Trial Outcomes & Findings for This Trial is a Randomised, Multicentre, Investigator-blind, Vehicle and Comparator-controlled, Parallel-group Trial With the Purpose of Evaluation Efficacy, Safety and Convenience of the MC2-01 Cream (NCT NCT03802344)

NCT ID: NCT03802344

Last Updated: 2020-12-16

Results Overview

The extent and severity of the participant's psoriasis is assessed using a modified PASI scoring system (minus scalp, face, and flexures) at each 3 areas (arms, trunk and legs) using a scale from 0 - 6, where 0 = no psoriasis involvement and 6 = 90-100% involvement. The severity is assessed at the 3 areas for each of the sign redness, thickness and scaliness using a scale from 0 - 4, where 0 represents none and 4 represents very severe. The mPASI score is calculated from the individual scores by use of the following equation: Arms 0.2 (Redness + Thickness + Scaliness) E = X Trunk 0.3 (Redness + Thickness + Scaliness) E = Y Legs 0.4 (Redness + Thickness + Scaliness) E = Z The sum of X + Y + Z = m-PASI score resulting in a minimum score of 0 and a maximum score (worst possible) of 64.8. The percent change in mPASI score is defined as the Baseline minus the Week 8 divided by Baseline score multiplied by 100 (if a reduction is seen the value will be presented as a negative number)

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

498 participants

Primary outcome timeframe

8 Weeks

Results posted on

2020-12-16

Participant Flow

First Subject First Visit: 12-Dec-2018. Last Subject Last Visit: 02-Oct-2019.

Prior to randomization, the subject entered a washout period (if required) where anti-psoriatic treatment and other relevant medication/treatments were discontinued as defined by the exclusion criteria. The washout/screening period could last for up to 30 days, depending on which disallowed treatments the subject received. 498 subjects signed the Informed consent form, 490 subjects were randomized and randomly assigned into 3 treatment groups (MC2-01 cream, active comparator, MC2-01 vehicle).

Participant milestones

Participant milestones
Measure
MC2-01 Cream
MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks MC2-01 cream: MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream
Cal/BDP Combination
Calcipotriene/betamethasone (Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks Cal/BDP combination: Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%
Vehicle
One application daily for 8 weeks Vehicle: Vehicle
Overall Study
STARTED
213
209
68
Overall Study
COMPLETED
205
203
55
Overall Study
NOT COMPLETED
8
6
13

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

This Trial is a Randomised, Multicentre, Investigator-blind, Vehicle and Comparator-controlled, Parallel-group Trial With the Purpose of Evaluation Efficacy, Safety and Convenience of the MC2-01 Cream

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MC2-01 Cream
n=213 Participants
MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks MC2-01 cream: MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream
Cal/BDP Combination
n=209 Participants
Calcipotriene/betamethasone (Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks Cal/BDP combination: Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%
Vehicle
n=68 Participants
One application daily for 8 weeks Vehicle: Vehicle
Total
n=490 Participants
Total of all reporting groups
Age, Continuous
48.6 years
STANDARD_DEVIATION 13.7 • n=5 Participants
51.5 years
STANDARD_DEVIATION 14.8 • n=7 Participants
50.8 years
STANDARD_DEVIATION 13.1 • n=5 Participants
50.2 years
STANDARD_DEVIATION 14.02 • n=4 Participants
Sex: Female, Male
Female
77 Participants
n=5 Participants
96 Participants
n=7 Participants
22 Participants
n=5 Participants
195 Participants
n=4 Participants
Sex: Female, Male
Male
136 Participants
n=5 Participants
113 Participants
n=7 Participants
46 Participants
n=5 Participants
295 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
213 Participants
n=5 Participants
209 Participants
n=7 Participants
68 Participants
n=5 Participants
490 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race/Ethnicity, Customized
Race · White
211 Participants
n=5 Participants
205 Participants
n=7 Participants
65 Participants
n=5 Participants
481 Participants
n=4 Participants
Race/Ethnicity, Customized
Race · Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
Race/Ethnicity, Customized
Race · Asian
1 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants
Race/Ethnicity, Customized
Race · Gipsy
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race/Ethnicity, Customized
Race · North African
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Region of Enrollment
Czechia
64 participants
n=5 Participants
63 participants
n=7 Participants
20 participants
n=5 Participants
147 participants
n=4 Participants
Region of Enrollment
Germany
94 participants
n=5 Participants
90 participants
n=7 Participants
30 participants
n=5 Participants
214 participants
n=4 Participants
Region of Enrollment
Poland
55 participants
n=5 Participants
56 participants
n=7 Participants
18 participants
n=5 Participants
129 participants
n=4 Participants
Fitzpatrick Skin Type
I
6 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
8 Participants
n=4 Participants
Fitzpatrick Skin Type
II
104 Participants
n=5 Participants
103 Participants
n=7 Participants
29 Participants
n=5 Participants
236 Participants
n=4 Participants
Fitzpatrick Skin Type
III
77 Participants
n=5 Participants
76 Participants
n=7 Participants
25 Participants
n=5 Participants
178 Participants
n=4 Participants
Fitzpatrick Skin Type
IV
20 Participants
n=5 Participants
19 Participants
n=7 Participants
9 Participants
n=5 Participants
48 Participants
n=4 Participants
Fitzpatrick Skin Type
V
6 Participants
n=5 Participants
7 Participants
n=7 Participants
5 Participants
n=5 Participants
18 Participants
n=4 Participants
Fitzpatrick Skin Type
VI
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 8 Weeks

Population: The analysis was based on the FAS population.

The extent and severity of the participant's psoriasis is assessed using a modified PASI scoring system (minus scalp, face, and flexures) at each 3 areas (arms, trunk and legs) using a scale from 0 - 6, where 0 = no psoriasis involvement and 6 = 90-100% involvement. The severity is assessed at the 3 areas for each of the sign redness, thickness and scaliness using a scale from 0 - 4, where 0 represents none and 4 represents very severe. The mPASI score is calculated from the individual scores by use of the following equation: Arms 0.2 (Redness + Thickness + Scaliness) E = X Trunk 0.3 (Redness + Thickness + Scaliness) E = Y Legs 0.4 (Redness + Thickness + Scaliness) E = Z The sum of X + Y + Z = m-PASI score resulting in a minimum score of 0 and a maximum score (worst possible) of 64.8. The percent change in mPASI score is defined as the Baseline minus the Week 8 divided by Baseline score multiplied by 100 (if a reduction is seen the value will be presented as a negative number)

Outcome measures

Outcome measures
Measure
MC2-01 Cream
n=213 Participants
MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks MC2-01 cream: MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream
Cal/BDP Combination
n=209 Participants
Calcipotriene/betamethasone (Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks Cal/BDP combination: Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%
Vehicle
n=68 Participants
One application daily for 8 weeks Vehicle: Vehicle
Percentage Change in mPASI (Modified Psoriasis Area and Severity Index) Score
-67.5 Percentage change from Baseline
Standard Error 20.8
-63.5 Percentage change from Baseline
Standard Error 22.2
-11.7 Percentage change from Baseline
Standard Error 21.9

SECONDARY outcome

Timeframe: 8 Weeks

Population: The analysis was based on the FAS population.

PTCS measures the impact and convenience of the treatment. The scale consists of 6 disease-specific questions, which individually will be rated on a 1-10 points scale, where a score of 1 represents the lowest satisfactory response with the treatment and 10 represents the highest satisfactory response. The questions are: Q1. How easy was the treatment to apply to the skin?; Q2. How greasy was the treatment when applying it to the skin?; Q3. How moisturized did your skin feel after apolying the treatment?; Q4. How greasy did your skin feel after applying the treatment?; Q5. How much did treating you skin disrupt your daily routine?; Q6. Overall, how satisfied were you with the medical treatment? The total PTCS score is calculated as the sum of the first 5 questions, ranging from 5 \[low satisfaction\] to 50 \[high satisfaction\].

Outcome measures

Outcome measures
Measure
MC2-01 Cream
n=213 Participants
MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks MC2-01 cream: MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream
Cal/BDP Combination
n=209 Participants
Calcipotriene/betamethasone (Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks Cal/BDP combination: Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%
Vehicle
n=68 Participants
One application daily for 8 weeks Vehicle: Vehicle
The Psoriasis Treatment Convenience Scale (PTCS)
38.6 score on a scale
Standard Deviation 6.2
36.1 score on a scale
Standard Deviation 7.0
36.2 score on a scale
Standard Deviation 7.6

Adverse Events

MC2-01 Cream

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Cal/BDP Combination

Serious events: 3 serious events
Other events: 11 other events
Deaths: 0 deaths

Vehicle

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
MC2-01 Cream
n=213 participants at risk
MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks MC2-01 cream: MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream
Cal/BDP Combination
n=209 participants at risk
Calcipotriene/betamethasone (Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks Cal/BDP combination: Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%
Vehicle
n=68 participants at risk
One application daily for 8 weeks Vehicle: Vehicle
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Testicular seminoma
0.47%
1/213 • Number of events 1 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
0.00%
0/209 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
0.00%
0/68 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
Infections and infestations
Herpes zoster meningitis
0.00%
0/213 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
0.48%
1/209 • Number of events 1 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
0.00%
0/68 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
Musculoskeletal and connective tissue disorders
Humerus fracture
0.00%
0/213 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
0.48%
1/209 • Number of events 1 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
0.00%
0/68 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
Infections and infestations
Pulmonary tuberculosis
0.00%
0/213 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
0.48%
1/209 • Number of events 1 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
0.00%
0/68 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
Gastrointestinal disorders
Cholesystitis acute
0.00%
0/213 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
0.00%
0/209 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
1.5%
1/68 • Number of events 1 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.

Other adverse events

Other adverse events
Measure
MC2-01 Cream
n=213 participants at risk
MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks MC2-01 cream: MC2-01 (calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream
Cal/BDP Combination
n=209 participants at risk
Calcipotriene/betamethasone (Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%) cream. One application daily for 8 weeks Cal/BDP combination: Calcipotriene/betamethasone dipropionate, w/w 0,005%/0,064%
Vehicle
n=68 participants at risk
One application daily for 8 weeks Vehicle: Vehicle
Infections and infestations
Nasopharyngitis
4.7%
10/213 • Number of events 10 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
5.3%
11/209 • Number of events 11 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.
1.5%
1/68 • Number of events 1 • AEs were collected/assessed from the time of the signature of the informed consent form by the subject and until the end of the trial, i.e. until the Follow-up visit at Week 10. AEs that were considered related to the trial product would be followed until they were resolved, or until the medical condition of the subject was stable.

Additional Information

Irene Sandholdt

MC2 Therapeutics

Phone: +45 2015 7033

Results disclosure agreements

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