E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients presenting with ichthyosis |
Pacientes con ictiosis |
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E.1.1.1 | Medical condition in easily understood language |
Hereditary cutaneous disease with very dry, rough skin peeling. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Skin and Connective Tissue Diseases [C17] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10021198 |
E.1.2 | Term | Ichthyosis |
E.1.2 | System Organ Class | 10010331 - Congenital, familial and genetic disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To demonstrate the efficacy of a 4 weeks treatment by the emollient V0034CR in reducing the disease severity assessed by a specified symptom sum score (SRRC) system on both legs. |
Demostrar la eficacia de un tratamiento de 4 semanas con el emoliente V0034CR en la reducción de la gravedad de la enfermedad evaluada mediante un sistema específico de puntuación total de los síntomas (SRRC) en ambas piernas. |
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E.2.2 | Secondary objectives of the trial |
To document the maintenance of the efficacy after 12 weeks of treatment To evaluate the global judgement by the investigator To evaluate if the product is pleasant to use by the parents and/or the patient To document the clinical, local and systemic, safety over 12 weeks. |
Documentar la persistencia de la eficacia tras 12 semanas de tratamiento Evaluar la valoración global del investigador Evaluar si los padres o el paciente creen que el producto es agradable de utilizar Documentar la seguridad clínica, local y sistémica en 12 semanas. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patient presenting with the following criteria may be included: - under 18 year-old male or female ambulatory patient, - suffering from an ichthyosis, excepted bullous forms of the disease, with symmetric lesions, - having a SRRC score sup. or equal to 4 on both external face of the legs, - with scaling sup. or equal to 2 (on the SRRC score) on both external face of the legs, - willing and able to understand and sign an approved Informed Consent Form, and/or whose parent(s) or guardian(s) has(have) given his/her(their) written consent for their child's participation in the study, - able to understand the protocol and to attend the control visits, and/or whose parent(s) or guardian(s) is(are) cooperative with regard to compliance with study-related constraints. - if required by national regulations, registered with a social security or health insurance system. |
Podrá incluirse a los pacientes que cumplan los criterios siguientes: - pacientes de ambos sexos menores de 18 años y ambulatorios, - aquejados de ictiosis, exceptuando las formas ampollares de la enfermedad, con lesiones simétricas, - con una puntuación SRRC >o =4 en las caras externas de las piernas, - con descamación >o = 2 (en la puntuación SRRC) en ambas caras externas de las piernas, - capaces de comprender y dispuestos a firmar el formulario de Consentimiento Informado aprobado, y/o cuyos padres o tutores hayan facilitado su Consentimiento Informado para la participación del niño o niña en el estudio, - capaces de comprender el protocolo y asistir a las visitas de control, y/o cuyos padres o tutores cooperen en relación con el cumplimiento de las restricciones relacionadas con el estudio. - si lo requiere la normativa nacional, inscritos en la Seguridad Social o una aseguradora sanitaria. |
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E.4 | Principal exclusion criteria |
Patients presenting with any of the following criteria will not be included:
* Criteria related to pathologies· - Severe forms of ichthyosis requiring an hospitalisation,· - Dermatological disease other than ichthyosis liable to interfere with the assessment,· - History of serious disease considered by the investigator hazardous for the patient or incompatible with the study.
* Criteria related to treatments· - History of allergy or intolerance to the study drug or its excipients, or to cosmetics,· - Treatment by systemic retinoids started or modified during the last 2 months,· - Homeopathic treatment during the last 2 months, - Treatment by local retinoids, topical or systemic corticosteroids (injectable, oral), tazarotene, calcipotriol during the last month, - Treatment by keratinolytics such as urea, propylene glycol, polyethylene glycol, salicylic acid, alphahydroxy acids, N-acetylcysteine during the last week, - Treatment by UV-B therapy during the last week,· - Treatment by UV-A therapy.
* Criteria related to the way of life· - Use of food supplements able to modify skin (vitamin A ?) during the study duration,· - Practice of swimming pool, sauna, hammam, spa, UV during the study,· - Immoderate use of alcohol or tobacco.
* Criteria related to the population· - Parent(s) or guardian(s) linguistically or psychologically unable to understand the information given or to give his/her(their) informed consent or who refuses(refuse) to give his/her(their) consent in writing, or patient linguistically or psychologically unable to understand the information given or formulate his/her informed consent or who refuses to give his/her consent in writing, - Parent(s) or guardian(s) subject to an administrative or court order or subject to guardianship or wardship or patient subject to an administrative or court order or subject to guardianship or wardship,· - Parent(s) or guardian(s) who cannot be contacted by telephone in an emergency, or patient who cannot be contacted by telephone in an emergency, - Participation to another clinical trial in the previous month or during the study.
For girls: - known pregnancy or breast feeding. |
No se incluirá a los pacientes que cumplan cualquiera de los siguientes criterios:
* Criterios relacionados con patologías ?Formas graves de ictiosis que requieran hospitalización, ?Enfermedad dermatológica distinta de la ictiosis que pueda interferir con la evaluación, ?Antecedentes de enfermedad grave que el investigador considere que constituye un riesgo para el paciente o que sea incompatible con el estudio.
* Criterios relacionados con los tratamientos ?Antecedentes de alergia o intolerancia al fármaco del estudio o sus excipientes, o a los productos cosméticos, ?Tratamiento con retinoides sistémicos iniciado o modificado durante los 2 últimos meses, ?Tratamiento homeopático durante los 2 últimos meses, ?Tratamiento con retinoides locales, corticoesteroides tópicos o sistémicos (inyectables, orales), tazaroteno, calcipotriol durante el último mes, ?Tratamiento con queratolíticos como urea, propilenglicol, polietilenglicol, ácido salicílico, alfa-hidroxi-ácidos, N-acetilcisteína durante la última semana, ?Tratamiento UV-B durante la última semana, ?Tratamiento UV-A.
* Criterios relacionados con el estilo de vida ?Uso de complementos alimentarios que puedan modificar la piel (vitamina A, etc.) durante el estudio, ?Uso de piscinas, saunas, baños turcos, balnearios, rayos UV durante el estudio, ?Abuso del alcohol o el tabaco.
* Criterios relacionados con la población ?Padres o tutores lingüística o psicológicamente incapaces de comprender la información facilitada o de dar su consentimiento informado o que rehúsen hacerlo por escrito, o pacientes lingüística o psicológicamente incapaces de comprender la información facilitada o de formular su consentimiento informado o que rehúsen hacerlo por escrito, ?Padres o tutores sujetos a un dictamen administrativo o judicial o sujetos a tutela, o pacientes sujetos a un dictamen administrativo o judicial o sujetos a tutela, ?Padres o tutores con los cuales no pueda contactarse por teléfono en caso de emergencia, o pacientes con los cuales no pueda contactarse por teléfono en caso de emergencia, ?Participación en otro ensayo clínico en el mes anterior o durante el estudio.
Para las chicas: - embarazo conocido o lactancia. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Percentage of patients having a 50% reduction of the SRRC score (Scaling, Roughness, Redness, Cracks fissures) between D1 and D28 on the external face of the legs (mean of the 2 legs). |
Porcentaje de pacientes con una reducción del 50% de la puntuación SRRC (siglas correspondientes a Descamación, Aspereza, Eritema, Grietas y fisuras) entre D1 y D28 en la cara externa de las piernas (media de las 2 piernas). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
- Evolution of the SRRC score (Scaling, Roughness, Redness, Cracks fissures) from baseline to D14 and D28 on the external face on the legs (mean of the 2 legs). - Percentage of patients having a 50% reduction of the SRRC score from baseline to D14 on the external face of the legs (mean of the 2 legs). - Evolution of pruritus (V.A.S) from baseline to D14 and D28 on the whole body. - Evolution of the SRRC score after D28 (D56 and D84) on the external face of the legs (mean of the 2 legs). - Evolution of pruritus (V.A.S) after D28 (D56 and D84) on the whole body. - Global assessment of treatment efficacy by the investigator (D28 and D84). - Global assessment by the patient and/or the parents recorded by the investigator (D28, D84). - Assessment of the local tolerability (examination of the skin) and the systemic safety |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
D14, D28 (double-blind) D56, D84 (open-label) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 25 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Morocco |
Russian Federation |
Tunisia |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 9 |
E.8.9.2 | In all countries concerned by the trial days | 0 |