Phase I Study of Topical CRx-191 in Normal Healthy Volunteers

• ClinicalTrials.gov Identifier: NCT00544687
• Recruitment Status: Completed
• First Posted: October 16, 2007
• Last Update Posted: November 15, 2007
• Sponsor: Zalicus
• Information provided by: Zalicus

Tracking Information

• First Submitted Date: October 15, 2007
• First Posted Date: October 16, 2007
• Last Update Posted Date: November 15, 2007
• Study Start Date: September 2007
• Primary Completion Date: Not Provided
• Current Primary Outcome Measures (submitted: October 15, 2007): Full skin thinning produced by treatment of CRx-191 in comparison with its components at corresponding dose levels, and vehicle with a marketed corticosteriod. Assess tolerability and safety of CRx-191. [ Time Frame: 28 Days ]
• Original Primary Outcome Measures: Same as current
• Current Secondary Outcome Measures: Not Provided
• Original Secondary Outcome Measures: Not Provided
• Current Other Pre-specified Outcome Measures: Not Provided
• Original Other Pre-specified Outcome Measures: Not Provided

Descriptive Information

• Brief Title: Phase I Study of Topical CRx-191 in Normal Healthy Volunteers
• Official Title: A Phase I, Single-Center, Randomized, Vehicle and Active-Controlled Study to Assess and Compare the Atrophy-Causing Potential of Topical CRx-191 Formulations in Healthy Volunteers
• Brief Summary: CRx-191 is a proprietary synergistic combination drug candidate being evaluated by CombinatoRx for topical psoriasis therapy. CRx-191 was identified via a proprietary screening assay for novel drug combinations demonstrating enhanced inhibition of tumor necrosis factor- alpha and interferon-gamma release, cytokines that are implicated in the pathogenesis of psoriasis.
• Detailed Description: Not Provided
• Study Type: Interventional
• Study Phase: Phase 1
• Study Design: Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Double (Participant, Investigator); Primary Purpose: Treatment
• Condition: Healthy

Intervention

• Drug: CRx-191
  topical (mometasone furoate + nortriptyline HCl)
• Drug: mometasone furoate
  topical mometasone furoate
• Drug: nortriptyline HCl
  topical nortriptyline HCl
• Drug: Karison® Creme
  topical Karison® Creme (clobetasol-17-propinate 0.05%)
• Drug: Vehicle
  topical (placebo)

Study Arms

• Experimental: 1
  CRx-191 (0.1% mometasone furoate + 0.05% nortriptyline HCl)
  Intervention: Drug: CRx-191
• Experimental: 2
  CRx-191 (0.1% mometasone furoate + 0.1% nortriptyline HCl)
  Intervention: Drug: CRx-191
• Active Comparator: 3
  0.1% mometasone furoate
  Intervention: Drug: mometasone furoate
• Active Comparator: 4
  0.1% nortriptyline HCl
  Intervention: Drug: nortriptyline HCl
• Active Comparator: 5
  Karison® Creme (clobetasol-17-propinate 0.05%)
  Intervention: Drug: Karison® Creme
• Placebo Comparator: 6
  Vehicle (placebo)
  Intervention: Drug: Vehicle

• Publications *: Not Provided

Recruitment Information

• Recruitment Status: Completed
• Actual Enrollment (submitted: October 15, 2007): 20
• Original Actual Enrollment: Same as current
• Actual Study Completion Date: November 2007
• Primary Completion Date: Not Provided

Eligibility Criteria

Inclusion Criteria:

• Subject must voluntarily give written informed consent
• Subject must be at least 18 years of age
• Subject must have healthy skin on which reddening can be easily recognized in the area of the test fields
• The physical examination must be without disease findings unless the investigator considers an abnormality to be irrelevant to the outcome of the study
• Sexually active females of childbearing potential should either be surgically sterile (hysterectomy or tubal ligation), or should use a highly effective medically accepted contraceptive regimen; systemic contraceptive (combined oral contraceptive, implant, injection), or safe intrauterine device (IUD)
• Written informed consent obtained

Exclusion Criteria:

• Acne, suntan, eczema, hyper- or hypopigmentation, or tattoos in the test fields
• Dark skinned persons whose skin color prevents ready assessment of skin reactions
• Cardiac disease including recent myocardial infarction, any degree of heart block or other cardiac arrhythmias and valvular heart disease
• Mania
• Narrow angle glaucoma
• Hyperthyroidism by medical history, TSH < LLN, or receiving thyroid medication
• Severe liver disease (alanine aminotransferase (ALT) or aspartate aminotransferase (AST) laboratory values that exceed 1.5x ULN)
• Inflammatory dermatoses (e.g. atopic dermatitis, psoriasis), bacterial, viral, or fungal skin infections; facial rosacea
• Active varicella, tuberculosis, syphilis or post-vaccine reactions
• Autoimmune disease (e.g., lupus erythematosis)
• Known allergic reactions or hypersensitivity to any of the components of the study preparations
• Allergy to adhesives on the patches used for occlusion in this study
• UV therapy in the four weeks before the study
• History of malignancy (except for treated or excised basal cell carcinoma)
• Surgery within the previous 3 months (except for minor cosmetic or dental procedures)
• History of drug or alcohol abuse (as defined by the Investigator)
• Symptoms of a clinically significant illness in the four weeks before the study that may influence the outcome of the study
• Positive for human immunodeficiency virus (HIV) antibody
• Systemic treatments in the two weeks preceding and during the study that may interact with any of the study drugs, such as: Glucocorticoids (po, im, iv), MAO inhibitors, Anti-depressants, Anti-seizure medications, Anti-psychotics, Antihistamines
• Subjects who require medications that inhibit the cytochrome P450 (CYP450) 2D6 pathway such as: Quinidine, Cimetidine, Type 1 antiarrhythmics, Phenothiazines, Selective serotonin reuptake inhibitors such as fluoxetine, paroxetine, and sertraline, reserpine, other anticholinergic drugs, and sympathomimetic drugs
• Participation in another clinical trial and/or treatment received with any investigational agent within one month before the initial dose of study medication
• Female subject who is pregnant or lactating
• Significant UV exposure in the four weeks before the study
• Unwilling or unable to comply with the requirements of this protocol, including the presence of any condition (physical, mental, or social) that is likely to affect the subject's return for follow-up visits on schedule
• Other unspecified reasons that, in the opinion of the Investigator or sponsor make the subject unsuitable for enrollment
• Subject is institutionalized because of legal or regulatory order

Sex/Gender

• Sexes Eligible for Study: All

• Ages: 18 Years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Contacts: Contact information is only displayed when the study is recruiting subjects
• Listed Location Countries: Germany

Administrative Information

• NCT Number: NCT00544687
• Other Study ID Numbers: CRx-191-002; EudraCT Number: 2006-005903-33
• Has Data Monitoring Committee: No
• U.S. FDA-regulated Product: Not Provided
• IPD Sharing Statement: Not Provided
• Current Responsible Party: Not Provided
• Original Responsible Party: Same as current
• Current Study Sponsor: Zalicus
• Original Study Sponsor: Same as current
• Collaborators: Not Provided

Investigators

• Principal Investigator: Johannes Gassmueller, M.D.; Bioskin GmbH

• PRS Account: Zalicus
• Verification Date: November 2007