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diacerein 1%

Phase 2

Epidermolysis Bullosa | Small molecule | Rare Disease |Castle Biosciences, Inc.|Trials Updated: Sep 16, 2020

diacerein 1% target and mechanism

ModalitySmall molecule

Also known as diacerein 1% ointment

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials2
Total Enrollment62

FDA Designations

No designations recorded

diacerein 1% clinical trials

diacerein 1% · 2 trials · 5 indications

Phase 2 1Phase 1 1
NCT03389308Long Term Open-label Study Evaluating Safety of Diacerein 1% Ointment Topical Formulation in Subjects With Epidermolysis Bullosa SimplexEpidermolysis Bullosa
COMPLETED51 Analytics
PHASE2COMPLETED
Long Term Open-label Study Evaluating Safety of Diacerein 1% Ointment Topical Formulation in Subjects With Epidermolysis Bullosa Simplex
Epidermolysis BullosaUnlock trial analytics

Study Endpoints

Primary Endpoints

Treatment-emergent Adverse Events
up to 52 weeks

Number and percentage of participants with any treatment-emergent adverse event.

Detectable Plasma Concentrations of Diacerein and Rhein
Days 1-10, at select time points per protocol

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.

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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment periodEXPERIMENTALSubjects with active lesions as determined Investigator's clinical assessment, will initiate a cycle of applying diacerein 1% ointment once-daily, study medication, at home to their EBS lesions for 8 weeks. Following the Treatment Period, subjects will go Off Treatment for 8 weeks using only investigator approved bland, non-medicated emollient/moisturizer, routine cleansing products and sunscreens. As determined Investigator's clinical assessment, subjects may enter into another Treatment Period of 8 weeks. The duration of a subject's participation in the extension study may be as short as 32 weeks or as long as 52 weeks depending on the cycle initiation schedule for each individual subject.
Cohort 1 (Adolescents, Adults)EXPERIMENTALAdolescent and adult subjects with EB (aged 12 years and older) received diacerein 1% ointment daily for 10 days.
Cohort 2 (Children)EXPERIMENTALChildren with EB (aged 4 to 11 years, inclusive) received diacerein 1% ointment daily for 10 days.

Interventions

NameTypeDescription
diacerein 1% ointmentDRUGTopically apply study medication to lesions identified by the Investigator that require. treatment
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Eligibility Criteria

Age Range6 Months to 99 Years
SexALL
Healthy VolunteersNo
Study Sites3

Key Inclusion Criteria: * The subject is capable of understanding and complying with protocol requirements. * The subject or the subject's legally acceptable representative signs and dates a written, informed consent/assent form and any required privacy authorization prior to the initiation of any ...

Countries:United States
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Frequently asked questions about diacerein 1%

What is diacerein 1%?

Diacerein 1% is a topical small molecule ointment being developed for epidermolysis bullosa, a rare genetic skin blistering disease. It is applied to the skin and is in Phase 2 clinical development. Castle Biosciences, Inc. (ticker CSTL) is the developer.

What is diacerein 1% used for in epidermolysis bullosa?

Diacerein 1% is being studied for the treatment of epidermolysis bullosa, including epidermolysis bullosa simplex, dystrophic epidermolysis bullosa, and junctional epidermolysis bullosa. It is an investigational topical therapy and has not been approved for any indication.

Who makes diacerein 1%?

Castle Biosciences, Inc., which trades under the ticker CSTL, is the developer of diacerein 1% ointment. The company is advancing the topical formulation for epidermolysis bullosa, a rare disease therapeutic area.

What phase is diacerein 1% in?

Diacerein 1% is in Phase 2 clinical development. It is an investigational product and is not FDA approved. Two clinical trials of the ointment have been completed, and no trials are currently active.

What clinical trials is diacerein 1% in?

Two completed trials have evaluated diacerein 1%: NCT03472287, a Phase 1 pharmacokinetic study of diacerein and rhein after maximum use in patients with epidermolysis bullosa, and NCT03389308, a Phase 2 long term open-label safety study of the 1% ointment in epidermolysis bullosa simplex. Together they enrolled 62 participants.

Is diacerein 1% the same as diacerein 1% ointment?

Yes. Diacerein 1% and diacerein 1% ointment refer to the same investigational topical product from Castle Biosciences. The 1% designation describes the concentration of diacerein in the ointment formulation used in the epidermolysis bullosa clinical program.