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To explore the efficacy and pharmacodynamic effects of omiganan topical gel in facial seborrheic dermatitis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Omiganan Topical Gel | Experimental | Omiganan 1.75% |
|
| Ketoconazole Topical Cream | Active Comparator | Ketoconazole 2.0% |
|
| Vehicle | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Omiganan | Drug | Omiganan Topical Gel |
| |
| Ketoconazole |
| Measure | Description | Time Frame |
|---|---|---|
| Seborrheic dermatitis area severity index (SDASI) | Assessment of erythema, scales and papules and each are scored as 0=none to 3=severe. | 6 Weeks |
| Investigator global assessment (IGA) | This is a 5-point scale ranging from 0=clear to 4=severe. | 6 Weeks |
| Area of involvement | Facial area involvement is estimated as a % of the body surface area (BSA) | 6 Weeks |
| Patient Reported Outcome (PRO) - eDiary | Single-question assessment regarding patient's worst itch. On a scale of 0-100, 0=no itch and 100=worst itch. | 4 Weeks |
| PRO - 5-D itch scale | Multidimensional measure of itching. Covers 5 domains: duration, degree, direction, disability and distribution. | 6 Weeks |
| PRO - dermatology life quality index (DLQI) | Asses health-related quality of life in general dermatology disability index | 6 Weeks |
| Standardized photography | Facial photographs will be taken by a 2D camera (VISIA-CR) | 6 Weeks |
| Sebum measurements | Measurement of sebum excretion by Sebumeter |
| Measure | Description | Time Frame |
|---|---|---|
| Skin microbiota | collection of skin culture sample to evaluate skin microbiota | 6 Weeks |
| Skin mycobiota | collection of skin culture sample to evaluate skin mycobiota |
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Inclusion Criteria:
Exclusion Criteria:
Any current and / or recurrent clinical significant skin condition other than SD;
Ongoing use of prohibited SD medication. Washout periods prior to baseline are as follows;
Known hypersensitivity to the compounds or excipients of the compounds;
Tanning due to sunbathing, excessive sun exposure or a tanning booth within 3 weeks of enrollment;
Pregnant, a positive pregnancy test, intending to become pregnant, or breastfeeding;
Participation in an investigational drug or device study within 3 months prior to screening or more than 4 times in the past year;
Loss or donation of blood over 500 mL within three months (males) or four months (females) prior to screening.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Robert Rissmann, PhD | Contact | + 31 (0) 71 5246 400 | clintrials@chdr.nl |
| Name | Affiliation | Role |
|---|---|---|
| Robert Rissmann, PhD | Centre for Human Drug Research | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre for Human Drug Research | Recruiting | Leiden | Netherlands |
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| ID | Term |
|---|---|
| D012628 | Dermatitis, Seborrheic |
| ID | Term |
|---|---|
| D003872 | Dermatitis |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012625 | Sebaceous Gland Diseases |
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| ID | Term |
|---|---|
| C000625752 | Omiganan |
| D007654 | Ketoconazole |
| ID | Term |
|---|---|
| D010879 | Piperazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| Drug |
Ketoconazole Cream |
|
| Placebo | Drug | Vehicle |
|
| 6 Weeks |
| Trans Epidermal Water Loss (TEWL) | To assess barrier status of lesional and non-lesional skin. | 6 Weeks |
| Optical Coherence Tomography (OCT) | Measurement of cutaneous morphology of seborrheic dermatitis | 6 Weeks |
| Liquid chromatography-mass spectrometry (LC-MS) | Will evaluate the changes in lipid composition of stratum corneum (SC). | 6 Weeks |
| 6 Weeks |
| Faecal microbiome | collection of faecal samples to evaluate faecal microbiome | 4 Weeks |
| Adverse events collected throughout the study | 6 Weeks |
| Vital signs performed at screening and end of study | Evaluation of systolic and diastolic blood pressure | 6 Weeks |
| Vital signs performed at screening and end of study | Evaluation of pulse rate | 6 Weeks |
| Vital signs performed at screening and end of study | Evaluation of temperature | 6 Weeks |
| 12-Lead ECGs performed at screening and end of study | Assessment of heart rate | 6 Weeks |
| 12-Lead ECGs performed at screening and end of study | Assessment of PR, QRS, QT, QTcB and QTcF | 6 Weeks |
| Haematology blood sample assessment | Evaluation of blood collected in BD Vacutainer K2EDTA tube. | 6 Weeks |
| Chemistry blood sample assessment | Evaluation of blood collected in BD Vacutainer SST Gel and Clot Activator tube. | 6 Weeks |
| Urinalysis urine sample assessment | Evaluation of urine specimen by dipstick | 6 Weeks |
| Collection of concomitant medications | questionnaire at each visit to collect concomitant medications taken | 6 Weeks |
| D017443 |
| Skin Diseases, Eczematous |
| D017444 | Skin Diseases, Papulosquamous |