Open-Label,Singel Center Study of Alefacept in Patients With Atopic Dermatitis
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ClinicalTrials.gov Identifier: NCT00376129 |
Recruitment Status :
Completed
First Posted : September 14, 2006
Last Update Posted : December 10, 2007
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Protocol Title: Open-label,single center study to evaluate the savety and efficacy of an intramuscular 12 week-course of Alefacept in patients with atopic dermatitis.
Study Phase: II
Study Design: Open-label, single center Primary Study Objective: to determine the safety and efficacy of one course of Alefasept when administered as a 15 mg intramuscular ( IM) injektion to patients with atopic dermatitis
Secondary Study Objective: to investigate key immunological parameters involved in the pathology of this common skin disease to interpret the clinical findings
Number of patients: 10
Study Population: Male and female patients, at least 18 years of age with atopic dermatitis, aktive inflammation, a severity score of 6-9 according to Langeland and Rajika and an EASI of >20
Treatment Groups: Alefacept will be administered as a 15 mg IM injection once a week for 12 weeks, followed by a 12-week follow-up period.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Atopic Dermatitis | Drug: Alefacept | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 10 participants |
Allocation: | Randomized |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Diagnostic |
Official Title: | Open-Label,Singel Center Study to Evaluate the Safety and Efficacy of an Intramuskcular 12 Week-Course of Alefacept in Patients With Atopic Dermatitis |
Study Start Date : | January 2006 |
Actual Study Completion Date : | January 2007 |

Arm | Intervention/treatment |
---|---|
Experimental: I |
Drug: Alefacept
15 mg i.m. once weekly for 12 weeks |
- primary endpoints is the change of EASI at Visit 13 compared to baseline via paired t-Test [ Time Frame: 24 weeks ]
- Additional enppoints are the percentage of patients reaching a PGA of "clear" or "almost clear" and/or a reduction of EASI of>=50 or >=75% compared to baseline at any visit after baseline. [ Time Frame: 24 weeks ]
- the percentage of patients reaching a pruritus score of none or mild [ Time Frame: 24 weeks ]
- Several immunological endpoints [ Time Frame: 24 weeks ]

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Ages Eligible for Study: | 18 Years to 65 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- must give written informed consent
- must be at least 18 years of age
- must have been diagnosed with atopic dermatitis fulfilling the diagnostic criteria of Hanfin und Rajka and having active inflammation
- must have a severity score of 6-9 according to Langeland and Rajka and an EASI of > 20
- must have a PGA of "moderate","severe", or "very severe" and a pruritus score of "moderate" or"severe" at baseline
- must have total lymphocyte counts and CD4+ lymphocyte counts at or above the lower limit of normal
Exclusion Criteria:
- Patients with severe diseases, that might interfere with the evaluation of AD
- Patiens with severe diseases of other organ systems that might put the patient on risk during the study or might interfere with the evaluations
- Patients older than 65 years
- Systemic treatment for atopic dermatitis ( e.g. cyclosporine, mycophenolat- mofetil,inferferon-gamma, PUVA) or systemic treatment with immunosuppressive/immunomodulating substances( e.g. azathioprin,methotrexate,biologics or hyposensitization - therapy) for other indications within 28 days prior to baseline
- local treatment for atopic dermatitis with pimecrolimus/tacrolimus, steroids > class III, unstable use of steroid< class III, emollients or local antiseptics/antibiotics, UVB,UVA within 14 days prior to baseline
- Serious local infection (e.g. cellulitis, abscess)or systemic infection (e.g. pneumonia,septicemia) within 3 months prior to the first dose of Alefacept
- Congenital or acquired immunodeficiency syndrome
- History of an invasive malignancy. Patients with a history of treatmend squamous cell and/or basal call carcinomas limited to the skin are not exluded
- Laboratory or clinical evidence of active tuberculosis
- Current treatment with any therapy for active tuberculosis or tuberculosis prophylaxis
- for female patients, unless postmenopausal or surgically sterile, unwillingness to practice effective contraception, as defined by the investigator, during the study. the rhythm method is not to be used as the sole method of contraception. Female patients considering becoming pregnant while in the study are excluded
- female patients who are currently pregnant or breast-feeding
- abnormal chemistry, i.e., LFTs greater than three times the upper limit of normal
- Current enrollment in any other investigational drug study
- previous participation in this study or previous studies with Alefacept

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00376129
Switzerland | |
Inselspital Dermatology | |
Bern, Switzerland, 3110 |
Principal Investigator: | Nikhil Yawalkar, Prof | Dermatological Clinic Berne |
Responsible Party: | Prof. Yawalkar, Dermatological Clinic |
ClinicalTrials.gov Identifier: | NCT00376129 |
Other Study ID Numbers: |
IST-EU-098-04-AME |
First Posted: | September 14, 2006 Key Record Dates |
Last Update Posted: | December 10, 2007 |
Last Verified: | December 2007 |
Dermatitis, Atopic Dermatitis Eczema Skin Diseases Skin Diseases, Genetic Genetic Diseases, Inborn Skin Diseases, Eczematous |
Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Alefacept Dermatologic Agents Immunologic Factors Physiological Effects of Drugs |