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The aim of this study is to assess irritant or allergic response of 3 developmental cosmetic facial products following a conventional human repeated insult patch test methodology for 6 weeks.
A randomized, single blind (evaluator), single-center, Human Repeat Insult Patch Test (HRIPT) study in healthy adult participants aged 18 to 65 years to evaluate the cutaneous irritation and contact sensitization potential of 3 cosmetic facial skincare products. The participants will undergo repeated cutaneous application of semi-occlusive patch of 3 cosmetic facial skincare products and a reference product as a negative control (saline solution). HRIPT is a long standing, standard method to determine whether exposure to a topical product will elicit a cutaneous (dermal) irritant or allergic response (sensitization) under exaggerated (occluded) conditions. Screening of the participants will be performed at Visit 1 (i.e. from Day 0 to Day 14). The study will progress in 3-phases: Induction phase, Rest Phase and Challenge Phase. The Induction phase will continue for 3 consecutive weeks (Visit 2 to Visit 10); at visit 2, the area for patch application will be designated between the scapula and waistline, away from the spinal mid-line. A controlled amount (0.02 milliliters per centimeters square [mL/cm^2]) of each study product will be randomly assigned within the patch system of each participant into the appropriate separate cell (3 cells for each of the test products and 1 cell for the saline solution). Each patch will remain in place for 48 (± 4) hours on weekdays and 72 (± 4) hours on weekend. Induction phase will be followed by 2-week (Visit 11) Rest phase; where there will be no product or patch applications. Rest phase is further followed by Challenge phase at week 6 (Visit 12 to Visit 15) in which a naïve area of the skin will be selected and a new patch with each of the cells filled with study products will be applied. After 48 (±4) hours of patch application, participants will return to the site, the patch will be removed, and subsequent test-site evaluations will be performed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Developmental Serum | Experimental | The participants will be applied a semi-occlusive adhesive patch containing the developmental serum (0.02 milliliters per centimeters square [mL/cm^2] in an individual cell of the patch) topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 hours in weekdays and 72 hours in weekends) and for 48 hours (single application) in the challenge phase. |
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| Developmental Lotion | Experimental | The participants will be applied a semi-occlusive adhesive patch containing the developmental lotion (0.02 mL/cm^2 in an individual cell of the patch) topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 hours in weekdays and 72 hours in weekends) and for 48 hours (single application) in the challenge phase. |
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| Developmental Cream | Experimental | The participants will be applied a semi-occlusive adhesive patch containing the developmental cream (0.02 mL/cm^2 in an individual cell of the patch) topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 hours in weekdays and 72 hours in weekends) and for 48 hours (single application) in the challenge phase. |
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| Negative Control | Placebo Comparator | The participants will be applied a semi-occlusive adhesive patch containing the 0.9 percent (%) normal saline (0.02 mL/cm^2 in an individual cell of the patch) topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 hours in weekdays and 72 hours in weekends) and for 48 hours (single application) in the challenge phase. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Serum | Other | Participants will be topically applied serum to the dorsum, under a semi-occlusive patch (0.02 milliliters per centimeters square [mL/cm^2] of serum in an individual cell of patch) |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Potential Sensitisation Reactions as Assessed by Dermatologist on Day 40 | Human repeated insult patch test (HRIPT) reactions as per (ICDRG) were scored by trained blind evualuator on the scale of '- to +++', where '-':negative reaction,'?+':doubtful reaction; faint erythema only,'+': weak (non-vesicular) positive reaction;erythema, infiltration and possibly papules,'++': strong (vesicular) positive reaction; erythema, infiltration, papules and vesicles,'+++': extreme positive reaction; bullous reaction, intense erythema and infiltration, coalescing vesicles. Score '-' indicated no adverse reaction, whereas, '+++' indicated very strong adverse reaction. Any positive reaction (a score of '+' or greater) was considered as potential sensitization based upon dermatologist discretion. The assessment of positive reactions was determined by the blinded dermatologist and reported as Yes/ No/ Unable to determine. Percentage of participants with potential sensitization (count of "Yes"/ total reactions) were reported in form of numbers in this outcome measure. | Day 40 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With a Positive Reaction Score (Score of '+' or Greater) as Assessed by a Trained Evaluator | HRIPT reactions as per ICDRG were scored by trained blind evaluator on the scale of '- to +++', where '-':negative reaction,'?+':doubtful reaction; faint erythema only,'+': weak (non-vesicular) positive reaction;erythema, infiltration and possibly papules,'++': strong (vesicular) positive reaction; erythema, infiltration, papules and vesicles,'+++': extreme positive reaction; bullous reaction, intense erythema and infiltration, coalescing vesicles. Score '-' indicated no adverse reaction, whereas, '+++' indicated very strong adverse reaction. Any positive reaction (a score of '+' or greater) was considered as potential sensitization based upon dermatologist discretion. The assessment was determined by the blinded dermatologist and reported as a score of '+' or greater. Percentage of participants with any positive reaction (a score of '+' or greater) will be reported in numbers in this outcome measure. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline (for GlaxoSmithKline; Human Genome Sciences Inc., a GSK Company; Sirtris, a GSK Company; Stiefel, a GSK Company; ViiV Healthcare) | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Campinas | São Paulo | 13084-791 | Brazil |
IPD for this study will be made available via the Clinical Study Data Request site
IPD will be made available within 6 months of publishing the results of the primary endpoints of the study.
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.
A total of 369 participants were screened, of which 302 participants were enrolled and 280 participants were randomized in induction phase and 258 participants went into the challenge phase.
Participants were recruited from one center in Brazil.
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| ID | Title | Description |
|---|---|---|
| FG000 | Overall Participants | Participants applied a semi-occlusive adhesive patch containing the test products 0.02 milliliters per centimeters square (mL/cm^2) and 0.9% NaCl as negative control in an individual cell of the patch topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 (+/-4) hours in weekdays and 72 (+/-4) hours in weekends. Patch was removed and area was gently wiped. After 30 minutes (min), test sites were evaluated as per the International Contact Dermatitis Research Group (ICDRG) scale. After 2 weeks of rest phase, participants followed the similar procedure with single application for 48 (+/-4) hours in the challenge phase. After 30 min, test sites were evaluated. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
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| Induction Phase |
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| Rest Phase |
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| Challenge Phase |
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Safety Population included all randomized participants who received at least 1 dose of any study product.
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| ID | Title | Description |
|---|---|---|
| BG000 | Overall Participants | Participants applied a semi-occlusive adhesive patch containing the test products 0.02 mL/cm^2 and 0.9% NaCl as negative control in an individual cell of the patch topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 (+/-4) hours in weekdays and 72 (+/-4) hours in weekends. Patch was removed and area was gently wiped. After 30 min, test sites were evaluated as per the ICDRG scale. After 2 weeks of rest phase, participants followed the similar procedure with single application for 48 (+/-4) hours in the challenge phase. After 30 min, test sites were evaluated. |
| 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 |
| 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 | Percentage of Participants With Potential Sensitisation Reactions as Assessed by Dermatologist on Day 40 | Human repeated insult patch test (HRIPT) reactions as per (ICDRG) were scored by trained blind evualuator on the scale of '- to +++', where '-':negative reaction,'?+':doubtful reaction; faint erythema only,'+': weak (non-vesicular) positive reaction;erythema, infiltration and possibly papules,'++': strong (vesicular) positive reaction; erythema, infiltration, papules and vesicles,'+++': extreme positive reaction; bullous reaction, intense erythema and infiltration, coalescing vesicles. Score '-' indicated no adverse reaction, whereas, '+++' indicated very strong adverse reaction. Any positive reaction (a score of '+' or greater) was considered as potential sensitization based upon dermatologist discretion. The assessment of positive reactions was determined by the blinded dermatologist and reported as Yes/ No/ Unable to determine. Percentage of participants with potential sensitization (count of "Yes"/ total reactions) were reported in form of numbers in this outcome measure. | The Safety Population comprised all randomized participants who received application of any of the study products.Number analyzed in this outcome measure signifies those who were evaluated. | Posted | Number | Number of participants | Day 40 |
Upto Day 40
The Safety Population included all randomized participants who received at least 1 dose of any study product. All adverse events (AEs) were summarized by system organ class and preferred term. All treatment emergent AEs and serious adverse events (SAEs) were collected and reported.
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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 | Developmental Serum | Participants applied a semi-occlusive adhesive patch containing the developmental serum 0.02 mL/cm^2 in an individual cell of the patch topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 (+/-4) hours in weekdays and 72 (+/-4) hours in weekends. Patch was removed and area was gently wiped. After 30 min, test sites were evaluated as per the ICDRG scale. After 2 weeks of rest phase, participants followed the similar procedure with single application for 48 (+/-4) hours in the challenge phase. After 30 min, test sites were evaluated. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Alcohol Poisoining | Injury, poisoning and procedural complications | MedDRA v22.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | MedDRA v22.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| GSK Response Center | GlaxoSmithKline | 866-435-7343 | GSKClinicalSupportHD@gsk.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Feb 7, 2020 | Nov 12, 2020 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 16, 2019 | Nov 12, 2020 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
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The human repeated insult patch test (HRIPT) is a long standing, standard method to determine whether exposure to a topical product will elicit a cutaneous (dermal) irritant or allergic response (sensitization) under exaggerated (occluded) conditions.
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| Lotion | Other | Participants will be topically applied lotion to the dorsum, under a semi-occlusive patch (0.02mL/cm^2 of lotion in an individual cell of patch) |
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| Cream | Other | Participants will be topically applied cream to the dorsum, under a semi-occlusive patch (0.02mL/cm^2 of cream in an individual cell of patch) |
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| Normal Saline | Other | Participants will be topically applied normal saline to the dorsum, under a semi-occlusive patch (0.02mL/cm^2 of normal saline in an individual cell of patch) |
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| Day 40 |
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| Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Fitzpatrick Skin Type Grading | Fitzpatrick scale was used to classify participant's skin type by their response to sun exposure and confirm that participants were free of any pre-existing dermatological pathology.This scale emphasizes on potentials for irritation, burns and hyperpigmentation, indicators for future product choices. Scoring was done on scale I to VI, where I-always burns easily;never tans,II-always burns easily;tans minimally,III-burns moderately;tans gradually,IV-burns minimally, always tans well, V-rarely burns, tans profusely and VI-never burns. Higher score represents better results. | Number | Number of Participants |
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| ID | Title | Description |
|---|---|---|
| OG000 | Developmental Serum | Participants applied a semi-occlusive adhesive patch containing the developmental serum 0.02 mL/cm^2 in an individual cell of the patch topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 (+/-4) hours in weekdays and 72 (+/-4) hours in weekends. Patch was removed and area was gently wiped. After 30 min, test sites were evaluated as per the ICDRG scale. After 2 weeks of rest phase, participants followed the similar procedure with single application for 48 (+/-4) hours in the challenge phase. After 30 min, test sites were evaluated. |
| OG001 | Developmental Lotion | Participants applied a semi-occlusive adhesive patch containing the developmental lotion 0.02 mL/cm^2 in an individual cell of the patch topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 (+/-4) hours in weekdays and 72 (+/-4) hours in weekends. Patch was removed and area was gently wiped. After 30 min, test sites were evaluated as per the ICDRG scale. After 2 weeks of rest phase, participants followed the similar procedure with single application for 48 (+/-4) hours in the challenge phase. After 30 min, test sites were evaluated. |
| OG002 | Developmental Cream | Participants applied a semi-occlusive adhesive patch containing the developmental cream 0.02 mL/cm^2 in an individual cell of the patch topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 (+/-4) hours in weekdays and 72 (+/-4) hours in weekends. Patch was removed and area was gently wiped. After 30 min, test sites were evaluated as per the ICDRG scale. After 2 weeks of rest phase, participants followed the similar procedure with single application for 48 (+/-4) hours in the challenge phase. After 30 min, test sites were evaluated. |
| OG003 | Negative Control | Participants applied a semi-occlusive adhesive patch containing 0.9% NaCl as negative control in an individual cell of the patch topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 (+/-4) hours in weekdays and 72 (+/-4) hours in weekends. Patch was removed and area was gently wiped. After 30 min, test sites were evaluated as per the ICDRG scale. After 2 weeks of rest phase, participants followed the similar procedure with single application for 48 (+/-4) hours in the challenge phase. After 30 min, test sites were evaluated. |
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| Secondary | Percentage of Participants With a Positive Reaction Score (Score of '+' or Greater) as Assessed by a Trained Evaluator | HRIPT reactions as per ICDRG were scored by trained blind evaluator on the scale of '- to +++', where '-':negative reaction,'?+':doubtful reaction; faint erythema only,'+': weak (non-vesicular) positive reaction;erythema, infiltration and possibly papules,'++': strong (vesicular) positive reaction; erythema, infiltration, papules and vesicles,'+++': extreme positive reaction; bullous reaction, intense erythema and infiltration, coalescing vesicles. Score '-' indicated no adverse reaction, whereas, '+++' indicated very strong adverse reaction. Any positive reaction (a score of '+' or greater) was considered as potential sensitization based upon dermatologist discretion. The assessment was determined by the blinded dermatologist and reported as a score of '+' or greater. Percentage of participants with any positive reaction (a score of '+' or greater) will be reported in numbers in this outcome measure. | The Safety Population comprised all randomized participants who received application of any of the study products.Number analyzed in this outcome measure signifies those who were evaluated. | Posted | Number | Number of participants | Day 40 |
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| 0 |
| 280 |
| 1 |
| 280 |
| 12 |
| 280 |
| EG001 | Developmental Lotion | Participants applied a semi-occlusive adhesive patch containing the developmental lotion 0.02 mL/cm^2 in an individual cell of the patch topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 (+/-4) hours in weekdays and 72 (+/-4) hours in weekends. Patch was removed and area was gently wiped. After 30 min, test sites were evaluated as per the ICDRG scale. After 2 weeks of rest phase, participants followed the similar procedure with single application for 48 (+/-4) hours in the challenge phase. After 30 min, test sites were evaluated. | 0 | 280 | 1 | 280 | 12 | 280 |
| EG002 | Developmental Cream | Participants applied a semi-occlusive adhesive patch containing the developmental cream 0.02 mL/cm^2 in an individual cell of the patch topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 (+/-4) hours in weekdays and 72 (+/-4) hours in weekends. Patch was removed and area was gently wiped. After 30 min, test sites were evaluated as per the ICDRG scale. After 2 weeks of rest phase, participants followed the similar procedure with single application for 48 (+/-4) hours in the challenge phase. After 30 min, test sites were evaluated. | 0 | 280 | 1 | 280 | 12 | 280 |
| EG003 | Negative Control | Participants applied a semi-occlusive adhesive patch containing 0.9% NaCl as negative control in an individual cell of the patch topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 (+/-4) hours in weekdays and 72 (+/-4) hours in weekends. Patch was removed and area was gently wiped. After 30 min, test sites were evaluated as per the ICDRG scale. After 2 weeks of rest phase, participants followed the similar procedure with single application for 48 (+/-4) hours in the challenge phase. After 30 min, test sites were evaluated. | 0 | 280 | 1 | 280 | 12 | 280 |
| EG004 | Overall Participants | Participants applied a semi-occlusive adhesive patch containing the test products 0.02 mL/cm^2 and 0.9% NaCl as negative control in an individual cell of the patch topically to the dorsum, repeatedly for 3 weeks (9 times) in induction phase (48 (+/-4) hours in weekdays and 72 (+/-4) hours in weekends. Patch was removed and area was gently wiped. After 30 min, test sites were evaluated as per the ICDRG scale. After 2 weeks of rest phase, participants followed the similar procedure with single application for 48 (+/-4) hours in the challenge phase. After 30 min, test sites were evaluated. | 0 | 280 | 1 | 280 | 12 | 280 |
| Alcohol poisoning | Injury, poisoning and procedural complications | MedDRA v22.0 | Systematic Assessment |
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| Arthritis | Musculoskeletal and connective tissue disorders | MedDRA v22.0 | Systematic Assessment |
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| Contusion | Injury, poisoning and procedural complications | MedDRA v22.0 | Systematic Assessment |
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| Food poisoning | Gastrointestinal disorders | MedDRA v22.0 | Systematic Assessment |
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| Foot fracture | Injury, poisoning and procedural complications | MedDRA v22.0 | Systematic Assessment |
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| Fractured ischium | Injury, poisoning and procedural complications | MedDRA v22.0 | Systematic Assessment |
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| Influenza | Infections and infestations | MedDRA v22.0 | Systematic Assessment |
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| Joint injury | Injury, poisoning and procedural complications | MedDRA v22.0 | Systematic Assessment |
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GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
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| Challenge Phase |
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