This study will assess the safety and efficacy of ARQ-252 cream in subjects with chronic hand eczema
This is a Phase 1/2b multiple dose, parallel group, double blind, vehicle-controlled study of the safety and efficacy of ARQ-252 cream in subjects with chronic hand eczema
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
230
ARQ-252 cream 0.3%
ARQ-252 cream 0.1%
ARQ-252 Vehicle Cream
Cohort 1: Number of Participants With ≥1 Adverse Event (AE)
The number of Cohort 1 participants with an AE is reported. An AE is any untoward or unfavorable medical occurrence in a human participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to participation in the research.
Time frame: Up to 3 weeks
Cohort 1: Number of Participants With an Application Site Reaction
The number of Cohort 1 participants with AEs coded as application site events is reported.
Time frame: Up to 3 weeks
Cohort 1: Number of Participants With ≥1 Serious Adverse Event (SAE)
The number of Cohort 1 participants with an SAE is reported. An SAE is any AE that results in death, is life-threatening (places the subject at immediate risk of death from the event as it occurred), requires inpatient hospitalization or prolongation of existing hospitalization, results in a persistent or significant disability/incapacity, results in a congenital anomaly/birth defect, or is any other adverse event that, based upon appropriate medical judgment, may jeopardize the subject's health.
Time frame: Up to 3 weeks
Cohort 1: Number of Participants With Significant Changes in Hematology Laboratory Parameters
The number of Cohort 1 participants with a significant change in hematology is reported.
Time frame: Up to 3 weeks
Cohort 1: Number of Participants With Significant Changes in Chemistry Laboratory Parameters
The number of Cohort 1 participants with a significant change in chemistry is reported.
Time frame: Up to 3 weeks
Cohort 2: Investigator's Global Assessment (IGA) Score of 'Clear' or 'Almost Clear' at Week 12
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Arcutis Clinical Site 239
Beverly Hills, California, United States
Arcutis Clinical Site 225
Encino, California, United States
Arcutis Clinical Site 112
Fremont, California, United States
Arcutis Clinical Site 120
Irvine, California, United States
Arcutis Clinical Site 208
Santa Monica, California, United States
Arcutis Clinical Site 174
Aventura, Florida, United States
Arcutis Clinical Site 167
Coral Gables, Florida, United States
Arcutis Clinical Site 104
Sanford, Florida, United States
Arcutis Clinical Site 214
Indianapolis, Indiana, United States
Arcutis Clinical Site 217
Louisville, Kentucky, United States
...and 27 more locations
The IGA is 5-point scale assessing the severity of hand eczema; scores range from 0 ('completely clear') to 4 ('severe'), with higher scores indicating greater severity. The number of participants with an IGA score of 'clear' or 'almost clear' at Week 12 is presented.
Time frame: Week 12
Cohort 2: Achievement of IGA Score of 'Clear' or 'Almost Clear' PLUS at Least a 2-point Improvement From Baseline
The IGA is 5-point scale assessing the severity of hand eczema, with scores ranging from 0 ('completely clear') to 4 ('severe'), with higher scores indicating greater severity. The number of participants with an IGA score of 'clear' or 'almost clear' plus ≥2-point improvement (ie, decrease) from Baseline is presented.
Time frame: Weeks 2, 4, 8 and 12
Cohort 2: Achievement of at Least a 2-point Improvement in IGA Score From Baseline
The IGA is 5-point scale assessing the severity of hand eczema, with scores ranging from 0 ('completely clear') to 4 ('severe'), with higher scores indicating greater severity. The number of participants with ≥2-point improvement from baseline in IGA score is presented.
Time frame: Weeks 2, 4, 8 and 12
Cohort 2: Achievement of IGA Score of 'Clear' or 'Almost Clear'
The IGA is 5-point scale assessing the severity of hand eczema, with scores ranging from 0 ('completely clear') to 4 ('severe'), with higher scores indicating greater severity. The number of participants with ≥2-point improvement from baseline is presented.
Time frame: Weeks 2, 4, and 8
Cohort 2: Change From Baseline in Investigator's Global Assessment (IGA) Score
The IGA is 5-point scale assessing the severity of hand eczema, with scores ranging from 0 ('completely clear') to 4 ('severe'), with higher scores indicating greater severity. The mean change from baseline in IGA score is presented, with lower scores indicating a reduction in symptom severity.
Time frame: Weeks 2, 4, 8, and 12
Cohort 2: Change From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) Score
The WI-NRS is a simple, single item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("no itch") to 10 ("worst imaginable itch") the subject experienced in the previous 24 hours. The mean change from baseline in WI-NRS is reported.
Time frame: Weeks 2, 4, 8, and 12
Cohort 2: Achievement of ≥4-point Reduction From Baseline in Worst Itch Numeric Rating Scale (WI-NRS) Pruritus Score
The WI-NRS is a simple, single item scale to assess the subject-reported severity of this symptom, on a scale ranging from 0 ("no itch") to 10 ("worst imaginable itch") the subject experienced in the previous 24 hours (higher scores indicate higher itch severity). The mean change from baseline in WI-NRS is reported. The number of participants with a baseline WI-NRS score of ≥4 who achieved a ≥4-point reduction is reported.
Time frame: Weeks 2, 4, 8, and 12
Cohort 2: Change From Baseline in Hand Eczema Severity Index (HECSI) Score
The HECSI is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) on 5 areas of the hand (fingertips, fingers \[except tips\], palm, back of hand, wrists) by use of a standard scale. Each subscale is scored from 0 to 60; the total HECSI score ranges from 0 to 360 with higher scores indicating greater symptom severity. The mean change from baseline in HECSI is reported.
Time frame: Weeks 2, 4, 8, and 12
Cohort 2: Change From Baseline in Numerical Rating Scale (NRS) for Pain Score
The NRS Pain Scale is a widely-used instrument for pain screening. Participants rate the intensity of pain experienced in the past 24 hours on a scale from 0 ('no pain at all') to 10 ('worst pain possible'). The mean change from baseline NRS Pain score is reported.
Time frame: Weeks 2, 4, 8, and 12
Cohort 2: The Rate of Achievement of ≥4-point Reduction From Baseline in Pain Numerical Rating Scale (NRS) Score
The NRS Pain Scale is a widely-used instrument for pain screening. Participants rate the intensity of pain experienced in the past 24 hours on a scale from 0 ('no pain at all') to 10 ('worst pain possible'). The number of participants with ≥4-point reduction from baseline NRS Pain score is reported.
Time frame: Weeks 2, 4, 8, and 12
Cohort 2: Change From Baseline in Overall Quality of Life in Hand Eczema Questionnaire (QOLHEQ) Score at Each Visit
The QOLHEQ is an instrument to assess disease specific Health Related Quality of Life (HRQOL) in patients suffering from hand eczema. The QOLHEQ is a disease specific instrument, thereby only assessing impairments caused by hand eczema. It consists of 30 items which can be summarized according to four domains of HRQOL: Impairments because of (1) symptoms, (2) emotions, (3) limitations in functioning or (4) because of treatment and prevention. The scoring ranges from 0 ('no eczema') to 117 ('most severe eczema').
Time frame: Weeks 2, 4, 8, 12, 13
Cohort 2: Change From Baseline in Total Body Surface Area (BSA) Affected by Disease
The percentage of total body surface area (BSA) affected by chronic hand eczema (CHE) is a measure of the area of the subject's hands that is affected by CHE lesions, expressed as a percentage of total BSA. Based on the subject's hand method, the BSA of 1 side of 1 hand is assumed to be 1% of total BSA. The surface area of lesions on both sides of both hands are added to calculate the total BSA affected by CHE. The total BSA affected by CHE ranges from 0% (no CHE lesions) to 4% (the entire front and back sides of both hands are affected by CHE lesions).
Time frame: Weeks 2, 4, 8, 12