Not Yet RecruitingPhase 2ACTRN12621001545853

A Phase 1c, Single Centre Study Investigating the Safety and Tolerability of a Lysyl Oxidase Inhibitor (PXS-6302) vs Placebo in the Amelioration of Established Scars.


Sponsor

University of Western Australia

Enrollment

50 participants

Start Date

Dec 13, 2021

Study Type

Interventional

Conditions

Summary

Scar formation following a burn or surgery is a considerable health issue worldwide. Current options to manage established scars are mostly invasive and include cryotherapy, scar revision surgery or laser therapy. Lysyl oxidase (LOX) a novel compound is a copper-dependent amine oxidase that plays a critical role in the biogenesis of connective tissue matrices by crosslinking the extracellular matrix proteins, collagen and elastin. Recent studies have revealed a crucial role for LOX in skin fibrosis including the potential to reduce scar formation. This study aims to investigate the safety and tolerability of PXS-6302 for the amelioration of scars in a formulated topical cream.


Eligibility

Sex: Both males and femalesMin Age: 18 YearssMax Age: 60 Yearss

Inclusion Criteria7

  • To be eligible for study entry subjects must satisfy all of the following criteria:
  • Male or female and aged between 18 and 60 years (inclusive) at the screening visit;
  • Body Mass Index (BMI) between 18.0 kg/m2 and 32.0 kg/m2 (inclusive) at the screening visit;
  • Have a scar duration between 1-5 years.
  • Adequate venous access in the left or right arm to allow collection of a number of blood samples;
  • A male subject is eligible to participate if he agrees to using one medically approved (i.e., mechanical or pharmacological) contraceptive measure and have their partners agree to an additional barrier method of contraception for the duration of the study and for 90 days after the last administration of study drug; Women of childbearing potential must use effective contraception. Adequate methods of contraception include use of oral contraceptives or Depo-Provera, with an additional barrier method (diaphragm with spermicidal gel or condoms with spermicide), double-barrier methods (diaphragm with spermicidal gel and condoms with spermicide), partner vasectomy, and total abstinence
  • Able to understand, give consent, and comply with all scheduled study visits, procedures and restrictions.

Exclusion Criteria16

  • Subjects will be excluded from the study if one or more of the following criterion are applicable:
  • Clinically significant gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, pulmonary, immunologic, psychiatric, skin, or cardiovascular disease or any other condition, that, in the opinion of the Investigator, would jeopardize the safety of the subject or impact the validity of the study results;
  • Current acute skin condition (eg: eczema, psoriasis, broken skin, wounds etc) or large tattoos or excess hair at the study drug application site. Normal hair coverage and small blemishes are acceptable at the discretion of the Investigator.
  • History of keloid scarring.
  • History of immediate hypersensitivity to any medication or currently suffers from clinically significant systemic allergic disease;
  • Presence of a recent musculoskeletal injury or currently healing fracture;
  • Have received or is anticipated to receive any prescription systemic or topical medication within 14 days prior to the start of dosing or within 5 half-lives of the study drug, whichever is greater, or use of any over-the-counter, complementary or alternative medicine 48 hours prior to the start of dosing (with the exception of paracetamol up to 2g per day, the use of intra-nasal and inhaled corticosteroids or antihistamines and vitamins);
  • At Investigator discretion if systolic blood pressure <90 or >140 mmHg, diastolic blood pressure <50 or >95 mmHg, and heart rate <40 or >100 bpm;
  • Alanine aminotransferase (ALT), aspartate aminotransferase (AST), or bilirubin
  • >1.5 × upper limit of normal. Test may be repeated once at the discretion of the Investigator;
  • Hemoglobin, white blood cell (WBC), neutrophils, platelets < lower limit of normal. Test may be repeated once at the discretion of the Investigator;
  • Evidence of significant renal insufficiency, as indicated by an estimated creatinine clearance using the Cockcroft-Gault formula < 80 mL/min at Screening;
  • Receipt of blood, or loss or donation of 450 mL or more of blood within 90 days or plasma donation within 14 days before the first dose administration;
  • Have received an experimental therapy within 30 days or 5 half-lives of the study drug, whichever is longer, prior to dosing;
  • Systemic infection other than common cold in the week prior to dosing.
  • Pregnant females.

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Interventions

The interventional product (IP) is a topical cream with a Lysl oxidase inhibitor that prevents collagen cross linking formation which leads to fibrotic tissue associated with scar formation. The act

The interventional product (IP) is a topical cream with a Lysl oxidase inhibitor that prevents collagen cross linking formation which leads to fibrotic tissue associated with scar formation. The active agent lysyl oxidase inhibitor, an enzyme known as PXS-6302 has been formulated as an oil in water cream. Pre-filled 1 mL Luer lock syringes fitted with a cap will be provided. Three syringes will be provided per participant (equivalent to three month supply). Participants will receive multiples doses of PXS-6302, 4 mg (2.0%). Participants will be sent home with this three month supply of either IP or placebo. The application of the cream will be onto the scar itself in via 1ml/10cm squared area. This will be achieved by one click of the syringe. Participants will be allocated to either intervention or placebo arm via alternating sequence. PXS-6302 will be manufactured, packaged and labelled by Pharmaxis Ltd., in accordance with Good Manufacturing Principles for Medicinal Products for use in human clinical trials and will be provided with a certificate of analysis.


Locations(1)

Fiona Stanley Hospital - Murdoch

WA, Australia

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ACTRN12621001545853