Title

Study to Evaluate the Efficacy, Safety, and Tolerability of Topical VDA-1102 Ointment in Subjects With Actinic Keratosis
Phase 2B Open-Label Study to Evaluate the Efficacy, Safety, and Tolerability of Topical VDA-1102 Ointment in Subjects With Actinic Keratosis
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Study Participants

    83
This is a Phase 2 clinical study in patients with actinic keratosis involving daily application of 1 of 2 strengths of VDA-1102 topical ointment for approximately 12 weeks (84 days). This study has no placebo and the subjects enrolled in the study will know exactly what they are receiving. The objectives of the study are to evaluate the safety and benefit of these two strengths.
This Phase 2 clinical trial is a 3-part, open-label, multi-center study involving a non-occluded, daily topical dermal application of 1 of 2 strengths of VDA-1102 ointment for approximately 12 weeks (84 days) to an initial 2 cohorts of subjects. The first 40 eligible subjects will be enrolled into Cohort 1 (Part A). Cohort 1 subjects will be assigned to receive approximately 200 mg of 10% VDA-1102 twice-daily (BID). Once approximately 40 subjects have been enrolled in Cohort 1, Cohort 1 will be closed to enrollment and Cohort 2 (Part B) will be opened for enrollment. Cohort 2 subjects will be assigned to receive approximately 200 mg of 20% VDA-1102 once-daily (QD). Once approximately 40 subjects have been enrolled in Cohort 2, an additional 70 subjects will be randomly assigned to Cohort 1 or Cohort 2 (Part C) in a 1:1 ratio.

To qualify for the study, subjects aged 18 (inclusive) or older must have signed informed consent and met the study enrollment criteria that include having 4-8 actinic keratosis (AK) lesions within an approximate 25 cm2 area on the cheek, forehead, or hairless scalp (the "Treatment Field").
Study Started
May 23
2018
Primary Completion
Dec 10
2018
Study Completion
Dec 10
2018
Results Posted
Aug 23
2022
Last Update
Aug 23
2022

Drug 10% VDA-1102

200 mg twice-daily for 12 weeks

  • Other names: 10% VDA-1102 topical ointment

Drug 20% VDA-1102

200 mg once-daily for 12 weeks

  • Other names: 20% VDA-1102 topical ointment

Cohort 1 Experimental

10% VDA-1102

Cohort 2 Experimental

20% VDA-1102

Criteria

Inclusion Criteria:

4-8 grade 1 or grade 2 AK lesions in Treatment Field on face or scalp

Exclusion Criteria:

Subject has no clinically significant findings at Baseline
Subject is unable to demonstrate adequate precision applying the study drug to the Treatment Field at Baseline
Subject has in the opinion of the Investigator (a) an unstable medical, psychiatric, social problem
Subject has at any time been given a diagnosis or treatment associated with immunosuppression
Subject has received VDA-1102 in the past

Summary

Cohort 1

Cohort 2

All Events

Event Type Organ System Event Term Cohort 1 Cohort 2

Complete Clearance Rate

Efficacy will be evaluated by the proportion of subjects achieving complete clearance of AK lesions in the treatment field of subjects in each treatment arm

Cohort 1

Cohort 2

Complete Facial Clearance Rate

Efficacy will be evaluated by the proportion of subjects achieving complete clearance of facial AK lesions in the treatment field of subjects in each treatment arm

Cohort 1

Cohort 2

Partial Clearance

Efficacy will be evaluated by the proportion of subjects achieving at least 75% clearance of AK lesions in the selected area of subjects of subjects in each treatment arm

Cohort 1

Cohort 2

Partial Facial Clearance

Efficacy will be evaluated by the proportion of subjects achieving at least 75% clearance of facial AK lesions in the selected area of subjects in each treatment arm

Cohort 1

Cohort 2

Lesion Number Reduction

Efficacy will be evaluated by the proportion of AK lesion reduction in the treatment field of subjects in each treatment arm

Cohort 1

-46.0
percentage of change from baseline (Mean)
Standard Deviation: 36.47

Cohort 2

-52.66
percentage of change from baseline (Mean)
Standard Deviation: 37.31

Lesion Number Reduction on Face

Efficacy will be evaluated by the proportion of AK lesion reduction in the facial treatment fields of subjects in each treatment arm

Cohort 1

-48.51
Percentage of change from baseline (Mean)
Standard Deviation: 37.35

Cohort 2

-62.42
Percentage of change from baseline (Mean)
Standard Deviation: 34.02

Complete Clearance in Patients With Local Skin Reaction- Erythema

Erythema (score=0 or score >0) week 8 100% clearance week 16 (Face and Scalp)

Cohort 1

Erythema score = 0

Erythema score > 0

Cohort 2

Erythema score = 0

Erythema score > 0

Lesion Reduction in Patients With Local Skin Reaction- Erythema

Erythema (score=0 or score >0) week 8 75% clearance week 16 (Face and Scalp)

Cohort 1

Erythema score=0

Erythema score >0

Cohort 2

Erythema score=0

Erythema score >0

Total

83
Participants

Age, Continuous

66.4
years (Mean)
Standard Deviation: 8.3

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Sex: Female, Male

Overall Study

Cohort 1

Cohort 2

Drop/Withdrawal Reasons

Cohort 1

Cohort 2