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Clinical Evaluation of T.R.U.E. TEST® : Safety and Efficacy

This study is currently recruiting participants.
Verified by Allerderm, July 2008

Sponsored by: Allerderm
Information provided by: Allerderm
ClinicalTrials.gov Identifier: NCT00640614
  Purpose

We propose an open, prospective, multi-center Phase III study to evaluate the diagnostic performance and safety of seven new T.R.U.E. Test allergens: Gold sodium thiosulfate, Hydrocortisone-17-butyrate, Bacitracin, Parthenolide, Methyldibromoglutaronitrile, Disperse blue 106, and Bronopol.Allergen performance and safety will be evaluated in adult patients with suspected contact dermatitis, and in adult patients with a known or suspected sensitization to at least one of the seven allergens.


Condition Intervention Phase
Contact Dermatitis
Biological: T.R.U.E. TEST® Skin Patch Test: Dose Response Allergens
Phase III

ChemIDplus related topics:   Hydrocortisone    Cortisol 21-phosphate    Cortisol succinate    Hydrocortamate    Hydrocortisone 21-sodium succinate    Hydrocortisone acetate    Hydrocortisone cypionate    Hydrocortisone hemisuccinate    Proctofoam-HC    Bacitracin    Bacitracin zinc    Sodium thiosulfate    Sodium hyposulfite    Povidone    Hydrocortisone 17-butyrate   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Diagnostic, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title:   Clinical Evaluation of T.R.U.E. TEST® Panel 3.2 Allergens: Gold Sodium Thiosulfate, Hydrocortisone-17-Butyrate, Methyldibromoglutaronitrile, Bacitracin, Parthenolide, Disperse Blue 106, and Bronopol

Further study details as provided by Allerderm:

Primary Outcome Measures:
  • The performance of each allergen will be evaluated based on: Calculating concordance/discordance between T.R.U.E. Test Panel 3.2 allergens and their corresponding petrolatum or aqueous-based allergens and calculated sensitivity and specificity. [ Time Frame: End of Study ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Evaluations will be based on: Frequency and characterization of late and/or persistent reactions, tape-induced irritation, incomplete panel adhesion, and subject-reported sensations of itching or burning and the frequency of adverse events. [ Time Frame: End of study ] [ Designated as safety issue: No ]

Estimated Enrollment:   205
Study Start Date:   April 2008
Estimated Study Completion Date:   October 2009
Estimated Primary Completion Date:   April 2009 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
Sensitives: Experimental
Subjects with a clinical history and positive patch test (current or previous) to any of the seven allergens. Subjects must otherwise be healthy and fulfill entry criteria.
Biological: T.R.U.E. TEST® Skin Patch Test: Dose Response Allergens

Polyvinylpyrrolidone (PVP; excipient 1) Hydrocortisone-17-butyrate, 0.020 mg/cm2 in PVP Hydroxypropylcellulose (HPC; excipient 2) MDBGN, 0.0055 mg/cm2 in PVP Bacitracin, 0.60 mg/cm2 in HPC Gold sodium thiosulfate, 0.075 mg/cm2 in HPC Parthenolide, 0.0030 mg/cm2 in PVP Disperse Blue 106, 0.050 mg/cm2 in PVP Bronopol, 0.25 mg/cm2 in PVP

Test patches, with allergens, are placed at day one and removed 48 hours later. The duration of the study lasts 21 days. However, the subject is only exposed to the study allergens for 48 hours.

Consecutives: Experimental
Subjects who are being seen for standard allergy patch testing, that are asked to participate in the study.
Biological: T.R.U.E. TEST® Skin Patch Test: Dose Response Allergens

Polyvinylpyrrolidone (PVP; excipient 1) Hydrocortisone-17-butyrate, 0.020 mg/cm2 in PVP Hydroxypropylcellulose (HPC; excipient 2) MDBGN, 0.0055 mg/cm2 in PVP Bacitracin, 0.60 mg/cm2 in HPC Gold sodium thiosulfate, 0.075 mg/cm2 in HPC Parthenolide, 0.0030 mg/cm2 in PVP Disperse Blue 106, 0.050 mg/cm2 in PVP Bronopol, 0.25 mg/cm2 in PVP

Test patches, with allergens, are placed at day one and removed 48 hours later. The duration of the study lasts 21 days. However, the subject is only exposed to the study allergens for 48 hours.


Detailed Description:

Primary endpoint:

The performance (efficacy) of each allergen will be evaluated in adult patients with suspected contact dermatitis, and in adult patients with a known or suspected sensitization to at least one of the seven allergens. Performance will be based on:

  • Calculated concordance/discordance between T.R.U.E. Test Panel 3.2 allergens and their corresponding petrolatum or aqueous-based allergens.
  • Calculated sensitivity and specificity for T.R.U.E. Test Panel 3.2 allergens.

Secondary endpoint:

To evaluate the safety of seven T.R.U.E. Test Panels 3.2 allergens (Gold sodium thiosulfate, Hydrocortisone-17-butyrate, Methyldibromoglutaronitrile, Bacitracin, Parthenolide, Disperse blue 106 and Bronopol) in adult subjects with suspected contact dermatitis ("consecutives"), and/or in adult subjects with a clinical history of contact dermatitis and a current or previous positive patch test to one (or more) of these 7 allergens ("sensitives"). Evaluations will be based on:

  • The frequency and characterization of late and/or persistent reactions, tape-induced irritation at the test site, incomplete panel adhesion, and subject-reported sensations of itching or burning during the test period.
  • The frequency of adverse events and serious adverse events.
  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Criteria

Inclusion Criteria:

  • Consecutive subjects must report symptoms and/or history consistent with allergic contact dermatitis to at least one of the allergens tested in the study (i.e., subjects are visiting the clinic/physician to diagnose, treat or resolve this condition).
  • Sensitive subjects must have a positive patch test to one of the following allergens within the past 10 years.

    • Gold sodium thiosulfate
    • Methyldibromoglutaronitrile (alone or with phenoxyethanol)
    • Bacitracin
    • Bronopol
    • Disperse blue 106 (alone or with Disperse blue 124)
    • Parthenolide (or Compositae mix)
    • Hydrocortisone-17-butyrate
  • All subjects must be adults over 18 years of age, and otherwise in good health.
  • Premenopausal female subjects with childbearing potential must consent to a urine pregnancy test; urine test results must be negative for study inclusion.
  • Informed consent must be signed and understood by each subject, and consistent with all institutional, local and national regulations.

Exclusion Criteria:

  • Subjects unable to meet inclusion requirements.
  • Women who are breastfeeding or pregnant.
  • Topical corticosteroid treatment during the last 7 days before visit 1 on or near the test area.
  • Systemic treatment with corticosteroids or other immunosuppressants during the last 7 days.before visit 1.
  • Subjects currently receiving (or received in the 21 days before visit 1) other investigational drugs, treatments or devices, or participating in another clinical study.
  • Treatment with ultraviolet (UV) light (including tanning) during the 21 days before visit
  • Acute dermatitis outbreak or dermatitis on or near the test area on the back.
  • Subjects unable to comply with patch test study requirements including multiple return visits and activity restrictions (e.g., protecting test panels from excess moisture due to showering or vigorous activity).
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00640614

Contacts
Contact: Erin L Oliver, BA     +1 602-225-0595 ext 520     eoliver@smarthealth.com    
Contact: Kim M Sullivan     +1 602-225-0595 ext 274     sullivan@smarthealth.com    

Locations
United States, Arkansas
River City Dermatology     Recruiting
      Little Rock, Arkansas, United States, 72205
      Contact: Jerri Hoskyn, MD     501-228-4664     jhoskyn@rivercitydermatology.com    
      Principal Investigator: Jerri Hoskyn, MD            
United States, Kansas
American Dermatology Associates     Recruiting
      Shawnee, Kansas, United States, 66216
      Contact: Donald V Belsito, MD     913-631-6330     dbelsito@kc.rr.com    
      Principal Investigator: Donald V Belsito, MD            
United States, Kentucky
Dermatology Specialists PSC     Recruiting
      Louisville, Kentucky, United States, 40202-1864
      Contact: Lynn Fowler     502-583-7546     lynnmfowler@msn.com    
      Principal Investigator: Joseph Fowler, MD            
United States, New York
Winthrop University Hospital     Recruiting
      Mineola, New York, United States, 11501
      Contact: Betsy Alicea-Pinnick, LPN     516-663-9582     BPinnick@Winthrop.org    
      Contact: Elena Crespo     +1 516-663-9582     ecrespo@winthrop.org    
      Principal Investigator: Luz Fonacier, MD            
Canada, Ontario
Bay Dermatology Centre     Not yet recruiting
      Toronto, Ontario, Canada, M5G 1N8
      Contact: Susan Flanagan, R.N.,CCRC     +1 416-467-0123     sfclinicalcoordination@sympatico.ca    
      Contact: Sandy Skotnicki-Grant, MD     416-515-8808     sandyskotnicki@baydermatologycentre.com    
      Principal Investigator: Sandy Skotnicki-Grant, MD            
Denmark
Odense University Hospital     Recruiting
      Odense C, Denmark, DK-5000
      Contact: Evy Paulsen, MD, Ph.D     +45 65 41 27 08     Evy.Paulsen@ouh.regionsyddanmark.dk    
      Contact: Klaus E Andersen, MD, Ph.D     +45 65 41 27 00     Klaus.Ejner.Andersen@ouh.regionsyddanmark.dk    
      Principal Investigator: Evy Paulsen, MD, Ph.D            
      Sub-Investigator: Klaus E Andersen, MD, Ph.D            
      Sub-Investigator: Charlotte G Mørtz, MD, Ph.D            

Sponsors and Collaborators
Allerderm

Investigators
Principal Investigator:     Evy Paulsen, M.D., Ph.D     Odense University Hospital    
Principal Investigator:     Joseph Fowler, MD     Dermatology Specialists PSC    
Principal Investigator:     Luz Fonacier, MD     Winthrop University    
Principal Investigator:     Donald V Belsito, MD     American Dermatology Associates    
Principal Investigator:     Jerri Hoskyn, MD     Rivery City Dermatology    
Principal Investigator:     Sandy Skotnicki-Grant, MD     Bay Dermatology Centre    
  More Information


Responsible Party:   Allerderm ( Erin L. Oliver / Clinical Coordinator )
Study ID Numbers:   Mekos 07 7P3.2 301, BB-IND#: 13546, Eudra CT#: 2008-000168-18, WIRB Pr. No.: 20080089
First Received:   March 3, 2008
Last Updated:   July 2, 2008
ClinicalTrials.gov Identifier:   NCT00640614
Health Authority:   United States: Food and Drug Administration;   Denmark: Danish Dataprotection Agency;   Denmark: Danish Medicines Agency;   Denmark: Ethics Committee;   Canada: Ethics Review Committee;   Canada: Health Canada

Keywords provided by Allerderm:
Dermatitis, Contact  

Study placed in the following topic categories:
Hydrocortisone
Skin Diseases
Cortisol succinate
Parthenolide
Sodium thiosulfate
Bacitracin
Dermatitis, Contact
Gold Sodium Thiosulfate
Hydrocortisone-17-butyrate
Povidone
Skin Diseases, Eczematous
Hydrocortisone acetate
Dermatitis

Additional relevant MeSH terms:
Anti-Infective Agents
Antioxidants
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Protective Agents
Pharmacologic Actions
Anti-Bacterial Agents
Therapeutic Uses
Antitubercular Agents
Chelating Agents
Antirheumatic Agents
Dermatologic Agents
Antidotes

ClinicalTrials.gov processed this record on October 17, 2008




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