Trial Outcomes & Findings for To Evaluate the Pharmacokinetic of Diacerein and Rhein After Maximum Use in Patients With Epidermolysis Bullosa (EB) (NCT NCT03472287)

NCT ID: NCT03472287

Last Updated: 2020-02-10

Results Overview

Bioanalytical analyses were performed to determine concentrations levels of diacerein and rhein in plasma using validated bioanalytical methods. For Cohort 1, blood samples were taken at pre-dose and 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose. For Cohort 2, blood samples were taken at pre-dose and 1, 2, 4, 6, and 8 hours post-dose. Trough PK samples were collected on any 2 available days from Days 3 through 9 for Cohort 1 only. Summary statistics for each scheduled time were only reported if at least 50% of subjects had quantifiable concentrations.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

11 participants

Primary outcome timeframe

Days 1-10, at select time points per protocol

Results posted on

2020-02-10

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1 (Adolescents, Adults)
Adolescent and adult subjects with EB (aged 12 and older) received diacerein 1% ointment daily for 10 days
Cohort 2 (Children)
Children with EB (aged 4 to 11 years, inclusive) received diacerein 1% ointment daily for 10 days
Overall Study
STARTED
8
3
Overall Study
COMPLETED
8
3
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

To Evaluate the Pharmacokinetic of Diacerein and Rhein After Maximum Use in Patients With Epidermolysis Bullosa (EB)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1 (Adolescents, Adults)
n=8 Participants
Adolescent and adult patients with EB (aged 12 and older) received Diacerein 1% Ointment daily for 10 days.
Cohort 2 (Children)
n=3 Participants
Children with EB (aged 4 to 11 years, inclusive) received Diacerein 1% Ointment daily for 10 days.
Total
n=11 Participants
Total of all reporting groups
Age, Continuous
26.5 years
STANDARD_DEVIATION 11.74 • n=99 Participants
8.3 years
STANDARD_DEVIATION 1.53 • n=107 Participants
21.5 years
STANDARD_DEVIATION 13.0 • n=206 Participants
Sex: Female, Male
Female
5 Participants
n=99 Participants
1 Participants
n=107 Participants
6 Participants
n=206 Participants
Sex: Female, Male
Male
3 Participants
n=99 Participants
2 Participants
n=107 Participants
5 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=99 Participants
1 Participants
n=107 Participants
8 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
White
7 Participants
n=99 Participants
2 Participants
n=107 Participants
9 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
8 Participants
n=99 Participants
3 Participants
n=107 Participants
11 Participants
n=206 Participants
EB Classification per Cohort
Epidermolysis Bullosa Simplex (EBS)
4 participants
n=99 Participants
3 participants
n=107 Participants
7 participants
n=206 Participants
EB Classification per Cohort
Dystrophic Epidermolysis Bullosa (DEB)
4 participants
n=99 Participants
0 participants
n=107 Participants
4 participants
n=206 Participants
EB Classification per Cohort
Junctional Epidermolysis Bullosa (JEB)
0 participants
n=99 Participants
0 participants
n=107 Participants
0 participants
n=206 Participants

PRIMARY outcome

Timeframe: Days 1-10, at select time points per protocol

Population: Cohort 1: 4 adolescent/adult subjects with EBS, 4 adolescent/adult subjects with DEB; Cohort 2: 3 child subjects with EBS

Bioanalytical analyses were performed to determine concentrations levels of diacerein and rhein in plasma using validated bioanalytical methods. For Cohort 1, blood samples were taken at pre-dose and 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose. For Cohort 2, blood samples were taken at pre-dose and 1, 2, 4, 6, and 8 hours post-dose. Trough PK samples were collected on any 2 available days from Days 3 through 9 for Cohort 1 only. Summary statistics for each scheduled time were only reported if at least 50% of subjects had quantifiable concentrations.

Outcome measures

Outcome measures
Measure
Cohort 1 (Adolescents, Adults)
n=8 Participants
Adolescent/adult subjects with EB (aged 12 years and older) received diacerein 1% ointment daily for 10 days.
Cohort 2 (Children)
n=3 Participants
Children with EB (ages 4-11 yrs, inclusive) were administered diacerein 1% ointment topically for 10 days.
Detectable Plasma Concentrations of Diacerein and Rhein
Rhein Below the limit of quantification:EBS
3 Participants
2 Participants
Detectable Plasma Concentrations of Diacerein and Rhein
Rhein Above Lower limit of quantification:DEB
4 Participants
0 Participants
Detectable Plasma Concentrations of Diacerein and Rhein
Diacerein Above Lower limit of quantification:EBS
0 Participants
0 Participants
Detectable Plasma Concentrations of Diacerein and Rhein
Diacerein Above Lower limit of quantification:DEB
0 Participants
0 Participants
Detectable Plasma Concentrations of Diacerein and Rhein
Rhein Below the limit of quantification:DEB
0 Participants
0 Participants
Detectable Plasma Concentrations of Diacerein and Rhein
Rhein Above Lower limit of quantification:EBS
1 Participants
1 Participants
Detectable Plasma Concentrations of Diacerein and Rhein
Diacerein Below the limit of quantification:EBS
4 Participants
3 Participants
Detectable Plasma Concentrations of Diacerein and Rhein
Diacerein Below the limit of quantification:DEB
4 Participants
0 Participants

Adverse Events

Cohort 1 (Adolescents, Adults)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Cohort 2 (Children)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cohort 1 (Adolescents, Adults)
n=8 participants at risk
Adolescent/adult patients with EB (aged 12 and older) received Diacerein 1% Ointment daily for 10 days
Cohort 2 (Children)
n=3 participants at risk
Children with EB (aged 4 to 11 years, inclusive) received Diacerein 1% Ointment daily for 10 days
General disorders
Pyrexia
12.5%
1/8 • Number of events 1 • Baseline to 30 days after last dose of study drug application (40 days)
0.00%
0/3 • Baseline to 30 days after last dose of study drug application (40 days)

Additional Information

Dr. Mary Spellman/Chief Medical Officer

Castle Creek Pharmaceuticals, LLC

Phone: 862 286 0400

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place