A Pharmacokinetic Study of Ruxolitinib Phosphate Cream in Pediatric Subjects With Atopic Dermatitis

NCT ID: NCT03257644

Last Updated: 2020-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-21

Study Completion Date

2020-10-07

Brief Summary

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The purpose of this study is to evaluate the safety, tolerability and the pharmacokinetics (PK) of topical ruxolitinib cream applied to pediatric subjects (age ≥ 2 to 17 years) with atopic dermatitis (AD).

Detailed Description

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Study has been modified to include younger pediatric subjects (age ≥2 to 11) in four additional cohorts.

Conditions

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Atopic Dermatitis

Keywords

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Atopic dermatitis Janus kinase (JAK) inhibitor pediatric inflammation

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1

Ruxolitinib phosphate cream 0.5%.

Group Type EXPERIMENTAL

Ruxolitinib phosphate cream

Intervention Type DRUG

Ruxolitinib phosphate cream at the protocol-defined dose strength based on cohort assignment.

Cohort 2

Ruxolitinib phosphate cream 1.5%.

Group Type EXPERIMENTAL

Ruxolitinib phosphate cream

Intervention Type DRUG

Ruxolitinib phosphate cream at the protocol-defined dose strength based on cohort assignment.

Cohort 3

Ruxolitinib phosphate cream 0.75%.

Group Type EXPERIMENTAL

Ruxolitinib phosphate cream

Intervention Type DRUG

Ruxolitinib phosphate cream at the protocol-defined dose strength based on cohort assignment.

Cohort 4

Ruxolitinib phosphate cream 1.5%.

Group Type EXPERIMENTAL

Ruxolitinib phosphate cream

Intervention Type DRUG

Ruxolitinib phosphate cream at the protocol-defined dose strength based on cohort assignment.

Cohort 5

Ruxolitinib phosphate cream 0.75%.

Group Type EXPERIMENTAL

Ruxolitinib phosphate cream

Intervention Type DRUG

Ruxolitinib phosphate cream at the protocol-defined dose strength based on cohort assignment.

Cohort 6

Ruxolitinib phosphate cream 1.5%.

Group Type EXPERIMENTAL

Ruxolitinib phosphate cream

Intervention Type DRUG

Ruxolitinib phosphate cream at the protocol-defined dose strength based on cohort assignment.

Interventions

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Ruxolitinib phosphate cream

Ruxolitinib phosphate cream at the protocol-defined dose strength based on cohort assignment.

Intervention Type DRUG

Other Intervention Names

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INCB018424

Eligibility Criteria

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Inclusion Criteria

* Pediatric subjects aged ≥ 2 to 17 years, inclusive
* Subjects diagnosed with AD as defined by the Hanifin and Rajka criteria.
* Subjects with active inflammation associated with AD.
* Subjects with an Investigator's Global Assessment (IGA) score of at least 2 at screening and baseline.
* Subjects with body surface area (BSA) of AD involvement of 8% to 20% at screening and baseline.
* Subjects who agree to discontinue all agents used to treat AD from screening through the final follow-up visit.
* Subjects of childbearing potential must agree to take appropriate precautions to avoid pregnancy or fathering a child for the duration of study participation.
* Written informed consent of the parent(s) or legal guardian and a verbal or written assent from the subject when possible.

Exclusion Criteria

* Unstable course of AD (spontaneously improving or rapidly deteriorating) as determined by the investigator over the previous 4 weeks before baseline.
* Use of topical treatments for AD (other than bland moisturizer such as Eucerin® cream) within 2 weeks of baseline.
* Concurrent conditions and history of other diseases:

* Presence of AD lesions only on the hands or feet without a history of involvement of other classical areas of involvement such as the face or the flexural folds.
* Other types of eczema.
* Any other concomitant skin disorder (eg, generalized erythroderma such as Netherton Syndrome, or psoriasis), pigmentation, or extensive scarring that in the opinion of the investigator may interfere with the evaluation of AD lesions or compromise subject safety.
* Immunocompromised (eg, lymphoma, acquired immunodeficiency syndrome, Wiskott-Aldrich syndrome) or have a history of malignant disease within 5 years before the baseline visit.
* Chronic or acute infection requiring treatment with systemic antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 4 weeks before the baseline visit.
* Active acute bacterial, fungal, or viral (eg, herpes simplex, herpes zoster, chicken pox) skin infection within 1 week before the baseline visit.
* Chronic asthma requiring more than 880 μg of inhaled budesonide or equivalent high dose of other inhaled corticosteroids.
* Subjects with cytopenias at screening per protocol-defined criteria.
* Use of the following medications:

* Systemic immunosuppressive or immunomodulating drugs (eg, oral or injectable corticosteroids, methotrexate, cyclosporine, mycophenolate mofetil, azathioprine) within 4 weeks or 5 half-lives of baseline (whichever is longer).
* Subjects taking potent systemic cytochrome P450 3A4 inhibitors or fluconazole within 2 weeks or 5 half lives, whichever is longer, before the baseline visit (topical agents with limited systemic availability are permitted).
* Subjects who have previously received JAK inhibitors, systemic or topical (eg, ruxolitinib, tofacitinib, baricitinib, filgotinib, lestaurtinib, pacritinib).
* Current treatment or treatment within 30 days or 5 half-lives (whichever is longer) before the baseline visit with another investigational medication or current enrollment in another investigational drug protocol.
* Use of any prohibited medications within 14 days or 5 half-lives (whichever is longer) of the baseline visit.
* Parent or legal guardian who, in the opinion of the investigator, is unable or unlikely to comply with the administration schedule and study evaluations or are unable or unwilling to apply the study drug.
Minimum Eligible Age

2 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Incyte Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Kuligowski, MD, PhD, MBA

Role: STUDY_DIRECTOR

Incyte Corporation

Locations

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Cahaba Dermatology

Hoover, Alabama, United States

Site Status

Desert Sky Dermatology

Gilbert, Arizona, United States

Site Status

Applied Research Center of Arkansas

Little Rock, Arkansas, United States

Site Status

Orange County Research Center

Anaheim, California, United States

Site Status

Children'S Hospital Los Angeles Specialt

Los Angeles, California, United States

Site Status

Rady Children'S Hospital - San Diego

San Diego, California, United States

Site Status

National Jewish Health

Denver, Colorado, United States

Site Status

Olympian Clinical Research

Largo, Florida, United States

Site Status

Acevedo Clinical Research

Miami, Florida, United States

Site Status

Floridian Research Institute Llc

Miami, Florida, United States

Site Status

Rm Medical Research Inc

Miami, Florida, United States

Site Status

Olympian Clinical Research

Tampa, Florida, United States

Site Status

Iact Health

Columbus, Georgia, United States

Site Status

Advanced Clinical Research

Boise, Idaho, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

The Indiana Clincal Trials Center

Plainfield, Indiana, United States

Site Status

David Fivenson, Md, Pllc

Ann Arbor, Michigan, United States

Site Status

Wake Research Associates Llc

Raleigh, North Carolina, United States

Site Status

Ohio Pediatric Research Association

Dayton, Ohio, United States

Site Status

Cyn3Rgy Research - Clinedge - Ppds

Gresham, Oregon, United States

Site Status

Penn State Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Progressive Clinical Research

San Antonio, Texas, United States

Site Status

Texas Dermatology and Laser Specialists

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Leung DYM, Paller AS, Zaenglein AL, Tom WL, Ong PY, Venturanza ME, Kuligowski ME, Li Q, Gong X, Lee MS. Safety, pharmacokinetics, and efficacy of ruxolitinib cream in children and adolescents with atopic dermatitis. Ann Allergy Asthma Immunol. 2023 Apr;130(4):500-507.e3. doi: 10.1016/j.anai.2022.12.033. Epub 2022 Dec 28.

Reference Type DERIVED
PMID: 36586583 (View on PubMed)

Other Identifiers

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INCB 18424-102

Identifier Type: -

Identifier Source: org_study_id