Topical Sirolimus for the Treatment of Pachyonychia Congenita (PC)

Trial ID or NCT#

NCT02152007

Status

not recruiting iconNOT RECRUITING

Purpose

A study to evaluate safety and efficacy of topical sirolimus to treat plantar keratoderma in adults with PC. Subjects may receive either placebo or treatment with at least 1 foot receiving topical sirolimus at some time. For certain phases of the study treatment assignment to the right and left foot will be randomized in a double blind fashion. Blood levels will test systemic absorption of sirolimus. Other safety and efficacy measures will be taken through the 39-week study duration. Funding Source - FDA OOPD

Official Title

Phase 1b Clinical Trial Using Topical Sirolimus for the Treatment of Pachyonychia Congenita

Eligibility Criteria

Ages Eligible for Study: Older than 16 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: No
Inclusion Criteria:
  1. Subjects must: - Be capable of understanding the purpose and risks of the study and sign a written Informed Consent Form (ICF) - Be male or female ≥ 16 years of age at the time of the screening visit - Have a confirmed diagnosis of PC by genotyping (e.g., familial) and clinically correlated painful keratoderma. - Have roughly symmetrical calluses of similar severity on the plantar surface of both feet - Women of childbearing potential must have a negative serum pregnancy test - Subjects, whether male or female, with reproductive potential and who are sexually active must agree to use double-barrier contraception methods
Exclusion Criteria:
  1. A Subject with any of the following criteria is not eligible for inclusion in this study: - Use of other investigational drugs within 30 days of the screening visit and/or has not recovered from any side effects of prior investigational drugs or procedure in the affected area (e.g., a biopsy) - Significant condition in the dermatologic treatment area such as trauma, or nonhealing chronic wound - Pregnant or nursing (lactating) female, or a positive serum pregnancy test - Active infection either systemic or local near the site of treatment requiring chronic or prolonged use of antimicrobial agents - Known immunodeficiency including: Hepatitis A; Hepatitis B; Hepatitis C; Human Immunodeficiency Virus (HIV) Prior and Current Treatment - Unable to be discontinued from drugs known to either be inducers or inhibitors of CYP3A4/5 enzymes - Unable to be discontinued from drugs known to be P-glycoprotein inhibitors

Investigator(s)

Joyce Teng, MD, PhD
Joyce Teng, MD, PhD
Dermatologist, Pediatric dermatologist
Professor of Dermatology and, by courtesy, of Pediatrics

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Contact

Joyce Teng, MD, PhD
650-723-6493