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alitretinoin

Phase 3

Eczema | Small molecule | Dermatology |GSK plc|Last Updated: Apr 27, 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-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment599
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00817063Efficacy and Safety of a Retinoid in the Treatment of Severe Chronic Hand EczemaPHASE3 COMPLETED 599Jan 8, 2009Apr 26, 2012Apr 27, 202070 United States
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Study Endpoints
Primary Endpoints
Number of Participants Who Responded as Per Physician's Global Assessment (PGA) at Week 24
Week 24 (end-of-treatment)

The investigator assigned PGA grades according to a 5-point scale (clear \[not detectable\], almost clear \[less than 10% of affected hand surface\], mild disease \[less than 10% of affected hand surface\], moderate disease \[10% to 30% of affected hand surface\], severe disease \[\>30% of affected hand surface\]). PGA ratings were based on an integrated clinical picture of signs, symptoms, and the extent of disease. Symptoms included erythema, scaling, hyperkeratosis/lichenification, vesiculation, edema, fissures, and pruritus/pain. The PGA scale ranges from 0 (no symptom) to 4 (severe disease). Participants were considered as responders when they had a PGA of clear or almost clear.

Secondary Endpoints
Percentage Change From Baseline in Modified Total Lesion Symptom Score (mTLSS) at the End-of-treatment
Baseline (Week 0) and Week 24 (end-of-treatment)
Number of Participants Who Responded as Per Patient Global Assessment (PaGA) at End-of-treatment
Week 24 (end-of-treatment)
Percentage Change From Baseline in Extent of Disease at End-of-treatment
Baseline (Week 0) and Week 24 (end-of-treatment)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
AlitretinoinEXPERIMENTALPatients will receive alitretinoin 30mg capsule for up to 24 weeks
PlaceboEXPERIMENTALPatients will receive placebo 30mg capsule for up to 24 weeks
Interventions
NameTypeDescription
alitretinoinDRUGPatients receive alitretinoin 30mg one capsule daily for up to 24 weeks
PlaceboDRUGPatients receive matching placebo for up to 24 weeks
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites70

Inclusion Criteria: * all types of chronic hand eczema, lasting for at least 6 months since initial diagnosis * rated as severe by the physician * unresponsive to highly potent topical corticosteroids, such as clobetasol Exclusion Criteria: * patients whose disease is adequately controlled by sta...

Countries:United States
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