Phase 2b Dose-ranging Trial to Evaluate Delgocitinib Cream 1, 3, 8, and 20 mg/g Compared to Delgocitinib Cream Vehicle Over a 16-week Treatment Period in Adult Subjects With Chronic Hand Eczema
A Phase 2b, Double-blind, Randomised, 5-arm, Vehicle-controlled, Dose-ranging Trial to Evaluate the Efficacy and Safety of Twice Daily Topical Application of Delgocitinib Cream 1, 3, 8, and 20 mg/g for 16 Weeks in Adult Subjects With Mild to Severe Chronic Hand Eczema
1 other identifier
interventional
258
3 countries
28
Brief Summary
The purpose of this research trial was to test different strengths of a new trial medication, delgocitinib cream 1, 3, 8, and 20 mg/g, and to investigate how treatment with delgocitinib cream affects chronic hand eczema. This was judged by a range of assessments that rate the severity and extent of chronic hand eczema and its symptoms, as well as general health status and quality of life.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Nov 2018
Shorter than P25 for phase_2
28 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 21, 2018
CompletedFirst Posted
Study publicly available on registry
September 25, 2018
CompletedStudy Start
First participant enrolled
November 28, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 6, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
April 20, 2020
CompletedResults Posted
Study results publicly available
April 19, 2021
CompletedMarch 12, 2025
April 1, 2021
1.3 years
September 21, 2018
March 23, 2021
February 21, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Investigator's Global Assessment for Chronic Hand Eczema (IGA-CHE) Score of 0 (Clear) or 1 (Almost Clear) With at Least a 2-step Improvement (IGA-CHE Treatment Success) From Baseline to Week 16.
IGA-CHE is an instrument used in clinical trials to rate the severity of subject's global disease stage and is based on a 5-point scale ranging from 0 (clear) to 4 (severe). The multiple comparison procedure - modelling (MCP-Mod) approach was used to guide dose selection. Cochran-Mantel-Haenszel analysis was used to determine the difference in response rates between the active delgocitinib cream doses and delgocitinib cream vehicle.
Week 0 to Week 16.
Secondary Outcomes (2)
Change in Hand Eczema Severity Index (HECSI) From Baseline to Week 16.
Week 0 to Week 16.
Time to IGA-CHE Treatment Success.
Week 0 to Week 16.
Study Arms (5)
Delgocitinib cream 1 mg/g
EXPERIMENTALDelgocitinib cream applied twice daily for 16 weeks.
Delgocitinib cream 3 mg/g
EXPERIMENTALDelgocitinib cream applied twice daily for 16 weeks.
Delgocitinib cream 8 mg/g
EXPERIMENTALDelgocitinib cream applied twice daily for 16 weeks.
Delgocitinib cream 20 mg/g
EXPERIMENTALDelgocitinib cream applied twice daily for 16 weeks.
Delgocitinib cream vehicle
PLACEBO COMPARATORDelgocitinib cream vehicle applied twice daily for 16 weeks.
Interventions
Cream for topical application.
The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient.
Eligibility Criteria
You may qualify if:
- Age 18 years or above.
- Diagnosis of chronic hand eczema defined as hand eczema, which has persisted for more than 3 months or returned twice or more within the last 12 months.
- Disease severity graded as mild to severe according to IGA (i.e., IGA ≥2).
- Recent history (within 1 year before the screening visit) of inadequate response to topical corticosteroid treatment or topical corticosteroid treatment being medically inadvisable.
- Diagnostic patch testing performed within 3 years prior to the screening visit.
You may not qualify if:
- Concurrent skin diseases on the hands e.g tinnea manuum.
- Active atopic dermatitis in regions other than the hands or psoriasis requiring medical treatment.
- Clinically significant infection (e.g., impetiginised hand eczema) on the hands.
- Systemic treatment with immunosuppressive drugs, immunomodulating drugs, retinoids, or corticosteroids within 4 weeks prior to baseline.
- Psoralen ultraviolet A (PUVA) or ultraviolet B (UVB) therapy on the hands within 4 weeks prior to baseline.
- Receipt of live attenuated vaccines 4 weeks prior to baseline.
- Cutaneously applied treatment with immunomodulators (e.g., phosphodiesterase-4 (PDE-4) inhibitors, pimecrolimus, tacrolimus) or topical corticosteroids on the hands within 2 weeks prior to baseline.
- Use of systemic antibiotics or cutaneously applied antibiotics on the hands within 2 weeks prior to baseline.
- Change in systemic antihistamine therapy within 2 weeks prior to baseline i.e., subjects must not start antihistamine treatment or change the current dosage regime within 2 weeks prior to baseline.
- Other cutaneously applied therapy on the hands (except for the use of subject's own emollients) within 1 week prior to baseline.
- Cutaneously applied treatments in regions other than the hands, which could interfere with clinical trial evaluations or pose a safety concern within 1 week prior to baseline.
- Receipt of any marketed or investigational biologic agents within 6 months or 5 half-lives prior to baseline or until cells count returns to normal, whichever is longer.
- Clinically significant infection (systemic infection or serious skin infection requiring parenteral treatment) within 4 weeks prior to baseline.
- Tuberculosis requiring treatment within 12 months prior to screening and/or subjects with a positive blood test for tuberculosis at screening.
- History of any known primary immunodeficiency disorder including a positive human immunodeficiency virus (HIV) test at screening, or the subject taking antiretroviral medications.
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- LEO Pharmalead
Study Sites (28)
Leo Pharma Investigational Site
Tucson, Arizona, 85724, United States
Leo Pharma Investigational Site
Hialeah, Florida, 33012, United States
Leo Pharma Investigational Site
Portland, Oregon, 97223, United States
Leo Pharma Investigational Site
Portland, Oregon, 97239-4501, United States
Leo Pharma Investigational Site
Aarhus, 8200, Denmark
Leo Pharma Investigational Site
Copenhagen, 2400, Denmark
Leo Pharma Investigational Site
Hellerup, 2900, Denmark
LEO Pharma Investigational Site
Herlev, 2730, Denmark
Leo Pharma Investigational Site
Berlin, 10117, Germany
Leo Pharma Investigational Site
Bochum, 44791, Germany
Leo Pharma Investigational Site
Bremerhaven, 27574, Germany
Leo Pharma Investigational Site
Dresden, 01307, Germany
Leo Pharma Investigational Site
Düsseldorf, 40225, Germany
Leo Pharma Investigational Site
Gera, 07548, Germany
Leo Pharma Investigational Site
Göttingen, 37075, Germany
Leo Pharma Investigational Site
Jena, 07743, Germany
Leo Pharma Investigational Site
Kiel, 24105, Germany
Leo Pharma Investigational Site
Kiel, 24148, Germany
Leo Pharma Investigational Site
Langenau, 89129, Germany
Leo Pharma Investigational Site
Lübeck, 23538, Germany
Leo Pharma Investigational Site
Mahlow, 15831, Germany
Leo Pharma Investigational Site
Mainz, 55101, Germany
Leo Pharma Investigational Site
Memmingen, 87700, Germany
Leo Pharma Investigational Site
München, 80337, Germany
Leo Pharma Investigational Site
Selters, 56242, Germany
Leo Pharma Investigational Site
Stuttgart, 70178, Germany
Leo Pharma Investigational Site
Stuttgart, 70499, Germany
Leo Pharma Investigational Site
Wuppertal, 42287, Germany
Related Publications (3)
Buhl T, Bauer A, Ehst BD, Thyssen JP, Hahn-Pedersen J, Hagen BF, Apol ED, Agner T. Health-Related Quality of Life in Chronic Hand Eczema in a Phase 2b Trial of Delgocitinib Cream. Dermatol Ther (Heidelb). 2025 May;15(5):1181-1193. doi: 10.1007/s13555-025-01384-4. Epub 2025 Apr 5.
PMID: 40186746DERIVEDWeisshaar E, Yuksel YT, Agner T, Larsen LS, Grant L, Arbuckle R, Jones AM, Fromy P, Balita-Crisostomo CL, Mathiasen NN, Thoning H, Apfelbacher C. Development and Validation of a Patient-Reported Outcome Measure of the Impact of Chronic Hand Eczema on Health-Related Quality of Life: the Hand Eczema Impact Scale (HEIS). Dermatol Ther (Heidelb). 2024 Nov;14(11):3047-3070. doi: 10.1007/s13555-024-01267-0. Epub 2024 Oct 21.
PMID: 39428453DERIVEDMolin S, Larsen LS, Joensson P, Oesterdal ML, Arbuckle R, Grant L, Skingley G, Schuttelaar MLA. Development and Psychometric Validation of a Patient-Reported Outcome Measure to Assess the Signs and Symptoms of Chronic Hand Eczema: The Hand Eczema Symptom Diary (HESD). Dermatol Ther (Heidelb). 2024 Mar;14(3):643-669. doi: 10.1007/s13555-024-01114-2. Epub 2024 Mar 15.
PMID: 38485862DERIVED
Results Point of Contact
- Title
- Clinical disclosure
- Organization
- LEO Pharma A/S
Study Officials
- STUDY DIRECTOR
Medical Expert
LEO Pharma
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 21, 2018
First Posted
September 25, 2018
Study Start
November 28, 2018
Primary Completion
March 6, 2020
Study Completion
April 20, 2020
Last Updated
March 12, 2025
Results First Posted
April 19, 2021
Record last verified: 2021-04
Data Sharing
- IPD Sharing
- Will not share