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CompletedNCT02324972KINSHIPUpdated Oct 5, 2018Results posted

Pilot Efficacy and Safety Study of AQX-1125 in Atopic Dermatitis

A Phase 2 interventional study of AQX-1125 and Placebo in Atopic Dermatitis, sponsored by Aquinox Pharmaceuticals (Canada) Inc.. Completed at 1 site in Canada. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-10-05.

Sponsored by Aquinox Pharmaceuticals (Canada) Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The primary objective of this study is to evaluate the effect of 12 weeks of treatment with once daily administration of AQX-1125 compared to placebo on change from baseline in Total Lesion Symptom Score in subjects with mild to moderate atopic dermatitis

Read the detailed description

One of the causative factors for the inflammatory response observed in AD is the release of chemokines and other chemoattractant factors followed by recruitment of inflammatory cell subtypes (10). IL-16, a Langerhans cells (LC)-derived chemoattractant cytokine for CD4+ cells, RANTES, monocyte chemotactic protein (MCP-4) and eotaxin are overexpressed in epidermal keratinocytes from AD subjects and may contribute to the chemotaxis of eosinophils, macrophages and Th2-lymphocytes (11).

Since the activation of SHIP1 by AQX-1125 results in the inhibition of inflammatory cell chemotaxis and reduction of pro-inflammatory cytokine synthesis, this study hypothesized that AQX-1125 would improve AD.

02

Conditions studied

  • Atopic Dermatitis

Keywords

  • Atopic dermatitis
  • Eczema
  • AD
  • AQX-1125
  • SHIP1
03

In context

Dermatitis, Atopic

1,419 studies on the registry are indexed under Dermatitis, Atopic; 258 are open to participants now.

This study's enrollment of 54 is below the median of 83 across 1,125 interventional studies indexed under Dermatitis, Atopic.

Browse Dermatitis, Atopic studies →

Lead sponsor

Aquinox Pharmaceuticals (Canada) Inc. is the lead sponsor of 7 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Male or female aged from 18 to 65 years old
  2. Confirmed clinical diagnosis of active atopic dermatitis (AD) according to the Hanifin and Rajka criteria
  3. At least a 6 months history of atopic dermatitis.
  4. Body Surface Area (BSA) covered with atopic dermatitis of 1% or more
  5. Mild or moderate atopic dermatitis (IGA score of 2 or 3).
  6. TLSS of 5 or more at Day 0.
  7. Subject must use a non-medicated emollient daily for at least (≥) 7 days prior to Day 0 and should continue using that same emollient, at the same frequency, throughout the study.

Exclusion criteria

Exclusion Criteria:

  1. Female subject who is pregnant or breast-feeding
  2. Unstable or clinically infected atopic dermatitis
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    AQX-1125

    1 x AQX-1125 Capsule daily

    Drug: AQX-1125

  • Placebo comparator
    Placebo

    1 x placebo capsule daily

    Drug: Placebo

Interventions

  • DrugAQX-1125

    Synthetic SHIP1 activator

  • DrugPlacebo
06

What researchers measure

Primary outcomes

  1. Change From Baseline in Total Lesion Symptom Score (TLSS)

    The TLSS is an assessment of the severity of each of the following three signs: erythema, papulation/infiltration, excoriation and lichenification. Each of these items are rated using a 4-point scale severity where 0 is clear, 1 = mild, 2= moderate and 3 = severe. These ratings are then added to create a total score ranging from 0 to 12

    Time frame: 12 weeks

Secondary outcomes

  1. Change From Baseline in Investigator's Global Assessment (IGA)

    The IGA is a global assessment of the current state of the disease. It is a 5-point morphological assessment of overall disease severity and will be determined according to the following categories: 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate) and 4 (severe).

    Time frame: 12 weeks

  2. Change From Baseline in Eczema Area and Severity Index (EASI) Score

    The Eczema Area and Severity Index (EASI) quantifies the severity of a subject's atopic dermatitis based on both lesion severity and the percentage of body surface area (BSA) affected. Lesions are assessed on four domains; 1) erythema, 2) induration/papulation, 3) excoriation and 4) lichenification. Each domain is scored separately over four body regions (head/neck, upper limbs, trunk and lower limbs) on a scale of 0-3 (0 = none, 1 = mild, 2 = moderate and 3 = severe) with adjustment for the percentage of BSA involved for each body region and for the proportion of the body region relative to the whole body. The sum of these scores provides the EASI total score, ranging from 0 to 72 with a higher score indicating greater severity of atopic dermatitis.

    Time frame: 12 weeks

  3. Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Score

    The severity scoring of atopic dermatitis (SCORAD) index is a standard tool to assess the atopic dermatitis (AD) severity in clinical studies. Six items; erythema, edema/papulation, oozing/crusts, excoriation, lichenification and dryness are measured on a scale from 0-3 for a total of 18 points, with a higher score indicating greater severity. The percentage of BSA affected by AD is evaluated (percentage divided by 5) and added to the total SCORAD score. Loss of sleep and pruritus are also evaluated by subjects on a visual analog scale (scores ranging from 0-10) with a higher score indicating greater severity. The sum of these measures represents the SCORAD which ranges from 0 (absent disease) to 103 (severe disease).

    Time frame: 12 weeks

  4. Change From Baseline in Patient Oriented Eczema Measure (POEM) Score

    The POEM is a 7-item self-assessment questionnaire that assesses disease symptoms (dryness, itching, flaking, cracking, sleep loss, bleeding and weeping) on a scale ranging from 0-4 (0 = no days, 1 = 1-2 days, 2 = 3-4 days, 3 = 5-6 days, 4 = everyday). The sum of the 7 items gives the total POEM score of 0 (absent disease) to 28 (severe disease). High scores are indicative of more severe disease and poor quality of life.

    Time frame: 12 weeks

07

Results

Posted Oct 5, 2018

Participant flow

Participant flow — Overall Study
MilestoneAQX-1125Placebo
Started2628
Completed1923
Not completed75

Outcome measures

PrimaryChange From Baseline in Total Lesion Symptom Score (TLSS)

The TLSS is an assessment of the severity of each of the following three signs: erythema, papulation/infiltration, excoriation and lichenification. Each of these items are rated using a 4-point scale severity where 0 is clear, 1 = mild, 2= moderate and 3 = severe. These ratings are then added to create a total score ranging from 0 to 12

Time frame:
12 weeks
Reported as:
Mean · units on a scale
Change From Baseline in Total Lesion Symptom Score (TLSS)
units on a scaleAQX-1125Placebo
Baseline6.3 ± 1.166.6 ± 1.31
Week 12 (Change from baseline)-1.9 ± 2.19-1.9 ± 2.41
Statistical analysis
  • AQX-1125 vs Placebo · ANCOVA · p = 0.636 · Mean difference (final values): -0.02 · 95% CI -1.30 to 1.25
SecondaryChange From Baseline in Investigator's Global Assessment (IGA)

The IGA is a global assessment of the current state of the disease. It is a 5-point morphological assessment of overall disease severity and will be determined according to the following categories: 0 (clear), 1 (almost clear), 2 (mild), 3 (moderate) and 4 (severe).

Time frame:
12 weeks
Reported as:
Mean · units on a scale
Change From Baseline in Investigator's Global Assessment (IGA)
units on a scaleAQX-1125Placebo
Baseline2.6 ± 0.502.8 ± 0.52
Week 12 (Change from baseline)-0.7 ± 0.98-0.8 ± 0.87
Statistical analysis
  • AQX-1125 vs Placebo · ANOVA · p = 0.677 · Mean difference (final values): 0.12 · 95% CI -0.44 to 0.68
SecondaryChange From Baseline in Eczema Area and Severity Index (EASI) Score

The Eczema Area and Severity Index (EASI) quantifies the severity of a subject's atopic dermatitis based on both lesion severity and the percentage of body surface area (BSA) affected. Lesions are assessed on four domains; 1) erythema, 2) induration/papulation, 3) excoriation and 4) lichenification. Each domain is scored separately over four body regions (head/neck, upper limbs, trunk and lower limbs) on a scale of 0-3 (0 = none, 1 = mild, 2 = moderate and 3 = severe) with adjustment for the percentage of BSA involved for each body region and for the proportion of the body region relative to the whole body. The sum of these scores provides the EASI total score, ranging from 0 to 72 with a higher score indicating greater severity of atopic dermatitis.

Time frame:
12 weeks
Reported as:
Mean · units on a scale
Change From Baseline in Eczema Area and Severity Index (EASI) Score
units on a scaleAQX-1125Placebo
Baseline5.58 ± 3.345.35 ± 2.24
Week 12 (Change from baseline)-2.84 ± 1.55-2.12 ± 3.19
Statistical analysis
  • AQX-1125 vs Placebo · ANOVA · p = 0.802 · Mean difference (final values): -0.219 · 95% CI -1.983 to 1.544
SecondaryChange From Baseline in Scoring Atopic Dermatitis (SCORAD) Score

The severity scoring of atopic dermatitis (SCORAD) index is a standard tool to assess the atopic dermatitis (AD) severity in clinical studies. Six items; erythema, edema/papulation, oozing/crusts, excoriation, lichenification and dryness are measured on a scale from 0-3 for a total of 18 points, with a higher score indicating greater severity. The percentage of BSA affected by AD is evaluated (percentage divided by 5) and added to the total SCORAD score. Loss of sleep and pruritus are also evaluated by subjects on a visual analog scale (scores ranging from 0-10) with a higher score indicating greater severity. The sum of these measures represents the SCORAD which ranges from 0 (absent disease) to 103 (severe disease).

Time frame:
12 weeks
Reported as:
Mean · units on a scale
Change From Baseline in Scoring Atopic Dermatitis (SCORAD) Score
units on a scaleAQX-1125Placebo
Baseline36.19 ± 8.7037.21 ± 6.38
Week 12 (Change from baseline)-12.06 ± 11.15-11.54 ± 11.49
Statistical analysis
  • AQX-1125 vs Placebo · ANOVA · p = 0.976 · Mean difference (final values): 0.108 · 95% CI -7.076 to 7.292
SecondaryChange From Baseline in Patient Oriented Eczema Measure (POEM) Score

The POEM is a 7-item self-assessment questionnaire that assesses disease symptoms (dryness, itching, flaking, cracking, sleep loss, bleeding and weeping) on a scale ranging from 0-4 (0 = no days, 1 = 1-2 days, 2 = 3-4 days, 3 = 5-6 days, 4 = everyday). The sum of the 7 items gives the total POEM score of 0 (absent disease) to 28 (severe disease). High scores are indicative of more severe disease and poor quality of life.

Time frame:
12 weeks
Reported as:
Mean · units on a scale
Change From Baseline in Patient Oriented Eczema Measure (POEM) Score
units on a scaleAQX-1125Placebo
Baseline16.7 ± 6.9815.9 ± 5.48
Week 12 (Change from baseline)-5.6 ± 9.70-6.5 ± 5.82
Statistical analysis
  • AQX-1125 vs Placebo · ANOVA · p = 0.233 · Mean difference (final values): 2.52 · 95% CI -1.68 to 6.72

Adverse events

Collected over Adverse events were collected from Day 0 after 1st dose of study drug until discharge from study at Week 16. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
AQX-11250/26 (0%)0/26 (0%)17/26 (65.4%)
Placebo0/28 (0%)0/28 (0%)14/28 (50%)
Most frequent other events
Most frequent other events
EventAQX-1125Placebo
HeadacheNervous system disorders7/264/28
NasopharyngitisInfections and infestations6/266/28
NauseaGastrointestinal disorders4/260/28
Dermatitis AtopicSkin and subcutaneous tissue disorders4/262/28
PruritusSkin and subcutaneous tissue disorders3/261/28
FolliculitisInfections and infestations0/263/28
DiarrhoeaGastrointestinal disorders2/261/28
Abdominal PainGastrointestinal disorders2/260/28
DyspepsiaGastrointestinal disorders2/260/28

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)AQX-1125PlaceboTotal
<=18 years000
Between 18 and 65 years262854
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)AQX-1125PlaceboTotal
Female181432
Male81422
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)AQX-1125PlaceboTotal
Hispanic or Latino202
Not Hispanic or Latino242852
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)AQX-1125PlaceboTotal
American Indian or Alaska Native000
Asian112
Native Hawaiian or Other Pacific Islander000
Black or African American617
White192544
More than one race011
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)AQX-1125PlaceboTotal
Canada262854
Weight
Weight(kg)AQX-1125PlaceboTotal
Mean72.96 ± 19.4476.30 ± 16.0674.69 ± 17.67
BMI
BMI(kg/m2)AQX-1125PlaceboTotal
Mean26.4 ± 6.1727.1 ± 5.2826.8 ± 5.68
08

Study locations

1 site
  • AQX-Innovaderm site
    Montreal, Quebec, Canada
09

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 5, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02324972
Lead sponsor
Aquinox Pharmaceuticals (Canada) Inc.
Collaborators
Innovaderm Research Inc.
Responsible party
Sponsor
First posted
Dec 24, 2014
Start date
Dec 2014
Primary completion
Nov 2015
Completion
Dec 2015
Results posted
Oct 5, 2018
Last update
Oct 5, 2018

Study contacts

Maggie Wang, MD
study director · Aquinox Pharamceuticals Inc

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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