Trial Outcomes & Findings for Safety and Efficacy of Diacerein 1% Ointment for Subjects With Epidermolysis Bullosa Simplex (EBS) (NCT NCT03154333)

NCT ID: NCT03154333

Last Updated: 2019-11-05

Results Overview

Analysis of the proportion of subjects who achieved a ≥60% reduction in Body Surface Area (BSA) of EBS lesions within Assessment Area from Baseline to Week 8

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

54 participants

Primary outcome timeframe

Baseline to Week 8

Results posted on

2019-11-05

Participant Flow

Participant milestones

Participant milestones
Measure
Diacerein 1% Ointment
diacerein 1% ointment will be used for 8 weeks diacerein 1% ointment: diacerein 1% ointment administered topically
Vehicle Ointment
vehicle ointment will be used for 8 weeks vehicle ointment administered topically
Overall Study
STARTED
28
26
Overall Study
COMPLETED
21
21
Overall Study
NOT COMPLETED
7
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Efficacy of Diacerein 1% Ointment for Subjects With Epidermolysis Bullosa Simplex (EBS)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Diacerein 1% Ointment
n=28 Participants
diacerein 1% ointment will be used for 8 weeks diacerein 1% ointment: diacerein 1% ointment administered topically
Vehicle Ointment
n=26 Participants
vehicle ointment will be used for 8 weeks vehicle ointment administered topically
Total
n=54 Participants
Total of all reporting groups
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
24 Participants
n=5 Participants
23 Participants
n=7 Participants
47 Participants
n=5 Participants
Age, Customized
Age <8 years old
13 Participants
n=5 Participants
12 Participants
n=7 Participants
25 Participants
n=5 Participants
Age, Customized
Age greater than or equal to 8 years old
15 Participants
n=5 Participants
14 Participants
n=7 Participants
29 Participants
n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
16 Participants
n=7 Participants
30 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
10 Participants
n=7 Participants
24 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
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 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)
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
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Baseline BSA(Body Surface Area) of EBS(Epidermolysis Bullosa Simplex) Lesions within Assessment Area
5.76 Percent of BSA
STANDARD_DEVIATION 4.674 • n=5 Participants
7.13 Percent of BSA
STANDARD_DEVIATION 7.606 • n=7 Participants
6.42 Percent of BSA
STANDARD_DEVIATION 6.237 • n=5 Participants
Baseline IGA Score of 3 or 4
IGA Score: 3
26 Participants
n=5 Participants
24 Participants
n=7 Participants
50 Participants
n=5 Participants
Baseline IGA Score of 3 or 4
IGA Score: 4
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Week 8

Population: All efficacy analyses were conducted using the Intent to Treat (ITT) Population that consisted of all randomized subjects who were dispensed study drug. Subjects were included in the treatment group to which they were assigned.

Analysis of the proportion of subjects who achieved a ≥60% reduction in Body Surface Area (BSA) of EBS lesions within Assessment Area from Baseline to Week 8

Outcome measures

Outcome measures
Measure
Diacerein 1% Ointment
n=28 Participants
diacerein 1% ointment will be used for 8 weeks diacerein 1% ointment: diacerein 1% ointment administered topically
Vehicle Ointment
n=26 Participants
vehicle ointment will be used for 8 weeks vehicle ointment administered topically
Proportion of Subjects Who Achieved ≥ 60% Reduction in Body Surface Area (BSA) of EBS Lesions Within Assessment Area
16 Participants
14 Participants

SECONDARY outcome

Timeframe: Baseline to Week 8

Population: All efficacy analyses were conducted using the Intent to Treat (ITT) Population that consisted of all randomized subjects who were dispensed study drug. Subjects were included in the treatment group to which they were assigned.

The investigator's global assessment (IGA) is a five-point scale that is used for overall clinical assessment of severity of disease and classifies EBS-involved skin with a score ranging from 0-4. Success on the IGA was defined as ≥2-point reduction from Baseline to Visit 6 (Week 8). IGA Scoring: 0 = Clear; 1 = Near Clear; 2 = Mild; 3 = Moderate; 4 = Severe Minimum score = 0 Maximum score = 4; higher score = worse outcome

Outcome measures

Outcome measures
Measure
Diacerein 1% Ointment
n=28 Participants
diacerein 1% ointment will be used for 8 weeks diacerein 1% ointment: diacerein 1% ointment administered topically
Vehicle Ointment
n=26 Participants
vehicle ointment will be used for 8 weeks vehicle ointment administered topically
The Proportion of Subjects Who Achieved Success on the Investigator's Global Assessment (IGA)
12 Participants
7 Participants

Adverse Events

Diacerein 1% Ointment

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Vehicle Ointment

Serious events: 2 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Diacerein 1% Ointment
n=28 participants at risk
diacerein 1% ointment will be used for 8 weeks diacerein 1% ointment: diacerein 1% ointment administered topically
Vehicle Ointment
n=26 participants at risk
vehicle ointment will be used for 8 weeks vehicle ointment administered topically
Injury, poisoning and procedural complications
Humerus fracture
0.00%
0/28 • Baseline to Week 16
3.8%
1/26 • Number of events 1 • Baseline to Week 16
Ear and labyrinth disorders
Meniere's Disease
0.00%
0/28 • Baseline to Week 16
3.8%
1/26 • Number of events 1 • Baseline to Week 16

Other adverse events

Other adverse events
Measure
Diacerein 1% Ointment
n=28 participants at risk
diacerein 1% ointment will be used for 8 weeks diacerein 1% ointment: diacerein 1% ointment administered topically
Vehicle Ointment
n=26 participants at risk
vehicle ointment will be used for 8 weeks vehicle ointment administered topically
Infections and infestations
Nasopharyngitis
14.3%
4/28 • Number of events 4 • Baseline to Week 16
7.7%
2/26 • Number of events 2 • Baseline to Week 16
Infections and infestations
Skin Infection
10.7%
3/28 • Number of events 4 • Baseline to Week 16
11.5%
3/26 • Number of events 4 • Baseline to Week 16
Gastrointestinal disorders
Vomiting
14.3%
4/28 • Number of events 5 • Baseline to Week 16
3.8%
1/26 • Number of events 1 • Baseline to Week 16
Gastrointestinal disorders
Diarrhoea
10.7%
3/28 • Number of events 4 • Baseline to Week 16
0.00%
0/26 • Baseline to Week 16
Skin and subcutaneous tissue disorders
Pruritus
10.7%
3/28 • Number of events 3 • Baseline to Week 16
3.8%
1/26 • Number of events 1 • Baseline to Week 16
Nervous system disorders
Headache
3.6%
1/28 • Number of events 1 • Baseline to Week 16
11.5%
3/26 • Number of events 3 • Baseline to Week 16
Respiratory, thoracic and mediastinal disorders
Cough
14.3%
4/28 • Number of events 4 • Baseline to Week 16
3.8%
1/26 • Number of events 1 • Baseline to Week 16
Infections and infestations
Viral Upper Respiratory Tract Infection
7.1%
2/28 • Number of events 2 • Baseline to Week 16
7.7%
2/26 • Number of events 2 • Baseline to Week 16
Infections and infestations
Upper Respiratory Tract Infection
3.6%
1/28 • Number of events 1 • Baseline to Week 16
7.7%
2/26 • Number of events 3 • Baseline to Week 16
Gastrointestinal disorders
Nausea
7.1%
2/28 • Number of events 2 • Baseline to Week 16
0.00%
0/26 • Baseline to Week 16
Skin and subcutaneous tissue disorders
Blister
3.6%
1/28 • Number of events 1 • Baseline to Week 16
7.7%
2/26 • Number of events 2 • Baseline to Week 16
Injury, poisoning and procedural complications
Skin Abrasion
0.00%
0/28 • Baseline to Week 16
7.7%
2/26 • Number of events 2 • Baseline to Week 16
Injury, poisoning and procedural complications
Fall
0.00%
0/28 • Baseline to Week 16
11.5%
3/26 • Number of events 4 • Baseline to Week 16
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
7.1%
2/28 • Number of events 2 • Baseline to Week 16
3.8%
1/26 • Number of events 1 • Baseline to Week 16
General disorders
Application Site Pruritus
0.00%
0/28 • Baseline to Week 16
7.7%
2/26 • Number of events 2 • Baseline to Week 16
General disorders
Fatigue
7.1%
2/28 • Number of events 2 • Baseline to Week 16
0.00%
0/26 • Baseline to Week 16
Ear and labyrinth disorders
Ear Pain
7.1%
2/28 • Number of events 2 • Baseline to Week 16
3.8%
1/26 • Number of events 1 • Baseline to Week 16
Reproductive system and breast disorders
Dysmenorrhoea
7.1%
2/28 • Number of events 2 • Baseline to Week 16
0.00%
0/26 • Baseline to Week 16

Additional Information

Dr. Mary Spellman

Castle Creek Pharmaceuticals, LLC

Phone: 862 286 0400

Results disclosure agreements

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