Efficacy and Safety of Two Doses of Liarozole vs. Placebo for the Treatment of Lamellar Ichthyosis
Study Details
Study Description
Brief Summary
Lamellar ichthyosis is a congenital disease of the skin with a generalized scaling. The primary activity of liarozole is considered to be the inhibition of the degradation of a substance called retinoic acid, which is the principal endogenous regulator of growth and differentiation of epithelial tissues in mammals. The current study intends to evaluate the efficacy and safety in patients with lamellar ichthyosis.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2/Phase 3 |
Detailed Description
Lamellar ichthyosis is an autosomal recessive disorder that is apparent at birth and is present throughout life. Although the disorder is not life threatening, it is quite disfiguring and causes considerable psychological stress to affected patients. Prevalence is less than 1 case per 300,000 individuals. Treatment is mainly symptomatic i.e. emollients with or without keratolytic agents. Treatment with systemic retinoids is reserved for those patients, refractory to conventional therapy, because of the long-term adverse effects and teratogenicity of systemic retinoids.
Liarozole may provide a new concept for the treatment of this condition. Because of its mechanism of action, retinoic acid (RA) levels will only be increased in tissues that are targets for RA production.
The proposed Phase II/III study intends to evaluate the efficacy of liarozole compared with placebo, in patients with lamellar ichthyosis.
Study Design
Outcome Measures
Primary Outcome Measures
- Efficacy: Investigator's Global Assessment []
Secondary Outcome Measures
- Overall Scaling Score []
- Severity scores of other symptoms []
- Quality of Life []
- Safety and tolerability []
- Pharmacokinetics []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Subjects of either sex aged 14 years or older.
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Clinical diagnosis of lamellar ichthyosis
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Women of childbearing potential should use appropriate contraception
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Women of childbearing potential should have a negative pregnancy test at screening visit.
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Subjects are, except for their lamellar ichthyosis, in good general health.
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Subjects and legal representative(s), if applicable, signed informed consent.
Exclusion Criteria:
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Subject is receiving topical (except emollient), UV treatment or systemic treatment for ichthyosis.
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Subject is pregnant or breast feeding.
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History or suspicion of alcohol or drug abuse.
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Significant co-existing diseases.
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Clinically significant abnormal ECG
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History of hypersensitivity to retinoids or any of the ingredients in the trial medication.
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Clinically relevant laboratory abnormalities at screening.
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Use of immune-suppressive drugs including topical or systemic corticosteroids.
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Participation in an investigational trial 30 days prior to the start of the trial.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Academisch Ziekenhuis Vrije Universiteit Brussel | Brussels | Belgium | ||
2 | Geel | Geel | Belgium | ||
3 | Hôpital Saint-Justine | Montreal | Canada | ||
4 | Newlab Clinical Research Inc. | St John | Canada | ||
5 | Instituto Dermatologico | Santo Domingo | Dominican Republic | ||
6 | Hôtel Dieu CHU | Nantes | France | ||
7 | Tomesa Fachklinik | Bad Salzschlirf | Germany | ||
8 | Dueren | Dueren | Germany | ||
9 | Otto-von-Guericke-Universität | Magdeburg | Germany | ||
10 | University Hospital Muenster | Muenster | Germany | ||
11 | Fondazione Policlinico Mangiagalli e Regina Elena | Milano | Italy | ||
12 | Istituto Dermopatico dell'Immacolata | Rome | Italy | ||
13 | Academisch Ziekenhuis Maastricht | Maastricht | Netherlands | ||
14 | University Hospital Rotterdam | Rotterdam | Netherlands | ||
15 | Rikshospitalet Universitetsklinikk | Oslo | Norway | ||
16 | Uppsala University Hospital | Uppsala | Sweden |
Sponsors and Collaborators
- Stiefel, a GSK Company
Investigators
- Study Director: Koen van Rossem, MD, PhD, Barrier Therapeutics/ Stiefel, a GSK Company
Study Documents (Full-Text)
None provided.More Information
Publications
- Berth-Jones J, Todd G, Hutchinson PE, Thestrup-Pedersen K, Vanhoutte FP. Treatment of psoriasis with oral liarozole: a dose-ranging study. Br J Dermatol. 2000 Dec;143(6):1170-6.
- Bhushan M, Burden AD, McElhone K, James R, Vanhoutte FP, Griffiths CE. Oral liarozole in the treatment of palmoplantar pustular psoriasis: a randomized, double-blind, placebo-controlled study. Br J Dermatol. 2001 Oct;145(4):546-53.
- Dockx P, Decree J, Degreef H. Inhibition of the metabolism of endogenous retinoic acid as treatment for severe psoriasis: an open study with oral liarozole. Br J Dermatol. 1995 Sep;133(3):426-32.
- Kang S, Duell EA, Kim KJ, Voorhees JJ. Liarozole inhibits human epidermal retinoic acid 4-hydroxylase activity and differentially augments human skin responses to retinoic acid and retinol in vivo. J Invest Dermatol. 1996 Aug;107(2):183-7.
- Lucker GP, Heremans AM, Boegheim PJ, van de Kerkhof PC, Steijlen PM. Oral treatment of ichthyosis by the cytochrome P-450 inhibitor liarozole. Br J Dermatol. 1997 Jan;136(1):71-5.
- Van Wauwe J, Coene MC, Cools W, Goossens J, Lauwers W, Le Jeune L, Van Hove C, Van Nyen G. Liarozole fumarate inhibits the metabolism of 4-keto-all-trans-retinoic acid. Biochem Pharmacol. 1994 Feb 11;47(4):737-41.
- Van Wauwe J, Van Nyen G, Coene MC, Stoppie P, Cools W, Goossens J, Borghgraef P, Janssen PA. Liarozole, an inhibitor of retinoic acid metabolism, exerts retinoid-mimetic effects in vivo. J Pharmacol Exp Ther. 1992 May;261(2):773-9.
- Van Wauwe JP, Coene MC, Goossens J, Cools W, Monbaliu J. Effects of cytochrome P-450 inhibitors on the in vivo metabolism of all-trans-retinoic acid in rats. J Pharmacol Exp Ther. 1990 Jan;252(1):365-9.
- BT0500INT001