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Lamellar ichthyosis is a congenital disease of the skin with a generalized scaling. The primary activity of liarozole is considered to be the inhibition of the degradation of a substance called retinoic acid, which is the principal endogenous regulator of growth and differentiation of epithelial tissues in mammals. The current study intends to evaluate the efficacy and safety in patients with lamellar ichthyosis.
Lamellar ichthyosis is an autosomal recessive disorder that is apparent at birth and is present throughout life. Although the disorder is not life threatening, it is quite disfiguring and causes considerable psychological stress to affected patients. Prevalence is less than 1 case per 300,000 individuals. Treatment is mainly symptomatic i.e. emollients with or without keratolytic agents. Treatment with systemic retinoids is reserved for those patients, refractory to conventional therapy, because of the long-term adverse effects and teratogenicity of systemic retinoids.
Liarozole may provide a new concept for the treatment of this condition. Because of its mechanism of action, retinoic acid (RA) levels will only be increased in tissues that are targets for RA production.
The proposed Phase II/III study intends to evaluate the efficacy of liarozole compared with placebo, in patients with lamellar ichthyosis.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Liarozole | Drug |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy: Investigator's Global Assessment |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Scaling Score | ||
| Severity scores of other symptoms | ||
| Quality of Life |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Koen van Rossem, MD, PhD | Barrier Therapeutics/ Stiefel, a GSK Company | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Academisch Ziekenhuis Vrije Universiteit Brussel | Brussels | Belgium | ||||
| Geel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 2299598 | Background | Van Wauwe JP, Coene MC, Goossens J, Cools W, Monbaliu J. Effects of cytochrome P-450 inhibitors on the in vivo metabolism of all-trans-retinoic acid in rats. J Pharmacol Exp Ther. 1990 Jan;252(1):365-9. | |
| 1374473 | Background | Van Wauwe J, Van Nyen G, Coene MC, Stoppie P, Cools W, Goossens J, Borghgraef P, Janssen PA. Liarozole, an inhibitor of retinoic acid metabolism, exerts retinoid-mimetic effects in vivo. J Pharmacol Exp Ther. 1992 May;261(2):773-9. |
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| Safety and tolerability |
| Pharmacokinetics |
| Geel |
| Belgium |
| Hôpital Saint-Justine | Montreal | Canada |
| Newlab Clinical Research Inc. | St. John's | Canada |
| Instituto Dermatologico | Santo Domingo | Dominican Republic |
| Hôtel Dieu CHU | Nantes | France |
| Tomesa Fachklinik | Bad Salzschlirf | Germany |
| Dueren | Düren | Germany |
| Otto-von-Guericke-Universität | Magdeburg | Germany |
| University Hospital Muenster | Münster | Germany |
| Fondazione Policlinico Mangiagalli e Regina Elena | Milan | Italy |
| Istituto Dermopatico dell'Immacolata | Rome | Italy |
| Academisch Ziekenhuis Maastricht | Maastricht | Netherlands |
| University Hospital Rotterdam | Rotterdam | Netherlands |
| Rikshospitalet Universitetsklinikk | Oslo | Norway |
| Uppsala University Hospital | Uppsala | Sweden |
| 8129749 | Background | Van Wauwe J, Coene MC, Cools W, Goossens J, Lauwers W, Le Jeune L, Van Hove C, Van Nyen G. Liarozole fumarate inhibits the metabolism of 4-keto-all-trans-retinoic acid. Biochem Pharmacol. 1994 Feb 11;47(4):737-41. doi: 10.1016/0006-2952(94)90137-6. |
| 8757760 | Background | Kang S, Duell EA, Kim KJ, Voorhees JJ. Liarozole inhibits human epidermal retinoic acid 4-hydroxylase activity and differentially augments human skin responses to retinoic acid and retinol in vivo. J Invest Dermatol. 1996 Aug;107(2):183-7. doi: 10.1111/1523-1747.ep12329579. |
| 8546999 | Background | Dockx P, Decree J, Degreef H. Inhibition of the metabolism of endogenous retinoic acid as treatment for severe psoriasis: an open study with oral liarozole. Br J Dermatol. 1995 Sep;133(3):426-32. doi: 10.1111/j.1365-2133.1995.tb02672.x. |
| 11122017 | Background | Berth-Jones J, Todd G, Hutchinson PE, Thestrup-Pedersen K, Vanhoutte FP. Treatment of psoriasis with oral liarozole: a dose-ranging study. Br J Dermatol. 2000 Dec;143(6):1170-6. doi: 10.1046/j.1365-2133.2000.03884.x. |
| 11703279 | Background | Bhushan M, Burden AD, McElhone K, James R, Vanhoutte FP, Griffiths CE. Oral liarozole in the treatment of palmoplantar pustular psoriasis: a randomized, double-blind, placebo-controlled study. Br J Dermatol. 2001 Oct;145(4):546-53. doi: 10.1046/j.1365-2133.2001.04411.x. |
| 9039298 | Background | Lucker GP, Heremans AM, Boegheim PJ, van de Kerkhof PC, Steijlen PM. Oral treatment of ichthyosis by the cytochrome P-450 inhibitor liarozole. Br J Dermatol. 1997 Jan;136(1):71-5. |
| 24102348 | Derived | Vahlquist A, Blockhuys S, Steijlen P, van Rossem K, Didona B, Blanco D, Traupe H. Oral liarozole in the treatment of patients with moderate/severe lamellar ichthyosis: results of a randomized, double-blind, multinational, placebo-controlled phase II/III trial. Br J Dermatol. 2014 Jan;170(1):173-81. doi: 10.1111/bjd.12626. |
| ID | Term |
|---|---|
| D017490 | Ichthyosis, Lamellar |
| ID | Term |
|---|---|
| D016113 | Ichthyosiform Erythroderma, Congenital |
| D007057 | Ichthyosis |
| D012868 | Skin Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D007232 | Infant, Newborn, Diseases |
| D007642 | Keratosis |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C061121 | liarozole |
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