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CompletedNCT05488990AKVANO-AKP01Updated Aug 5, 2022

Efficacy and Safety of Novel Formulations of Topical Calcipotriol in Patients With Mild to Moderate Plaque Psoriasis

A Phase 1/2 interventional study of AKVANO-Calcipotriol formulation 1 and AKVANO-Calcipotriol formulation 2 in Psoriasis Vulgaris, sponsored by Lipidor AB. Completed at 1 site in Germany. Open to participants aged 32 Years to 69 Years. Per ClinicalTrials.gov, last updated 2022-08-05.

Sponsored by Lipidor AB · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Registered 9 years 4 months after the study started (first participant enrolled Mar 2013, registered Aug 2022).
Phase
Phase 1/2
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
32 Years to 69 Years
Sex
All
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Study summary

This was a Phase I, single-center, randomized, controlled trial to evaluate the antipsoriatic efficacy of calcipotriol in novel formulations based on AKVANO technology as compared to marketed calcipotriol products (Daivonex® solution and cream) and to evaluate their cutaneous safety in a psoriasis plaque test

Read the detailed description

This study was conducted to evaluate the efficacy and cutaneous safety of calcipotriol (50 μg/g) in novel formulations (AKVANO®) as compared to their corresponding vehicle formulations and marketed calcipotriol formulations (Daivonex®) in a psoriasis plaque test. In total, 24 subjects with chronic psoriasis vulgaris were enrolled in this single-centre, randomized, vehicle and comparator-controlled clinical trial and were treated under occlusion over a 12-day treatment period (10 applications). The anti-psoriatic effect was evaluated by sonographic measurement of the psoriatic infiltrate and investigators' clinical efficacy assessments.

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Conditions studied

  • Psoriasis Vulgaris

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Keywords

  • psoriasis plaque test
  • sonographic measurement
  • psoriatic infiltrate
  • clinical efficacy assessments
  • cutaneous safety
  • calcipotriene
  • calcipotriol
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In context

Psoriasis

1,899 studies on the registry are indexed under Psoriasis; 233 are open to participants now.

This study's enrollment of 24 is below the median of 70 across 1,447 interventional studies indexed under Psoriasis.

Browse Psoriasis studies →

Lead sponsor

Lipidor AB is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
32 Years to 69 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

All of the following criteria had to be met for inclusion of a subject in the clinical trial:

  • Subjects with psoriasis vulgaris in a chronic stable phase and mild or moderate plaque(s) with up to three plaque areas sufficient for six treatment fields
  • The target lesion(s) should have been on the trunk or extremities (excluding palms/soles); psoriatic lesion on the knees were not used as a target lesion
  • Plaques to be treated should have had a comparable psoriatic infiltrate thickness of at least 200 μm
  • The physical examination of the skin had to be without disease findings unless the investigator considered an abnormality to be irrelevant to the outcome of the clinical trial
  • Female volunteers of childbearing potential had to be either surgically sterile (hysterectomy or tubal ligation) or agree to use a reliable method of contraception with a failure rate of less than 1 % per year when used consistently and correctly such as implants, injectables, combined oral contraceptives, some intra-uterine devices [IUDs], sexual abstinence or had a vasectomized partner
  • Written informed consent obtained

Exclusion criteria

Exclusion Criteria:

Subjects were excluded from the clinical trial when one or more of the following conditions were met:

  • Other skin disease noted on physical examination that was considered by the investigator to be relevant to the outcome of the trial;
  • Subjects with psoriasis guttata, psoriasis punctata, psoriasis erythrodermatica, psoriasis arthropathica and pustular psoriasis
  • Any topical antipsoriatic treatment on the plaques to be treated in this trial (including corticosteroids, except for salicylic acid) in the three months before first treatment and/or during the trial
  • Systemic treatment with antipsoriatics e.g. corticosteroids, cytostatics, retinoids in the three months before first treatment and during the trial
  • Treatment with systemic or locally acting medications which might have countered or influenced the trial aim (medications which were known to provoke or aggravate psoriasis, e.g. ß-blocker, antimalarial drugs, lithium) within three months before first treatment and/or during the trial
  • Known allergic reactions irritations or sensitivity to the active ingredients or other components of the investigational products;
  • Contraindications according to summary of product characteristics of Daivonex®
  • Evidence of drug or alcohol abuse
  • Pregnancy or nursing
  • UV-therapy within four weeks before first treatment and during the trial
  • Symptoms of a clinically significant illness that might have influenced the outcome of the trial in the four weeks before first treatment and during the trial
  • Participation in the treatment phase of another clinical trial within the last four weeks prior to the first treatment in this clinical trial
  • In the opinion of the investigator or physician performing the initial examination the subject should not have participated in the clinical trial, e.g. due to probable non-compliance or inability to understand the trial and give adequately informed consent
  • Close affiliation with the investigator (e.g. a close relative) or persons working at bioskin GmbH or subject was an employee of sponsor
  • Subject was institutionalized because of legal or regulatory order
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Single arm with several test fields

    Altogether six test fields (two active formulations, their corresponding vehicles and two comparators) located on the torso, or the extremities were randomly assigned for treatments per subject.

    Drug: AKVANO-Calcipotriol formulation 1 · Drug: AKVANO-Calcipotriol formulation 2 · Drug: AKVANO vehicle formulation 1 · Drug: AKVANO vehicle formulation 2 · Drug: Daivonex solution · Drug: Daivonex cream

Interventions

  • DrugAKVANO-Calcipotriol formulation 1

    Novel lipid based formulation (AKVANO) type 1 containing Calcipotriol (50 μg/g)

    Also known as: AKVC01

  • DrugAKVANO-Calcipotriol formulation 2

    Novel lipid based formulation (AKVANO) type 2 containing Calcipotriol (50 μg/g)

    Also known as: AKVC02

  • DrugAKVANO vehicle formulation 1

    Novel lipid based formulation (AKVANO) vehicle 1

    Also known as: AKVC01 vehicle

  • DrugAKVANO vehicle formulation 2

    Novel lipid based formulation (AKVANO) vehicle 2

    Also known as: AKVC02 vehicle

  • DrugDaivonex solution

    Daivonex solution containing Calcipotriol (50 μg/g)

  • DrugDaivonex cream

    Daivonex cream containing Calcipotriol (50 μg/g)

06

What researchers measure

Primary outcomes

  1. Comparison of AKVANO-Calcipotriol formulations to their corresponding vehicles in terms of change in infiltrate thickness from baseline to Day 12

    The thickness of psoriatic infiltrate will be recorded as echo lucent psoriatic band (ELB) using a 20 MHz high frequency sonograph (PROFI USB, Taberna pro Medicum, Lueneburg) on day 1 (baseline) and day 12 (end of treatment; EoT). Mean change of infiltrate thickness will be determined.

    Time frame: 12 days

Secondary outcomes

  1. Comparison of AKVANO-Calcipotriol formulations to their corresponding comparators (Daivonex solution and cream) in terms of change in infiltrate thickness from baseline to Day 12

    The thickness of psoriatic infiltrate will be recorded as echo lucent psoriatic band (ELB) using a 20 MHz high frequency sonograph (PROFI USB, Taberna pro Medicum, Lueneburg) on day 1 (baseline) and day 12 (end of treatment; EoT). Mean change of infiltrate thickness will be determined.

    Time frame: 12 days

  2. Comparison of AKVANO-Calcipotriol formulations to their corresponding vehicles and comparators in terms of change in infiltrate thickness and Area under curve (AUC) of change in infiltrate thickness from baseline to Day 8

    The thickness of psoriatic infiltrate will be recorded as echo lucent psoriatic band (ELB) using a 20 MHz high frequency sonograph (PROFI USB, Taberna pro Medicum, Lueneburg) on day 1 (baseline) and day 8. Mean change of infiltrate thickness and AUC of infiltrate thickness will be determined.

    Time frame: 8 days

  3. Clinical assessment of the treatment efficacy of all formulations at day 8

    Clinical assessment (global assessment) of the test fields will be made at visit (day 8 and 12) after day 1 using a defined five-point scale of worsened (-1), unchanged (0), slight improvement (1), clear improvement but not completely healed (2) and completely healed (3). The comparison of single test fields will be made to the untreated plaque(s) beneath the hydrocolloid dressing and next to the respective test field. Clinically apparent differences in erythema and infiltration will contribute to this global assessment. At baseline (Day 1) the score will be documented as "0" (unchanged).

    Time frame: 8 days

  4. Clinical assessment of the treatment efficacy of all formulations at day 12

    Clinical assessment (global assessment) of the test fields will be made at visit (day 8 and 12) after day 1 using a defined five-point scale of worsened (-1), unchanged (0), slight improvement (1), clear improvement but not completely healed (2) and completely healed (3). The comparison of single test fields will be made to the untreated plaque(s) beneath the hydrocolloid dressing and next to the respective test field. Clinically apparent differences in erythema and infiltration will contribute to this global assessment. At baseline (Day 1) the score will be documented as "0" (unchanged).

    Time frame: 12 days

Other outcomes

  1. All Adverse events (AEs) (non-treatment-emergent and treatment-emergent) will be documented.

    All Adverse events (AEs) (non-treatment-emergent and treatment-emergent) will be documented.

    Time frame: 12 days

07

Study locations

1 site
  • bioskin GmbH
    Bergmannstrasse 5, Berlin 10961, Germany
08

References and documents

Publications

  • Holmback J, Rinwa V, Halthur T, Rinwa P, Carlsson A, Herslof B. AKVANO(R): A Novel Lipid Formulation System for Topical Drug Delivery-In Vitro Studies. Pharmaceutics. 2022 Apr 5;14(4):794. doi: 10.3390/pharmaceutics14040794. PubMed 35456628 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 5, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05488990
Lead sponsor
Lipidor AB
Collaborators
Bioskin GmbH
Responsible party
Sponsor
First posted
Aug 5, 2022
Start date
Mar 25, 2013
Primary completion
Jun 17, 2013
Completion
Jun 17, 2013
Last update
Aug 5, 2022

Study contacts

Heinrich Siemetzki, MD
principal investigator · Bioskin GmbH

Oversight

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

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