Evaluation of Dermasectan® versus SoC to compare efficacy and safety in treating atopic eczema (dermatitis) in adults

ISRCTN ISRCTN66879853
DOI https://doi.org/10.1186/ISRCTN66879853
EudraCT/CTIS number 2019-001729-28
Secondary identifying numbers CBSNOV2301
Submission date
16/11/2021
Registration date
24/11/2021
Last edited
11/08/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Atopic dermatitis (AD) is a long-term disease, that often appears during early childhood and often before the age of two. It is estimated that about 10% of patients continue to suffer from eczema as adults. It has been shown in recent studies that the disease is more likely to occur in women and during the third decade of life and is prevalently localized in the limb flexures, eyelids, and perioral region, but also forehead, cheeks, anterolateral region of the neck. The diagnosis of AD is based on the following constellation of clinical findings: pruritus, facial and extensor eczema in infants and children, flexural eczema in adults, and chronicity of dermatitis.
Atopic dermatitis in adults is often a serious condition, so the diagnosis must be precise. If the disease dates back to childhood, and/or is combined with atopic respiratory symptoms (allergic rhinitis, allergic dermatitis, and asthma), and/or even digestive allergies, and there are typical clinical signs, like chronic thick, lichenified eczema, with oozing flare-ups; the diagnosis can be considered definitive. Besides childhood persistence, another cause for atopic dermatitis in adults can be a relapse by a modification of the environment (stress, cutaneous irritation, contact allergy). These patients show increased serum IgE levels (>150kU/L).

The aim of the study is to assess the clinical efficacy of Dermasectan® in alleviating the symptomatology of Atopic Dermatitis.

Who can participate?
Adult subjects, 18 years or older with AD diagnosed at screening visit.

What does the study involve?
The study lasted for 28 days, with two applications/day for 14 consecutive days of treatment with one of the study products: Dermasectan® or Placebo (depending on randomization arm).

What are the possible benefits and risks of participating?
This treatment could be very useful for you in treating atopic dermatitis by reducing the symptoms associated with this diagnosis. Even if there are no benefits for you, the results of this study could help in discovering new treatments for atopic dermatitis.
Your participation in this study is voluntary.
If by following the treatment plan, no results are obtained, your doctor will decide whether or not you should continue the treatment.
There is no information regarding risks or inconveniences.

Where is the study run from?
Novintethical Pharma SA (Switzerland)

When is the study starting and how long is it expected to run for?
June 2019 to May 2020

Who is funding the study?
Novintethical Pharma SA (Switzerland)

Who is the main contact?
Alina Iordache
alina.iordache@cebis-int.com

Contact information

Mrs Alina Iordache
Scientific

222 Calea Plevnei 3rd Floor
Bucharest
060016
Romania

ORCiD logoORCID ID 0000-0002-5931-0463
Phone +40 737 640 721
Email alina.iordache@cebis-int.com

Study information

Study designDouble blind placebo-controlled randomized multicenter study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleA randomized, double-blind, placebo-controlled, multicenter clinical trial investigating the efficacy and safety of Dermasectan® vs. placebo administered to adult patients with atopic dermatitis (AD)
Study acronymCONTROL
Study objectivesA double-blind, parallel, randomized, placebo-controlled, multicenter study for the evaluation of efficacy and safety of Dermasectan® vs placebo in patients diagnosed with atopic dermatitis.
Ethics approval(s)1. Approved 13/06/2019, National Committee of Bioethics for Medicine and Medical Devices (Stefan Cel Mare 19-21 Road, District 2, Bucharest, Romania; +40 (0)212102880; comisia.bioetica@adsm.ro), ref: 2S/4/13.06.2019
2. Approved 17/02/2020, Ethics Committee for clinical trials (8 Damyan Gruev Str., Sofia 1303, Bulgaria; +359 (0)2 8903555; bda@bda.bg), ref: 01351/17.02.2020
Health condition(s) or problem(s) studiedAtopic dermatitis
InterventionThe study subjects were randomly allocated to study arm based on a computer-generated sequence with 1:1 ratio: Dermasectan or Placebo. The subjects received for 14 consecutive days two applications/day on affected areas. The medication was provided by the Study Sponsor. Each patient received the necessary amount of product for 14 days at Baseline Visit. The investigator kept the product accountability during the entire duration of the study. All subjects included in the study were diagnosed, by their doctor, with atopic dermatitis. The study lasted for 28 days, with two applications/day for 14 consecutive days of treatment with one of the study products: Dermasectan or Placebo (depending on randomization arm). Participants attend four visits: - Visit 1 – day 0 (baseline visit) - Visit 2 – day 8 (after 7 days of treatment) - Visit 3 – day 15 (After 14 days of treatment) - Visit 4 – day 28 (14 days after end of treatment) follow-up by phone
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Dermasectan®
Primary outcome measure1. Erythema, pruritus, exudation, excoriation, crusted erosions and lichenification are measured using a 4-point (0-3) scale - Atopic Dermatitis Severity Index (ADSI) - recorded at visits from: day 0, day 8, day 15.
2. Redness, swelling, oozing/crusting, scratch marks, skin thickening (lichenification), dryness are measured using SCORAD (Score Atopic Dermatitis) Calculator at the doctor’s office at the time of the visits at day 0, day 8, day 15;
3. Patient chart assessment by PATIENT ORIENTED ECZEMA MEASURE (POEM)– recorded at visits from: day 0, day 8, day 15.
Secondary outcome measuresThe safety outcomes (percentage of participants who experienced an AE, number of drop-out due to side effects, disease progression) were evaluated during study visit at Day 8, Day 15 and Day 28.
Overall study start date13/06/2019
Completion date02/05/2020

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants42
Total final enrolment42
Key inclusion criteria1. Adult subjects, 18 years or older
2. Subject willing to sign the informed consent
3. AD diagnosed at screening visit
4. Clinical digital photography to provide images of affected and healthy skin
5. Willing and able to comply with all clinic visits and study-related criteria
Key exclusion criteria1. The following treatments within 4 weeks before the baseline visit, or any condition that, in the opinion of the investigator, will likely require such treatment(s) during the first 4 weeks of study treatment:
1.1 Systemic corticosteroids
1.2 Immunosuppressive/immunomodulating drugs
1.3 Phototherapy for AD
2. Treatment with certain biologics
3. Regular use (more than 2 visits per week) of a tanning booth/parlor within 4 weeks before the baseline visit
4. Planned major surgical procedure during the patient's participation in this study
5. Patient is a member of the investigational team or his/her immediate family
6. Pregnant or breast-feeding women or women planning to become pregnant or breastfeed during the study
7. Hypersensitivity to any of the ingredients of the study agents.
Date of first enrolment13/09/2019
Date of final enrolment04/04/2020

Locations

Countries of recruitment

  • Bulgaria
  • Romania

Study participating centres

County Emergency Clinica Hospital “Sf. Apostol Andrei”
Tomis Boulevard, 145
Constanta
900591
Romania
Elias University Emergency Hospital
Mărăști Boulevard, 17
Bucharest
011461
Romania
Mures County Clinical Hospital
Bernády György Square, 6
Targu Mures
540072
Romania
Ambulatory Practice for Primary Outpatient Medical Care SANA OOD
8 Akademic Stefan Mladenov Street
Sofia
1700
Bulgaria
BROD - Ambulatory Practice for Primary Medical Care EOOD
23 Petko D. Petkov Str
Plovdiv
4000
Bulgaria
Medical Centre Prolet EOOD
25 Olimpi Panov Str., fl. 2
Ruse
7000
Bulgaria

Sponsor information

Novintethical Pharma (Switzerland)
Industry

Via Pian Scairolo, 11
Lugano
6900
Switzerland

Phone +41 91 234 15 72
Email info@novintethical.com
Website http://www.novintethical.com/
ROR logo "ROR" https://ror.org/05ypvb778

Funders

Funder type

Industry

Novintethical Pharma

No information available

Results and Publications

Intention to publish date15/05/2022
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal. Additional documents will be provided at a later point.
IPD sharing planThe data will be collected under study confidentiality and for the study purpose only, according to the approved informed consent form. The study data will be archived according to the sponsor requirements and local regulatory requirements.
The current data sharing plans for this study are unknown and will be available at a later date

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 01/07/2023 11/08/2023 Yes No

Editorial Notes

11/08/2023: Publication reference added.
24/11/2021: Trial's existence confirmed by National Committee of Bioethics for Medicine and Medical Devices (Romania).