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| Name | Class |
|---|---|
| Amarex Clinical Research | OTHER |
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This study determines the Maximum Tolerable Dose (MTD) by maximum BSA percentage treated and evaluates safety and efficacy of 1.1% w/w AMTX-100 CF versus placebo (vehicle).
The study has two parts:
Phase I (Part 1):
Approximately Twenty-five (25) subjects with various treatable Body Surface Area (BSA) involvement of Mild to Moderate Atopic Dermatitis will be enrolled in the study and treated with 1.1% w/w AMTX-100 CF.
Phase II (Part 2):
Approximately sixty (60) subjects with Mild to Moderate Atopic Dermatitis with various treatable BSA involvement of Mild to Moderate Atopic Dermatitis will be randomized to be treated with 1.1% w/w AMTX-100 CF3 concentration or Vehicle (Placebo) in the study.
AMTX-100 CF3 drug product is formulated as a water-based, topical cream incorporating a 28-amino acid synthetic polypeptide (AMTX-100) as the active pharmaceutical ingredient (API). AMTX-100 is a chimeric, cell-penetrating, bifunctional nuclear transport modifier (NTM), that is engineered to modulate nuclear transport of transcription factors (NF-κB, NFAT, AP-1, and STAT1) involved in the activation of gene expression of key mediators of inflammation (TNFα, IL-1β, IL-6, IL-17, MCP-1, etc.) and metabolic syndrome (ChREBP and SREBP) by importin α/β complex and importin β, respectively. This further leads to a reduction in pro-inflammatory cytokine/chemokine production and lipid and carbohydrate metabolic products.
AMTX-100 CF3 is intended to improve symptoms associated with mild to moderate Atopic Dermatitis in adults. This Phase I/II study aims to determine the Maximum Tolerable Dose (MTD) by maximum BSA percentage treated and to evaluate efficacy of 1.1% w/w AMTX-100 CF3 versus placebo (vehicle).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1 Dose Escalation: 3% to 70% of the BSA | Experimental | Open-label, five (5) cohorts were sequentially enrolled. AMTX-100 CF 1.1% w/w, topically applied twice a day for 7 consecutive days to all treatable AD affected areas from 3% to 70% of the Body Surface Area (BSA) (3% BSA ≤ AD Affected Area ≤ 70% BSA) |
|
| Part 2 Group A: 1.1% w/w | Experimental | AMTX-100 CF3 (1.1% w/w), topically applied twice a day for 28 consecutive days to all treatable AD affected areas |
|
| Part 2 Group B: Placebo | Placebo Comparator | Placebo (Vehicle) (0% w/w), topically applied twice a day for 28 consecutive days to all treatable AD affected areas |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 1.1% w/w AMTX-100 CF-part1 | Drug | AMTX-100 CF, topical cream with 1.1% w/w active pharmaceutical ingredient |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 (Phase I) Primary: Maximum Tolerable Dose | Maximum Tolerable Dose (MTD) by maximum percentage of Body Surface Area (BSA) treated, by evaluation of dose-limiting toxicity (DLT) of AMTX-100 CF (1.1% w/w concentration) based on the safety profile | Over the 7-day treatment period |
| Part 2 (Phase II) Primary: Proportion of Responder Subjects at Day 28 | Proportion of responder subjects at Day 28, defined as subjects with both Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD™) score of 0 (clear) or 1 (almost clear) (on a 5-point scale) and a reduction of ≥ 2 points from baseline Note: Subjects who have received rescue treatments will be considered non-responders Note: We acknowledge that the "percentage" was reported, while the outcome measure indicates "proportion". It was concluded that using "percentage" represents the results more apparent. | Day 28 |
| Measure | Description | Time Frame |
|---|---|---|
| Part 2 (Phase II) Secondary Efficacy Endpoints: Percent Change From Baseline in vIGA-AD™ at Days 7, 14, 21, 28, and 42 | The 5-point Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD™) is a validated measure of disease severity and success of atopic dermatitis treatments in clinical trials. The ratings (0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe) are an overall assessment of AD skin lesions, based on the degree of erythema, papulation/induration, oozing/crusting, and lichenification. |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 (Phase I) Exploratory Outcome Measures: Percent Change From Baseline of the Treated BSA With Active AD at Day 7 | For Part 1, Body surface area (BSA) affected by AD was assessed by the investigator per calculation of treatable % BSA by the handprint method: "Handprint Method": the area represented by the palm with all five digits adducted together is approximately 1% of the subject's BSA | Baseline, Day 7 |
Part 1 Inclusion Criteria:
Subjects are required to meet ALL of the following criteria for enrollment into the Phase I (Part 1) of the study:
Male or female subjects who are 18 years or older
If female and not infertile (defined below), the subject must agree for the duration of the study to use one of the following forms of contraception 1) systemic hormonal treatment 2) an intrauterine device (IUD) which was implanted at least 2 months prior to screening or 3) "double-barrier" contraception (condom, diaphragm and spermicide are each considered a barrier). Females are considered to be infertile if they are either a) surgically sterile or b) have had spontaneous amenorrhea for at least the last 2 years and at least 2 years after the onset of amenorrhea while not receiving hormone replacement therapy and had a Follicle-Stimulating Hormone (FSH) level greater than 40 mIU/mL and an estradiol level less than 30 pg/mL
All fertile female subjects as described above need to have a negative urine pregnancy test at the screening and baseline visits
Subject is capable of providing informed consent and is willing to sign the ICF prior to study Screening and agrees to comply with the study protocol requirements
Subject is able to apply topical products on all treatable assigned areas by self and/or caregiver (if applicable), per the Investigator
Subject is in general good physical/mental health per the Investigator
Subject's Total Body Surface Area (BSA) is between 1.5 and 2.1 m2 per the Mosteller formula
The subject has physician confirmed mild to moderate Atopic Dermatitis (AD) defined by the Eichenfield revised criteria of Hannifin and Rajka, for at least 6 months prior to study enrollment
Validated Investigator's Global Assessment for Atopic Dermatitis (vIGA-AD™) score of 2 or 3 (mild to moderate) at the screening and baseline visits
Subject has Atopic Dermatitis (AD) involvement with eligible treatable percent of the BSA appropriate for topical treatment per the assigned cohort at the screening and baseline visits per below:
Note: Calculation of Treatable BSA percentage (% of the total BSA that is AD-involved, excluding the scalp, face, eyes, eyelids, neck, hands, palms, feet, groin, genitals or axillae) will be completed by the method below:
o "Handprint Method": the area represented by the palm with all five digits adducted together is approximately 1% of the subject's BSA
Part 1 Exclusion Criteria:
Subjects are required to meet NONE of the following criteria for enrollment into the Phase I (Part 1) of the study:
Part 2 Inclusion Criteria:
Subjects are required to meet ALL of the following criteria for randomization into the Phase II (Part 2) of the study:
Male or female subjects who are 18 years or older.
If female and not infertile (defined below), the subject must agree for the duration of the study to use one of the following forms of contraception 1) systemic hormonal treatment 2) an intrauterine device (IUD) which was implanted at least 2 months prior to screening or 3) "double-barrier" contraception (condom, diaphragm and spermicide are each considered a barrier). Females are considered to be infertile if they are either a) surgically sterile or b) have had spontaneous amenorrhea for at least the last 2 years and at least 2 years after the onset of amenorrhea while not receiving hormone replacement therapy.
All fertile female subjects as described above need to have a negative urine pregnancy test at the screening and baseline visits.
Subject is capable of providing informed consent and is willing to sign the ICF prior to study Screening and agrees to comply with the study protocol requirements.
Subject is able to apply topical products on all the treatable areas by self and/or caregiver (if applicable), per the Investigator.
Subject is willing and able to comply with all clinic visits and study-related procedures.
Subject is able to understand and complete study-related questionnaires.
The subject has physician confirmed mild to moderate Atopic Dermatitis (AD) defined by the Eichenfield revised criteria of Hannifin and Rajka, for at least 6 months prior to study enrollment.
Validated Investigator's Global Assessment for Atopic Dermatitis (vIGA-AD™) score of 2 or 3 (mild to moderate) at the screening and baseline visits.
Eczema Area and Severity Index (EASI) score lower than 23 at the screening and baseline visits
Subject has Atopic Dermatitis (AD) involvement of between 5% and 30% of the treatable BSA (excluding the scalp, face, eyes, eyelids, hands, palms, feet, groin, genitals or the axillae) appropriate for topical treatment at the screening and baseline visits.
Note: Calculation of Treatable BSA percentage (% of the total BSA that is AD-involved, excluding the scalp, face, eyes, eyelids, hands, palms, feet, groin, genitals or the axillae) will be completed by the "Rule of Nines" method:
o Where values of 9% or 18% of BSA are assigned to specific regions in the adult subject (head and neck [9%], anterior trunk [18%], back [18%], upper limbs [18%], lower limbs [36%], and genitals [1%])
Subjects must be applying stable doses of an additive-free, basic bland emollient twice-daily for at least 1 week immediately before the baseline visit (Visit 2, Day 0), and to be continued throughout the study.
Note: The additive-free, basic bland emollients should be applied no earlier than 1 hour before or after the administration of the study treatment.
Part 2 Exclusion Criteria:
Subjects are required to meet NONE of the following criteria for randomization into the Phase II (Part 2) of the study:
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| Name | Affiliation | Role |
|---|---|---|
| Arezou Bayat, MD, MPH | Amarex Clinical Research, LLC (Amarex) | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Amytrx Investigational site | Cerritos | California | 90703 | United States | ||
| Amytrx Investigational site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38846687 | Derived | Liu Y, Qiao H, Zienkiewicz J, Hawiger J. Anti-inflammatory control of human skin keratinocytes by targeting nuclear transport checkpoint. Skin Health Dis. 2024 Mar 3;4(3):e356. doi: 10.1002/ski2.356. eCollection 2024 Jun. | |
| 36344555 | Derived | Liu Y, Zienkiewicz J, Qiao H, Gibson-Corley KN, Boyd KL, Veach RA, Hawiger J. Genomic control of inflammation in experimental atopic dermatitis. Sci Rep. 2022 Nov 7;12(1):18891. doi: 10.1038/s41598-022-23042-x. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Part 1 Dose Escalation: Cohort 1 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 3-6% of the BSA (3% BSA ≤ AD Affected Area ≤ 6% BSA) |
| FG001 | Part 1 Dose Escalation: Cohort 2 |
| 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 | Yes | No | No | Study Protocol | Jul 12, 2023 | Feb 18, 2025 |
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Part 1 (Phase I):
Part 1 of the study is an open-label, dose-escalation study to determine the MTD of AMTX-100 CF (1.1% w/w) for the highest treated percentage of the BSA affected with AD. Five (5) cohorts will be sequentially enrolled in the Part 1 of the study. Each cohort will include five (5) patients with eligible, treatable percentages of BSA affected with AD.
Part 2 (Phase II):
Part 2 of the study is a multi-center, double-blind, randomized, vehicle-controlled, dose-ranging study of the safety and efficacy of topically applied AMTX-100 CF3 in adult patients with Mild to Moderate AD. Sixty (60) patients will be enrolled in 2 groups of AMTX-100 CF3 along with a placebo (vehicle). The patients will be randomized in a 1:1 ratio with thirty (30) subjects in Group A: 1.1% of AMTX-100 CF3 and thirty (30) subjects will be randomized to Group B placebo (vehicle 0% w/w).
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Part 1 (Phase I) of the study is open-labeled. Part 2 (Phase II) of the study is double-blinded (Masking: Participant, Care Provider, Investigator, and Outcomes Assessor).
| Placebo | Drug | Topical cream manufactured to mimic AMTX-100 CF3 |
|
|
| 1.1% w/w AMTX-100 CF3-part2 | Drug | AMTX-100 CF3, topical cream with 1.1% w/w active pharmaceutical ingredient |
|
|
| Baseline to Days 7, 14, 21, 28, and 42 |
| Part 2 (Phase II) Secondary Efficacy Endpoints: Proportion of Subjects at Days 7, 14, 21, 28, and 42 With Both vIGA-AD™ Score of 0 (Clear) or 1 (Almost Clear) on a 5-point Scale and a Reduction of ≥ 1 Point From Baseline | The 5-point Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD™) is a validated measure of disease severity and success of atopic dermatitis treatments in clinical trials. The ratings (0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe) are an overall assessment of AD skin lesions, based on the degree of erythema, papulation/induration, oozing/crusting, and lichenification. Note: We acknowledge that the "percentage" is reported, while the outcome measure indicates "proportion". It was concluded that using "percentage" represents the results more apparent. | Days 7, 14, 21, and 28 |
| Part 2 (Phase II) Secondary Efficacy Endpoints: Percent Change From Baseline in Eczema Area and Severity Index (EASI) at Days 7, 14, 21, 28 and 42 | The Eczema Area and Severity Index (EASI) is a validated measure to assess the severity and extent of AD (Hanifin et al., 2001). The EASI is a composite index with scores ranging from 0 to 72, where a higher score indicates increased extent and severity of atopic dermatitis. | Baseline to Days 7, 14, 21, 28, and 42 |
| Part 2 (Phase II) Secondary Efficacy Endpoints: Proportion of Subjects With EASI-75, Defined as Achieving at Least a 75% Reduction From Baseline in EASI at Days 7, 14, 21, 28, and 42 | The Eczema Area and Severity Index (EASI) is a validated measure to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, where a higher score indicates increased extent and severity of atopic dermatitis. Note: We acknowledge that the "percentage" is reported, while the outcome measure indicates "proportion". It was concluded that using "percentage" represents the results more apparent. | Days 7, 14, 21, 28, and 42 |
| Part 2 (Phase II) Secondary Efficacy Endpoints: Proportion of Subjects With EASI-50, Defined as Achieving at Least a 50% Reduction From Baseline in EASI at Days 7, 14, 21, 28, and 42 | The Eczema Area and Severity Index (EASI) is a validated measure to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, where a higher score indicates increased extent and severity of atopic dermatitis. Note: We acknowledge that the "percentage" is reported, while the outcome measure indicates "proportion". It was concluded that using "percentage" represents the results more apparent. | Days 7, 14, 21, 28, and 42 |
| Part 2 (Phase II) Secondary Efficacy Endpoints: Percent Change From Baseline in Weekly Average of Peak Daily Pruritus Numerical Rating Scale (NRS) at Days 7, 14, 21, 28, and 42 | The Pruritus Numeric Rating Scale (NRS) is a simple assessment tool that subjects used to report the intensity of their pruritus (itch) during a daily recall period. Subjects were asked the following questions: • For maximum itch intensity: "On a scale of 0 to 10, with 0 being 'no itch' and 10 being the 'worst itch imaginable', how would you rate your itch at the worst moment during the previous 24 hours?" Note: The weekly average of peak daily pruritus NRS was calculated by summing the daily scores for a week and dividing by the number of days with recorded scores, resulting in a range of 0 to 10. | Baseline, Days 7, 14, 21, 28 and 42 |
| Part 2 (Phase II) Secondary Efficacy Endpoints: Proportion of Subjects With Improvement (Reduction) of Weekly Average of Peak Daily Pruritus NRS ≥ 3 From Baseline at Day 28 and 42 | The Pruritus Numeric Rating Scale (NRS) is a simple assessment tool that subjects used to report the intensity of their pruritus (itch) during a daily recall period. Subjects were asked the following questions: • For maximum itch intensity: "On a scale of 0 to 10, with 0 being 'no itch' and 10 being the 'worst itch imaginable', how would you rate your itch at the worst moment during the previous 24 hours?" Note: The weekly average of peak daily pruritus NRS was calculated by summing the daily scores for a week and dividing by the number of days with recorded scores, resulting in a range of 0 to 10. Note: We acknowledge that the "percentage" is reported, while the outcome measure indicates "proportion". It was concluded that using "percentage" represents the results more apparent. | Days 28 and 42 |
| Part 2 (Phase II) Secondary Efficacy Endpoints: Percent Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Day 28 | The Dermatology Life Quality Index (DLQI) is a 10-item, validated questionnaire to assess the impact of AD disease symptoms and treatment on quality of life (QOL). The format is a simple response (0 to 3 where 0 is "not at all" and 3 is "very much") to 10 questions, which assess QOL over the past week, with an overall scoring system of 0 to 30. A high score is indicative of a poor QOL. For general inflammatory skin conditions, a change in DLQI score of at least 4 points is considered clinically important | Baseline, Day 28 |
| Part 2 (Phase II) Secondary Efficacy Endpoints: Percent Change From Baseline of the Treated BSA With Active AD at Day 28, and 42 | For Part 2, BSA affected by AD was assessed by the investigator per calculation of treatable % BSA by the "Rule of Nines" method: Values of 9% or 18% of surface area are assigned to specific regions in the adult (head and neck [9%], anterior trunk [18%], back [18%], upper limbs [18%], lower limbs [36%], and genitals [1%]) | Baseline, Days 28, and 42 |
| Part 1 (Phase I) Exploratory Outcome Measures: Change From Baseline in Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD™) at Day 7 | The 5-point Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD™) is a validated measure of disease severity and success of atopic dermatitis treatments in clinical trials. The ratings (0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe) are an overall assessment of AD skin lesions, based on the degree of erythema, papulation/induration, oozing/crusting, and lichenification. | Baseline, Day 7 |
| Part 1 (Phase I) Safety Outcome Measures: Incidence of Treatment-Emergent Adverse Events (TEAEs) | An adverse event (AE) was defined as any unfavorable or unintended sign, symptom, or disease that occurred or was reported by the subject to have occurred, or a worsening of a pre-existing condition. Treatment Emergent Adverse Events (TEAEs) were defined as adverse events with onset date on or after the first treatment. | Baseline through follow-up (Day 21) |
| Part 2 (Phase II) Safety Outcome Measures: Incidence of Treatment-Emergent Adverse Events (TEAEs) | An adverse event (AE) was defined as any unfavorable or unintended sign, symptom, or disease that occurred or was reported by the subject to have occurred, or a worsening of a pre-existing condition. Treatment Emergent Adverse Events (TEAEs) were defined as adverse events with onset date on or after the first treatment. | Baseline through follow-up (Day 42) |
| Part 2 (Phase II) Safety Outcome Measures: Incidence of Withdrawals From the Study Due to TEAEs | An adverse event (AE) was defined as any unfavorable or unintended sign, symptom, or disease that occurred or was reported by the subject to have occurred, or a worsening of a pre-existing condition. Treatment Emergent Adverse Events (TEAEs) were defined as adverse events with onset date on or after the first treatment. | Baseline through follow-up (Day 42) |
| Part 1 (Phase I) Safety Outcome Measures: Incidence of Withdrawals From the Study Due to TEAEs | An adverse event (AE) was defined as any unfavorable or unintended sign, symptom, or disease that occurred or was reported by the subject to have occurred, or a worsening of a pre-existing condition. Treatment Emergent Adverse Events (TEAEs) were defined as adverse events with onset date on or after the first treatment. | Baseline through follow-up (Day 21) |
| Part 1 (Phase I) Safety Outcome Measures: Changes in Study Treatment Application Site Reaction Assessment | Tolerability of topically applied AMTX-100 CF was evaluated based on investigator-assessed application site reactions assessment. Local skin reactions were assessed in all areas treated with AMTX-100 CF and graded by the investigator on a scale of 0 to 4 based on the area with the most severe skin reaction among all treated areas. A grade of 0 represented no reaction, and a grade of 4 indicated a marked and severe skin reaction that extended beyond the treated areas. | Baseline (post-dose), End of Treatment (Day 7), and Follow-up (Day 21) |
| Encino |
| California |
| 91436 |
| United States |
| Amytrx Investigational site | Long Beach | California | 90805 | United States |
| Amytrx Investigational site | North Hollywood | California | 91606 | United States |
| Amytrx Investigational site | San Diego | California | 92123 | United States |
| Amytrx Investigational site | Sherman Oaks | California | 91403 | United States |
| Amytrx Investigational site | Miami | Florida | 33175 | United States |
| Amytrx Investigational site | Miramar | Florida | 33027 | United States |
| Amytrx Investigational site | Troy | Michigan | 48084 | United States |
| Amytrx Investigational site | New York | New York | 11415 | United States |
| Amytrx Investigational site | Philadelphia | Pennsylvania | 19103 | United States |
Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 6-12% of the BSA (6% BSA < AD Affected Area ≤ 12% BSA) |
| FG002 | Part 1 Dose Escalation: Cohort 3 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 12-24% of the BSA (12% BSA < AD Affected Area ≤ 24% BSA) |
| FG003 | Part 1 Dose Escalation: Cohort 4 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 24-48% of the BSA (24% BSA < AD Affected Area ≤ 48% BSA) |
| FG004 | Part 1 Dose Escalation: Cohort 5 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 48-70% of the BSA (48% BSA < AD Affected Area ≤ 70% BSA) |
| FG005 | Part 2 Group A: 1.1% w/w | AMTX-100 CF3 (1.1% w/w), topically applied twice a day for 28 consecutive days to all treatable AD affected areas |
| FG006 | Part 2 Group B: Placebo | Placebo (Vehicle) (0% w/w), topically applied twice a day for 28 consecutive days to all treatable AD affected areas |
| COMPLETED | These data refer only to completing treatment. |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Part 1 Dose Escalation: Cohort 1 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 3-6% of the BSA (3% BSA ≤ AD Affected Area ≤ 6% BSA) |
| BG001 | Part 1 Dose Escalation: Cohort 2 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 6-12% of the BSA (6% BSA < AD Affected Area ≤ 12% BSA) |
| BG002 | Part 1 Dose Escalation: Cohort 3 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 12-24% of the BSA (12% BSA < AD Affected Area ≤ 24% BSA) |
| BG003 | Part 1 Dose Escalation: Cohort 4 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 24-48% of the BSA (24% BSA < AD Affected Area ≤ 48% BSA) |
| BG004 | Part 1 Dose Escalation: Cohort 5 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 48-70% of the BSA (48% BSA < AD Affected Area ≤ 70% BSA) |
| BG005 | Part 2 Group A: 1.1% w/w | AMTX-100 CF3 (1.1% w/w), topically applied twice a day for 28 consecutive days to all treatable AD affected areas |
| BG006 | Part 2 Group B: Placebo | Placebo (Vehicle) (0% w/w), topically applied twice a day for 28 consecutive days to all treatable AD affected areas |
| BG007 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Full Range | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Height (cm) | Mean | Full Range | centimeter |
| |||||||||||||||
| Weight (kg) | Mean | Full Range | Kilogram |
| |||||||||||||||
| BMI (kg/m2) | Mean | Full Range | kilogram per meter squared |
| |||||||||||||||
| BSA (m2) | Mean | Full Range | meter squared |
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| 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 | Part 1 (Phase I) Primary: Maximum Tolerable Dose | Maximum Tolerable Dose (MTD) by maximum percentage of Body Surface Area (BSA) treated, by evaluation of dose-limiting toxicity (DLT) of AMTX-100 CF (1.1% w/w concentration) based on the safety profile | Posted | Number | Grams of IP per application | Over the 7-day treatment period |
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| Primary | Part 2 (Phase II) Primary: Proportion of Responder Subjects at Day 28 | Proportion of responder subjects at Day 28, defined as subjects with both Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD™) score of 0 (clear) or 1 (almost clear) (on a 5-point scale) and a reduction of ≥ 2 points from baseline Note: Subjects who have received rescue treatments will be considered non-responders Note: We acknowledge that the "percentage" was reported, while the outcome measure indicates "proportion". It was concluded that using "percentage" represents the results more apparent. | There were missing subjects in both groups. | Posted | Number | Percentage of Responder Subjects | Day 28 |
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| Secondary | Part 2 (Phase II) Secondary Efficacy Endpoints: Percent Change From Baseline in vIGA-AD™ at Days 7, 14, 21, 28, and 42 | The 5-point Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD™) is a validated measure of disease severity and success of atopic dermatitis treatments in clinical trials. The ratings (0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe) are an overall assessment of AD skin lesions, based on the degree of erythema, papulation/induration, oozing/crusting, and lichenification. | There were missing subjects in both groups. | Posted | Mean | Standard Deviation | percentage of vIGA-AD change at visits | Baseline to Days 7, 14, 21, 28, and 42 |
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| Secondary | Part 2 (Phase II) Secondary Efficacy Endpoints: Proportion of Subjects at Days 7, 14, 21, 28, and 42 With Both vIGA-AD™ Score of 0 (Clear) or 1 (Almost Clear) on a 5-point Scale and a Reduction of ≥ 1 Point From Baseline | The 5-point Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD™) is a validated measure of disease severity and success of atopic dermatitis treatments in clinical trials. The ratings (0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe) are an overall assessment of AD skin lesions, based on the degree of erythema, papulation/induration, oozing/crusting, and lichenification. Note: We acknowledge that the "percentage" is reported, while the outcome measure indicates "proportion". It was concluded that using "percentage" represents the results more apparent. | There were missing subjects in both groups. | Posted | Number | Percent of Subjects With vIGA-AD of 0/1 | Days 7, 14, 21, and 28 |
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| Secondary | Part 2 (Phase II) Secondary Efficacy Endpoints: Percent Change From Baseline in Eczema Area and Severity Index (EASI) at Days 7, 14, 21, 28 and 42 | The Eczema Area and Severity Index (EASI) is a validated measure to assess the severity and extent of AD (Hanifin et al., 2001). The EASI is a composite index with scores ranging from 0 to 72, where a higher score indicates increased extent and severity of atopic dermatitis. | There were missing subjects in both groups. | Posted | Mean | Standard Deviation | Percent Change from Baseline in EASI | Baseline to Days 7, 14, 21, 28, and 42 |
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| Secondary | Part 2 (Phase II) Secondary Efficacy Endpoints: Proportion of Subjects With EASI-75, Defined as Achieving at Least a 75% Reduction From Baseline in EASI at Days 7, 14, 21, 28, and 42 | The Eczema Area and Severity Index (EASI) is a validated measure to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, where a higher score indicates increased extent and severity of atopic dermatitis. Note: We acknowledge that the "percentage" is reported, while the outcome measure indicates "proportion". It was concluded that using "percentage" represents the results more apparent. | There were missing subjects in both groups. | Posted | Number | Percentage of Subjects With EASI-75 | Days 7, 14, 21, 28, and 42 |
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| Secondary | Part 2 (Phase II) Secondary Efficacy Endpoints: Proportion of Subjects With EASI-50, Defined as Achieving at Least a 50% Reduction From Baseline in EASI at Days 7, 14, 21, 28, and 42 | The Eczema Area and Severity Index (EASI) is a validated measure to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, where a higher score indicates increased extent and severity of atopic dermatitis. Note: We acknowledge that the "percentage" is reported, while the outcome measure indicates "proportion". It was concluded that using "percentage" represents the results more apparent. | There were missing subjects in both groups. | Posted | Number | Percentage of Subjects With EASI-50 | Days 7, 14, 21, 28, and 42 |
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| Secondary | Part 2 (Phase II) Secondary Efficacy Endpoints: Percent Change From Baseline in Weekly Average of Peak Daily Pruritus Numerical Rating Scale (NRS) at Days 7, 14, 21, 28, and 42 | The Pruritus Numeric Rating Scale (NRS) is a simple assessment tool that subjects used to report the intensity of their pruritus (itch) during a daily recall period. Subjects were asked the following questions: • For maximum itch intensity: "On a scale of 0 to 10, with 0 being 'no itch' and 10 being the 'worst itch imaginable', how would you rate your itch at the worst moment during the previous 24 hours?" Note: The weekly average of peak daily pruritus NRS was calculated by summing the daily scores for a week and dividing by the number of days with recorded scores, resulting in a range of 0 to 10. | There were missing subjects in both groups. | Posted | Mean | Standard Deviation | Percent Change from Baseline in NRS | Baseline, Days 7, 14, 21, 28 and 42 |
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| Secondary | Part 2 (Phase II) Secondary Efficacy Endpoints: Proportion of Subjects With Improvement (Reduction) of Weekly Average of Peak Daily Pruritus NRS ≥ 3 From Baseline at Day 28 and 42 | The Pruritus Numeric Rating Scale (NRS) is a simple assessment tool that subjects used to report the intensity of their pruritus (itch) during a daily recall period. Subjects were asked the following questions: • For maximum itch intensity: "On a scale of 0 to 10, with 0 being 'no itch' and 10 being the 'worst itch imaginable', how would you rate your itch at the worst moment during the previous 24 hours?" Note: The weekly average of peak daily pruritus NRS was calculated by summing the daily scores for a week and dividing by the number of days with recorded scores, resulting in a range of 0 to 10. Note: We acknowledge that the "percentage" is reported, while the outcome measure indicates "proportion". It was concluded that using "percentage" represents the results more apparent. | There were missing subjects in both groups. | Posted | Number | Percentage of Subjects with Improved NRS | Days 28 and 42 |
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| Secondary | Part 2 (Phase II) Secondary Efficacy Endpoints: Percent Change From Baseline in Dermatology Life Quality Index (DLQI) Score at Day 28 | The Dermatology Life Quality Index (DLQI) is a 10-item, validated questionnaire to assess the impact of AD disease symptoms and treatment on quality of life (QOL). The format is a simple response (0 to 3 where 0 is "not at all" and 3 is "very much") to 10 questions, which assess QOL over the past week, with an overall scoring system of 0 to 30. A high score is indicative of a poor QOL. For general inflammatory skin conditions, a change in DLQI score of at least 4 points is considered clinically important | There were missing subjects in both groups. | Posted | Mean | Standard Deviation | Percent Change from Baseline in DLQI | Baseline, Day 28 |
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| Secondary | Part 2 (Phase II) Secondary Efficacy Endpoints: Percent Change From Baseline of the Treated BSA With Active AD at Day 28, and 42 | For Part 2, BSA affected by AD was assessed by the investigator per calculation of treatable % BSA by the "Rule of Nines" method: Values of 9% or 18% of surface area are assigned to specific regions in the adult (head and neck [9%], anterior trunk [18%], back [18%], upper limbs [18%], lower limbs [36%], and genitals [1%]) | There were missing subjects in both groups. | Posted | Mean | Standard Deviation | Percent Change of the Treated BSA | Baseline, Days 28, and 42 |
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| Other Pre-specified | Part 1 (Phase I) Exploratory Outcome Measures: Percent Change From Baseline of the Treated BSA With Active AD at Day 7 | For Part 1, Body surface area (BSA) affected by AD was assessed by the investigator per calculation of treatable % BSA by the handprint method: "Handprint Method": the area represented by the palm with all five digits adducted together is approximately 1% of the subject's BSA | Posted | Mean | Standard Deviation | percent change at the End of Treatment | Baseline, Day 7 |
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| Other Pre-specified | Part 1 (Phase I) Exploratory Outcome Measures: Change From Baseline in Validated Investigator Global Assessment for Atopic Dermatitis (vIGA-AD™) at Day 7 | The 5-point Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD™) is a validated measure of disease severity and success of atopic dermatitis treatments in clinical trials. The ratings (0 = clear, 1 = almost clear, 2 = mild, 3 = moderate, 4 = severe) are an overall assessment of AD skin lesions, based on the degree of erythema, papulation/induration, oozing/crusting, and lichenification. | Posted | Number | number of subjects | Baseline, Day 7 |
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| Other Pre-specified | Part 1 (Phase I) Safety Outcome Measures: Incidence of Treatment-Emergent Adverse Events (TEAEs) | An adverse event (AE) was defined as any unfavorable or unintended sign, symptom, or disease that occurred or was reported by the subject to have occurred, or a worsening of a pre-existing condition. Treatment Emergent Adverse Events (TEAEs) were defined as adverse events with onset date on or after the first treatment. | Posted | Number | number of events | Baseline through follow-up (Day 21) |
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| Other Pre-specified | Part 2 (Phase II) Safety Outcome Measures: Incidence of Treatment-Emergent Adverse Events (TEAEs) | An adverse event (AE) was defined as any unfavorable or unintended sign, symptom, or disease that occurred or was reported by the subject to have occurred, or a worsening of a pre-existing condition. Treatment Emergent Adverse Events (TEAEs) were defined as adverse events with onset date on or after the first treatment. | Posted | Number | number of events | Baseline through follow-up (Day 42) |
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| Other Pre-specified | Part 2 (Phase II) Safety Outcome Measures: Incidence of Withdrawals From the Study Due to TEAEs | An adverse event (AE) was defined as any unfavorable or unintended sign, symptom, or disease that occurred or was reported by the subject to have occurred, or a worsening of a pre-existing condition. Treatment Emergent Adverse Events (TEAEs) were defined as adverse events with onset date on or after the first treatment. | Posted | Number | number of subjects | Baseline through follow-up (Day 42) |
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| Other Pre-specified | Part 1 (Phase I) Safety Outcome Measures: Incidence of Withdrawals From the Study Due to TEAEs | An adverse event (AE) was defined as any unfavorable or unintended sign, symptom, or disease that occurred or was reported by the subject to have occurred, or a worsening of a pre-existing condition. Treatment Emergent Adverse Events (TEAEs) were defined as adverse events with onset date on or after the first treatment. | Posted | Number | number of subjects | Baseline through follow-up (Day 21) |
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| Other Pre-specified | Part 1 (Phase I) Safety Outcome Measures: Changes in Study Treatment Application Site Reaction Assessment | Tolerability of topically applied AMTX-100 CF was evaluated based on investigator-assessed application site reactions assessment. Local skin reactions were assessed in all areas treated with AMTX-100 CF and graded by the investigator on a scale of 0 to 4 based on the area with the most severe skin reaction among all treated areas. A grade of 0 represented no reaction, and a grade of 4 indicated a marked and severe skin reaction that extended beyond the treated areas. | Posted | Mean | Standard Deviation | Units on an ordinal scale | Baseline (post-dose), End of Treatment (Day 7), and Follow-up (Day 21) |
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Phase I (Part 1) Baseline through follow-up (Day 21) Phase II (Part 2) Baseline through follow-up (Day 42)
An adverse event (AE) may or may not be related to the study treatment. All AEs were elicited through direct questioning and subject reports. Any abnormality in physical examination findings or laboratory results that the investigator believes is clinically significant (CS) to the research subject and that occurred after initiation of the first study treatment was reported as AEs. Abnormal findings that were not CS were not recorded as an AE.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part 1 Dose Escalation: Cohort 1 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 3-6% of the BSA (3% BSA ≤ AD Affected Area ≤ 6% BSA) | 0 | 5 | 0 | 5 | 1 | 5 |
| EG001 | Part 1 Dose Escalation: Cohort 2 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 6-12% of the BSA (6% BSA < AD Affected Area ≤ 12% BSA) | 0 | 5 | 0 | 5 | 3 | 5 |
| EG002 | Part 1 Dose Escalation: Cohort 3 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 12-24% of the BSA (12% BSA < AD Affected Area ≤ 24% BSA) | 0 | 5 | 0 | 5 | 2 | 5 |
| EG003 | Part 1 Dose Escalation: Cohort 4 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 24-48% of the BSA (24% BSA < AD Affected Area ≤ 48% BSA) | 0 | 4 | 0 | 4 | 0 | 4 |
| EG004 | Part 1 Dose Escalation: Cohort 5 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 48-70% of the BSA (48% BSA < AD Affected Area ≤ 70% BSA) | 0 | 7 | 0 | 7 | 2 | 7 |
| EG005 | Part 2 Group A: 1.1% w/w | AMTX-100 CF3 (1.1% w/w), topically applied twice a day for 28 consecutive days to all treatable AD affected areas | 0 | 33 | 0 | 33 | 5 | 33 |
| EG006 | Part 2 Group B: Placebo | Placebo (Vehicle) (0% w/w), topically applied twice a day for 28 consecutive days to all treatable AD affected areas | 0 | 32 | 0 | 32 | 3 | 32 |
Not provided
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | Systematic Assessment |
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| Syncope | Nervous system disorders | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | Systematic Assessment |
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| Diverticulitis | Infections and infestations | Systematic Assessment |
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| Upper Respiratory Tract Infection | Infections and infestations | Systematic Assessment |
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| Urinary Tract Infection | Infections and infestations | Systematic Assessment |
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| Chills | General disorders | Systematic Assessment |
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| Application Site Oedema | General disorders | Systematic Assessment |
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| Application Site Pruritus | General disorders | Systematic Assessment |
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| Influenza Like Illness | General disorders | Systematic Assessment |
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| Skin Laceration | Injury, poisoning and procedural complications | Systematic Assessment |
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| Skin Abrasion | Injury, poisoning and procedural complications | Systematic Assessment |
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| Dermatitis Atopic | Skin and subcutaneous tissue disorders | Systematic Assessment | for the case of this study the term "Dermatitis Atopic" refers to "worsening atopic dermatitis" |
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| Photosensitivity Reaction | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Viral Upper Respiratory Tract Infection | Infections and infestations | Systematic Assessment |
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The Investigator will refer to the Investigator agreement and clinical trial agreement for the publication and disclosure policy.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Ahmad Bayat, Sr Director II, Regulatory Affairs | Amarex Clinical Research, LLC | 301-956-2523 | ahmadb@amarexcro.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan: Part 2 | Aug 29, 2023 | Feb 18, 2025 | SAP_001.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan: Part 1 | Sep 16, 2021 | Feb 18, 2025 | SAP_002.pdf |
| ICF | No | No | Yes | Informed Consent Form: Part 1 | Feb 27, 2020 | Feb 18, 2025 | ICF_003.pdf |
| ICF | No | No | Yes | Informed Consent Form: Part 2 | Jul 25, 2023 | Feb 18, 2025 | ICF_004.pdf |
Not provided
| ID | Term |
|---|---|
| D003876 | Dermatitis, Atopic |
| ID | Term |
|---|---|
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
Not provided
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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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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| OG003 |
| Part 1 Dose Escalation: Cohort 4 |
Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 24-48% of the BSA (24% BSA < AD Affected Area ≤ 48% BSA) |
| OG004 | Part 1 Dose Escalation: Cohort 5 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 48-70% of the BSA (48% BSA < AD Affected Area ≤ 70% BSA) |
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| OG003 | Part 1 Dose Escalation: Cohort 4 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 24-48% of the BSA (24% BSA < AD Affected Area ≤ 48% BSA) |
| OG004 | Part 1 Dose Escalation: Cohort 5 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 48-70% of the BSA (48% BSA < AD Affected Area ≤ 70% BSA) |
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| OG003 | Part 1 Dose Escalation: Cohort 4 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 24-48% of the BSA (24% BSA < AD Affected Area ≤ 48% BSA) |
| OG004 | Part 1 Dose Escalation: Cohort 5 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 48-70% of the BSA (48% BSA < AD Affected Area ≤ 70% BSA) |
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| OG003 | Part 1 Dose Escalation: Cohort 4 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 24-48% of the BSA (24% BSA < AD Affected Area ≤ 48% BSA) |
| OG004 | Part 1 Dose Escalation: Cohort 5 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 48-70% of the BSA (48% BSA < AD Affected Area ≤ 70% BSA) |
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| OG003 | Part 1 Dose Escalation: Cohort 4 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 24-48% of the BSA (24% BSA < AD Affected Area ≤ 48% BSA) |
| OG004 | Part 1 Dose Escalation: Cohort 5 | Open-label AMTX-100 CF 1.1% w/w, topically applied twice a day for seven consecutive days to all treatable AD affected areas of 48-70% of the BSA (48% BSA < AD Affected Area ≤ 70% BSA) |
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