate dermatitis. Results from Part A and B will characterize safety, tolerability and pharmacokinetics. Part B patients will be assessed for changes in pruritus based on a numerical rating scale (NRS) of pruritus at baseline and on Day 15.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Part A - Healthy Volunteers:

  • Written informed consent obtained prior to any required study-related procedure
  • Healthy female or male subject aged 18 to 65
  • Willing to use medically effective methods of birth control
  • Females of reproductive potential must have a negative serum pregnancy test at screening and negative serum or urine pregnancy test prior to first study drug application on Day 1
  • Non-smoker (no nicotine products for at least 6 months prior to screening)
  • BMI ≥18.5 kg/m2 and ≤32.0 kg/m2 with minimum weight of 60 kg

Part B- Subjects with AD:

  • Written informed consent obtained prior to any required study-related procedure
  • Confirmed diagnosis of active atopic dermatitis (AD)
  • History of AD for at least 6 months prior to Day 1 with an investigator global assessment ≥3 and body surface area covered with 1-10% AD
  • Pruritus score (NRS)≥ 5 at screening and NRS ≥7 on Day 1

Exclusion criteria

Both Part A and Part B:

  • Pregnant or breast-feeding women
  • Skin disease that may interfere with study assessments
  • Febrile illness within 6 days prior to Day 1, history of cancer within 5 years of Day 1, major surgery within 8 weeks prior to Day1, known immunodeficiencies, positive for hepatitis B or C or HIV infection
  • Significant medical/surgical history or condition or current physical/laboratory/ECG/ vitals signs abnormality that might compromise the subject
  • Corrected QT duration ≥450 milliseconds or other significant ECG abnormality
  • Received marketed or investigational biological agent within 12 weeks prior to Day 1 or JAK inhibitor or nonbiological product or device within 4 weeks of Day 1 or within 8 weeks of Day 1 if investigational product used or any drug/ substance that is a strong inhibitor or inducer of CYP3A4 or CYP2D6
  • Suspected hypersensitivity/allergy to lidocaine
  • Significant drug or alcohol abuse or mental illness in 2 years prior to Day 1

Part A Only- Healthy Volunteers:

-Used medications or skin emollients within 2 weeks prior to Day 1 unless approved by investigator and sponsor

Part B Only - Subjects with AD:

  • Has infected atopic dermatitis
  • Used dupilumab 12 weeks prior to Day 1
  • Used doxepin, hydroxyzine or diphenhydramine, urea containing topical products within 1 week prior to Day 1
  • Used systemic antibiotics or topical medicated treatment or other systemic treatments that could affect AD 2 weeks prior to Day 1
  • Received any UV-B phototherapy, excimer laser treatment or psoralen-UV-A treatment within 4 weeks prior to Day 1

Treatment and study plan

ASN008 TG

Drug

ASN008 TG

Placebo TG

Drug

Placebo TG

Primary outcomes

  1. Evaluate safety and tolerability of ASN008 topical gel to define a maximum tolerated dose (Part A and B)

    Time frame: Part A: 14 days; Part B: 22 days

    Analyze incidence of treatment-emergent adverse events (TEAE)

Secondary outcomes

  1. Calculate area under the plasma concentration versus time curve (Part A and B)

    Time frame: 7 days and 16 days

    A plot of the concentration of ASN008 in plasma over time

  2. Calculate the Pharmacokinetic Half-life (Part A and B)

    Time frame: 7 days and 16 days

    Derive maximum blood plasma concentration of Time required for ASN008 concentration to decrease by 50%

  3. Calculate the Pharmacokinetic maximum concentration (Part A and B)

    Time frame: 7 days and 16 days

    Maximum concentration of ASN008 achieved after dosing

  4. Change from baseline in pruritus NRS in AD subjects (Part B)

    Time frame: 22 days

    Numeric Rating Scale ranging from 0 to 10; 0 indicates no itching; 10 indicates worst possible itching; Rating of pruritis based degree, duration, direction, disability, and distribution

  5. Change from baseline in Eczema Area and Severity Score (EASI) in AD subjects (Part B)

    Time frame: 22 days

    Measurement of area and severity of atopic dermatitis based on composite score 0 to 72 encompassing degree of erythema, induration, excoriation and lichenification; each scored from 0 to 3 with 0 indicating none and 3 indicating severe

  6. Change from baseline in Investigator Global Assessment Score in AD subjects (Part B)

    Time frame: 22 Days

    5 point morphological assessment of overall disease severity scored from 0 to 4 with 0 indicating clear (no inflammation) and 4 indicating severe (marked erythema)

Sponsors and collaborators

Lead sponsor

Asana BioSciences

Industry

Registry information

Official study title

A Phase 1, Randomized, Double-Blind, Vehicle-Controlled Ascending Doses Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ASN008 Topical Gel in Healthy Volunteers and Subjects With Atopic Dermatitis

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Jan 10, 2019
Registry last updated
May 9, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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