Trial Outcomes & Findings for Study to Assess the Potential for Adrenal Suppression Following Treatment With DSXS in Patients With Atopic Dermatitis (NCT NCT02595008)

NCT ID: NCT02595008

Last Updated: 2018-12-07

Results Overview

Hypothalamic Pituitary Adrenal (HPA) Axis Response to Cosyntropin demonstrating the absence or presence of adrenal suppression at the end of treatment. HPA Axis suppression is defined as a 30 minute post CortrosynTM injection level cortisol level of ≤ 18 mcg/100ml.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

24 participants

Primary outcome timeframe

28 days.

Results posted on

2018-12-07

Participant Flow

Participant milestones

Participant milestones
Measure
DSXS Topical Product Cohort 1
treatment with DSXS twice daily for 28 days in patients age 18 years and older DSXS: Active treatment
DSXS Topical Product Cohort 2
treatment with DSXS twice daily for 28 days in patients age 12-17 years of age DSXS: Active treatment
Overall Study
STARTED
20
4
Overall Study
COMPLETED
19
4
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
DSXS Topical Product Cohort 1
treatment with DSXS twice daily for 28 days in patients age 18 years and older DSXS: Active treatment
DSXS Topical Product Cohort 2
treatment with DSXS twice daily for 28 days in patients age 12-17 years of age DSXS: Active treatment
Overall Study
Enrolled In Error
1
0

Baseline Characteristics

Study to Assess the Potential for Adrenal Suppression Following Treatment With DSXS in Patients With Atopic Dermatitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DSXS Topical Product Cohort 1
n=19 Participants
treatment with DSXS twice daily for 28 days in patients age 18 years and older DSXS: Active treatment
DSXS Topical Product Cohort 2
n=4 Participants
treatment with DSXS twice daily for 28 days in patients age 12-17 years of age DSXS: Active treatment
Total
n=23 Participants
Total of all reporting groups
Age, Continuous
43.32 years
STANDARD_DEVIATION 11.18 • n=5 Participants
15.25 years
STANDARD_DEVIATION 2.36 • n=7 Participants
38.43 years
STANDARD_DEVIATION 14.87 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
2 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
2 Participants
n=7 Participants
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants
n=5 Participants
2 Participants
n=7 Participants
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
2 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
1 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
White
14 Participants
n=5 Participants
3 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Baseline Total BSA
2.03 meters squared
STANDARD_DEVIATION 0.29 • n=5 Participants
1.78 meters squared
STANDARD_DEVIATION 0.31 • n=7 Participants
1.98 meters squared
STANDARD_DEVIATION 0.30 • n=5 Participants
Baseline IGA
Clear
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Baseline IGA
Almost Clear
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Baseline IGA
Mild Disease
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Baseline IGA
Moderate Disease
17 Participants
n=5 Participants
2 Participants
n=7 Participants
19 Participants
n=5 Participants
Baseline IGA
Severe Disease
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Eczema Area and Severity Index (EASI) Score
19.74 units on a scale
STANDARD_DEVIATION 9.08 • n=5 Participants
28.50 units on a scale
STANDARD_DEVIATION 19.91 • n=7 Participants
21.26 units on a scale
STANDARD_DEVIATION 11.53 • n=5 Participants

PRIMARY outcome

Timeframe: 28 days.

Hypothalamic Pituitary Adrenal (HPA) Axis Response to Cosyntropin demonstrating the absence or presence of adrenal suppression at the end of treatment. HPA Axis suppression is defined as a 30 minute post CortrosynTM injection level cortisol level of ≤ 18 mcg/100ml.

Outcome measures

Outcome measures
Measure
DSXS Topical Product Cohort 1
n=19 Participants
treatment with DSXS twice daily for 28 days in patients age 18 years and older DSXS: Active treatment
DSXS Topical Product Cohort 2
n=4 Participants
treatment with DSXS twice daily for 28 days in patients age 12-17 years of age DSXS: Active treatment
Number of Participants With HPA Axis Suppression
No
16 Participants
3 Participants
Number of Participants With HPA Axis Suppression
Yes
3 Participants
1 Participants

Adverse Events

DSXS Topical Product Cohort 1

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

DSXS Topical Product Cohort 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
DSXS Topical Product Cohort 1
n=19 participants at risk
treatment with DSXS twice daily for 28 days in patients age 18 years and older DSXS: Active treatment
DSXS Topical Product Cohort 2
n=4 participants at risk
treatment with DSXS twice daily for 28 days in patients age 12-17 years of age DSXS: Active treatment
Investigations
ACTH stimulation test abnormal
15.8%
3/19 • Number of events 3 • 1 year, 6 months
0.00%
0/4 • 1 year, 6 months
Nervous system disorders
Headache
5.3%
1/19 • Number of events 1 • 1 year, 6 months
0.00%
0/4 • 1 year, 6 months

Additional Information

Natalie Yantovskiy

Taro Pharmaceuticals U.S.A. Inc

Phone: +1 914-345-9001

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place