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| ID | Type | Description | Link |
|---|---|---|---|
| # 133148 | Registry Identifier | Health Canada: Therapeutic Products Directorate |
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Welichem Biotech has developed a small molecule drug candidate, WBI-1001, that selectively targets the pathogenic features of inflammatory skin diseases, including atopic dermatitis (a form of eczema).The purpose of this clinical trial is to further test the safety and efficacy of WBI-1001 as a topically applied cream over an extended period of 12 weeks on patients with mild to moderate atopic dermatitis.
A multi-centered, double-blinded Phase IIb study to evaluate the safety and efficacy of the non-steroid, anti-inflammatory WBI-1001 cream in the topical treatment of patients with mild to moderate atopic dermatitis, expressed as lesions up to 20% BSA. For the first 6 weeks patients will be randomized to one of three treatment groups simultaneously in a ratio of 1:1:1.
Group 1: vehicle cream (placebo), BID; Group 2: 0.5% WBI-1001 cream, BID; Group 3:1.0% WBI-1001 cream, BID. Patients randomized to treat all lesion areas.
After the first 6 weeks all patients will be treated, non-placebo controlled, with WBI-1001 cream. The Group 1 patients will enter a double-blinded phase for a further 6 weeks with half of them being treated BID with 0.5% and half with 1.0% WBI-1001 cream. Groups 2 and 3 will continue with their treatments unchanged for the remaining 6 weeks.
During the treatment period, patients will apply the cream (BID) from the kit that they have been provided, and they will visit the study centre at prescribed times for assessment of efficacy, safety and tolerability. After completion of the 12-week treatment period patients will have a 2-week follow-up visit.
Patients who withdraw from the study before Day 42 for reasons other than a treatment related AE will be replaced so that at least 40 patients per group will complete the placebo-controlled phase.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Placebo Comparator | 0%; vehicle cream |
|
| Group 2 | Active Comparator | 0.5% WBI-1001 cream |
|
| Group 3 | Active Comparator | 1.0% WBI-1001 cream |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WBI-1001 | Drug | A 12-week study to assess the efficacy, safety and tolerability of topically applied WBI-1001 creams. First 6 weeks will be double-blinded, placebo-controlled and the following 6 weeks will be double-blinded, non-placebo- controlled. After 6 weeks patients in Groups 2 and 3 will continue double-blinded treatment for a further 6 weeks, but patients in Group 1 will enter a 6-week double-blinded phase with one of the two active creams (half treated with 0.5% and half with 1.0% WBI-1001 cream). All patients treated twice daily (BID). |
| Measure | Description | Time Frame |
|---|---|---|
| Investigator's Global Assessment (IGA) score | To evaluate the efficacy of the 0.5% and 1.0% WBI-1001 creams in comparison with the vehicle placebo. | The change from baseline to 6 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Eczema Area and Severity Index (EASI) score | Comparison over time with the placebo. | The change from baseline to 6 weeks. |
| Scoring Atopic Dermatitis (SCORAD) Index. | Comparison over time with the placebo. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Liren Tang, Ph.D | Sponsor GmbH | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Guilford Dermatology Associates | Surrey | British Columbia | V3R 6A7 | Canada | ||
| Department of Dermatology and Skin Sciences, UBC |
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| ID | Term |
|---|---|
| D003876 | Dermatitis, Atopic |
| D012871 | Skin Diseases |
| D004485 | Eczema |
| ID | Term |
|---|---|
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
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| ID | Term |
|---|---|
| C571829 | tapinarof |
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|
| Change from baseline to 6 weeks. |
| Clinical laboratory tests (haematology, urine) and vital signs. | From baseline through 12 weeks+2 weeks follow-up |
| Adverse events | From baseline through 12 weeks+2 weeks follow-up |
| BSA and pruritus. | Comparison over time with placebo. | From baseline through 6 weeks. |
| Longterm change in IGA score of WBI-1001 cream groups. | Long term comparison, non-placebo, of the 0.5% and 1.0% cream treated groups of patients | Change from baseline through 12 weeks |
| Statistically significant improvement in the rate of "Treatment Success" with 0.5% and 1.0% WBI-1001 creams compared with placebo. | "Treatment Success" is defined as a patient who (1) achieves "clear" (IGA=0) or "almost clear" (IGA=1) on a five-point IGA scale or (2) has a minimum of 2-point improvement in IGA score over the baseline. | First 6 weeks |
| Vancouver |
| British Columbia |
| V5Z 4E8 |
| Canada |
| Windsor Clinical Research Inc. | Windsor | Ontario | N8W 6A7 | Canada |
| Innovaderm Research Inc. | Montreal | Quebec | H2K 4L5 | Canada |
| Centre de Recherche Dermatologique du Quebec | Québec | Quebec | G1V 4X7 | Canada |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |