Confirmatory Study of Topical HyBryte™ vs. Placebo for the Treatment of CTCL
A Confirmatory Phase 3 Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of the Efficacy of Topical HyBryte™ (Hypericin Sodium) and Visible-Light Activation for the Treatment of Cutaneous T-Cell Lymphoma (CTCL)
Soligenix
80 participants
Jan 7, 2025
INTERVENTIONAL
Conditions
Summary
To evaluate the use of HyBryte, a topical photosensitizing agent, to treat patients with patch/plaque phase cutaneous T-cell lymphoma (mycosis fungoides).
Eligibility
Inclusion Criteria4
- Patients must have a clinical diagnosis of cutaneous T-cell lymphoma (CTCL), Stage IA, Stage IB, or Stage IIA.
- Patients with a minimum of three (3) evaluable, discrete lesions.
- Patients willing to follow the clinical protocol and voluntarily give their written informed consent.
- Female patients not pregnant or nursing and willing to undergo a pregnancy test within 30 days prior to treatment initiation.
Exclusion Criteria14
- History of sun hypersensitivity and photosensitive dermatoses including porphyria, systemic lupus erythematosus, Sjögren's syndrome, xeroderma pigmentosum, polymorphous light eruptions, or radiation therapy within 30 days of enrolling.
- History of allergy or hypersensitivity to any of the components of HyBryte.
- A Screening ECG with a QT interval \>470 ms (corrected for heart rate using the Fridericia's formula).
- All women of childbearing potential (WOCBP) and males with female partners who are WOCBP not willing to use effective contraception.
- Patients receiving topical steroids or other topical treatments (eg, nitrogen mustard) on treated lesions for CTCL within 2 weeks of enrollment.
- Patients receiving systemic steroids, psoralen UVA radiation therapy (PUVA), narrow band UVB light therapy (NB-UVB) or carmustine (BCNU) or other systemic therapies for CTCL within 4 weeks of enrollment.
- Patients who have received electron beam irradiation within 3 months of enrollment.
- Patients with a history of significant systemic immunosuppression.
- Patients taking other investigational drugs or drugs of abuse within 30 days of entry into this study.
- Patients whose condition is spontaneously improving.
- Patients with tumor stage or erythrodermic CTCL (stages IIB-IV).
- Patients with extensive skin disease (\>30% body surface area) who would be, in the judgement of the Principal Investigator, candidates for systemic treatment.
- Patient has any condition that, in the judgment of the PI, is likely to interfere with participation in the study.
- Prior participation in the current study.
Interventions
HyBryte gel (0.25% hypericin) is applied twice weekly for 18 weeks. Treated lesions are covered with opaque material (such as opaque clothing), followed 21 (±3) hours later by the administration of visible light.
Placebo gel is applied twice weekly for 18 weeks. Treated lesions are covered with opaque material (such as opaque clothing), followed 21 (±3) hours later by the administration of visible light.
Locations(17)
View Full Details on ClinicalTrials.gov
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NCT06470451