Phase 2
Completed N=63
A Maximal Use Trial Evaluating the Pharmacokinetic Profile of MC2-01 Cream
Source: ClinicalTrials.gov NCT03462927 ↗Enrolled (actual)
63
Serious AEs
1.6%
Results posted
Dec 2019
Primary outcomePrimary: Maximum Plasma Concentration (Cmax) of the Active Ingredient Calcipotriene — 30.2; 30.0 pg/mL
Summary
This is a phase 2, randomised, open-label, parallel-group, multicentre trial in which MC2-01 cream and calcipotriene [CAL]/betamethasone [BDP] ointment (comparator) is investigated in subjects with clinically diagnosed extensive psoriasis vulgaris.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Maximum Plasma Concentration (Cmax) of the Active Ingredient Calcipotriene |
30.0 | — |
| PRIMARY Maximum Plasma Concentration (Cmax) of Active Ingredient Betamethasone Dipropionate |
20.0 | — |
| PRIMARY Maximum Plasma Concentration (Cmax) of the Metabolite MC1080 |
29.1 | — |
| PRIMARY Maximum Plasma Concentration (Cmax) of Metabolite Betamethasone 17-propionate |
26.2 | — |
| SECONDARY Number of Subjects With Hypothalamic-pituitary-adrenal [HPA] Suppression After 4 Weeks of Treatment |
1 | — |
| SECONDARY Number of Subjects With Hypothalamic-pituitary-adrenal [HPA] Suppression After 8 Weeks of Treatment |
2 | — |
| SECONDARY Calcium Metabolism Evaluation in Albumin-corrected Serum Calcium |
0.00 | — |
| SECONDARY Calcium Metabolism Evaluation of 24-hour Urinary Calcium Excretion |
-0.45 | — |
| SECONDARY Calcium Metabolism Evaluation of the Ratio of Urinary Calcium to Creatinine |
0.00 | — |
Eligibility Criteria
Inclusion Criteria
- Have provided written informed consent.
- Generally healthy males or non-pregnant females, of any race or ethnicity, who are at least 18 years of age at the time of screening.
- At Visit 1/Day 0, have a clinical diagnosis of plaque psoriasis (psoriasis vulgaris) of at least 6 months duration involving scalp and body (trunk and/or limbs) that is amenable to topical treatment with a maximum of 100 g of trial medication per week.
- Have a Physician's Global Assessment [PGA] of severity of at least moderate on the trunk, limbs and/or scalp, at Visit 1/Day 0.
- Have a treatment area between 20% and 30% of the body surface area [BSA] on the trunk, limbs and/or scalp, excluding psoriatic lesions on the face, genitals, and intertriginous areas, at Visit 1/Day 0.
Exclusion Criteria
- Current diagnosis of unstable forms of psoriasis
- Other inflammatory skin disease in the treatment area
- Pigmentation, extensive scarring, pigmented lesions or sunburn in the treatment areas
- Planned exposure to natural or artificial sunlight
- Phototherapy and ultraviolet B radiation within 4 weeks prior to Visit 1/Baseline and during the trial;
- Current or past history of hypercalcemia, vitamin D toxicity, severe renal insufficiency, or severe hepatic disorders;
- Oral calcium supplements, vitamin D supplements, bisphosphonates or calcitonin within 4 weeks prior to Visit 1/Day 0 during the trial period.
- Planned initiation of, or changes to concomitant medication that could affect calcium metabolism during the trial;
- Planned initiation of, or changes to, concomitant estrogen therapy during the trial;
- Strong systemic cytochrome P450 3A4 (CYP 3A4) inhibitors within 4 weeks prior to Vist 1/Day 0 and during the trial period;
- Use of topical treatments, except for emollients and non-medicated shampoos, with a possible effect on psoriasis within 2 weeks prior to Visit 1/Day 0 and during the trial period;
- Systemic treatment with biological therapies
- Initiation of, or expected changes to, concomitant medication that may affect psoriasis during the trial period;
- Depression and endocrine disorders known to affect cortisol levels or HPA axis integrity, non-nocturnal sleep patterns
- Systemic medication that suppresses the immune system within 4 weeks prior to the Visit 1/Day 0 and during the trial period;
- Clinical signs of skin infection with bacteria, viruses, or fungi;
- Known human immunodeficiency virus [HIV] infection;
- Known or suspected of hypersensitivity to any component of the test product or reference product;
- Any chronic or acute medical condition that may pose a risk to the safety of the subject, or may interfere with the assessment of safety or efficacy in this trial;
Data sourced from ClinicalTrials.gov (NCT03462927). 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. Informational only — not medical advice.