BridgeMD
A phase I/II, multicenter, randomized, double-blind, placebo within-patient controlled, first-in-human (FIH) Proof of Concept (PoC) study to evaluate the safety and efficacy of topically applied SXR1096 cream in patients with Netherton syndrome (NS)
EU CTIS ID: 2023-507743-11-00
What this study is testing
The primary objective is to evaluate clinical safety and efficacy of the treatment with the IMP, compared to placebo, in patients with NS.
- Phase I and Phase II (Integrated)- First administration to humans
A plain-language read of the study's public EU CTIS listing. The study team confirms the details.
Who can take part
You may be able to join if
- 1. Male or female patients aged 18 to 65 years at the screening visit and also adolescents (12-17 years) only after initial cohort of 5 adult patients have been treated for at least 7 days (Part A). 2. Patients must be willing to provide written informed consent. Adolescents (as applicable in Part B) are eligible if all inclusion/exclusion criteria are met, benefits outweigh risks, are irreplaceable as a participant, and a legal guardian has conveyed and clarified the Informed Consent information to ascertain the subject’s understanding of it as adequate for the decision. 3. Clinical diagnosis of NS including at least 3 out of the 4 following clinical criteria; a. Neonatal erythroderma b. Bamboo hair and/or alopecia c. Chronic atopy specified as food allergy, asthma, rhino conjunctivitis and/or eczema for at least 2 years d. Ichthyosis linearis circumflexa 4. Patients must be willing and able to understand and can comply with study requirements, apply the medication as instructed and be able to complete the study. 5. Absent LEKTI on immunohistochemistry of skin biopsy and/or confirmed mutation in SPINK5 gene 6. NS involvement ≥ 20% of Body Surface Area (BSA) required at both the screening and baseline visits. 7. Investigator Global Assessment (IGA) of two areas to be treated, score ≥3, i.e. moderate or severe for each area required. Each target area approx. 9% of BSA. i.e. equal to one arm. 8. Female of childbearing potential must either commit true abstinence (as defined as refraining from heterosexual intercourse) during the complete trial when this is in line with the preferred and usual lifestyle of the subject, or use an adequate and approved highly effective method of contraception throughout the study and for 4 weeks after the last study drug application. This criterion also applies to a prepubertal female subject who begins menses during the study. Adequate and approved highly effective methods of contraception applicable for the subject and/or her partner are defined below: • Progestogen-only (oral, transdermal, injectable or implantable) hormonal contraception associated with inhibition of ovulation • Combined (oestrogen- and progestogen-containing) oral, , or transdermal hormonal contraception • Injectable or implanted hormonal contraception • Intrauterine devices or intrauterine hormone-releasing system • Bilateral tubal ligation or tube insert (such as the Essure system) at least 3 months before the study • Vasectomy of partner, confirmed to be the sole sexual partner, at least 3 months before the study with confirmed surgical success. • Female subjects of non-childbearing potential must meet one of the following criteria: • Absence of menstrual bleeding for 1 year prior to screening without any other medical reason • Documented hysterectomy, bilateral salpingectomy, or bilateral oophorectomy at least 3 months before screening • In adolescents who are not yet post-pubertal, eligibility demands the childbearing potential to have been evaluated by a suitably qualified medical practitioner and use of an acceptable sexual maturity rating scale (e.g. Tanner)
You likely can't join if
- 1. Female patient who is pregnant, nursing an infant or planning a pregnancy throughout the course of the study or is unwilling or unable to adhere to the contraception methods described herein 2. Patient with any uncontrolled systemic disease. A potential patient in whom therapy for a systemic disease is not yet stabile for at least 3 months will not be considered for entry into the study. 3. Patient with positive serology tests like HIV, HCV & HBsAg. 4. Patient with presence of any skin disease that might interfere with the diagnosis or evaluation of the test medications. Cutaneous infection within 1 week before the baseline visit or, any infection requiring treatment with oral or parenteral antibiotics, antivirals, antiparasitics, or antifungals within 2 weeks before the baseline visit. 5. Patient that has a condition or is in a situation, which in the investigator's opinion may put the patient at significant risk, may confound the study results, or may interfere significantly with the patient's participation in the study. 6. Use of topical drugs that might alter the course of NS (e.g., topical corticosteroids and topical calcineurin inhibitors) within two weeks before baseline visit. 7. Patient with a known sensitivity to any of the study treatments and/or their components (detailed in Appendix E herein). 8. Patients with contact dermatitis-like reactions to the vehicle cream (placebo) evaluated at Screening (Appendix I) 9. Patient who anticipates a need to use other topical or systemic therapy that might alter the course of NS. Emollients/creams can be used on remaining skin area but not the test areas. Use of topical prescription treatment within 2 weeks prior to initial dosing of study drug. Recent systemic treatment for NS (e.g. systemic corticosteroids, antibiotics, immunosuppressant, biologic and biosimilars treatments). A washout period of 4 weeks will be required for such patients to be eligible to participate in the trial. 10. Patient who anticipates the need for surgery or hospitalization during the study. 11. Concurrent involvement in any other clinical study/expanded access program with an investigational drug or device, or participation in a clinical study within 30 days prior to entering the study. 12. Suspected or confirmed COVID-19 infection within 4 weeks before the screening or baseline visit. Unresolved COVID-19 infection. Planned vaccination for COVID-19 during screening, treatment period or before the follow-up visit.
The study team makes the final eligibility decision.
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 18-64 years. The study team makes the final eligibility decision.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.