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Distribution of Tacrolimus in Skin, Atopic Dermatitis

Information source: Astellas Pharma Inc
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Dermatitis, Atopic

Intervention: Tacrolimus Ointment 0.1% (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: Astellas Pharma Inc

Official(s) and/or principal investigator(s):
Central Contact, Study Chair, Affiliation: Astellas Pharma GmbH

Summary

This study was designed to further increase the understanding of the pharmacokinetics of tacrolimus in the affected skin of atopic dermatitis patients following repeated topical application of tacrolimus ointment 0. 1%.

Clinical Details

Official title: A Study to Determine the Distribution of Tacrolimus in the Skin and the Systemic Pharmacokinetics of Tacrolimus in Adult Patients With Moderate to Severe Atopic Dermatitis Following First and Repeated Application of the Tacrolimus Ointment.

Study design: Treatment, Open Label, Uncontrolled, Single Group Assignment, Pharmacokinetics Study

Primary outcome: Distribution of tacrolimus in the skin after first and repeated application of tacrolimus ointment in adult patients with moderate to severe atopic dermatitis.

Secondary outcome: Systemic pharmacokinetics of tacrolimus after first and repeated application of tacrolimus ointment in adult patients with moderate to severe atopic dermatitis.

Detailed description: The study was conducted on an out-patient basis, with patients self-administering the ointment twice daily at home. However, on Days 1 and 14 there was only a single application of ointment and this was applied by the Investigator or his/her designee in the clinic. An area of the affected skin was selected for skin biopsy of sufficient size for 5 biopsy samples. The biopsy samples were taken from the same lesion(s) if possible or from an adjacent lesion in the same anatomical area at all times. All areas selected for treatment were treated with tacrolimus ointment 0. 1% for a period of two weeks with a follow up period of one week. Two pharmacokinetic profiles (Days 1 and 14) and five skin biopsy samples (Days 1, 2, 15, 18 and 21) were taken.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Using the Hanifin and Rajka Criteria, the patient has a diagnosis of moderate to

severe atopic dermatitis

- Using the Rajka and Langeland grading system, the patient's atopic dermatitis score is

at least 4. 5 (moderate to severe)

Exclusion Criteria:

- Patient has a serious skin disorder other than atopic dermatitis.

- Patient has history of eczema herpeticum (defined as an acute disseminated cutaneous

herpes simplex type 1 or 2 infection associated with constitutional symptoms like fever, headache, malaise, regional or generalised lymphadenopathy in an individual with eczema).

Locations and Contacts

Dublin, Ireland
Additional Information

Starting date: December 2000
Ending date: July 2001
Last updated: September 21, 2007

Page last updated: June 20, 2008

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