ClinicalTrials.gg
CompletedNCT03473197Updated Feb 5, 2020Results posted

A 6-Week Study to Evaluate the Photoallergic Potential of Diacerein 1% Ointment in Healthy Volunteers

A Phase 1 interventional study of Diacerein 1% ointment in Healthy, sponsored by Castle Creek Pharmaceuticals, LLC. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-02-05.

Sponsored by Castle Creek Pharmaceuticals, LLC · Phase 1, Interventional, and Prevention

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Phase
Phase 1
Study type
Interventional
Enrollment
61
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A study in healthy male and female adult volunteers to determine the potential of diacerein 1% ointment to induce a photoallergic skin reaction using a controlled photopatch testing procedure.

Read the detailed description

This was a randomized, single center, vehicle controlled, within-subject comparison study of diacerein 1% ointment and vehicle ointment applied under fully occlusive patch conditions on the infrascapular region of each subject's back to induce a photoallergic skin reaction following Ultraviolet (UV) irradiation. This was repeated twice each week during the 3-week Induction Phase, once during rest week 4 as applicable and once at Challenge Phase.

02

Conditions studied

  • Healthy
03

In context

Lead sponsor

Castle Creek Pharmaceuticals, LLC is the lead sponsor of 7 studies on the registry; none are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 7 (100%) have results posted.

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

04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  • Is a healthy male or female (to be confirmed by medical history);
  • Is 18 years of age or older;
  • In the case of a female of , is using an acceptable form of ;
  • In the case of a female of childbearing potential, has a negative urine pregnancy test (UPT) at Day 1 and are willing to submit to a UPT at the end of study (EOS);
  • Is free of any systemic or dermatological disorder, which, in the opinion of the Investigator, will interfere with the study results or increase the risk of AEs;
  • Is of any Fitzpatrick Skin Type or race, providing the skin pigmentation will allow discernment of erythema

Key Exclusion Criteria:

  • Has a history of photosensitivity or photoallergy;
  • Is using systemic/topical within 3 weeks prior to and/or during the study, or systemic/topical antihistamines 72 hours prior to and during the study;
  • Is not willing to refrain from using systemic/topical anti-inflammatory analgesics such as aspirin, (occasional use of acetaminophen will be permitted);
  • Are taking medication known to cause phototoxic reactions (eg, tetracyclines, thiazides, nonsteroidal anti-inflammatory drugs [NSAIDS]);
  • Is using medication which, in the opinion of the Investigator, will interfere with the study results;
  • Is unwilling or unable to refrain from the use of sunscreens, cosmetics, creams, ointments, lotions or similar products on the back during the study;
  • Has psoriasis and/or active atopic dermatitis/eczema;
  • Had a known sensitivity or allergy to constituents of the materials being evaluated including diacerein, mineral oil, petrolatum, cetyl alcohol, D\&C Yellow #10 and/or ethyl paraben;
  • Has damaged skin in or around the test sites, including sunburn, excessively deep tans, uneven skin tones, tattoos, scars, excessive hair, numerous freckles, or other disfigurations of the test site;
  • Has received treatment for any type of internal cancer within 5 years prior to study entry;
  • Has any known sensitivity to adhesives; and/or
  • Has received any drugs(s) with 4 weeks prior to study entry
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
61 participants (actual)

Study arms

  • Other
    Single Cohort (Healthy Volunteers)

    Diacerein 1% topical ointment Intra-subject photoallergy (photosensitization) test

    Drug: Diacerein 1% ointment

Interventions

  • During the 3-week Induction Phase, diacerein 1% ointment and vehicle ointment were applied under fully occlusive patch conditions to two randomly assigned skin sites on the infrascapular region of the back twice each week for approximately 24 hours (±4 hours). After patch removal, one application site and an untreated control site was irradiated, and all sites were evaluated 24 hours, 48 hours, and 72 hours later. Following a rest period, during the Challenge Phase, the study products were applied to two naive sites once for approximately 24 hours (±4 hours). After patch removal, one application site and an untreated control site was irradiated, and all sites were evaluated 24 hours, 48 hours, and 72 hours later. A Re-Challenge was to be performed if a response observed during the Challenge Phase indicated photosensitization.

    Also known as: CCP-020

06

What researchers measure

Primary outcomes

  1. Observed Photoallergy (Photosensitization): Number of Skin Sites by Maximum Total Irritation Score

    The determination of photosensitization reactions was summarized by frequency counts of the total dermal irritation score during the Challenge Phase. Total Irritation Score is a visual score summing the degree of erythema and edema. Minimum score=0, maximum score=5; higher score=worse outcome

    Time frame: Skin sites evaluated 24, 48, and 72 hours after patch removal and irradiation challenge

07

Results

Posted Feb 5, 2020
Limitations and caveats
no limitations

Participant flow

Participant flow — Overall Study
MilestoneSingle Cohort (Healthy Volunteers)
Started61
Diacerein 1% ointment irradiated51
Vehicle ointment irradiated51
Diacerein 1% ointment non-irradiated51
Vehicle ointment non-irradiated51
Untreated irradiated51
Completed51
Not completed10
Withdrew: Adverse event4
Withdrew: Lost to follow-up1
Withdrew: Withdrawal by subject5

Outcome measures

PrimaryObserved Photoallergy (Photosensitization): Number of Skin Sites by Maximum Total Irritation Score

The determination of photosensitization reactions was summarized by frequency counts of the total dermal irritation score during the Challenge Phase. Total Irritation Score is a visual score summing the degree of erythema and edema. Minimum score=0, maximum score=5; higher score=worse outcome

Time frame:
Skin sites evaluated 24, 48, and 72 hours after patch removal and irradiation challenge
Reported as:
Number · Number of affected skin sites
Observed Photoallergy (Photosensitization): Number of Skin Sites by Maximum Total Irritation Score
Number of affected skin sitesSingle Cohort (Healthy Volunteers)
Diacerein irradiated max score 1 at 24 hrs10
Diacerein irradiated max score 1 at 48 hrs3
Diacerein irradiated max score 1 at 72 hrs1
Diacerein non-irradiated max score 1 at 24 hrs0
Diacerein non-irradiated max score 1 at 48 hrs0
Diacerein non-irradiated max score 1 at 72 hrs0
Vehicle irradiated max score 1 at 24 hrs10
Vehicle irradiated max score 1 at 48 hrs3
Vehicle irradiated max score 1 at 72 hrs1
Vehicle non-irradiated max score 1 at 24 hrs0
Vehicle non-irradiated max score 1 at 48 hrs0
Vehicle non-irradiated max score 1 at 72 hrs0
Untreated irradiated max score 1 at 24 hrs16
Untreated irradiated max score 1 at 48 hrs5
Untreated irradiated max score 1 at 72 hrs1

Adverse events

Collected over 6 weeks: 3 weeks Induction Period, 2.5 week Rest Period, 0.5 week Challenge Period. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Single Cohort (Healthy Volunteers)0/61 (0%)0/61 (0%)0/61 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Single Cohort (Healthy Volunteers)
Mean52.0 ± 14.46
Sex: Female, Male
Sex: Female, Male(Participants)Single Cohort (Healthy Volunteers)
Female47
Male14
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Single Cohort (Healthy Volunteers)
Hispanic or Latino7
Not Hispanic or Latino54
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Single Cohort (Healthy Volunteers)
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White61
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Single Cohort (Healthy Volunteers)
United States61
08

Study locations

1 site
  • TKL Research
    Fair Lawn, New Jersey 07410, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2018 to primary completion in Mar 2018, 2 months.

Results were first posted in Feb 2020, 1 year 10 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 5, 2018
First posted
Mar 22, 2018
StartActual
Jan 8, 2018
Primary completionActual
Mar 9, 2018
CompletionActual
Mar 9, 2018
Results first posted
Feb 5, 2020
Last update
Feb 5, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 5, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03473197
Lead sponsor
Castle Creek Pharmaceuticals, LLC
Responsible party
Sponsor
First posted
Mar 22, 2018
Start date
Jan 8, 2018
Primary completion
Mar 9, 2018
Completion
Mar 9, 2018
Results posted
Feb 5, 2020
Last update
Feb 5, 2020

Study contacts

Mary Spellman, MD
study chair · Castle Creek Pharmaceuticals, LLC

Oversight

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

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This study is completed, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Diacerein

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