Safety, Tolerability and Efficacy of ZEP-3Na (0.1% or 1%) Compared to Placebo in Subjects With Mild to Moderate Atopic Dermatitis

NCT ID: NCT04307862

Last Updated: 2023-09-13

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

165 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-29

Study Completion Date

2025-02-28

Brief Summary

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This is a phase II, double blind study with ZEP-3NA 0.1% or 1% vs. vehicle-control in subjects with mild to moderate Atopic Dermatitis. The IP (Investigational Product) will be administered topically twice daily for 4 weeks in the double blind phase. patients that will reach the primary endpoint will have the opportunity for additional to two weeks of open label treatment with ZEP-3Na 1%.

The purpose of this study is to assess the safety, tolerability and efficacy of two concentrations of ZEP-3NA compared to vehicle-control.

Detailed Description

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165 subjects, 5-75 years old with mild to moderate Atopic Dermatitis will be enrolled to the study.

The investigational product which is the synthetic analogue of the natural compound found in the rattle snake venom will be administered topically twice daily.

The duration of the study will be up to 11 weeks consisting of up to 3 weeks of screening, 4 weeks of double blind treatment, optional 2 weeks of open label treatment, followed by 2 weeks of follow-up.

Efficacy will be measured by IGA (Investigator Global Assessment, EASI (Eczema Area and Severity Index) and SCORAD (SCORing Atopic Dermatitis).

Lesions will be photographed throughout the study. Physical examination and vital signs will be measured during every visit. Patients will complete quality of life questionnaires, itching scale and diaries.

Conditions

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Atopic Dermatitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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ZEP-3Na 0.1%

The ZEP-3Na 0.1% cream will be applied topically twice daily

Group Type EXPERIMENTAL

ZEP-3Na 0.1%

Intervention Type DRUG

The Investigational Product will be applied topically twice daily for up to 4 weeks in the double blind phase

ZEP-3Na 1%

The ZEP-3Na 1% cream will be applied topically twice daily

Group Type EXPERIMENTAL

ZEP-3Na 1%

Intervention Type DRUG

The Investigational Product will be applied topically twice daily for up to 4 weeks in the double blind phase, with optional 2 weeks of open label with ZEP-3Na 1%.

Vehicle Control

The Vehicle Control cream will be applied topically twice daily

Group Type PLACEBO_COMPARATOR

Placebo Vehicle only

Intervention Type DRUG

he Investigational Product will be applied topically twice daily for up to 4 weeks in the double blind phase

Interventions

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ZEP-3Na 0.1%

The Investigational Product will be applied topically twice daily for up to 4 weeks in the double blind phase

Intervention Type DRUG

ZEP-3Na 1%

The Investigational Product will be applied topically twice daily for up to 4 weeks in the double blind phase, with optional 2 weeks of open label with ZEP-3Na 1%.

Intervention Type DRUG

Placebo Vehicle only

he Investigational Product will be applied topically twice daily for up to 4 weeks in the double blind phase

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female 5 to 75 years old, inclusive.
2. Clinical diagnosis of Atopic Dermatitis (as defined by Hanifin and Rajka criteria).
3. Atopic Dermatitis should be present for at least three months with stable disease for ≥ 1 month prior to screening.
4. IGA score of 2 or 3 (mild or moderate) during screening and baseline.
5. Women of child bearing potential must have a negative urine pregnancy test at screening and use an adequate contraceptive method throughout the study. Women of child bearing potential is defined as any female who has experienced menarche and who has not undergone surgical sterilization (such as: hysterectomy or bilateral oophorectomy) and is not postmenopausal. Menopause is defined as 24 months of amenorrhea in a woman over age 45 years in the absence of other biological or physiological causes. Adequate method of birth control is defined as one of the following: oral or injectable contraceptives, intrauterine device, contraceptive implants, tubal ligation, hysterectomy, or a double-barrier method (diaphragm with spermicidal foam or jelly, or a condom), abstinence or vasectomy. Males with partners of childbearing potential should inform them of their participation in this clinical study and use an adequate contraceptive method throughout the study.
6. Willing and able to comply with study instructions and commit to attending all visits.
7. The patient/parent/guardian has the ability to understand, agree to and sign the study Informed Consent Form prior to performing any study-related procedure. Adolescents age \>16 to 18 years old should be willing and able to sign Assent Form.

Exclusion Criteria

1. Unstable or actively infected atopic dermatitis.
2. Concomitant dermatologic (e.g. irritant contact dermatitis, allergic contact dermatitis, psoriasis, etc.) or other medical condition(s) which may interfere with the investigator's ability to evaluate the subject's response to study drug.
3. Patients with Atopic Dermatitis affecting only the scalp will be excluded from the study. In addition, patients with the scalp representing ≥ 25% of the affected area will be excluded as well.
4. Has received treatment two weeks prior to visit 2 (Day 1 of IP) with topical corticosteroids and/or topical immunosuppressive drugs or four weeks prior to visit 2 (Day 1 of IP) with systemic immunosuppressive drugs and/or corticosteroids or plans to receive treatment during the study timeframe with immunosuppressive drugs and/or corticosteroids (topical or systemic).
5. Use of Crisaborole two weeks prior to visit 2 (Day 1 of IP).
6. Prior use of Dupilumab.
7. Subjects who are using any concomitant medications that, in the investigator's opinion, could affect the subject's atopic dermatitis (e.g Antihistamines). Subjects using such medications and have been stable on treatment for at least one month prior to visit 2 (Day 1 of IP) and no changes to these medications are planned during study, may be included in the study, at the investigator's discretion.
8. Subject had UVA or UVB therapy two weeks prior to visit 2 (Day 1 of IP) or is due to have it during the study period.
9. Any vaccination in the last 30 days prior to the screening visit. However, due to COVID-19 pandemic, only 1st vaccination for COVID is not allowed during only 21 days prior to visit 2 (Day 1 of IP) and during the study. The 2nd vaccination onwards is allowed at all times.
10. Abnormal renal function (defined as serum creatinine \>1.5xULN).
11. Abnormal liver function (defined as any transaminases \>2xULN).
12. Clinically significant abnormalities as determined by the Investigator on the 12-lead ECG conducted at the screening visit (for adults only).
13. Subject has active or history of malignancy, except non melanomatous skin cancer cured by excision. Subjects with past malignancy who had completed therapy and are free of the disease for at least 5 years may be included in the study, at the investigator's discretion.
14. History of immunodeficiency syndrome (e.g. atypical rash morphology, severe bacterial, fungal or viral skin infections, etc).
15. Subjects who are receiving any investigational drug or who participated in a clinical trial with an investigational product within the last 30 days or 5-half-lives of the investigational product, whichever is longer.
16. History of any anaphylactic reaction or history or evidence of allergies requiring acute or chronic treatment (except seasonal allergic rhinitis and atopic dermatitis).
17. Known hypersensitivity to any of the components of the study drug.
18. Known or suspected history of alcohol or drug abuse.
19. Subjects with a history of human immunodeficiency virus (HIV) as determined by medical history.
20. Pregnant or lactating women.
21. Any history which, in the Investigator's judgment, makes the subject ineligible or places the subject at undue risk.
Minimum Eligible Age

5 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shulov Innovate for Science Ltd. 2012

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Ha'Emek MC

Afula, , Israel

Site Status TERMINATED

Barzilai MC

Ashkelon, , Israel

Site Status TERMINATED

Rambam MC

Haifa, , Israel

Site Status RECRUITING

Shaare Zedek MC

Jerusalem, , Israel

Site Status RECRUITING

Clalit Health Services

Kfar Saba, , Israel

Site Status RECRUITING

Prof. Shemer Clinic affiliated to Laniado MC

Netanya, , Israel

Site Status RECRUITING

Clalit Health Services

Petah Tikva, , Israel

Site Status WITHDRAWN

Clalit Health Services

Ramla, , Israel

Site Status WITHDRAWN

Kaplan MC

Rehovot, , Israel

Site Status RECRUITING

Tel-Aviv Sourasky MC

Tel Aviv, , Israel

Site Status RECRUITING

Countries

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Israel

Facility Contacts

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Michal Ramon, MD

Role: primary

0502063228

Maoraj Abu Raya

Role: backup

0524121005

Tali Czarnowicki, Prof.

Role: primary

+972 2 5645676

Shmuel Gur, MD

Role: primary

0505550741

Or ly Gelman

Role: backup

0544533545

Avner Shemer, Prof.

Role: primary

+972 77 5610063

Daniel Elbirt, Dr.

Role: primary

+972 8 9441909

Liat Samuelov, Dr.

Role: primary

+972 3 6973585

Other Identifiers

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ZEP-003-IL

Identifier Type: -

Identifier Source: org_study_id

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