This is a multi-center, randomized, vehicle controlled, double-blind Phase 2 study in pediatric patients age 2-17 years old with mild to moderate atopic dermatitis.
The purpose of this study is to evaluate the safety, efficacy, and tolerability of a 0.5% BID concentration of RVT-501 in pediatric patients 2-17 years of age with mild to moderate atopic dermatitis. The pharmacokinetics of RVT-501 will also be evaluated in patients 2-11 years of age.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
110
Patients will receive RVT-501 0.5% ointment twice daily (BID) for 4 weeks.
Placebo comparator - ointment twice daily (BID) for 4 weeks.
Dermavant Investigational Site
Los Angeles, California, United States
Dermavant Investigational Site
Oklahoma City, Oklahoma, United States
Dermavant Investigational Site
Portland, Oregon, United States
Dermavant Investigational Site
Dallas, Texas, United States
Efficacy - Investigator Global Assessment (IGA) score
Efficacy will be assessed by determining the proportion of patients who achieve an Investigator Global Assessment (IGA) score of 0 or 1 and at least a 2-point improvement in IGA at Week 4. The IGA will be assessed at every study visit. The IGA is a 5-point morphological assessment of overall disease severity and will be determined according to the following categories: 0-clear; 1-almost clear; 2-mild disease; 3-moderate disease; 4-severe disease.
Time frame: 28 days
Efficacy - Eczema Area Severity Index (EASI) score
Efficacy will be assessed by determining the proportion of patients who achieve a 50% reduction in Eczema Area Severity Index score (EASI-50) at Week 4.The EASI will be assessed at every study visit. It quantifies the severity of a patient's atopic dermatitis based on both lesion severity and the percent of body surface area affected. The EASI is a composite score ranging from 0-72 that takes into account the degree of erythema, induration/papulation, excoriation, and lichenification (each scored from 0 to 3 separately) for each of four body regions, with adjustment for the percent of BSA involved for each body region and for the proportion of the body region relative to the whole body.
Time frame: 28 days
Efficacy - Peak Pruritus Numeric Rating Scale (NRS)
Efficacy will be assessed as change from Baseline to Week 4 in peak pruritus as measured with the 24-hour Peak Pruritus Numeric Rating Scale (NRS). Peak Pruitus NRS will be measured at each visit. The assessment consists of a patient-rated scale of 0-10, where 0 is "No itch" and 10 is the "Worst itch possible."
Time frame: 28 days
Efficacy - Whole body surface area (BSA) affected
This exploratory endpoint will be evaluated as the change in total score from Baseline at all visits in whole body BSA (body surface area) affected. Whole body BSA affected will be assessed at every visit.
Time frame: 28 days
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Dermavant Investigational Site
San Antonio, Texas, United States
Dermavant Investigational Site
Surrey, British Columbia, Canada
Dermavant Investigational Site
Montreal, Quebec, Canada
Frequency and severity of adverse events (local and systemic)
Adverse events will be coded using the most current release of MedDRA® (Medical Dictionary for Regulatory Activities). The number and proportion of subjects with adverse events will be summarized by treatment, system organ class, and preferred term for all adverse events, all adverse events considered by the investigator to be related to study drug, all serious adverse events, and all adverse events leading to study drug discontinuation
Time frame: 28 days
Plasma concentrations of RVT-501
PK samples will be collected only at the Week 1 visit in 2-11 year old patients. RVT-501 will be measured in plasma by validated assay to confirm exposure.These plasma concentrations will be listed by metabolite, subject, treatment, and time; and will be summarized by analyte and time.
Time frame: 7 days
Plasma concentrations of M11 metabolite
PK samples will be collected only at the Week 1 visit in 2-11 year old patients. The M11 metabolite will be measured in plasma by validated assay to confirm exposure. These plasma concentrations will be listed by metabolite, subject, treatment, and time; and will be summarized by metabolite, treatment and time.
Time frame: 7 days