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
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
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.
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 →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.
Exclusion Criteria:
1 x AQX-1125 Capsule daily
Drug: AQX-1125
1 x placebo capsule daily
Drug: Placebo
Synthetic SHIP1 activator
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
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
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
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
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
| Milestone | AQX-1125 | Placebo |
|---|---|---|
| Started | 26 | 28 |
| Completed | 19 | 23 |
| Not completed | 7 | 5 |
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
| units on a scale | AQX-1125 | Placebo |
|---|---|---|
| Baseline | 6.3 ± 1.16 | 6.6 ± 1.31 |
| Week 12 (Change from baseline) | -1.9 ± 2.19 | -1.9 ± 2.41 |
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).
| units on a scale | AQX-1125 | Placebo |
|---|---|---|
| Baseline | 2.6 ± 0.50 | 2.8 ± 0.52 |
| Week 12 (Change from baseline) | -0.7 ± 0.98 | -0.8 ± 0.87 |
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.
| units on a scale | AQX-1125 | Placebo |
|---|---|---|
| Baseline | 5.58 ± 3.34 | 5.35 ± 2.24 |
| Week 12 (Change from baseline) | -2.84 ± 1.55 | -2.12 ± 3.19 |
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).
| units on a scale | AQX-1125 | Placebo |
|---|---|---|
| Baseline | 36.19 ± 8.70 | 37.21 ± 6.38 |
| Week 12 (Change from baseline) | -12.06 ± 11.15 | -11.54 ± 11.49 |
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.
| units on a scale | AQX-1125 | Placebo |
|---|---|---|
| Baseline | 16.7 ± 6.98 | 15.9 ± 5.48 |
| Week 12 (Change from baseline) | -5.6 ± 9.70 | -6.5 ± 5.82 |
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.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| AQX-1125 | 0/26 (0%) | 0/26 (0%) | 17/26 (65.4%) |
| Placebo | 0/28 (0%) | 0/28 (0%) | 14/28 (50%) |
| Event | AQX-1125 | Placebo |
|---|---|---|
| HeadacheNervous system disorders | 7/26 | 4/28 |
| NasopharyngitisInfections and infestations | 6/26 | 6/28 |
| NauseaGastrointestinal disorders | 4/26 | 0/28 |
| Dermatitis AtopicSkin and subcutaneous tissue disorders | 4/26 | 2/28 |
| PruritusSkin and subcutaneous tissue disorders | 3/26 | 1/28 |
| FolliculitisInfections and infestations | 0/26 | 3/28 |
| DiarrhoeaGastrointestinal disorders | 2/26 | 1/28 |
| Abdominal PainGastrointestinal disorders | 2/26 | 0/28 |
| DyspepsiaGastrointestinal disorders | 2/26 | 0/28 |
| Age, Categorical(Participants) | AQX-1125 | Placebo | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 26 | 28 | 54 |
| >=65 years | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | AQX-1125 | Placebo | Total |
|---|---|---|---|
| Female | 18 | 14 | 32 |
| Male | 8 | 14 | 22 |
| Ethnicity (NIH/OMB)(Participants) | AQX-1125 | Placebo | Total |
|---|---|---|---|
| Hispanic or Latino | 2 | 0 | 2 |
| Not Hispanic or Latino | 24 | 28 | 52 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | AQX-1125 | Placebo | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 1 | 1 | 2 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 6 | 1 | 7 |
| White | 19 | 25 | 44 |
| More than one race | 0 | 1 | 1 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(participants) | AQX-1125 | Placebo | Total |
|---|---|---|---|
| Canada | 26 | 28 | 54 |
| Weight(kg) | AQX-1125 | Placebo | Total |
|---|---|---|---|
| Mean | 72.96 ± 19.44 | 76.30 ± 16.06 | 74.69 ± 17.67 |
| BMI(kg/m2) | AQX-1125 | Placebo | Total |
|---|---|---|---|
| Mean | 26.4 ± 6.17 | 27.1 ± 5.28 | 26.8 ± 5.68 |
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Aquinox Pharmaceuticals (Canada) Inc.