This is a multicenter, open-label Phase 1b study in pediatric patients age 2-11 years old with extensive atopic dermatitis.
The purpose of this multicenter, open-label study is to evaluate the safety, tolerability, and pharmacokinetics of RVT-501 0.5% topical ointment administered twice daily (BID) for 4 weeks in pediatric patients age 2-11 years of age with extensive atopic dermatitis. The efficacy of RVT-501 will also be evaluated as a secondary objective in these patients. The study will consist of three phases: Screening (up to 30 days), Treatment Phase (28 days), and Follow-up (7-10 days).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
24
RVT-501 0.5% topical ointment twice daily (BID) for 4 weeks.
Dermavant Investigational Site
Anniston, Alabama, United States
Dermavant Investigational Site
Irvine, California, United States
Dermavant Investigational Site
Jacksonville, Florida, United States
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
Laboratory values
Selected laboratory data will be summarized by the observed data and by the change from baseline (as appropriate) across time. Incidence of treatment emergent laboratory values that are considered clinically significantly abnormal will be summarized by treatment group.
Time frame: 28 days
Vital signs
Vital signs will be measured in supine or semi-supine position after a 5 minute rest and will include systolic and diastolic blood pressure and pulse rate. Vital sign data will be listed by subject and summarized by treatment.
Time frame: 28 days
Plasma concentrations of RVT-501
PK samples will be collected at week 1 pre-dose, 2-4 hours post-dose, and 6-8 hours post dose for all subjects. At week PK samples will be collected pre-dose. RVT-501 will be measured in plasma by validated assay in all subjects to confirm exposure. These plasma concentrations will be listed by metabolite, subject, treatment, and time; and will be summarized by analyte and time. If data permit, RVT-501 and M11 concentrations will be summarized descriptively at each collection time point.
Time frame: 28 days
Plasma concentrations of M11 metabolite
PK samples will be collected at week 1 pre-dose, 2-4 hours post-dose, and 6-8 hours post dose for all subjects. At week 4 PK samples will be collected pre-dose. The M11 metabolite will be measured in plasma by validated assay in all subjects to confirm exposure. These plasma concentrations will be listed by metabolite, subject, treatment, and time; and will be summarized by metabolite, treatment and time. If data permit, RVT-501 and M11 concentrations will be summarized descriptively at each collection time point.
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Dermavant Investigational Site
Miami, Florida, United States
Dermavant Investigational Site
Miami, Florida, United States
Dermavant Investigational Site
Stockbridge, Georgia, United States
Dermavant Investigational Site
Indianapolis, Indiana, United States
Dermavant Investigational Site
Raleigh, North Carolina, United States
Dermavant Investigational Site
Arlington, Texas, United States
Dermavant Investigational Site
San Antonio, Texas, United States
...and 2 more locations
Time frame: 28 days
Efficacy - Investigators Global Assessment (IGA)
Efficacy will be evaluated as the change from Baseline in IGA score.
Time frame: 28 days
Efficacy - 2-point improvement in IGA
Efficacy will be evaluated by the proportion of patients who achieve an IGA of 0 or 1 with at least a 2-point improvement from Basline
Time frame: 28 days
Efficacy - IGA of 0 or 1 at study end
Efficacy will be evaluated by the proportion of patients who achieve an IGA of 0 or 1 at Week 4.
Time frame: 28 days
Efficacy - Eczema Area and Severity Index (EASI) score
Efficacy will be evaluated as the change from Baseline in EASI score.
Time frame: 28 days
Efficacy - EASI-50
Efficacy will be evaluated by the proportion of patients who achieve at least a 50% reduction from Baseline EASI (EASI-50) at Week 4.
Time frame: 28 days
Efficacy - Peak Pruritus Numeric Rating Scale (NRS)
Efficacy will be evaluated as the change from Baseline in Peak Pruritus as measured with the NRS at Week 4.
Time frame: 28 days
Efficacy - Body Surface Area (BSA)
Efficacy will be evaluated as the change from Baseline in BSA affected by disease at Week 4.
Time frame: 28 days
Efficacy - Patient/caregiver reported itch severity (local)
The patient or their caregiver will assess itch severity at the application site and efficacy will be determined as a change from Baseline.
Time frame: 28 days
Efficacy - Patient/caregiver reported itch severity (global)
The patient or their caregiver will assess global itch severity and efficacy will be determined as change from Baseline.
Time frame: 28 days