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A-101

Phase 3

Seborrheic Keratosis | Small molecule | Other |Aclaris Therapeutics, Inc.|Last Updated: Dec 2, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials5
Total Enrollment1,456
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02667236A Study of A-101 Solution 40% in Subjects With Seborrheic Keratosis.PHASE3 COMPLETED 450Jan 1, 2016Oct 1, 2016Feb 6, 20181 United States
NCT02667275A Randomized, Double-Blind, Vehicle-Controlled Study in Subjects With Seborrheic KeratosisPHASE3 COMPLETED 487Jan 1, 2016Oct 1, 2016Feb 6, 20181 United States
NCT02667288An Open-Label Safety Study of A-101 SolutionPHASE3 COMPLETED 147Jan 1, 2016Oct 1, 2016Feb 7, 20181 United States
NCT03148691A Randomized, Vehicle-Controlled Study of 2 Concentrations of A-101 for the Treatment of Seborrheic KeratosisPHASE2 COMPLETED 253May 17, 2017Apr 3, 2018May 6, 20199 United States
NCT02260180Study of A-101 for the Treatment of Seborrheic KeratosisPHASE2 COMPLETED 119Oct 1, 2014Mar 1, 2015Dec 2, 20204 United States
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Study Endpoints
Primary Endpoints
Proportion of Subjects With Target Lesion Clearance as Assessed by the Physician Lesion Assessment
Day 106 of the study

Proportion of subjects for whom all target lesions were judged to be clear on the Physician Lesion Assessment Scale (PLA=0) at Visit 8. The PLA Scale is a 4 point scale used by the investigator to assess each subject's target SK Lesion.

Proportion of Subjects With All Target Lesions Cleared According to Physician Lesion Assessment Scale
Study day 106

Proportion of subjects for whom all target lesions were judged to be clear on the Physician Lesion Assessment Scale (PLA=0) at Visit 8. The Physician Lesion Assessment Scale is a 4 point scale used by the investigator to assess the subject's target sk lesions.

Proportion of Subjects With Lesion Clearance
Study day 148

Proportion of subjects for whom all target lesions were judged to be clear on the Physician Lesion Assessment (PWA) Scale. The PWA scale is a 4 point scale used by the investigator to assess each subject target SK Lesion.

Mean of Per Subject Percentages of Target Lesions Judged to be Clear (PWA=0) at Visit 8
Day 106

Mean of per subject percentages of target lesions judged to be clear (PWA=0) at Visit 8 Grade Descriptor 0 Clear: no visible seborrheic keratosis lesion 1. Near Clear: a visible seborrheic keratosis lesion with a surface appearance different from the surrounding skin (not elevated) 2. Thin: a visible seborrheic keratosis lesion (thickness ≤ 1 mm) 3. Thick: a visible seborrheic keratosis lesion (thickness \> 1 mm)

Percentage of PLA Responders With Target Lesion Clear (PLA = 0) in Each Arm at Visit 8.
Day 106

The primary effectiveness analysis was a comparison between each A-101 group and the vehicle group based on the percentage with target lesions judged to be clear on the PLA (PLA = 0) at Visit 8. The three arms of the study are A-101 40% Topical Solution, A-101 32.5% Topical Solution, and A-101 0% Topical Solution (vehicle). The Physician's Lesion Analysis ( PLA) is a 4 point scale from 0 to 3, with 0 being lesion clear and 3 being the most severe lesion. A larger proportion of subjects with a PLA =0 is better.

Secondary Endpoints
Proportion of Subjects With 3 of 4 Target Lesion Clearance
Day 106 of the study
Percent of Lesions Cleared Scale
Study day 106
Per Subject Percent of Lesion Clearance
Day 148
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
A-101 SolutionACTIVE_COMPARATORA-101 Solution 40% administered once
Vehicle SolutionPLACEBO_COMPARATORVehicle Solution administered once
VehiclePLACEBO_COMPARATORVehicle Topical Solution
A-101 Low DoseACTIVE_COMPARATORA-101 Low Dose Topical Solution
A-101 High DoseACTIVE_COMPARATORA-101 High DoseTopical Solution
A-101 40%ACTIVE_COMPARATORA-101 40% Topical Solution
A-101 32.5%ACTIVE_COMPARATORA-101 32.5% Topical Solution
A-101 Vehicle Topical SolutionPLACEBO_COMPARATORA-101 0% Topical Solution (vehicle)
Interventions
NameTypeDescription
A-101 SolutionDRUGActive Drug
Vehicle SolutionOTHERPlacebo
A-101DRUGTopical Solution
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Subject is at least 18 years of age 2. Clinical diagnosis of stable clinically typical seborrheic keratosis 3. Subject has 4 appropriate seborrheic keratosis Target Lesions on the trunk, extremities and face that each are eligible for treatment as defined below: * Have a ...

Countries:United States
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