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The purpose of this research trial was to test different strengths of a new trial medication, delgocitinib cream 1, 3, 8, and 20 mg/g, and to investigate how treatment with delgocitinib cream affects chronic hand eczema. This was judged by a range of assessments that rate the severity and extent of chronic hand eczema and its symptoms, as well as general health status and quality of life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Delgocitinib cream 1 mg/g | Experimental | Delgocitinib cream applied twice daily for 16 weeks. |
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| Delgocitinib cream 3 mg/g | Experimental | Delgocitinib cream applied twice daily for 16 weeks. |
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| Delgocitinib cream 8 mg/g | Experimental | Delgocitinib cream applied twice daily for 16 weeks. |
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| Delgocitinib cream 20 mg/g | Experimental | Delgocitinib cream applied twice daily for 16 weeks. |
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| Delgocitinib cream vehicle | Placebo Comparator | Delgocitinib cream vehicle applied twice daily for 16 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Delgocitinib cream | Drug | Cream for topical application. |
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| Measure | Description | Time Frame |
|---|---|---|
| Investigator's Global Assessment for Chronic Hand Eczema (IGA-CHE) Score of 0 (Clear) or 1 (Almost Clear) With at Least a 2-step Improvement (IGA-CHE Treatment Success) From Baseline to Week 16. | IGA-CHE is an instrument used in clinical trials to rate the severity of subject's global disease stage and is based on a 5-point scale ranging from 0 (clear) to 4 (severe). The multiple comparison procedure - modelling (MCP-Mod) approach was used to guide dose selection. Cochran-Mantel-Haenszel analysis was used to determine the difference in response rates between the active delgocitinib cream doses and delgocitinib cream vehicle. | Week 0 to Week 16. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Hand Eczema Severity Index (HECSI) From Baseline to Week 16. | HECSI is an instrument used in clinical trials to rate the severity of 6 clinical signs of hand eczema and the extent of the lesions on each of 5 hand areas by use of standard scales. The total HECSI score is based on a 4-point severity scale ranging from 0 (none/absent) to 3 (severe) and a 5-point scale rating the affected area(s) ranging from 0 (0% affected area) to 4 (76% to 100% affected area). The lowest HECSI score is 0 and the highest possible is 360. A higher HECSI score is indicating more severe hand eczema. The multiple comparison procedure - modelling (MCP-Mod) approach was used to guide dose selection. A mixed model for repeated measurements (MMRM) analysis was used to determine the difference in the continuous endpoint between the active delgocitinib cream doses and delgocitinib cream vehicle. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Expert | LEO Pharma | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Leo Pharma Investigational Site | Tucson | Arizona | 85724 | United States | ||
| Leo Pharma Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40186746 | Derived | Buhl T, Bauer A, Ehst BD, Thyssen JP, Hahn-Pedersen J, Hagen BF, Apol ED, Agner T. Health-Related Quality of Life in Chronic Hand Eczema in a Phase 2b Trial of Delgocitinib Cream. Dermatol Ther (Heidelb). 2025 May;15(5):1181-1193. doi: 10.1007/s13555-025-01384-4. Epub 2025 Apr 5. | |
| 39428453 | Derived | Weisshaar E, Yuksel YT, Agner T, Larsen LS, Grant L, Arbuckle R, Jones AM, Fromy P, Balita-Crisostomo CL, Mathiasen NN, Thoning H, Apfelbacher C. Development and Validation of a Patient-Reported Outcome Measure of the Impact of Chronic Hand Eczema on Health-Related Quality of Life: the Hand Eczema Impact Scale (HEIS). Dermatol Ther (Heidelb). 2024 Nov;14(11):3047-3070. doi: 10.1007/s13555-024-01267-0. Epub 2024 Oct 21. |
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305 participants were screened for this trial. Of these, 47 participants (15.4%) were screening failures. The main reason for screening failure was failure to meet eligibility criteria (11.8%). The eligibility criterion that was most frequently not met was exclusion criterion 21 (positive HBsAg, HBsAb, HBcAb, or antiHCV serology at screening [3.3%]).
258 participants from 26 sites in 3 countries (U.S., Denmark, Germany) were randomised in this trial. The first participant was screened on 28-Nov-2018 and the last participant completed the trial on 20-Apr-2020.
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| ID | Title | Description |
|---|---|---|
| FG000 | Delgocitinib Cream 1 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. |
| FG001 | Delgocitinib Cream 3 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Dec 7, 2018 |
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| Delgocitinib cream vehicle | Drug | The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient. |
|
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| Week 0 to Week 16. |
| Time to IGA-CHE Treatment Success. | Time to IGA-CHE treatment success response is defined as the time from baseline to first assessment of an IGA-CHE score of 0 (clear) or 1 (almost clear) with at least a 2-step improvement. | Week 0 to Week 16. |
| Hialeah |
| Florida |
| 33012 |
| United States |
| Leo Pharma Investigational Site | Portland | Oregon | 97223 | United States |
| Leo Pharma Investigational Site | Portland | Oregon | 97239-4501 | United States |
| Leo Pharma Investigational Site | Aarhus | 8200 | Denmark |
| Leo Pharma Investigational Site | Copenhagen | 2400 | Denmark |
| Leo Pharma Investigational Site | Hellerup | 2900 | Denmark |
| LEO Pharma Investigational Site | Herlev | 2730 | Denmark |
| Leo Pharma Investigational Site | Berlin | 10117 | Germany |
| Leo Pharma Investigational Site | Bochum | 44791 | Germany |
| Leo Pharma Investigational Site | Bremerhaven | 27574 | Germany |
| Leo Pharma Investigational Site | Dresden | 01307 | Germany |
| Leo Pharma Investigational Site | Düsseldorf | 40225 | Germany |
| Leo Pharma Investigational Site | Gera | 07548 | Germany |
| Leo Pharma Investigational Site | Göttingen | 37075 | Germany |
| Leo Pharma Investigational Site | Jena | 07743 | Germany |
| Leo Pharma Investigational Site | Kiel | 24105 | Germany |
| Leo Pharma Investigational Site | Kiel | 24148 | Germany |
| Leo Pharma Investigational Site | Langenau | 89129 | Germany |
| Leo Pharma Investigational Site | Lübeck | 23538 | Germany |
| Leo Pharma Investigational Site | Mahlow | 15831 | Germany |
| Leo Pharma Investigational Site | Mainz | 55101 | Germany |
| Leo Pharma Investigational Site | Memmingen | 87700 | Germany |
| Leo Pharma Investigational Site | München | 80337 | Germany |
| Leo Pharma Investigational Site | Selters | 56242 | Germany |
| Leo Pharma Investigational Site | Stuttgart | 70178 | Germany |
| Leo Pharma Investigational Site | Stuttgart | 70499 | Germany |
| Leo Pharma Investigational Site | Wuppertal | 42287 | Germany |
| 38485862 | Derived | Molin S, Larsen LS, Joensson P, Oesterdal ML, Arbuckle R, Grant L, Skingley G, Schuttelaar MLA. Development and Psychometric Validation of a Patient-Reported Outcome Measure to Assess the Signs and Symptoms of Chronic Hand Eczema: The Hand Eczema Symptom Diary (HESD). Dermatol Ther (Heidelb). 2024 Mar;14(3):643-669. doi: 10.1007/s13555-024-01114-2. Epub 2024 Mar 15. |
| FG002 | Delgocitinib Cream 8 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. |
| FG003 | Delgocitinib Cream 20 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. |
| FG004 | Delgocitinib Cream Vehicle | Delgocitinib cream vehicle applied twice daily for 16 weeks. Delgocitinib cream vehicle: The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient. |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Delgocitinib Cream 1 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. |
| BG001 | Delgocitinib Cream 3 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. |
| BG002 | Delgocitinib Cream 8 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. |
| BG003 | Delgocitinib Cream 20 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. |
| BG004 | Delgocitinib Cream Vehicle | Delgocitinib cream vehicle applied twice daily for 16 weeks. Delgocitinib cream vehicle: The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient. |
| BG005 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
| ||||||||||||||||
| Baseline IGA-CHE score | IGA-CHE is an instrument used in clinical trials to rate the severity of subject's global disease stage and is based on a 5-point scale ranging from 0 (clear) to 4 (severe). | Count of Participants | Participants |
| |||||||||||||||
| Baseline HECSI score | HECSI is an instrument used in clinical trials to rate the severity of 6 clinical signs of hand eczema and the extent of the lesions on each of 5 hand areas by use of standard scales. The total HECSI score is based on a 4-point severity scale ranging from 0 (none/absent) to 3 (severe) and a 5-point scale rating the affected area(s) ranging from 0 (0% affected area) to 4 (76% to 100% affected area). The lowest HECSI score is 0 and the highest possible is 360. A higher HECSI score is indicating more severe hand eczema. | Mean | Standard Deviation | units on a scale |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Investigator's Global Assessment for Chronic Hand Eczema (IGA-CHE) Score of 0 (Clear) or 1 (Almost Clear) With at Least a 2-step Improvement (IGA-CHE Treatment Success) From Baseline to Week 16. | IGA-CHE is an instrument used in clinical trials to rate the severity of subject's global disease stage and is based on a 5-point scale ranging from 0 (clear) to 4 (severe). The multiple comparison procedure - modelling (MCP-Mod) approach was used to guide dose selection. Cochran-Mantel-Haenszel analysis was used to determine the difference in response rates between the active delgocitinib cream doses and delgocitinib cream vehicle. | FAS | Posted | Count of Participants | Participants | Week 0 to Week 16. |
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| Secondary | Change in Hand Eczema Severity Index (HECSI) From Baseline to Week 16. | HECSI is an instrument used in clinical trials to rate the severity of 6 clinical signs of hand eczema and the extent of the lesions on each of 5 hand areas by use of standard scales. The total HECSI score is based on a 4-point severity scale ranging from 0 (none/absent) to 3 (severe) and a 5-point scale rating the affected area(s) ranging from 0 (0% affected area) to 4 (76% to 100% affected area). The lowest HECSI score is 0 and the highest possible is 360. A higher HECSI score is indicating more severe hand eczema. The multiple comparison procedure - modelling (MCP-Mod) approach was used to guide dose selection. A mixed model for repeated measurements (MMRM) analysis was used to determine the difference in the continuous endpoint between the active delgocitinib cream doses and delgocitinib cream vehicle. | FAS | Posted | Least Squares Mean | Standard Error | score on a scale | Week 0 to Week 16. |
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| Secondary | Time to IGA-CHE Treatment Success. | Time to IGA-CHE treatment success response is defined as the time from baseline to first assessment of an IGA-CHE score of 0 (clear) or 1 (almost clear) with at least a 2-step improvement. | FAS | Posted | Number | days, median | Week 0 to Week 16. |
|
18 weeks (from first application of IMP up until the last visit (safety follow-up visit))
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Delgocitinib Cream 1 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. | 0 | 52 | 0 | 52 | 20 | 52 |
| EG001 | Delgocitinib Cream 3 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. | 0 | 51 | 2 | 51 | 25 | 51 |
| EG002 | Delgocitinib Cream 8 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. | 0 | 52 | 1 | 52 | 25 | 52 |
| EG003 | Delgocitinib Cream 20 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. | 0 | 53 | 0 | 53 | 26 | 53 |
| EG004 | Delgocitinib Cream Vehicle | Delgocitinib cream vehicle applied twice daily for 16 weeks. Delgocitinib cream vehicle: The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient. | 0 | 50 | 0 | 50 | 24 | 50 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dizziness postural | Nervous system disorders | MedDRA (21.1) | Non-systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA (21.1) | Non-systematic Assessment |
| |
| Pemphigoid | Skin and subcutaneous tissue disorders | MedDRA (21.1) | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | MedDRA (21.1) | Non-systematic Assessment |
| |
| Eczema | Skin and subcutaneous tissue disorders | MedDRA (21.1) | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (21.1) | Non-systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (21.1) | Non-systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (21.1) | Non-systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (21.1) | Non-systematic Assessment |
| |
| Toothache | Gastrointestinal disorders | MedDRA (21.1) | Non-systematic Assessment |
| |
| Dermatitis atopic | Skin and subcutaneous tissue disorders | MedDRA (21.1) | Non-systematic Assessment |
|
LEO Pharma A/S seeks publication of all clinical trials in peer-reviewed journals within 18 months after completion or termination of the clinical trial, regardless of whether the findings are positive or negative. After such publication is made public, or if no publication is submitted by LEO Pharma A/S within these 18 months, the investigator has the right to publish the results from the clinical trial generated by him/herself.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical disclosure | LEO Pharma A/S | +45 4494 5888 | disclosure@leo-pharma.com |
| Apr 15, 2021 |
| Prot_SAP_000.pdf |
| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Other |
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| Denmark |
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| Germany |
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| 1 - Almost clear |
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| 2 - Mild |
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| 3 - Moderate |
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| 4 - Severe |
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| Superiority |
| The difference in response rates between the active delgocitinib cream doses and delgocitinib cream vehicle was analysed separately for each of the active dose groups using the Cochran-Mantel-Haenszel test stratified by region and disease severity (baseline IGA-CHE score). The null hypothesis of no difference in response rates between the delgocitinib cream active doses and delgocitinib cream vehicle was tested against the 2-sided alternative that there is a difference. | Cochran-Mantel-Haenszel | >0.05 | The statistical test was not controlled for multiplicity. Data at visits following premature discont. of IMP or initiation of rescue medication before Week 16 were considered missing and imputed as non-responders (as were any other missing data). | Risk Difference (RD) | 13.29 | 2-Sided | 95 | 0.34 | 26.24 | Superiority |
| The difference in response rates between the active delgocitinib cream doses and delgocitinib cream vehicle was analysed separately for each of the active dose groups using the Cochran-Mantel-Haenszel test stratified by region and disease severity (baseline IGA-CHE score). The null hypothesis of no difference in response rates between the delgocitinib cream active doses and delgocitinib cream vehicle was tested against the 2-sided alternative that there is a difference. | Cochran-Mantel-Haenszel | >0.05 | The statistical test was not controlled for multiplicity. Data at visits following premature discont. of IMP or initiation of rescue medication before Week 16 were considered missing and imputed as non-responders (as were any other missing data). | Risk Difference (RD) | -0.03 | 2-Sided | 95 | -10.44 | 10.39 | Superiority |
| The difference in response rates between the active delgocitinib cream doses and delgocitinib cream vehicle was analysed separately for each of the active dose groups using the Cochran-Mantel-Haenszel test stratified by region and disease severity (baseline IGA-CHE score). The null hypothesis of no difference in response rates between the delgocitinib cream active doses and delgocitinib cream vehicle was tested against the 2-sided alternative that there is a difference. | Cochran-Mantel-Haenszel | <0.001 | The statistical test was not controlled for multiplicity. Data at visits following premature discont. of IMP or initiation of rescue medication before Week 16 were considered missing and imputed as non-responders (as were any other missing data). | Risk Difference (RD) | 28.22 | 2-Sided | 95 | 13.8 | 42.64 | Superiority |
| The difference in response rates between the active delgocitinib cream doses and delgocitinib cream vehicle was analysed separately for each of the active dose groups using the Cochran-Mantel-Haenszel test stratified by region and disease severity (baseline IGA-CHE score). The null hypothesis of no difference in response rates between the delgocitinib cream active doses and delgocitinib cream vehicle was tested against the 2-sided alternative that there is a difference. | Cochran-Mantel-Haenszel | <0.001 | The statistical test was not controlled for multiplicity. Data at visits following premature discont. of IMP or initiation of rescue medication before Week 16 were considered missing and imputed as non-responders (as were any other missing data). | Risk Difference (RD) | 29.61 | 2-Sided | 95 | 14.56 | 44.67 | Superiority |
Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. |
| OG003 | Delgocitinib Cream 20 mg/g | Delgocitinib cream applied twice daily for 16 weeks. Delgocitinib cream: Cream for topical application. |
| OG004 | Delgocitinib Cream Vehicle | Delgocitinib cream vehicle applied twice daily for 16 weeks. Delgocitinib cream vehicle: The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient. |
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| OG004 |
| Delgocitinib Cream Vehicle |
Delgocitinib cream vehicle applied twice daily for 16 weeks. Delgocitinib cream vehicle: The cream vehicle is similar to the delgocitinib cream except that it does not contain any active ingredient. |
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