Trial Outcomes & Findings for A Study for a Topical Medication Versus Placebo in Patients With Hand Dermatitis (NCT NCT03703895)

NCT ID: NCT03703895

Last Updated: 2023-01-04

Results Overview

To measure the efficacy of topical AFX 5931 in the treatment of mild to moderate hand dermatitis in subjects 12 years of age or older assessed via the Investigator's Global Assessment The investigator will rate the subject's hand dermatitis on a visual 5-point scale as follows: 0: Clear: No signs of HE 1. Almost clear: Just perceptible scaling and/or erythema; 2. Mild disease: Mild scaling and/or mild erythema, and/or mild cracking 3. Moderate disease: Moderate scaling and/or erythema, and/or moderate cracking/fissuring 4. Severe disease: Severe scaling and/or severe erythema, and/or severe cracking/fissuring Dorsal and palmar surfaces of the hand are evaluated together.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

20 participants

Primary outcome timeframe

Baseline; Day 14; Day 28

Results posted on

2023-01-04

Participant Flow

Participant milestones

Participant milestones
Measure
Topical AFX5931 (Active Comparator)
Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule. 15 healthy male or non pregnant female subjects over the age of 18 will complete up to 4 study visits where Topical AFX5931 will be applied twice daily for 28 days. Topical AFX5931: Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule.
Placebo Comparator
Placebo Comparator, Topical Placebo. 5 healthy male or non pregnant female subjects over the age of 18 will complete up to 4 study visits where Topical Placebo will be applied twice daily for 28 days. Topical Placebo: Placebo Comparator, Topical Placebo.
Overall Study
STARTED
15
5
Overall Study
COMPLETED
15
5
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study for a Topical Medication Versus Placebo in Patients With Hand Dermatitis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Comparator
n=15 Participants
Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule. Subjects will complete up to 4 study visits where Topical AFX5931 will be applied twice daily for 28 days. Topical AFX5931: Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule.
Placebo Comparator
n=5 Participants
Placebo Comparator, Topical Placebo. Subjects will complete up to 4 study visits where Topical Placebo will be applied twice daily for 28 days. Topical Placebo: Placebo Comparator, Topical Placebo.
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=5 Participants
5 Participants
n=7 Participants
14 Participants
n=5 Participants
Age, Categorical
>=65 years
6 Participants
n=5 Participants
0 Participants
n=7 Participants
6 Participants
n=5 Participants
Age, Continuous
55.2 years
n=5 Participants
47.8 years
n=7 Participants
53.65 years
n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
4 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
4 Participants
n=7 Participants
16 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
10 Participants
n=5 Participants
4 Participants
n=7 Participants
14 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
Region of Enrollment
United States
15 participants
n=5 Participants
5 participants
n=7 Participants
20 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline; Day 14; Day 28

To measure the efficacy of topical AFX 5931 in the treatment of mild to moderate hand dermatitis in subjects 12 years of age or older assessed via the Investigator's Global Assessment The investigator will rate the subject's hand dermatitis on a visual 5-point scale as follows: 0: Clear: No signs of HE 1. Almost clear: Just perceptible scaling and/or erythema; 2. Mild disease: Mild scaling and/or mild erythema, and/or mild cracking 3. Moderate disease: Moderate scaling and/or erythema, and/or moderate cracking/fissuring 4. Severe disease: Severe scaling and/or severe erythema, and/or severe cracking/fissuring Dorsal and palmar surfaces of the hand are evaluated together.

Outcome measures

Outcome measures
Measure
Active Comparator
n=15 Participants
Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule. Subjects will complete up to 4 study visits where Topical AFX5931 will be applied twice daily for 28 days. Topical AFX5931: Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule.
Placebo Comparator
n=5 Participants
Placebo Comparator, Topical Placebo. Subjects will complete up to 4 study visits where Topical Placebo will be applied twice daily for 28 days. Topical Placebo: Placebo Comparator, Topical Placebo.
Primary Outcome Measure for Efficacy (IGA)
Baseline
2.33 score on a scale
Interval 2.09 to 2.57
2.20 score on a scale
Interval 1.85 to 2.55
Primary Outcome Measure for Efficacy (IGA)
Day 14
2.43 score on a scale
Interval 2.18 to 2.68
2 score on a scale
Interval 2.0 to 2.0
Primary Outcome Measure for Efficacy (IGA)
Day 28
2.20 score on a scale
Interval 1.87 to 2.53
2.25 score on a scale
Interval 1.87 to 2.63

PRIMARY outcome

Timeframe: Baseline; Day 14; Day 28

To measure the efficacy of topical AFX 5931 in the treatment of mild to moderate hand dermatitis in subjects 12 years of age or older, assessed via the Hand Eczema Severity Index (HECSI). * Investigator-rated clinical evaluation * Locations: fingertips, fingers (excluding tips), palms of hands, backs of hands, wrists * Intensity: graded on a visual 4-point scale (0 = no skin changes, 1 = mild disease, 2 = moderate, 3 = severe) for each Clinical sign (erythema, infiltration/papulation, vesicles, figures, scaling, and edema) at each location. * Extent: graded on a visual 5-point scale (0 = 0% ; 1 = 1-25% ; 2 = 26-50% ; 3 = 51-75% ; 4 = 76-100%) for each location. * Total HECSI score (0 to a maximum severity score of 360): the sum of the Intensity of clinical signs multiplied by the Extent grade for each location. The sum of the location scores is the Total HECSI score.

Outcome measures

Outcome measures
Measure
Active Comparator
n=15 Participants
Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule. Subjects will complete up to 4 study visits where Topical AFX5931 will be applied twice daily for 28 days. Topical AFX5931: Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule.
Placebo Comparator
n=5 Participants
Placebo Comparator, Topical Placebo. Subjects will complete up to 4 study visits where Topical Placebo will be applied twice daily for 28 days. Topical Placebo: Placebo Comparator, Topical Placebo.
Primary Outcome Measure for Efficacy (HECSI)
Baseline
22.67 units on a scale
Interval 19.92 to 25.41
25.6 units on a scale
Interval 22.74 to 28.46
Primary Outcome Measure for Efficacy (HECSI)
Day 14
20.8 units on a scale
Interval 17.17 to 24.43
20 units on a scale
Interval 17.23 to 22.77
Primary Outcome Measure for Efficacy (HECSI)
Day 28
20.6 units on a scale
Interval 16.33 to 24.87
21 units on a scale
Interval 15.54 to 26.46

SECONDARY outcome

Timeframe: Baseline; Day 14; Day 28

The subjects will be asked to grade their feeling of itching at the application site using a 4-point tolerability scale, where 0=None, 1= Mild, 2= Moderate, and 3=Severe. Pruritus: Definition: itching 0 = None: No itching 1. = Mild: Occasional, slight itching/scratching 2. = Moderate: Constant or intermittent itching/scratching/discomfort that is not disturbing sleep 3. = Severe: Bothersome itching/scratching/discomfort that is disturbing sleep

Outcome measures

Outcome measures
Measure
Active Comparator
n=15 Participants
Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule. Subjects will complete up to 4 study visits where Topical AFX5931 will be applied twice daily for 28 days. Topical AFX5931: Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule.
Placebo Comparator
n=5 Participants
Placebo Comparator, Topical Placebo. Subjects will complete up to 4 study visits where Topical Placebo will be applied twice daily for 28 days. Topical Placebo: Placebo Comparator, Topical Placebo.
Secondary Outcome Measures for Tolerability and Safety (Tolerability Assessment - Pruritus Score)
Baseline
1.53 units on a scale
Interval 1.28 to 1.79
1.8 units on a scale
Interval 1.14 to 2.46
Secondary Outcome Measures for Tolerability and Safety (Tolerability Assessment - Pruritus Score)
Day 14
1.29 units on a scale
Interval 0.8 to 1.77
1 units on a scale
Interval 0.22 to 1.78
Secondary Outcome Measures for Tolerability and Safety (Tolerability Assessment - Pruritus Score)
Day 28
0.93 units on a scale
Interval 0.5 to 1.37
1 units on a scale
Interval 0.38 to 1.62

SECONDARY outcome

Timeframe: Baseline; Day 14; Day 28

The investigator/ designee will describe their Local Skin Reaction (LSR) assessment of the subject's hands using a 4-point tolerability scale. Erythema: abnormal redness of the skin 0 = No erythema 1. = Mild (Slight pinkness present) 2. = Moderate (Definite, dull redness that is clearly distinguishable) 3. = Severe (Intense, deep redness) Induration/Papulation: inflammation, swelling 0 = No elevation 1. = Mild (Slightly perceptible elevation) 2. = Moderate (Clearly perceptible elevation but not extensive) 3. = Severe (Marked and extensive elevation) Lichenification: thickening upper layers of skin 0 = No thickening 1. = Mild (Slight thickening of skin discernible only by touch and with skin markings minimally exaggerated) 2. = Moderate (Definite thickening of the skin with skin markings exaggerated so that they form a visible crisscross pattern) 3. = Severe (Thickened, indurated skin with skin markings visibly portraying an exaggerated crisscross pattern)

Outcome measures

Outcome measures
Measure
Active Comparator
n=15 Participants
Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule. Subjects will complete up to 4 study visits where Topical AFX5931 will be applied twice daily for 28 days. Topical AFX5931: Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule.
Placebo Comparator
n=5 Participants
Placebo Comparator, Topical Placebo. Subjects will complete up to 4 study visits where Topical Placebo will be applied twice daily for 28 days. Topical Placebo: Placebo Comparator, Topical Placebo.
Secondary Outcome Measures for Tolerability and Safety (LSR)
Baseline (Erythema)
1.33 units on a scale
Interval 1.09 to 1.57
1.4 units on a scale
Interval 0.97 to 1.83
Secondary Outcome Measures for Tolerability and Safety (LSR)
Day 14 (Erythema)
1.36 units on a scale
Interval 1.11 to 1.6
1 units on a scale
Interval 1.0 to 1.0
Secondary Outcome Measures for Tolerability and Safety (LSR)
Day 28 (Erythema)
1.27 units on a scale
Interval 1.04 to 1.49
1.25 units on a scale
Interval 0.87 to 1.63
Secondary Outcome Measures for Tolerability and Safety (LSR)
Baseline (Induration)
1.27 units on a scale
Interval 1.04 to 1.49
1.2 units on a scale
Interval 0.85 to 1.55
Secondary Outcome Measures for Tolerability and Safety (LSR)
Day 14 (Induration)
1.21 units on a scale
Interval 1.01 to 1.42
1 units on a scale
Interval 1.0 to 1.0
Secondary Outcome Measures for Tolerability and Safety (LSR)
Day 28 (Induration)
1.2 units on a scale
Interval 0.87 to 1.53
1.25 units on a scale
Interval 0.87 to 1.63
Secondary Outcome Measures for Tolerability and Safety (LSR)
Baseline (Lichenification)
1.47 units on a scale
Interval 1.21 to 1.72
1.8 units on a scale
Interval 1.45 to 2.15
Secondary Outcome Measures for Tolerability and Safety (LSR)
Day 14 (Lichenification)
1.57 units on a scale
Interval 1.26 to 1.89
1.4 units on a scale
Interval 0.97 to 1.83
Secondary Outcome Measures for Tolerability and Safety (LSR)
Day 28 (Lichenification)
1.4 units on a scale
Interval 1.15 to 1.65
1.5 units on a scale
Interval 1.06 to 1.94

SECONDARY outcome

Timeframe: Baseline; Day 14; Day 28

Monitoring the record of AEs (Adverse Events) and changes in concomitant medication/ procedures throughout the course of the study will be the primary mode of safety evaluation. At each level of summarization (global, body system, and preferred term), a subject will be counted once if they reported one or more AEs at that level. No statistical testing will be performed.

Outcome measures

Outcome measures
Measure
Active Comparator
n=15 Participants
Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule. Subjects will complete up to 4 study visits where Topical AFX5931 will be applied twice daily for 28 days. Topical AFX5931: Active Comparator, Topical AFX5931, a medication combining a small, potent anti-inflammatory molecule.
Placebo Comparator
n=5 Participants
Placebo Comparator, Topical Placebo. Subjects will complete up to 4 study visits where Topical Placebo will be applied twice daily for 28 days. Topical Placebo: Placebo Comparator, Topical Placebo.
Measures for Safety (Adverse Events/Concomitant Medications)
Baseline- Record of AEs
0 Participants
0 Participants
Measures for Safety (Adverse Events/Concomitant Medications)
Baseline- Changes in concomitant medication/ procedures
0 Participants
0 Participants
Measures for Safety (Adverse Events/Concomitant Medications)
Day 14- Record of AEs
0 Participants
0 Participants
Measures for Safety (Adverse Events/Concomitant Medications)
Day 14- Changes in concomitant medication/ procedures
0 Participants
0 Participants
Measures for Safety (Adverse Events/Concomitant Medications)
Day 28- Record of AEs
0 Participants
0 Participants
Measures for Safety (Adverse Events/Concomitant Medications)
Day 28- Changes in concomitant medication/ procedures
0 Participants
0 Participants

Adverse Events

Active Comparator

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

Placebo Comparator

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Mark Nestor

Center for Clinical and Cosmetic Research

Phone: 3059336716

Results disclosure agreements

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