This was a Ph2a study that consists of a double-blind, intra-patient placebo-controlled treatment period and an open-label uncontrolled treatment period with objective to evaluate the safety, tolerability, PK and preliminary efficacy of PRN473 in up to 40 patients with mild to moderate AD. On Day 1 (Baseline) of the Blinded Period, 2 target lesions with a difference no greater than 1 point in Total Sign Score (TSS) were randomly assigned to treatment in an intra-patient 1:1 manner, one lesion to PRN473 and the other to matching placebo. Participation took approximately 13 weeks, including up to a 5-week screening period, a 6-week treatment period, end of study assessments 1 day after last dose, and a safety follow-up phone call 2 weeks after last dose.
Study duration per patient was approximately 56 days including a 42-days treatment period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
39
White to off-white gel suspension
White to off-white gel suspension
Collaborative Neuroscience Research-Site Number:8400004
Long Beach, California, United States
California Allergy & Asthma Medical Group-Site Number:8400008
Los Angeles, California, United States
Florida International Research Center-Site Number:8400017
Miami, Florida, United States
Lenus Research & Medical Group-Site Number:8400006
Sweetwater, Florida, United States
Clinical Research Trials of Florida, Inc-Site Number:8400013
Tampa, Florida, United States
Remington Davis Inc-Site Number:8400012
Columbus, Ohio, United States
J&S Studies-Site Number:8400015
Bryan, Texas, United States
Center for Clinical Studies, LTD. LLP-Site Number:8400014
Houston, Texas, United States
Progressive Clinical Research-Site Number:8400002
San Antonio, Texas, United States
Investigational Site Number :1240008
Hamilton, Ontario, Canada
...and 2 more locations
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
An AE was defined as any untoward medical occurrence in a participant temporally associated with the use of investigational medicinal product (IMP), whether or not considered related to the IMP. SAEs were any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were AEs that occurred from the time of the first IMP in the safety analysis period.
Time frame: From the first IMP administration (Day 1) up to Day 58
Number of Participants With Potentially Clinically Significant Abnormalities (PCSA): Vital Signs
Vital signs assessments included supine systolic blood pressure, supine diastolic blood pressure, supine heart rate (HR), and body temperature. Criteria for PCSA: Supine SBP: ≤ 95 mmHg and decrease from baseline ≥ 20 mmHg, ≥ 160 mmHg and increase from baseline ≥ 20 mmHg; Supine DBP : ≤ 45 mmHg and decrease from baseline ≥ 10 mmHg, ≥ 110 mmHg and increase from baseline ≥ 10 mmHg; Orthostatic SBP: ≤ -20 mmHg; Orthostatic DBP: ≤ -10 mmHg; Supine PR: ≤ 50 beats/min and decrease from baseline ≥ 20 beats/min, ≥ 120 beats/min and increase from baseline ≥ 20 beats/min; Weight :≥ 5% decrease from baseline, ≥ 5% increase from baseline
Time frame: From the first IMP administration (Day 1) up to Day 45
Number of Participants With PCSA in 12-Lead Electrocardiogram (ECG)
Criteria for PCSA: HR: less than (\<) 50 beats per minute (bpm), \> 90 bpm, \> 90 bpm and increase from baseline \> = 20 bpm, \> 100 bpm; PR interval: \> 200 milliseconds (msec), \> 200 msec and increase from baseline \>= 25 %, \> 220 msec; QRS interval: greater than (\>) 110 msec, \> 110 msec and increase from baseline greater than or equal to (\>=) 25%, \> 120 msec; QT interval: \> 500 msec; QTc interval \> 450 msec; \> 480 msec, increase from baseline (30-60) msec, increase from baseline \> 60 msec.
Time frame: From the first IMP administration (Day 1) up to Day 45
Number of Participants With PCSA: Hematology
Criteria for PCSA: Hemoglobin (Hb) \<=115 grams per liter (g/L) (Male\[M\]) or \<=95 g/L (Female\[F\]), \>= 185 g/L (M) or \>=165 g/L (F), decrease from baseline \>= 20 g/L; Hematocrit: \<=0.37 volume/volume (v/v) (M) or \<=0.32 v/v (F), \>=0.55 v/v (M) or \>=0.5 v/v (F); Red blood cells (RBC): \>=6 Tera/L; Platelets: \< 100 Giga/L, \>=700 Giga/L; Neutrophils: \<1.5 Giga/L (Non-Black \[NB\]) or \<1.0 Giga/L (Black \[B\]); Lymphocytes: \> 4.0 Giga/L; Monocytes: \>0.7 Giga/L; Basophils: \>0.1 Giga/L; Eosinophils: \>0.5 Giga/L or \>upper limit of normal (ULN) (if ULN \>=0.5 Giga/L).
Time frame: From the first IMP administration (Day 1) up to Day 45
Number of Participants With PCSA: Electrolyte Parameters
Criteria for PCSA: Sodium: \<=129 millimoles (mmol)/L, \>=160 mmol/L; Potassium: \<3 mmol/L, \>=5.5 mmol/L and Chloride: \<80 mmol/L, \>115 mmol/L.
Time frame: From the first IMP administration (Day 1) up to Day 45
Number of Participants With PCSA: Metabolic Parameters
Criteria for PCSA: Glucose: \<=3.9 mmol/L and \< lower limit of normal range (LLN); \>=11.1 mmol/L (unfasted \[unfas\]) or \>=7 mmol/L (fasted \[fas\]); Albumin: \<=25 g/L; Creatine kinase (CK): \> 3 ULN, \> 10 ULN; C-Reactive protein: \> 2 ULN or 10 mg(milligram)/L (if ULN not provided).
Time frame: From the first IMP administration (Day 1) up to Day 45
Number of Participants With PCSA: Renal Function Parameters
Criteria for PCSA: Creatinine: \>=150 micromoles per liter (mcmol/L), \>=30% change from baseline, \>=100% change from baseline.
Time frame: From the first IMP administration (Day 1) up to Day 45
Number of Participants With PCSA: Liver Function Parameters
Liver function parameters assessments included alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase, lactate dehydrogenase, total bilirubin, direct bilirubin, and gamma glutamyl transferase (GGT).
Time frame: From the first IMP administration (Day 1) up to Day 45
Number of Participants With PCSA: Urinalysis
Urinalysis parameters assessments included potential of Hydrogen (pH), urobilinogen, and specific gravity.
Time frame: From the first IMP administration (Day 1) up to Day 45
Percentage of Participants With Application-Site Event During Double-Blind Period
Grading of application-site local tolerability symptoms (burning, pruritus, and erythema) were recorded using the grading scale following each dosing during the double-blind period. Grading of application site tolerability symptoms graded from 0 (none) to 3 (severe).
Time frame: From the first IMP administration (Day 1) up to Week 2
Maximum Plasma Concentration (Cmax) of SAR444727
Plasma samples were collected at indicated timepoints for assessment of SAR444727 concentrations.
Time frame: Day 1, 4 hours post-dose; Day 15, 1 hour post-dose and Day 43, 12 hours post-dose
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