Metal Panel Patch Test

2023-507972-35-00 Therapeutic confirmatory (Phase III) Not authorised

Status Not authorised · 3 EU/EEA countries · 5 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Not authorised
Participants planned 300
Countries 3
Sites 5

Allergic contact dermatitis Eczema

The objective of this study is to evaluate the diagnostic efficacy and safety of the investigational allergens and overall safety and performance of the investigational panel device constituent.

Key facts

Sponsor
Smarthealth Inc.
Participant type
Healthy volunteers, Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Skin and Connective Tissue Diseases [C17]
Decision date (initial)
2024-01-22
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
SmartPractice

External identifiers

EU CT number
2023-507972-35-00
ClinicalTrials.gov
NCT04500834

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety, Diagnosis

The objective of this study is to evaluate the diagnostic efficacy and safety of the investigational allergens and overall safety and performance of the investigational panel device constituent.

Conditions and MedDRA coding

Allergic contact dermatitis Eczema

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Entire Study
All enrolled subjects will be patch tested with all products.
Randomised Controlled Double [{"id":39315,"code":1,"name":"Subject"},{"id":39316,"code":3,"name":"Monitor"},{"id":39317,"code":2,"name":"Investigator"}] Diseased population: Subjects with suspicion of metal allergy
Healthy population: Subjects with no history or suspicion of metal allergy

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. a. 18 years of age or older
  2. b. Group 1: Active dermatitis that is suspected to be allergic contact dermatitis to one or more of the metal panel allergens or a recent history (within the past 5 years) of dermatitis that is suspected to be due to metal allergy, and that resolved prior to enrollment due to treatment or elimination of exposure to the suspected metal trigger. Population may include individuals with suspected allergic contact dermatitis due to a positive patch test within the preceding 10 years and/or a metal implant. Group 2: No history or symptoms of dermatitis related skin disease.
  3. c. Group 2 only: No past or current body piercings, dental appliances, braces, fillings, implants, prosthesis or restorations, surgical hardware, orthopedic implants or cardiac implants.
  4. d. Group 2 only: No routine occupational or long term exposure to metals
  5. e. Unable to become pregnant or willing to use an acceptable method of contraception to prevent pregnancy if female of childbearing potential
  6. f. Understands and signs the approved Informed Consent form which is consistent with all institutional, local and national regulations

Exclusion criteria 18

  1. a. Participation in Clinical Evaluation of Metal Panel Allergens: Mercury, Aluminum and Palladium Dose Response Study, SP12 2PM2 201, or Clinical Evaluation of Metal Panel Allergens: Aluminum, Copper, Manganese, Molybdenum, Tin, Titanium, Vanadium and Zinc Dose Response Study, SP14 8MP 201.
  2. b. Breastfeeding or pregnant (as determined by urine pregnancy test) or intending to become pregnant during the course of the study. Breastfeeding may be resumed upon completion of the study
  3. c. Topical treatment with corticosteroids or other immunosuppressive agents on or near the test area 14 days prior to inclusion through the end of the subject’s participation in the study.
  4. d. Systemic treatment with corticosteroids (equivalent to > 10 mg prednisone) or other immunosuppressive agents 14 days prior to inclusion through the end of the subject’s participation in the study. Inhaled treatments and steroidal nose or eye drops are permitted.
  5. e. Treatment with ultraviolet (UV) light (including tanning) during the 3 weeks prior to inclusion through the end of the subject’s participation in the study.
  6. f. Acute dermatitis outbreak or dermatitis on or near the test area on the back.
  7. g. Known or suspected infection of the skin, joints or other site(s) associated with metal exposure
  8. h. Condition such as, fibromyalgia, chronic fatigue, depression, cognitive impairment, flu-like symptoms, diarrhea and/or headache without at least one of the symptoms related to metal exposure listed in Section 6.6.
  9. i. Condition such as, psoriasis, dermatitis herpetiformis, mycosis fungoides or cutaneous T-cell lymphoma that may confound the evaluation of allergic contact dermatitis.
  10. j. Inability to comply with patch test study requirements including multiple return visits and activity restrictions (e.g., protecting test panels from excess moisture due to showering or vigorous activity).
  11. k. Participation in a clinical trial of an investigational drug, treatment or device during this study or 3 weeks prior to inclusion in this study.
  12. l. An opinion of the Investigator that deems the potential subject to be non-compliant, unable to return for study visits or complete the study as detailed in the protocol.
  13. m. Alcohol abuse as well as drug and/or medication abuse. GERMANY ONLY
  14. n. Severe psychiatric, psychological or neurological disorders. GERMANY ONLY
  15. o. Patients in any relationship or dependency with the sponsor and/or investigator. GERMNY ONLY
  16. p. General inflammatory as well severe acute and chronic inflammatory diseases. GERMANY ONLY
  17. q. Malignancy during the previous 5 years. GERMANY ONLY
  18. r. Completed or ongoing long-term treatment with tranquilizer or psycho active drug.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Concordance (agreement) between the hydrogel (investigational allergen) and petrolatum (reference allergen) patch testing methods using Cohen’s kappa calculation and by positive and negative percent agreement.

Secondary endpoints 1

  1. Measures of allergen safety and performance of device constituent.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Metal Panel Allergens

PRD9162243 · Product

Active substance
Copper Sulphate, Anhydrous
Pharmaceutical form
CUTANEOUS PATCH
Route of administration
CUTANEOUS USE
Max daily dose
0.49 mg milligram(s)
Max total dose
0.49 mg milligram(s)
Max treatment duration
2 Week(s)
Authorisation status
Not Authorised
MA holder
SMARTPRACTICE
Paediatric formulation
No
Orphan designation
No

Comparator 11

Copper Allergen (copper sulfate pentahydrate 2%)

PRD10600440 · Product

Active substance
Copper Sulphate, Anhydrous
Pharmaceutical form
CUTANEOUS PATCH
Route of administration
CUTANEOUS USE
Max daily dose
20 µl microlitre(s)
Max total dose
20 µl microlitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Not Authorised
MA holder
SMARTPRACTICE
Paediatric formulation
No
Orphan designation
No

Kaliumdichromat 0,5%, Testsalbe

PRD697353 · Product

Active substance
Kalium Bichromicum
Substance synonyms
POTASSIUM DICHROMATE
Pharmaceutical form
OINTMENT
Route of administration
CUTANEOUS USE
Max daily dose
20 µl microlitre(s)
Max total dose
20 µl microlitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
V04CL — TESTS FOR ALLERGIC DISEASES
Marketing authorisation
50A/87
MA holder
SMARTPRACTICE EUROPE GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Kobaltchlorid 1%, Testsalbe

PRD697527 · Product

Active substance
Cobalt Chloride
Pharmaceutical form
OINTMENT
Route of administration
CUTANEOUS USE
Max daily dose
20 µl microlitre(s)
Max total dose
20 µl microlitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
V04CL — TESTS FOR ALLERGIC DISEASES
Marketing authorisation
33A/90
MA holder
SMARTPRACTICE EUROPE GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Nickel(II)-sulfat, 6*H2O 5%, Testsalbe

PRD10184958 · Product

Active substance
Nickel Sulfate Hexahydrate
Pharmaceutical form
OINTMENT
Route of administration
CUTANEOUS USE
Max daily dose
20 µl microlitre(s)
Max total dose
20 µl microlitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
V04CL — TESTS FOR ALLERGIC DISEASES
Marketing authorisation
PEI.D.04691.01.1
MA holder
SMARTPRACTICE EUROPE GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Tin Allergen (stannous chloride 1%)

PRD10622822 · Product

Active substance
Stannous Chloride Dihydrate
Pharmaceutical form
CUTANEOUS PATCH
Route of administration
CUTANEOUS USE
Max daily dose
20 µl microlitre(s)
Max total dose
20 µl microlitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Not Authorised
MA holder
SMARTPRACTICE
Paediatric formulation
No
Orphan designation
No

Gold Allergen (gold sodium thiosulfate (GST) 2.0%)

PRD10622830 · Product

Active substance
Gold Sodium Thiosulfate
Pharmaceutical form
CUTANEOUS PATCH
Route of administration
CUTANEOUS USE
Max daily dose
20 µl microlitre(s)
Max total dose
20 µl microlitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Not Authorised
MA holder
SMARTPRACTICE
Paediatric formulation
No
Orphan designation
No

Sodium Allergen (sodium tetrachloropalladate 3%)

PRD10622806 · Product

Active substance
Sodium Tetrachloropalladate
Pharmaceutical form
CUTANEOUS PATCH
Route of administration
CUTANEOUS USE
Max daily dose
20 µl microlitre(s)
Max total dose
20 µl microlitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Not Authorised
MA holder
SMARTPRACTICE
Paediatric formulation
No
Orphan designation
No

Ammonium Allergen (ammonium titanium oxide oxalate 21%)

PRD10600507 · Product

Active substance
Ammonium Titanium Oxalate Monohydrate
Pharmaceutical form
CUTANEOUS PATCH
Route of administration
CUTANEOUS USE
Max daily dose
20 µl microlitre(s)
Max total dose
20 µl microlitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Not Authorised
MA holder
SMARTPRACTICE
Paediatric formulation
No
Orphan designation
No

Manganese Allergen (manganese chloride tetrahydrate 2%)

PRD10600494 · Product

Active substance
Manganese Chloride Tetrahydrate
Pharmaceutical form
CUTANEOUS PATCH
Route of administration
CUTANEOUS USE
Max daily dose
20 µl microlitre(s)
Max total dose
20 µl microlitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Not Authorised
MA holder
SMARTPRACTICE
Paediatric formulation
No
Orphan designation
No

Vanadium Allergen (vanadium oxide sulfate 1.3%)

PRD10600508 · Product

Active substance
Vanadium Oxide Sulfate
Substance synonyms
Vanadyl sulphate
Pharmaceutical form
CUTANEOUS PATCH
Route of administration
CUTANEOUS USE
Max daily dose
20 µl microlitre(s)
Max total dose
20 µl microlitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Not Authorised
MA holder
SMARTPRACTICE
Paediatric formulation
No
Orphan designation
No

Zinc Allergen (zinc chloride 1%)

PRD10600426 · Product

Active substance
Zinc Chloride
Pharmaceutical form
CUTANEOUS PATCH
Route of administration
CUTANEOUS USE
Max daily dose
20 µl microlitre(s)
Max total dose
20 µl microlitre(s)
Max treatment duration
2 Day(s)
Authorisation status
Not Authorised
MA holder
SMARTPRACTICE
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Smarthealth Inc.

Sponsor organisation
Smarthealth Inc.
Address
3400 East Mcdowell Road
City
Phoenix
Postcode
85008-3884
Country
United States

Scientific contact point

Organisation
Smarthealth Inc.
Contact name
Dr. Curt Hamann

Public contact point

Organisation
Smarthealth Inc.
Contact name
Kathryn Shannon

Locations

3 EU/EEA countries · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Not authorised 30 2
Italy Not authorised 45 2
Netherlands Not authorised 30 1
Rest of world
United States, Japan
195

Investigational sites

Germany

2 sites · Not authorised
Ludwig Maximilian University Of Munich
Clinic and Polyclinic for Dematology and Allergology Institute, Leopoldstrasse 13, Schwabing-Freimann, Munich
Ludwig Maximilian University Of Munich
Clinic and Polyclinic for Dematology and Allergology Institute, Leopoldstrasse 13, Schwabing-Freimann, Munich

Italy

2 sites · Not authorised
Hospital Santa Maria Della Misericordia
Department of Medicine and Surgery - University of Perugia, Italy, Piazzale Giorgio Menghini 1, 06129, Perugia
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Dermatological Institute of Policlinical Hospital, University of Milan, Via Francesco Sforza 35, 20122, Milan

Netherlands

1 site · Not authorised
Amsterdam UMC
Department of Dermatology, De Boelelaan 1117, 1081 HV, Amsterdam

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-09-13 Netherlands Not acceptable
2024-01-15
2024-01-19