Clinical trial NCT04221906: Study to Evaluate the Safety and Antipsoriatic Efficacy of BOS-475 in a Psoriasis Plaque Test
Official title: A Phase Ib, Multi-Center, Randomized, Vehicle- and Comparator-Controlled Trial, Double-Blind for the Investigational Medicinal Products, Observer-Blind for the Comparators to Evaluate the Safety and Antipsoriatic Efficacy of BOS-475 in a Psoriasis Plaque Test
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: Chronic Plaque Psoriasis
Keywords: BOS-475
antipsoriatic efficacy
safety
psoriasis plaque test
Lead sponsor: Boston Pharmaceuticals
Sponsor class: INDUSTRY
First posted: 2020-01-09
Enrollment: 15
Sex: ALL
Minimum age (years): 18
Maximum age (years): 69
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study is being conducted to evaluate the safety of topical BOS-475 compared to topically applied comparator formulations and vehicle.

Detailed description: This is a three-center, randomized, placebo- and comparator-controlled, double-blind for the Investigational Medicinal Products (IMPs), observer-blind for the controls, intraindividual comparison of all 6 treatments.

Eligibility criteria: Inclusion Criteria:

* Men, or women of non-childbearing potential aged 18-69 years (inclusive)
* Participants with chronic stable plaque psoriasis
* The target lesion(s) should be on the trunk or extremities (excluding palms/soles); psoriatic lesions on the knees or elbows are not to be used as target lesions.
* Willing and able to follow all trial procedures and complete the whole trial
* Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the Informed Consent Form (ICF) and in this protocol
* Willing to refrain from using any topical treatments on the target areas, other than those mandated by the protocol or for protocol procedures

Exclusion Criteria:

* Other skin disease or infection that is considered by the investigator to be relevant to the outcome of the trial
* Participants with acute psoriasis guttata, psoriasis punctata, psoriasis erythrodermatica or pustular psoriasis
* Any topical antipsoriatics on plaques potentially to be treated in this trial (including corticosteroids, vitamin D analogues, immunomodulators, retinoids, dithranol and tar) in the 4 weeks before first treatment and/or during the trial (pretreatment with salicylic acid is permitted on selected plaques; treatment on the face, ears and scalp is also permitted as lesions are not involved in the trial)
* Systemic treatment with antipsoriatics, e.g., corticosteroids, cytostatics, retinoids, dimethylfumarate or apremilast in the three months before first treatment and during the trial
* Systemic treatment with biological treatments: ustekinumab or secukinumab within six months or adalimumab, infliximab, and etanercept within three months before first treatment and during the trial. Any other previously used biologics for treatment of psoriasis should have been washed out for five half lives before first treatment.
* Ultraviolet A (UVA) or B-therapy within four weeks and psoralen and ultraviolet A (PUVA)-therapy within eight weeks before first treatment and during the trial treatment with concomitant medication that may affect and provoke or aggravate psoriasis, e.g., antimalarial drugs, lithium, beta-blockers, or angiotensin-converting-enzyme (ACE) inhibitors unless on a stable dose for 3 months before trial medication initiation
* History of malignancy within 5 years prior to dosing, except adequately treated non-invasive skin cancer (basal or squamous cell carcinoma
* Positive urine drug or breath alcohol test results during screening or at Day 1, or history of drug abuse within a year prior to the screening visit
* Excess alcohol consumption within 6 months prior to the trial defined as an average weekly intake of \> 14 units for males and females. One unit is equivalent to 8 grams of alcohol: a half-pint (\~240 milliliters \[mL\]) of beer, 1 glass (125 mL) of wine, or 1 (25 mL) measure of spirits
* Blood pressure (BP) \>160 millimeters of mercury (mmHg) systolic or \>95 mmHg diastolic at screening
* Participation in another clinical trial within the last six months for biological agents, or four weeks for small molecules prior to first treatment in this clinical trial

Primary outcomes:
measure: Number of treatment-emergent adverse events (TEAEs)
timeFrame: up to Day 19
measure: Number of treatment-emergent application site reactions
timeFrame: up to Day 19
measure: Change from Baseline in systolic and diastolic blood pressure
timeFrame: Baseline; up to Day 19
measure: Change from Baseline in pulse
timeFrame: Baseline; up to Day 19
measure: Change from Baseline in respiration
timeFrame: Baseline; up to Day 19
measure: Change from Baseline in body temperature
timeFrame: Baseline; up to Day 19
measure: Number of participants with clinically significant physical examination findings
timeFrame: up to Day 19
Secondary outcomes:
measure: Change from Baseline in psoriatic infiltrate thickness on Day 19 (assessed by measurement of the thickness of the Echo Poor Band [EPB] of the inflammatory infiltrate using 22-megahertz (MHz) sonography)
timeFrame: Baseline; Day 19
measure: Change from Baseline in psoriatic infiltrate thickness on Days 8 and 15 (assessed by measurement of the thickness of the EPB of the inflammatory infiltrate using 22-MHz sonography)
timeFrame: Baseline; Days 8 and 15
measure: Area under the curve (AUC) of change from Baseline in thickness of the EPB of the inflammatory infiltrate
timeFrame: Baseline; Day 19
measure: Change from Baseline in the test fields compared to the surrounding plaque skin, as an evaluation of the antipsoriatic efficacy by clinical assessment, using a 5-point score
timeFrame: Baseline; Days 1, 8, 15, and 19 (End of Trial)
Other outcomes:
Locations:
city: Bochum
country: Germany
facility: Gemeinschaftspraxis Dr. med. Johannes Niesmann und Dr. med. Nick Othlinghaus Hauszentrum im Jahrhunderthaus - Zentrum für klinische Studien
city: Hamburg
country: Germany
facility: bioskin GmbH
city: Schwerin
country: Germany
facility: Klinische Forschung Schwerin GmbH
Study officials:
affiliation: Boston Pharmaceuticals, Vice President, Clinical Development
name: Xiaobing Qian, MD, PhD
role: STUDY_DIRECTOR
References: