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The purpose of this study was to evaluate the safety and efficacy of afamelanotide (previously developed as CUV1647) as adjunctive therapy in patients undergoing photodynamic therapy using porfimer sodium.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Afamelanotide | Experimental | Subjects visited the clinic on Day 0 (administration of afamelanotide implant and porfimer sodium), Day 2 (photodynamic therapy), and Days 20 and 90 for assessments of adverse events, concomitant medication and the results of evaluation of phototoxicity. |
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| Placebo | Placebo Comparator | Subjects visited the clinic on Day 0 (administration of placebo implant and porfimer sodium), Day 2 (photodynamic therapy), and Days 20 and 90 for assessments of adverse events, concomitant medication and the results of evaluation of phototoxicity. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Afamelanotide | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| The First Day on Which Patients Are Free From Symptoms of Phototoxicity Following Phototesting | From Day 04 to Day 90 |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Quality of Life | Quality of life, as measured by the Short Form-36 Health survey (SF-36) (quality of life questionnaire). The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. | From Day 0 to Day 20, Day 60 and Day 90 |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Title | Description |
|---|---|---|
| FG000 | Afamelanotide | Subjects visited the clinic on Day 0 (administration of afamelanotide implant and porfimer sodium), Day 2 (photodynamic therapy), and Days 20 and 90 for assessments of adverse events, concomitant medication, and the results of evaluation of phototoxicity. |
| FG001 | Placebo | Subjects visited the clinic on Day 0 (administration of placebo implant and porfimer sodium), Day 2 (photodynamic therapy), and Days 20 and 90 for assessments of adverse events, concomitant medication and the results of evaluation of phototoxicity. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Afamelanotide | Subjects visited the clinic on Day 0 (administration of afamelanotide implant and porfimer sodium), Day 2 (photodynamic therapy), and Days 20 and 90 for assessments of adverse events, concomitant medication, and the results of evaluation of phototoxicity. |
| BG001 | Placebo |
| 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 | The First Day on Which Patients Are Free From Symptoms of Phototoxicity Following Phototesting | The planned primary efficacy endpoint was the number of days for patients to be free of phototoxic reactions following phototesting. This was recorded by patients through diaries, however these diaries were not completed appropriately, thus data could not be collected. Thus, the efficacy analysis was performed using the secondary efficacy endpoint, change in quality of life as measured by SF-36. | Posted | From Day 04 to Day 90 |
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None of the serious adverse events were deemed to be related to study drug
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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 | Afamelanotide | Subjects visited the clinic on Day 0 (administration of afamelanotide implant and porfimer sodium), Day 2 (photodynamic therapy), and Days 20 and 90 for assessments of adverse events, concomitant medication and the results of evaluation of phototoxicity. Afamelanotide |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Haematemesis | Gastrointestinal disorders |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dyspepsia | Gastrointestinal disorders |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Operations Manager | CLINUVEL PHARMACEUTICALS LTD | mail@clinuvel.com |
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| ID | Term |
|---|---|
| C534526 | afamelanotide |
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Subjects visited the clinic on Day 0 (administration of placebo implant and porfimer sodium), Day 2 (photodynamic therapy), and Days 20 and 90 for assessments of adverse events, concomitant medication and the results of evaluation of phototoxicity. |
| BG002 | Total | Total of all reporting groups |
| Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Placebo |
Subjects visited the clinic on Day 0 (administration of placebo implant and porfimer sodium), Day 2 (photodynamic therapy), and Days 20 and 90 for assessments of adverse events, concomitant medication and the results of evaluation of phototoxicity. Placebo |
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| Secondary | Change in Quality of Life | Quality of life, as measured by the Short Form-36 Health survey (SF-36) (quality of life questionnaire). The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. | Posted | Mean | Full Range | Scores on a scale | From Day 0 to Day 20, Day 60 and Day 90 |
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|
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| 2 |
| 9 |
| 6 |
| 9 |
| EG001 | Placebo | Subjects visited the clinic on Day 0 (administration of placebo implant and porfimer sodium), Day 2 (photodynamic therapy), and Days 20 and 90 for assessments of adverse events, concomitant medication and the results of evaluation of phototoxicity. Placebo | 3 | 7 | 1 | 7 |
| Oesophageal stenosis | Gastrointestinal disorders |
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| Overdose of Previscan (Fluindione) | Injury, poisoning and procedural complications |
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| Drug toxicity (morphine) | Injury, poisoning and procedural complications |
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| Subdiaphragmatic abscess | Infections and infestations |
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| Thrombosis | Vascular disorders |
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| Nausea | Gastrointestinal disorders |
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| Headache | Nervous system disorders |
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| Erythema | Skin and subcutaneous tissue disorders |
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| Day 20 - Day 0 (Bodily Pain) |
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| Day 20 - Day 0 (General Health) |
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| Day 20 - Day 0 (Vitality) |
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| Day 20 - Day 0 (Social functioning) |
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| Day 20 - Day 0 (Role - Emotional) |
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| Day 20 - Day 0 (Mental Health) |
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| Day 20 - Day 0 (Physical Component Summary) |
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| Day 20 - Day 0 (Mental Component Summary) |
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| Day 60 - Day 0 (Physical Functioning) |
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| Day 60 - Day 0 (Role- Physical) |
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| Day 60 - Day 0 (Bodily Pain) |
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| Day 60 - Day 0 (General Health) |
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| Day 60 - Day 0 (Vitality) |
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| Day 60 - Day 0 (Social Functioning) |
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| Day 60 - Day 0 (Role- Emotional) |
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| Day 60 - Day 0 (Mental Health) |
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| Day 60 - Day 0 (Physical Component Summary) |
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| Day 60 - Day 0 (Mental Component Summary) |
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| Day 90 - Day 0 (Physical Functioning) |
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| Day 90 - Day 0 (Role- Physical) |
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| Day 90 - Day 0 (Bodily pain) |
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| Day 90 - Day 0 (General Health) |
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| Day 90 - Day 0 (Social Functioning) |
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| Day 90 - Day 0 (Role- Emotional) |
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| Day 90 - Day 0 (Mental Health) |
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| Day 90 - Day 0 (Physical Component Summary) |
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| Day 90 - Day 0 (Mental Component Summary) |
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