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Tacrolimus Ointment Pharmacokinetics in Infants With Atopic Dermatitis

This study has been completed.

Sponsored by: Astellas Pharma Inc
Information provided by: Astellas Pharma Inc
ClinicalTrials.gov Identifier: NCT00535691
  Purpose

The purpose of this study is to estimate the systemic exposure to tacrolimus in infants with atopic dermatitis after repeated application of tacrolimus ointment. Efficacy of tacrolimus ointment, evaluated by examination of treated areas, will also be measured.


Condition Intervention Phase
Dermatitis, Atopic
Drug: Tacrolimus Ointment 0.03%
Phase II

ChemIDplus related topics:   Tacrolimus    Tacrolimus anhydrous   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Double-Blind, Dose Comparison, Parallel Assignment, Safety/Efficacy Study
Official Title:   A Randomised, Multi-Centre, Double-Blind, Pharmacokinetic Study of Tacrolimus Ointment (0.03%) in Paediatric Patients (Aged 3 Months to 24 Months) With Atopic Dermatitis Following First and Repeated Once Daily or Twice Daily Application of the Tacrolimus Ointment

Further study details as provided by Astellas Pharma Inc:

Primary Outcome Measures:
  • Estimate the systemic exposure to tacrolimus after first and repeated application of 0.03% tacrolimus ointment in paediatric patients with atopic dermatitis stratified by application area and randomised to once a day (UID) or twice a day (BID) treatment. [ Time Frame: Day 1 and 14 ]

Secondary Outcome Measures:
  • Efficacy of tacrolimus ointment, evaluated by examination of treated areas. [ Time Frame: Day 4, 14 and 18 ]

Enrollment:   53
Study Start Date:   April 2003
Study Completion Date:   December 2004

Arms Assigned Interventions
1: Active Comparator
Tacrolimus ointment 0.03% once daily, placebo once daily
Drug: Tacrolimus Ointment 0.03%
Once daily, 14 days treatment.
2: Active Comparator
Tacrolimus ointment 0.03% twice daily
Drug: Tacrolimus Ointment 0.03%
Twice daily, 14 days treatment.

Detailed Description:

This is a multi-centre, double-blind, randomised phase II pharmacokinetic study in infants (3 - 24 months old) suffering from atopic dermatitis and requiring treatment with mid potency topical steroids. Patients will primarily be stratified into three groups according to percentage body surface area to be treated and subsequently randomised into treatment groups of once a day (UID) or twice a day (BID) tacrolimus ointment (0.03%) regimens. There will ultimately be a total of six groups. The study will be conducted on an out-patient basis, with each patient's parent/legal representative administering the ointment at home. However all medications on days 1 and 14 will be applied in the clinic by the Investigator or his/her designee, as will the morning application on day 4. The ointment application period will be two weeks with a follow-up period of four days. All patients enrolled into the study, who applied at least one dose of study medication and who benefited from treatment will be given the opportunity to enter a long-term study to follow (FG-506-06-33).

The patient will be entered into one of the following three groups:

Stratification Group I Application area of 5 - 20% Stratification Group II Application area of > 20 - 40% Stratification Group III Application area of > 40%

Within these groups the patients will be randomised to either UID or BID.

  Eligibility
Ages Eligible for Study:   3 Months to 24 Months
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Patient is between 3 and 24 months old on Day 1.
  • The patient has atopic dermatitis requiring treatment with mid potent topical steroids.
  • Patient's disease involves a percentage area to be treated greater than or equal to 5% of the total body surface area

Exclusion Criteria:

  • Patient has clinically infected atopic dermatitis.
  • Patient has a history of more than two courses of systemic corticosteroid treatment
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00535691

Locations
Canada
      Vancouver, Canada
      Waterloo, Canada
      Halifax, Canada
Finland
      Helsinki, Finland
Ireland
      Dublin, Ireland
      Drogheda, Ireland
Latvia
      Riga, Latvia
United Kingdom
      London, United Kingdom

Sponsors and Collaborators
Astellas Pharma Inc

Investigators
Study Chair:     Central Contact     Astellas Pharma GmbH    
  More Information

Study ID Numbers:   FG-506-06-32
First Received:   September 21, 2007
Last Updated:   September 24, 2007
ClinicalTrials.gov Identifier:   NCT00535691
Health Authority:   Finland: National Agency for Medicines;   Latvia: State Agency of Medicines;   Canada: Health Canada;   Ireland: Irish Medicines Board;   United Kingdom: Department of Health

Study placed in the following topic categories:
Hypersensitivity
Dermatitis, Atopic
Genetic Diseases, Inborn
Skin Diseases
Hypersensitivity, Immediate
Skin Diseases, Eczematous
Tacrolimus
Skin Diseases, Genetic
Dermatitis

Additional relevant MeSH terms:
Immunologic Factors
Immune System Diseases
Physiological Effects of Drugs
Immunosuppressive Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on September 05, 2008




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