CClinicalTrials.gg
CompletedNCT03436615Updated May 6, 2023Results posted

A Study to Evaluate the Safety and Efficacy of SB206 in Subjects With Molluscum Contagiosum

A Phase 2 interventional study of SB206 4% and SB206 8% in Molluscum Contagiosum, sponsored by Novan, Inc.. Completed at 18 sites in United States. Open to participants aged 2 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-05-06.

Sponsored by Novan, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
256
Allocation
Randomized
Ages
2 Years and older
Sex
All
01

Study summary

This is a phase 2 multi-center, randomized, double-blind, vehicle-controlled ascending dose study to be conducted in non-immunocompromised subjects with molluscum contagiosum.

Read the detailed description

This is a phase 2 multi-center, randomized, double-blind, vehicle-controlled ascending dose study to be conducted in up to approximately 192 or 256 non-immunocompromised subjects with molluscum contagiosum. Subjects who satisfy entry criteria will be randomized 3:1 to ascending, sequential dose cohorts of SB206. The highest tolerated dose will also be run in a cohort once daily. Approximately 64 subjects will be randomized to each cohort. Subjects will be treated once daily, twice daily or three times a week for up to 12 weeks. After 30 subjects randomized in a cohort have completed 2 weeks of treatment, the Data Safety Monitoring Board (DSMB) will review the available unblinded safety and tolerability data. The DSMB will determine if the data supports escalating to the next highest dose for the next cohort or if the data shows the dose is not tolerable decreasing to the next lower dose or frequency for the next cohort.

02

Conditions studied

  • Molluscum Contagiosum

Browse trials for

03

Who can participate

Ages eligible
2 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Be 2 years of age or older, and in good general health;
  • Have signed written informed consent form by a parent or legal guardian (assent form where required);
  • Have between 3 and 70 MC at baseline, excluding periocular (within 2 cm circumference of the eye) and lesions on the labia and penis;
  • Females 10 years of age and older must have a negative urine pregnancy test prior to randomization;
  • Females 10 years of age and older must agree to use an effective method of birth control during the course of the study and for 30 days after their final study visit;
  • Be willing and able to follow study instructions and likely to complete all study requirements.

Exclusion criteria

Exclusion Criteria:

  • Are immunosuppressed, have immunodeficiency disorder, or are on immunosuppressive treatment;
  • Have agminated MC that could make it difficult to provide accurate lesion counts;
  • Have active atopic dermatitis with intense erythema and/or excoriations, that impact currently or could impact at any point during the study the ability to count MC lesions;
  • Have significant eczematous reactions or other skin disease surrounding MC that may impact the ability to count lesions;
  • Have received treatment with topical calcineurin inhibitors or steroids on MC or within 2 cm of MC lesions within 14 days prior to baseline;
  • Have received treatment for MC during the 14 days prior to baseline with podophyllotoxin, imiquimod, cantharidin, sinecatechins, topical retinoids, oral or topical zinc, or other homeopathic or OTC products including, but not limited to, Zymaderm and tea tree oil, cimetidine and other histamine H2 receptor antagonists;
  • Have received surgical procedures (cryotherapy, curettage, other) within 28 days prior to baseline;
  • Have MC only in periocular area;
  • Have MC only on the labia or penis;
  • Female subjects who are pregnant, planning a pregnancy or breastfeeding;
  • Have confirmed methemoglobin level of >3.0% at Baseline using a pulse co-oximeter;
  • Have know hypersensitivity to any ingredients of SB206 or Vehicle Gel including excipients;
  • Have participated in a previous study with NVN1000;
  • Have participated in any other trial of an interventional investigational drug or device within 30 days or concurrent participation in another interventional research study.
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Double (Participant, Investigator)
Enrollment
256 participants (actual)

Study arms

  • Experimental
    SB206 4%

    SB206 4% topically twice daily

    Drug: SB206 4%

  • Experimental
    SB206 8%

    SB206 8% topically twice daily

    Drug: SB206 8%

  • Experimental
    SB206 12%

    SB206 12% topically once or twice daily

    Drug: SB206 12%

  • Placebo comparator
    Placebo (vehicle gel)

    Vehicle Gel topically once or twice daily

    Drug: Placebo

Interventions

  • DrugSB206 4%

    Twice daily

    Also known as: NVN1000

  • DrugSB206 8%

    Twice daily

    Also known as: NVN1000

  • DrugSB206 12%

    Once or twice daily

    Also known as: NVN1000

  • DrugPlacebo

    Once or twice daily

    Also known as: Vehicle Gel

05

What researchers measure

Primary outcomes

  1. Proportion of Subjects Achieving Complete Clearance at Week 12

    Percent (proportion) of subjects with complete clearance of all treatable MC at Week 12. This was measured by dividing the number of subjects who showed complete clearance by the number in that treatment group (this represents our primary outcome variable).

    Time frame: 12 weeks

Secondary outcomes

  1. Proportion of Subjects Achieving Complete Clearance at Each Visit

    Proportion of subjects achieving complete clearance of all treated molluscum contagiosum lesions at each visit.

    Time frame: Week 1; Week 2; Week 4; Week 8; Week 12

  2. Time to First Complete Clearance

    Median time to reach first complete clearance of all molluscum contagiosum lesions (Kaplan-Meier estimate)

    Time frame: Week 12

  3. Proportion of Subjects Achieving 75% Reduction at Each Visit

    Proportion of subjects achieving 75% reduction from baseline in number of molluscum contagiosum at each visit

    Time frame: Week 1, Week 2, Week 4, Week 8, Week 12

  4. Mean Change in Molluscum Contagiosum at Each Visit

    Mean change from baseline in number of molluscum contagiosum lesions at each visit

    Time frame: Week 1, Week 2, Week 4, Week 8, Week 12

  5. Percent Change in Molluscum Contagiosum at Each Visit

    Percent change from baseline in number of molluscum contagiosum lesions at each visit

    Time frame: Week 1, Week 2, Week 4, Week 8, Week 12

06

Results

Posted May 6, 2023

Participant flow

Participant flow — Overall Study
MilestoneCohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)
Started4748474866
Completed3840394361
Not completed98855

Outcome measures

PrimaryProportion of Subjects Achieving Complete Clearance at Week 12

Percent (proportion) of subjects with complete clearance of all treatable MC at Week 12. This was measured by dividing the number of subjects who showed complete clearance by the number in that treatment group (this represents our primary outcome variable).

Time frame:
12 weeks
Reported as:
Count of participants · Participants
Proportion of Subjects Achieving Complete Clearance at Week 12
ParticipantsCohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)
Proportion of Subjects Achieving Complete Clearance at Week 12516131812
SecondaryProportion of Subjects Achieving Complete Clearance at Each Visit

Proportion of subjects achieving complete clearance of all treated molluscum contagiosum lesions at each visit.

Time frame:
Week 1; Week 2; Week 4; Week 8; Week 12
Reported as:
Number · participants
Proportion of Subjects Achieving Complete Clearance at Each Visit
participantsCohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)
Week 1 proportion of subjects achieving complete clearance.01010
Week 2 proportion of subjects achieving complete clearance.11131
Week 4 proportion of subjects achieving complete clearance.13352
Week 8 proportion of subjects achieving complete clearance.3710116
Week 12 proportion of subjects achieving complete clearance.516131812
SecondaryTime to First Complete Clearance

Median time to reach first complete clearance of all molluscum contagiosum lesions (Kaplan-Meier estimate)

Time frame:
Week 12
Reported as:
Median · Days
Time to First Complete Clearance
DaysCohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)
Time to First Complete ClearanceNA (13 to 85)100.0 (11 to 100)91.0 (16 to 91)85.0 (8 to 86)93.0 (17 to 93)
SecondaryProportion of Subjects Achieving 75% Reduction at Each Visit

Proportion of subjects achieving 75% reduction from baseline in number of molluscum contagiosum at each visit

Time frame:
Week 1, Week 2, Week 4, Week 8, Week 12
Reported as:
Number · participants
Proportion of Subjects Achieving 75% Reduction at Each Visit
participantsCohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)
Week 1 proportion of subjects achieving complete clearance.11331
Week 2 proportion of subjects achieving complete clearance.41383
Week 4 proportion of subjects achieving complete clearance.46995
Week 8 proportion of subjects achieving complete clearance.814182011
Week 12 proportion of subjects achieving complete clearance.1020202218
SecondaryMean Change in Molluscum Contagiosum at Each Visit

Mean change from baseline in number of molluscum contagiosum lesions at each visit

Time frame:
Week 1, Week 2, Week 4, Week 8, Week 12
Reported as:
Least squares mean · Molluscum lesion counts
Mean Change in Molluscum Contagiosum at Each Visit
Molluscum lesion countsCohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)
Week 1-1.5 ± 1.430 ± 1.33-2.5 ± 1.44-4.0 ± 1.270.7 ± 1.13
Week 2-1.9 ± 1.53-1.7 ± 1.45-1.8 ± 1.57-7.1 ± 1.41-1.2 ± 1.23
Week 4-1.8 ± 1.80-6.0 ± 1.71-6.2 ± 1.82-8.7 ± 1.66-0.9 ± 1.43
Week 8-5.6 ± 2.08-10.3 ± 2.00-7.6 ± 2.10-12.3 ± 1.92-4.9 ± 1.65
Week 12-7.2 ± 2.43-12.0 ± 2.31-9.9 ± 2.42-12.9 ± 2.21-8.6 ± 1.90
SecondaryPercent Change in Molluscum Contagiosum at Each Visit

Percent change from baseline in number of molluscum contagiosum lesions at each visit

Time frame:
Week 1, Week 2, Week 4, Week 8, Week 12
Reported as:
Least squares mean · Percentage change from baseline
Percent Change in Molluscum Contagiosum at Each Visit
Percentage change from baselineCohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)
Week 10.0 ± 7.8210.1 ± 7.33-4.7 ± 7.84-11.1 ± 6.968.7 ± 6.16
Week 2-4.4 ± 8.445.8 ± 8.07-5.9 ± 8.64-29.2 ± 7.81-4.1 ± 6.77
Week 4-3.6 ± 8.19-30.4 ± 7.75-29.2 ± 8.32-37.3 ± 7.54-6.6 ± 6.51
Week 8-19.2 ± 9.54-47.5 ± 9.17-38.7 ± 9.64-56.3 ± 8.79-17.2 ± 7.58
Week 12-25.3 ± 9.65-64.3 ± 9.07-56.1 ± 9.61-54.6 ± 8.70-37.8 ± 7.54

Adverse events

Collected over Baseline visit to end of study visit, 85 days.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1: SB206 4% BID0/46 (0%)0/46 (0%)7/46 (15.2%)
Cohort 2: SB206 8% BID0/48 (0%)0/48 (0%)24/48 (50%)
Cohort 3: SB206 12% BID0/47 (0%)0/47 (0%)18/47 (38.3%)
Cohort 4: SB206 12% QD0/47 (0%)0/47 (0%)19/47 (40.4%)
Placebo (Vehicle Gel)0/66 (0%)0/66 (0%)6/66 (9.1%)
Most frequent other events
Most frequent other events
EventCohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)
Application site erythemaGeneral disorders3/466/486/475/470/66
PyrexiaGeneral disorders1/465/481/471/472/66
Application site painGeneral disorders2/463/483/474/470/66
Application site exfoliationGeneral disorders0/461/483/474/470/66
Application site pruritusGeneral disorders1/461/484/472/470/66
DiarrhoeaGastrointestinal disorders0/463/480/471/471/66
Pharyngitis streptococcalInfections and infestations0/463/481/472/471/66
Oropharyngeal painRespiratory, thoracic and mediastinal disorders0/463/480/470/472/66

Baseline characteristics

ITT population

Age, Customized
Age, Customized(Participants)Cohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)Total
≥2 years of age4748474866256
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)Total
Female2227222527123
Male2521252339133
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Cohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)Total
Hispanic or Latino6111681556
Not Hispanic or Latino4137314051200
Unknown or Not Reported000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)Total
American Indian or Alaska Native110002
Asian211015
Native Hawaiian or Other Pacific Islander001001
Black or African American130217
White4042444458228
More than one race310138
Unknown or Not Reported001135
Region of Enrollment
Region of Enrollment(Participants)Cohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)Total
United States4748474866256
Baseline number of Molluscum lesions
Baseline number of Molluscum lesions(Molluscum lesions)Cohort 1: SB206 4% BIDCohort 2: SB206 8% BIDCohort 3: SB206 12% BIDCohort 4: SB206 12% QDPlacebo (Vehicle Gel)Total
SB20621.7 ± 17.2319.0 ± 14.3718.8 ± 16.1517.6 ± 16.55—19.3 ± 16.05
Placebo (vehicle gel)————18.3 ± 14.4718.3 ± 14.47
07

Study locations

18 sites
  • Premier Site# 266
    Scottsdale, Arizona 85255, United States
  • Premier Site# 260
    Santa Ana, California 92701, United States
  • Premier Site# 257
    Thornton, Colorado 80233, United States
  • Premier Site# 264
    Doral, Florida 33172, United States
  • Premier Site# 116
    Newnan, Georgia 30263, United States
  • Premier Site# 251
    Indianapolis, Indiana 46256, United States
  • Premier Site# 253
    Lenexa, Kansas 66215, United States
  • Premier Site# 117
    Louisville, Kentucky 40241, United States
  • Premier Site# 182
    Las Vegas, Nevada 89129, United States
  • Premier Site# 252
    Norman, Oklahoma 73071, United States
  • Premier Site# 237
    Gresham, Oregon 97030, United States
  • Premier Site# 259
    Charleston, South Carolina 29414, United States
  • Premier Site# 255
    Mount Pleasant, South Carolina 29464, United States
  • Premier Site# 131
    Houston, Texas 77004, United States
  • Premier Site# 167
    Houston, Texas 77030, United States
  • Premier Site# 224
    San Antonio, Texas 78218, United States
  • Premier Site# 256
    Salt Lake City, Utah 84124, United States
  • Premier Site# 267
    Richmond, Virginia 23294, United States
08

References and documents

Study documents

  • Study protocol · Jun 29, 2018
  • Statistical analysis plan · Aug 17, 2018

Documents are hosted by the registry — open the source record to download them.

09

Registry details

Key details

Study ID
NCT03436615
Lead sponsor
Novan, Inc.
Collaborators
Premier Research Group plc
Responsible party
Sponsor
First posted
Feb 19, 2018
Start date
Jan 24, 2018
Primary completion
Nov 3, 2018
Completion
Nov 3, 2018
Results posted
May 6, 2023
Last update
May 6, 2023

Study contacts

Tomoko Maeda-Chubachi, MD
study chair · Novan, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion