RecruitingPhase 3NCT06470451

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)


Sponsor

Soligenix

Enrollment

80 participants

Start Date

Jan 7, 2025

Study Type

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

Min Age: 18 Years

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

DRUGHypericin

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.

DRUGPlacebo

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)

Medical Dermatology Specialists

Phoenix, Arizona, United States

Mayo Clinic

Scottsdale, Arizona, United States

Therapeutics Clinical Research

San Diego, California, United States

University of South Florida

Tampa, Florida, United States

Northwestern University

Chicago, Illinois, United States

Dawes Fretzin Dermatology Group

Indianapolis, Indiana, United States

Washington University

St Louis, Missouri, United States

Rochester Skin Lymphoma Medical Group

Fairport, New York, United States

Columbia University Medical Center

New York, New York, United States

Accellacare (PMG)

Wilmington, North Carolina, United States

Penn State Health Hershey Medical Center

Hershey, Pennsylvania, United States

Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, United States

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Vanderbilt University

Nashville, Tennessee, United States

MD Anderson

Houston, Texas, United States

Austin Institute for Clinical Research

Pflugerville, Texas, United States

Inova Schar Cancer Institute

Fairfax, Virginia, United States

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NCT06470451


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