Phase I/IIa Trial to Evaluate AVX001 Gel in Doses of 1% or 3% Compared With Vehicle Over Four Weeks of Field-directed Treatment Period in Adult Subjects With AK

NCT05164393 | Unknown Phase 1

• 2 other identifiers: AVXCLIN0052021-000934-32
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Actinic keratosis (AK), also known as solar keratosis, is a common skin condition characterised by abnormal growth of skin cells caused by long-term sun exposure. AK is considered to be a precancerous lesion, and is therefore commonly treated to reduce the risk of malignant transformation into skin cancer. The trial is a randomised, double-blind, vehicle-controlled, dose-comparison trial in which adult subjects with AK grade 1 or 2 will be treated with AVX001 silicone-based gel in doses of 1% or 3% or with a gel vehicle for a 4-week field-directed treatment period. Subjects will be followed up for 8 weeks after the treatment period. The primary objective is to evaluate the local tolerability of daily applications of AVX001 gel in doses of 1% or 3% and compare with vehicle.

Conditions

Actinic Keratoses

Keywords

Actinic Keratosis; Olsen grade; Actinic Keratosis Field Assessment Scale; Local skin reaction; Topical treatment

Outcome Measures

Primary Outcomes (1)

• Proportion of subjects with local skin reaction (LSR) >2

  Baseline to end of study (12 weeks)

Secondary Outcomes (14)

• Assessment of safety based on frequency of SAEs

  Baseline to end of study (12 weeks)

• Assessment of safety based on frequency of AEs

  Baseline to end of study (12 weeks)

• Assessment of safety based on skin examinations

  Baseline to end of study (12 weeks)

• Assessment of safety based on blood pressure (vital sign)

  Baseline to end of study (12 weeks)

• Assessment of safety based on pulse (vital sign)

  Baseline to end of study (12 weeks)

Other Outcomes (6)

• Changes in AK-FAS , as evaluated by the Central Assessors on the smartphone photos taken by the subjects.

  From Baseline to EOT and EOS

• The level of agreement between AK-FAS in-clinic, and AK-FAS performed remotely by Central Assessors using smartphone photos taken by the subjects

  From Baseline to End of Study

• Proportion of subjects presenting with an LSR>2, as evaluated by the Central Assessors on the smartphone photos taken by the subjects

  from Baseline to EOT, and EOS

Study Arms (3)

AVX001 1%

EXPERIMENTAL

Application of AVX001 1% gel to treatment field once daily

Drug: AVX001

AVX001 3%

EXPERIMENTAL

Application of AVX001 3% gel to treatment field once daily.

Drug: AVX001

AVX001 Vehicle

PLACEBO COMPARATOR

Application of AVX001 vehicle gel to treatment field once daily

Drug: AVX001

Interventions

AVX001 DRUG

Topical gel treatment for once daily application

AVX001 1%; AVX001 3%; AVX001 Vehicle

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Signed and dated informed consent
• ≥ 18 years of age
• Fluent in Danish
• Clinical AK diagnosis confirmed by PI.
• Present an area of 25cm2 with 4 to 8 AK lesions located in face, neck or chest AK lesions in target area severity grade 1 or 2 as defined by the Olsen clinical Criteria for AK
• Able to and willing to follow trial procedures including application of AVX001 and using the Study App.
• Have a suitable smartphone to complete the trial tasks (Android operating system: Android 8.1 or higher; iPhone with iOS 12.4 or higher)
• Female subjects must either be of non-childbearing potential (either be surgically sterile (hysterectomy or tubal ligation) or post-menopausal) or must be using a highly effective method of contraception. Contraception must be maintained for the duration of the study.
• A postmenopausal state is defined as no menses for 12 months without an alternative medical cause.
• A high follicle stimulating hormone (FSH) level in the postmenopausal range may be used to confirm a post-menopausal state in women not using hormonal contraception or hormonal replacement therapy. However in the absence of 12 months of amenorrhea, a single FSH measurement is insufficient. (CTFG 2020)
• For women not taking hormonal contraception with amenorrhea for less than 12 months and just a single FSH measurement in postmenopausal range, a decision can be made by the PI whether it is appropriate for them to undergo a confirmatory FSH measurement or commence a highly effective method of birth control
• Highly effective methods of birth control are defined as those, alone or in combination, that result in a low failure rate (less than 1% per year) when used consistently and correctly. (ICH 2009)
• Such methods include:
• Combined (oestrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation : oral, intravaginal, transdermal
• Progestogen-only hormonal contraception associated with inhibition of ovulation: oral, injectable, implantable

You may not qualify if:

• AK lesions classified as Olsen grade 3 in target area
• Atypical AK lesions in the target area, including suspected SCC or BCC
• Under suspicion of, or current skin cancer diagnosis in the target area. subjects who had BCC, SCC or melanoma and have completed curative therapy at least 12 months prior to screening and are in remission can be considered to participate in the trial by investigator's discretion
• Any dermatological condition in the target area that can be exacerbated by treatment or affect trial assessments, including but not limited to psoriasis vulgaris AD, rosacea, urticaria, scabies, and herpes simplex
• Received immunosuppressive/immunomodulating drugs including but not limited to methotrexate, cyclosporine, azathioprine, oral retinoids, 6 months prior to baseline visit.
• Received systemic corticosteroids including but not limited to betamethasone, prednisone, dexamethasone, methylprednisolone (except if via inhale or intranasal delivery) 6 months prior to baseline visit.
• Received lesion or field directed therapy within 2 cm of the target area for trial treatment one month prior to baseline visit, including topical drugs, including but not limited to
• topical fluorouracil, imiquimod, ingenol mebutate and diclofenac.
• destructive therapies, including but not limited to surgery, cryotherapy, dermabrasion, and photodynamic therapy
• field ablation treatments, including but not limited to chemical peels, laser resurfacing
• Recipient of organ transplant including but not limited to bone marrow, kidney, liver, heart
• Any unstable neurological or psychiatric disorder based on the investigator's opinion which has the potential to affect the safety of the subject, influence on trial objectives or impede the subject's ability to complete the trial.
• History of chronic alcohol or drug abuse within 12 months prior to screening or any condition associated with poor compliance at the investigator's discretion
• Received treatment with any non-approved drug substance within the last 4 weeks prior to baseline visit.
• Known allergy or intolerance to fish, shellfish or fish oil

Sponsors & Collaborators

• Coegin Pharma AB: lead
• Studies&Me: collaborator
• Bispebjerg Hospital: collaborator

Study Sites (1)

Bispebjerg Hospital

Copenhagen, Region Sjælland, 2400, Denmark

Location

Related Publications (1)

• Ortner VK, Johansen B, Kilov K, Castillo Mondragon A, Duvold T, Kihl J, Ashcroft FJ, Feuerherm AJ, Pind Laugesen C, Marcker Espersen ML, Manole I, Isberg AP, Andersen AD, Rakvaag E, Zibert JR, Haedersdal M. The Copenhagen Actinic Keratosis Study (COAKS). A decentralised clinical trial to evaluate tolerability, safety and efficacy of daily field-directed topical treatment with cytosolic phospholipase A2 inhibitor, AVX001, in participants with actinic keratosis: protocol for a randomised controlled phase I/IIa trial. BMJ Open. 2022 Oct 5;12(10):e061012. doi: 10.1136/bmjopen-2022-061012.

  PMID: 36198452 DERIVED

MeSH Terms

Conditions

Keratosis, Actinic

Interventions

AVX001

Condition Hierarchy (Ancestors)

Precancerous Conditions; Neoplasms; Keratosis; Skin Diseases; Skin and Connective Tissue Diseases

Study Officials

• Merete Haedersdal, MD, PhD

  Bispebjerg Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 22, 2021
• First Posted: December 20, 2021
• Study Start: November 2, 2021
• Primary Completion: March 1, 2022
• Study Completion: March 1, 2022
• Last Updated: January 27, 2022

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)