E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
healthy volunteers
Mirfulan® ointment is a topical formulation for the treatment of wounds. Indications for the application of Mirfulan® are treatment of non-infectious acute and subacute skin damages with erythema, itching and pain. |
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MedDRA Classification |
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 |
The primary objective of the study is to assess the efficacy in wound healing of Mirfulan® ointment in comparison to a placebo and the two ingredients zinc oxide and cod liver oil after induction of wounds (suction blisters). For this purpose TEWL measurements directly after induction of suction blisters will be compared with TEWL measurements at the last study day (day 10). Comparisons between products will be based on a repeated measures ANOVA including one within-subjects factor product. |
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E.2.2 | Secondary objectives of the trial |
•Raw TEWL values at each assessment time point. Comparison of all four test formulations. •Difference from baseline of TEWL for each product and each assessment time point. •Area under the curve (AUC) for TEWL ranging from day 1 to day 10 •Raw values of size of wound areas at each assessment time point. Comparison of all four test formulations. •Comparison of wound areas at baseline with all other assessment time points after application (percent changes (reduction) to baseline will be calculated). Comparison of all four test formulations •Area under the curve for size of wound area ranging from day 1 to day 10 •Safety parameters will be documented and analyzed
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
•Male or female subjects with healthy skin and skin type I to IV (Fitzpatrick et al. 1974) •Age 18-55 •Willingness to actively participate in the study and to come to the scheduled visits •Willingness to discontinue the use of own cleansing and cosmetic products (e.g. soaps, creams, moisturizers) in the treatment areas throughout the course of the study •Signed written informed consent to participate in the study •Negative urine pregnancy test (in female subjects of child bearing potential) •Reliable methods of contraception which result in a low failure rate (i.e. less than 1% per year) for women of childbearing potential (implants, injectables, combined oral contraceptives, some intrauterine-devices, sexual abstinence or vasectomised partner) •Willingness to avoid extended artificial as well as natural UV light two weeks before the study, during the whole course of the study and at least 3 months after the end of the study •Willingness to avoid swimming or sauna as well as extreme sporting until the complete re-epithelization of the wounds •Uniform skin color with no erythema in the test area
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E.4 | Principal exclusion criteria |
•Medication
-Systemic treatment with drugs interfering with the immune system: Corticosteroids, antibiotics 30 days prior to study day 1 and during conduct of study Antihistamines 30 days prior to study day 1 and during conduct of study Immunosuppressants 30 days prior to study day 1 and during conduct of study Antiphlogistics (minor pain relief medicine like acetaminophene if not more than 1000 mg per day is allowed) 30 days prior to study day 1 and during conduct of study
-Systemic treatment with substances affecting blood coagulation Acetylsalicylic acid 10 days prior to study day 1 and during the 10 days of the study Anticoagulants 30 days prior to study day 1 and during conduct of study Diuretics 30 days prior to study day 1 and during conduct of study
-Topical treatment of test areas*: Corticosteroids, antibiotics 2 weeks prior to study day 1 and during conduct of study Anti-inflammatory substances 2 weeks prior to study day 1 and during conduct of study Pretreatment with any of the test preparations tested in this study 30 days prior to study day 1 and during conduct of study * moisturizers and sun protection are allowed until 3 days prior to study day 1 but not during the conduct of the study
•Diseases
Atopic dermatitis, eczema and/or sensitive, very dry skin Active skin disease, e.g. skin tumors Moderate or severe illness within the last two weeks before first exposure Known infectious diseases (e.g. hepatitis or AIDS)
•Known hypersensitivity against: Wool wax alcohol Hamamelis Glycerolmonostearate Other ingredients of the test products Plaster
•History of keloids and hypertrophic scars •TEWL before induction of suction blisters > 12 g/m2/h •pregnancy or lactation •moles, tattoos, pigmentation or scars on the forearm that would influence the visual scoring •intensive UV-light exposure within two weeks before the beginning of the test as well as during the study •psychiatric conditions that might limit the participation in the trial and/or that lead to the assumption that the ability to completely understand the consequences of consent is missing •any history of drug addiction or alcoholism in the past 3 years •any history of severe illnesses in the past 3 years •subjects with poor compliance •participation in a clinical trial within the last 30 days prior to the start of this study •subjects underlying any other restrictions due to the participation in other tests / test institutes •employees of the study sites or of the Sponsor’s company
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary endpoint: Comparison of test products based on differences in TEWL (day 10 – day 1) Secondary endpoints: Comparison of test products based on TEWL at each assessment timepoint (difference to baseline) Comparison of test products based on wound area at each assessment timepoint (% changes from baseline) Comparison of test products based on AUC (TEWL, Wound area) Comparisons to baseline for each test product (TEWL, Wound area raw data)
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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 | No |
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 | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
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 | No |
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 | Yes |
E.8.2.3.1 | Comparator description |
same as IMP but with only one active substance each |
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E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
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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end of the study is the last visit of the last subject |
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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 | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | 10 |
E.8.9.2 | In all countries concerned by the trial days | 10 |