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The purpose of this clinical trial is to evaluate the dermal safety of Bemotrizinol (6%).
The first objective of this study is to determine if 6% Bemotrizinol (BEMT) either in a basic sunscreen oil formulation (SU E 101413 85) or as dispersion in petrolatum (SU-E-101413-82) elicit dermal irritation and/or induce sensitization following repeated patch application.
The second objective of this study is to determine the cumulative irritation potential of 6% BEMT either in a basic sunscreen oil formulation (SU E 101413 85) or as dispersion in petrolatum (SU-E-101413-82) topically applied to the skin of human subjects over a 21-day period via a Human Repeat Insult Patch Test (HRIPT).
HRIPT: This part of the study will consist of an Induction Phase, a Challenge Phase, and, at the discretion of the Principal Investigator, a Re-Challenge Phase. During the Induction Phase, the test material will be applied to the same location on the back of each subject three times per week for a total of nine applications with 24 to 48 hour rest periods. Test sites will be examined for dermal irritation at each visit prior to reapplication of the test material. Approximately 14 days after the final visit of the Induction Phase, subjects will return to the laboratory for the Challenge Phase. The test material will be applied to a naĆÆve site on the back under an appropriate patch and will be removed by clinical staff approximately 24 hours later. Test sites will be examined for signs of dermal irritation or sensitization. A subject may be required to return to the laboratory for a Re-Challenge Test, if reactions indicative of sensitization are observed during the Challenge Phase. During the Re-Challenge Phase, the test material will be applied to a naĆÆve site under the same conditions of the Challenge Phase, and the subject will be examined for dermal reactions.
Cumulative Irritation Study: A subset of individuals selected for the HRIPT study will also participate in the Cumulative Irritation Study. Subjects who meet inclusion and exclusion criteria will be enrolled. Subjects will be consented and screened to determine eligibility and qualified subjects will be enrolled. Subjects will participate in a 21-day cumulative irritation patch study on the back. Test products and vehicle patches, along with a high irritancy, a low irritancy and empty patch controls, will be tested during the study.
At the Day 1 Visit, the upper back of each subject (between the scapulae to either side of the spinal midline) will be wiped with 70% isopropyl alcohol and allowed to dry. The empty patch, low irritancy 0.9% Saline control and the high irritancy Sodium Lauryl Sulfate 0.1% (SLS) control will be used as negative and positive controls, respectively. Controls and test products will be applied to the back daily, for approximately 21 days. Patches will remain in place for a period of approximately 24 hours. Test sites will be graded following each patch removal.
The vehicle controls (SU E 101413 91 and SU-E-101413-83), 0.9% saline and empty patches as negative control will be used for the HRIPT and Cumulative Irritation portion of the study. The 0.1% Sodium Laurel Sulfate (SLS) will be only used for the Cumulative Irritation portion of the study.
Approximately 0.2 g of the investigational products and the vehicle control will each be applied to the fabric portion of separate patches.
During the Cumulative Irritation portion of the study, there will be 7 patches (2 product patches, 2 vehicle controls, 1 positive control, 1 low-irritancy control, and 1 empty patch). The low-irritancy control patch will be a saline patch. The positive control will be a SLS patch. The negative control will be an undosed patch.
During the challenge phase of the HRIPT portion of the study, there will be 6 patches (2 product patches, 2 vehicle controls. 1 saline control and 1 empty patch), leaving out the positive control.
The patches to be used for this clinical trial will be occlusive strips (manufactured by Strukmyer LLC, Mesquite, TX or equivalent), consisting of a breathable tape with non- breathable adhesive and center portion of 1.9 cm x 1.9 cm fabric.
Dermal scores will be reported for each site.
Safety of the investigational products will be monitored by evaluating adverse event reporting.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 6% BEMT HRIPT | Active Comparator | During the challenge phase of the HRIPT portion of the study, there will be 6 patches (2 product patches, 2 vehicle controls. 1 saline control and 1 empty patch), leaving out the positive control. |
|
| 6% BEMT Cumulative Irritation Study | Active Comparator | During the Cumulative Irritation portion of the study there will be 7 patches (2 product patches, 2 vehicle controls, 1 positive control, 1 low-irritancy control, and 1 empty patch). The low-irritancy control patch will be a saline patch. The positive control will be a SLS patch. The negative control will be an undosed patch. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 6% Bemotrizinol (BEMT) in a basic sunscreen oil formulation | Drug | SU E 101413 85 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Determine the dermal irritation (erythema) potential of 6% BEMT over 21 days | Dermal irritation and/or sensitization rated based on following scoring system: 0 - No evidence of irritation
| 21 days |
| Determine the dermal sensitization potential of 6% BEMT after 24 hours | After a 14 day rest period, a challenge test will be given to look at signals of a sensitization response measured by using the following scoring system: 0 - No evidence of irritation
| 24 hours |
| Determine the dermal sensitization potential of 6% BEMT after 48 hours | After a 14 day rest period, a challenge test will be given to look at signals of a sensitization response measured by using the following scoring system: 0 - No evidence of irritation
| 48 hours |
| Determine the dermal sensitization potential of 6% BEMT after 72 hours | After a 14 day rest period, a challenge test will be given to look at signals of a sensitization response measured by using the following scoring system: 0 - No evidence of irritation
|
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Samantha Poweski | Eurofins CRL Inc. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Eurofins | CRL, Inc. | Piscataway | New Jersey | 08854 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18639964 | Background | McNamee PM, Api AM, Basketter DA, Frank Gerberick G, Gilpin DA, Hall BM, Jowsey I, Robinson MK. A review of critical factors in the conduct and interpretation of the human repeat insult patch test. Regul Toxicol Pharmacol. 2008 Oct;52(1):24-34. doi: 10.1016/j.yrtph.2007.10.019. Epub 2007 Dec 4. | |
| 18635300 | Background |
| Label | URL |
|---|---|
| Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research. Guidance for Industry: Nonprescription Sunscreen Drug Products - Safety and Effectiveness Data. | View source |
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A 21-Day controlled study to evaluate the skin Irritation and sensitization potential of 6% Bemotrizinol (BEMT) in topical products with vehicle controls after repeated patch applications to healthy human participants by following conventional Repeated Insult (HRIPT) and Cumulative Irritation (CIT) methodologies.
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Subjects will be blinded to the name of the investigational products
| 6% Bemotrizinol (BEMT) dispersion in petrolatum | Drug | SU-E-101413-82 |
|
|
| Sunscreen oil vehicle with 10% ethanol as penetration enhancer without BEMT | Other | SU E 101413 91 |
|
|
| Petrolatum vehicle | Other | SU-E-101413-83 |
|
|
| 0.9% Saline | Other | low irritancy control |
|
|
| Sodium Lauryl Sulfate 0.1% (SLS) | Other | positive control |
|
|
| Undosed patch | Other | negative control |
|
|
| 72 hours |
| Determine the dermal sensitization potential of 6% BEMT after 96 hours | After a 14 day rest period, a challenge test will be given to look at signals of a sensitization response measured by using the following scoring system: 0 - No evidence of irritation
| 96 hours |
| Determine the cumulative irritation potential of 6% BEMT over 21 days | The cumulative irritation potential of 6% bemotrizinol (BEMT) will be assessed for each subject via a visual assessment of the test products and controls during a 21-day application period. Cumulative irritation potential will be assessed using the following scoring system: 0 - No evidence of irritation
| 21 days |
| Api AM, Vey M. Implementation of the dermal sensitization Quantitative Risk Assessment (QRA) for fragrance ingredients. Regul Toxicol Pharmacol. 2008 Oct;52(1):53-61. doi: 10.1016/j.yrtph.2008.05.011. Epub 2008 May 27. |
| U.S. Department of Health and Human Services. Assessing the Irritation and Sensitization Potential of Transdermal and Topical Delivery Systems for ANDAs: Guidance for Industry. 2018. | View source |
| ID | Term |
|---|---|
| D013471 | Sunburn |
| ID | Term |
|---|---|
| D010787 | Photosensitivity Disorders |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D002056 | Burns |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| C439083 | bis-ethylhexyloxyphenol methoxyphenyl triazine |
| D010577 | Petrolatum |
| D013473 | Sunscreening Agents |
| D000431 | Ethanol |
| D000077330 | Saline Solution |
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D011837 | Radiation-Protective Agents |
| D020011 | Protective Agents |
| D045505 | Physiological Effects of Drugs |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D003879 | Dermatologic Agents |
| D045506 | Therapeutic Uses |
| D003358 | Cosmetics |
| D020313 | Specialty Uses of Chemicals |
| D000438 | Alcohols |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |
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