Title

Efficacy and Safety of VDA-1102 Ointment in the Treatment of Actinic Keratosis
Randomized, Double-Blind, Placebo-Controlled, Parallel-Cohort Study to Evaluate the Efficacy, Safety, Tolerability, and Pharmacokinetics of Once-Daily Application of Topical VDA-1102 Ointment for 28 Days in Subjects With Actinic Keratosis
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    vda-1102 ...
  • Study Participants

    93
This Phase 2 clinical trial is a multi-center, randomized, double-blind, placebo-controlled, multiple-dose, parallel-cohort study to assess the efficacy, safety and tolerability of VDA-1102 in the treatment of actinic keratosis (AK) on the head of male and female adult subjects.
Approximately 84 subjects who meet the study's enrollment criteria at the completion of the Screening Period will be randomized to receive 5% or 10% VDA-1102, or matched-placebo. During the Treatment Period, study drug will be applied once-daily for 28 days to a 25 square centimeter area of skin containing 4-8 actinic keratosis lesions on the face or scalp. Subjects will be followed for an additional 28 days (Observation Period) wherein no study drug will be applied.

The purpose of the study is to determine whether once-daily application of VDA-1102 ointment for 28 days is effective and well-tolerated in the treatment of actinic keratosis of the face and scalp.
Study Started
Jul 15
2016
Primary Completion
May 26
2017
Study Completion
May 26
2017
Results Posted
Jan 12
2023
Last Update
Jan 12
2023

Drug Placebo

200 mg applied once-daily for 28 days

  • Other names: Excipients alone, Matched-placebo

Drug 5% VDA-1102

200 mg applied once-daily for 28 days

  • Other names: 5% VDA-1102 topical dermal ointment

Drug 10% VDA-1102

200 mg applied once-daily for 28 days

  • Other names: 10% VDA-1102 topical dermal ointment

Placebo Placebo Comparator

Excipeint alone

5% VDA-1102 Experimental

Active study medication

10% VDA-1102 Experimental

Active study medication

Criteria

Main Inclusion Criteria:

Subject has a minimum of 4 and a maximum of 8 discrete Grade 1-2 AK lesions within a single 25 square centimeter area of skin on their scalp or face

Main Exclusion Criteria:

Subject is: (a) pregnant; (b) lactating; (c) planning to become pregnant during the study, or (d) fertile and they or their fertile partner is unable or unwilling to use the required contraceptive methods
Subject is immunosuppressed
Subject has used any of the following topical treatments in the Treatment Field: (1) topical retinoids within 8 weeks of Screening or (2) micro-dermabrasion, laser ablative treatments, ALA-PDT, chemical peels, 5-FU, diclofenac, imiquimod, ingenol, or other topical treatments for AK or that might impact AK within 12 weeks of Screening.
Subject has used systemic retinoid therapy within 6 months of Screening Visit.

Summary

Placebo

5% VDA-1102

10% VDA-1102

All Events

Event Type Organ System Event Term Placebo 5% VDA-1102 10% VDA-1102

Change From Baseline in the Number of Actinic Keratosis Lesions in the Treatment Field on Day 56

To compare the reduction on Day 56 in the number of the actinic keratosis (AK) lesions in the Treatment Field of subjects receiving once-daily topical 5% or 10% VDA-1102 ointment for 28 days to the reduction in the number of AK lesions in subjects receiving placebo.

Placebo

-1.54
lesions (Mean)
Standard Deviation: 1.79

5% VDA-1102

-1.34
lesions (Mean)
Standard Deviation: 1.98

10% VDA-1102

-1.94
lesions (Mean)
Standard Deviation: 1.97

Percentage of Patients With Complete Clearance of Actinic Keratosis Lesions in the Treatment Field

The percentage of subjects achieving complete clearance of AK lesions within the Treatment Field on Day 56.

Placebo

5% VDA-1102

10% VDA-1102

Change From Baseline in the Number of AK Lesions Within the Treatment Field of Each Subject on Day 84.

To compare the reduction on Day 84 in the number of the actinic keratosis lesions

Placebo

-1.64
lesions (Mean)
Standard Deviation: 1.69

5% VDA-1102

-2.05
lesions (Mean)
Standard Deviation: 1.82

10% VDA-1102

-2.15
lesions (Mean)
Standard Deviation: 2.01

AK Grade 2 Lesions Number: Change From Baseline (Day 1 Pre-dose) in Sub-group of Subjects With at Least One Grade 2 Lesion at Baseline (From ITT Population)

Change from Baseline (Day 1 Pre-dose) in Sub-group of Subjects with at least one Grade 2 Lesion at Baseline (from ITT Population)in the number of grade ≥ 2 lesions. Grade 2 defined as: moderate (moderately thick AK that are easily seen and felt)

Placebo

-1.2
lesions (Mean)
Standard Deviation: 1.99

5% VDA-1102

-1.0
lesions (Mean)
Standard Deviation: 2.08

10% VDA-1102

-2.5
lesions (Mean)
Standard Deviation: 2.44

Change From Baseline in the Adjusted Number of Lesions Weighted by Grade ([Number of Grade 1 Lesions] + [2× Number of Grade 2 Lesions] + [3× Number of Grade 3 Lesions])

Change From Baseline in the Adjusted Number of Lesions Weighted by Grade ([Number of Grade 1 Lesions] + [2× Number of Grade 2 Lesions] + [3× Number of Grade 3 Lesions]) Grade 1 - mild (slightly palpable AK that are felt better than seen) Grade 2 - moderate (moderately thick AK that are easily seen and felt) Grade 3 - severe (very thick and/or obvious AK).

Placebo

-27.8
lesions (Mean)
Standard Deviation: 35.6

5% VDA-1102

-24.6
lesions (Mean)
Standard Deviation: 40.5

10% VDA-1102

-38.5
lesions (Mean)
Standard Deviation: 35.3

Total

93
Participants

Age, Continuous

66.5
years (Mean)
Standard Deviation: 9.4

Race and Ethnicity Not Collected

0
Participants

Fitzpatrick skin types

Region of Enrollment

Sex: Female, Male

Treatment field location

Overall Study

Placebo

5% VDA-1102

10% VDA-1102

Drop/Withdrawal Reasons

Placebo