Viewing Study NCT00859534



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Study NCT ID: NCT00859534
Status: COMPLETED
Last Update Posted: 2009-09-15
First Post: 2009-03-05

Brief Title: Phase II Solar Urticaria SU Pilot Study
Sponsor: Clinuvel Pharmaceuticals Limited
Organization: Clinuvel Pharmaceuticals Limited

Study Overview

Official Title: A Phase II Open Label Pilot Study to Evaluate the Safety and Efficacy of A Bioresorbable Subcutaneous Implant of CUV1647 in Patients With Solar Urticaria SU
Status: COMPLETED
Status Verified Date: 2009-09
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Urticaria is one of the most common dermatological conditions with diverse clinical presentations and causes Solar urticaria SU is a rare subset of physical urticaria where symptoms are induced by direct exposure of the skin to sunlight As little as 5 minutes of sun exposure can cause flares and whealing on exposed skin sites accompanied by severe itching The wavelengths of radiation causing the eruption ie the action spectrum are in the ultraviolet or visible light range Initially described by Merklen in 1904 SU may have a very sudden and dramatic onset and then rapidly disappear once the exposure ceases A delayed form of SU has also been reported although this is extremely rare Information on the pathophysiology of SU is limited and symptoms are confined to areas of the body exposed to direct sunlight The condition can be very distressing and severely impair the individuals ability to go outdoors and to tolerate indoor lighting The standard therapy ie oral antihistamines is only partially effective and may provide little worthwhile relief of symptoms

This pilot study is proposed to evaluate implants containing 16mg CUV1647 as a prophylactic treatment for patients with SU The effectiveness of CUV1647 will be assessed by determining the minimum urticarial dose before and after treatment
Detailed Description: When human skin is exposed to ultraviolet radiation from the sun or via the use of solaria it responds by increasing melanin levels within epidermal melanocytes Ultraviolet light enhances the local production and release of alpha-melanocyte stimulating hormone alpha-MSH which results in increased melanin levels through a process known as melanogenesis Melanin in the form of eumelanin is a photoprotective agent The mechanisms proposed for photoprotection include but are not limited to the absorption and scattering of UV and visible radiation free radical scavenging and quenching of UV light There is also increasing evidence that melanogenesis represents a major antioxidant defence mechanism in melanocytes neutralising the deleterious effects of free radicals and active oxygen species Eumelanin acts as a neutral density filter and unlike most sunscreens reduces all wavelengths of light equally so that the photoprotection provided by epidermal melanin pigmentation is essentially independent of wavelength

CUV1647 Nle4-D-Phe7-alpha-MSH is a potent and longer lasting analogue of alpha-MSH which stimulates the production of eumelanin in the skin without the specific cell damage that usually occurs when melanin production is stimulated by UV radiation

Urticaria is one of the most common dermatological conditions with diverse clinical presentations and causes Solar urticaria SU is a rare subset of physical urticaria where symptoms are induced by direct exposure of the skin to sunlight As little as 5 minutes of sun exposure can cause flares and whealing on exposed skin sites accompanied by severe itching The wavelengths of radiation causing the eruption ie the action spectrum are in the ultraviolet or visible light range Initially described by Merklen in 1904 SU may have a very sudden and dramatic onset and then rapidly disappear once the exposure ceases A delayed form of SU has also been reported although this is extremely rare Information on the pathophysiology of SU is limited and symptoms are confined to areas of the body exposed to direct sunlight The condition can be very distressing and severely impair the individuals ability to go outdoors and to tolerate indoor lighting The standard therapy ie oral antihistamines is only partially effective and may provide little worthwhile relief of symptoms

This pilot study is proposed to evaluate implants containing 16mg CUV1647 as a prophylactic treatment for patients with SU The effectiveness of CUV1647 will be assessed by determining the minimum urticarial dose before and after treatment

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None