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Phase 2 N=20 Randomized Quadruple-blind Treatment

Topical Aprepitant in Prurigo Patients

Pruritus

Enrolled (actual)
20
Serious AEs
0.0%
Results posted
Jul 2021
Primary outcome: Primary: Pruritus by VAS (Visual Analogue Scale) — 19.7; 21.2 mm — p=0.58

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Aprepitant (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
LEO Pharma
Primary completion
Jul 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Pruritus by VAS (Visual Analogue Scale)
50.8; 58.1; 27.1; 28.7; 19.0; 21.9
SECONDARY
Pruritus by VAS (Visual Analogue Scale)
50.8; 58.1; 27.1; 28.7; 19.0; 21.9
SECONDARY
Change From Baseline in Participants' Global Assessment on Treatment Areas
0.0; 0.0; -0.5; -0.7; -0.6; -0.7
SECONDARY
Clinical Score Assessment of Crusting
1.3; 1.4; 0.9; 1.1; 0.7; 1.0
SECONDARY
Clinical Score Assessment of Erythema
2.0; 2.1; 1.8; 1.8; 1.5; 1.7
SECONDARY
Clinical Score Assessment of Scratch Artefacts
1.7; 1.8; 1.3; 1.3; 1.1; 1.4
SECONDARY
Clinical Score Assessment of Infiltration
1.5; 1.5; 1.3; 1.4; 1.1; 1.3
SECONDARY
Transepidermal Water Loss (TEWL)
20.6; 25.2; 22.7; 24.0; 20.0; 19.9
SECONDARY
Lesional Erythema by Mexameter
438; 453; 527; 463; 464; 491
SECONDARY
Non-lesional Erythema by Mexameter
304; 300; 287; 312; 262; 271
SECONDARY
Melanin by Mexameter
131; 115; 121; 134; 152; 139
SECONDARY
Non-lesional Melanin by Mexameter
127; 129; 165; 215; 149; 166
SECONDARY
Daily Assessments of Duration of Pruritus (Preceding 12 Hours)
3.7; 4.0; NA; NA; 3.5; 3.7
SECONDARY
Daily Assessments of Average Pruritus by Use of a VAS
49.1; 51.3; NA; NA; 45.0; 44.7
SECONDARY
Daily Assessments of Maximum Intensity of Pruritus by Use of a VAS
61.1; 62.7; NA; NA; 49.9; 54.7
SECONDARY
Percent Change From Baseline in Pruritis Assessed by VAS at End of Treatment
50.8; 41.7

Summary

Topical Aprepitant in Prurigo Patients - An Exploratory Phase IIa Trial With Topically Applied Aprepitant in Patients With Prurigo

Eligibility Criteria

Inclusion Criteria

  • Patient with Prurigo suffering from chronic pruritus
  • Disease duration > six month
  • Therapy refractory to at least two previous antipruritic treatments with topical, intralesional or systemic corticosteroids, or other immunosuppressants, antihistamines, antipsychotics, antidepressants, anticonvulsants and/or UV-irradiation
  • Adult male or female patients, aged 18 to 80 years

Exclusion Criteria

  • Concomitant medications that are primarily metabolized through Cytochrome P450 3A4
  • Applied topical antihistamines, corticosteroids or mast cell stabilizers to the skin less than 3 weeks prior to Visit 1 (Screening) or during the course of the trial
  • UV-irradiation during the last 6 weeks prior to Visit 1 (Screening)
  • Prescribed systemic medications are limited
  • Clinically significant abnormalities in Blood analyses
  • Anamnestic excessive use of alcohol or tobacco or drugs
  • Presence of active tumor disease or history of malignancies within five years prior to Visit 1 (Screening)
  • Known or suspected hypersensitivity to component(s) of investigational products
  • Within the last 30 days or current participation in any other interventional clinical trial
  • Subjects who have received treatment with any non-marketed drug substance (i.e., an agent which has not yet been made available for clinical use following registration) within the last 6 month
  • Previously enrolled/randomised in this clinical trial
  • In the opinion of the investigator, the subject is unlikely to comply with the Clinical Study Protocol (e.g., alcoholism, drug dependency or psychotic state)
  • Females who are pregnant, of child-bearing potential and wishing to become pregnant during the trial or are breast feeding
  • Females of child-bearing potential with positive pregnancy test
  • Subjects (or their partner) not using an adequate method of contraception (according to national requirements, as applicable)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01963793). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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