Study to Evaluate ASN008 Topical Gel (TG)

Sponsor
Asana BioSciences (Industry)
Overall Status
Completed
CT.gov ID
NCT03798561
Collaborator
(none)
24
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7
14.2
4.8
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Study Details

Study Description

Brief Summary

This is an ascending dose escalation study to test the safety, tolerability and preliminary efficacy of ASN008 TG in first-in-human subjects

Condition or Disease Intervention/Treatment Phase
  • Drug: ASN008 TG
  • Drug: Placebo TG
Phase 1

Detailed Description

This is a two part, randomized, blinded, vehicle-controlled study to determine a safe and tolerable dose of ASN008 TG. Part A will asses a single ascending dose of ASN008 TG in cohorts of healthy volunteers, while Part B will assess multiple ascending doses of TG, to be determined (TBD) based on Part A safety and tolerability, in patients with mild-to-moderate dermatitis. Results from Part A and B will characterize safety, tolerability and pharmacokinetics. Part B patients will be assessed for changes in pruritus based on a numerical rating scale (NRS) of pruritus at baseline and on Day 15.

Study Design

Study Type:
Interventional
Actual Enrollment :
24 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
Phase 1, multicenter, double-blind, vehicle-controlled, randomized ascending doses trial.Phase 1, multicenter, double-blind, vehicle-controlled, randomized ascending doses trial.
Masking:
Double (Participant, Investigator)
Masking Description:
Part A: Double blinded, with exception of unblinded dispensing pharmacist Part B: Double blinded
Primary Purpose:
Treatment
Official Title:
A Phase 1, Randomized, Double-Blind, Vehicle-Controlled Ascending Doses Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ASN008 Topical Gel in Healthy Volunteers and Subjects With Atopic Dermatitis
Actual Study Start Date :
Jan 14, 2019
Actual Primary Completion Date :
Mar 20, 2020
Actual Study Completion Date :
Mar 20, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: 82 µg/cm2 ASN008 TG or Placebo

PART A: ASN008 TG 82 µg/cm2 single application in 7 days or Placebo TG (6 subjects ASN008: 2 subjects placebo) (6:2)

Drug: ASN008 TG
ASN008 TG

Drug: Placebo TG
Placebo TG

Experimental: 164 µg/cm2 ASN008 TG or Placebo

PART A: ASN008 TG 164 µg/cm2 single application in 7 days or Placebo (6:2)

Drug: ASN008 TG
ASN008 TG

Drug: Placebo TG
Placebo TG

Experimental: 328 µg/cm2 ASN008 TG or Placebo

Part A: ASN008 TG 328 µg/cm2 single application in 7 days or Placebo (6:2)

Drug: ASN008 TG
ASN008 TG

Drug: Placebo TG
Placebo TG

Experimental: 492 µg/cm2 ASN008 TG or Placebo

Part A: ASN008 TG 492 µg/cm2 single application in 7 days or Placebo (6:2)

Drug: ASN008 TG
ASN008 TG

Drug: Placebo TG
Placebo TG

Experimental: ASN008 TG TBD Cohort 1 or Placebo

Part B: ASN008 TG Cohort 1 daily application for 15 days or Placebo (9 subjects ASN008: 3 subjects Placebo) (9:3)

Drug: ASN008 TG
ASN008 TG

Drug: Placebo TG
Placebo TG

Experimental: ASN008 TG TBD Cohort 2 or Placebo

Part B: ASN008 TG Cohort 2 daily application for 15 days or Placebo (9:3)

Drug: ASN008 TG
ASN008 TG

Drug: Placebo TG
Placebo TG

Experimental: ASN008 TG TBD Cohort 3 or Placebo

Part B: Placebo TG Cohort 3 daily application for 15 days or Placebo (9:3)

Drug: ASN008 TG
ASN008 TG

Drug: Placebo TG
Placebo TG

Outcome Measures

Primary Outcome Measures

  1. Evaluate safety and tolerability of ASN008 topical gel to define a maximum tolerated dose (Part A and B) [Part A: 14 days; Part B: 22 days]

    Analyze incidence of treatment-emergent adverse events (TEAE)

Secondary Outcome Measures

  1. Calculate area under the plasma concentration versus time curve (Part A and B) [7 days and 16 days]

    A plot of the concentration of ASN008 in plasma over time

  2. Calculate the Pharmacokinetic Half-life (Part A and B) [7 days and 16 days]

    Derive maximum blood plasma concentration of Time required for ASN008 concentration to decrease by 50%

  3. Calculate the Pharmacokinetic maximum concentration (Part A and B) [7 days and 16 days]

    Maximum concentration of ASN008 achieved after dosing

  4. Change from baseline in pruritus NRS in AD subjects (Part B) [22 days]

    Numeric Rating Scale ranging from 0 to 10; 0 indicates no itching; 10 indicates worst possible itching; Rating of pruritis based degree, duration, direction, disability, and distribution

  5. Change from baseline in Eczema Area and Severity Score (EASI) in AD subjects (Part B) [22 days]

    Measurement of area and severity of atopic dermatitis based on composite score 0 to 72 encompassing degree of erythema, induration, excoriation and lichenification; each scored from 0 to 3 with 0 indicating none and 3 indicating severe

  6. Change from baseline in Investigator Global Assessment Score in AD subjects (Part B) [22 Days]

    5 point morphological assessment of overall disease severity scored from 0 to 4 with 0 indicating clear (no inflammation) and 4 indicating severe (marked erythema)

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
Part A - Healthy Volunteers:
  • Written informed consent obtained prior to any required study-related procedure

  • Healthy female or male subject aged 18 to 65

  • Willing to use medically effective methods of birth control

  • Females of reproductive potential must have a negative serum pregnancy test at screening and negative serum or urine pregnancy test prior to first study drug application on Day 1

  • Non-smoker (no nicotine products for at least 6 months prior to screening)

  • BMI ≥18.5 kg/m2 and ≤32.0 kg/m2 with minimum weight of 60 kg

Part B- Subjects with AD:
  • Written informed consent obtained prior to any required study-related procedure

  • Confirmed diagnosis of active atopic dermatitis (AD)

  • History of AD for at least 6 months prior to Day 1 with an investigator global assessment ≥3 and body surface area covered with 1-10% AD

  • Pruritus score (NRS)≥ 5 at screening and NRS ≥7 on Day 1

Exclusion Criteria:
Both Part A and Part B:
  • Pregnant or breast-feeding women

  • Skin disease that may interfere with study assessments

  • Febrile illness within 6 days prior to Day 1, history of cancer within 5 years of Day 1, major surgery within 8 weeks prior to Day1, known immunodeficiencies, positive for hepatitis B or C or HIV infection

  • Significant medical/surgical history or condition or current physical/laboratory/ECG/ vitals signs abnormality that might compromise the subject

  • Corrected QT duration ≥450 milliseconds or other significant ECG abnormality

  • Received marketed or investigational biological agent within 12 weeks prior to Day 1 or JAK inhibitor or nonbiological product or device within 4 weeks of Day 1 or within 8 weeks of Day 1 if investigational product used or any drug/ substance that is a strong inhibitor or inducer of CYP3A4 or CYP2D6

  • Suspected hypersensitivity/allergy to lidocaine

  • Significant drug or alcohol abuse or mental illness in 2 years prior to Day 1

Part A Only- Healthy Volunteers:

-Used medications or skin emollients within 2 weeks prior to Day 1 unless approved by investigator and sponsor

Part B Only - Subjects with AD:
  • Has infected atopic dermatitis

  • Used dupilumab 12 weeks prior to Day 1

  • Used doxepin, hydroxyzine or diphenhydramine, urea containing topical products within 1 week prior to Day 1

  • Used systemic antibiotics or topical medicated treatment or other systemic treatments that could affect AD 2 weeks prior to Day 1

  • Received any UV-B phototherapy, excimer laser treatment or psoralen-UV-A treatment within 4 weeks prior to Day 1

Contacts and Locations

Locations

Site City State Country Postal Code
1 Certified Research Associates Cortland New York United States 13045
2 Dermatology Consulting Services, PLLC High Point North Carolina United States 27262
3 Progressive Clinical Research San Antonio Texas United States 78213
4 Spaulding Research Clinic, Inc West Bend Wisconsin United States 53095
5 Innovaderm Recherches Inc Montréal Quebec Canada H2K4L5

Sponsors and Collaborators

  • Asana BioSciences

Investigators

  • Study Director: Niranjan Rao, PhD, Asana BioSciences

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Asana BioSciences
ClinicalTrials.gov Identifier:
NCT03798561
Other Study ID Numbers:
  • ASN008-101
First Posted:
Jan 10, 2019
Last Update Posted:
May 28, 2020
Last Verified:
May 1, 2020
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of May 28, 2020