Plaque Psoriasis
Conditions
Brief summary
The purpose of this study is to determine if the calcitriol absorption in pediatric subjects is comparable to that in adults and adolescents, with no significant impact on calcium/phosphorus metabolism.
Interventions
Topical ointment; twice daily application
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female pediatric subjects, 2 to 12 years of age inclusive at screening * Clinical diagnosis of plaque type psoriasis involving 3% through 35% body surface area at screening and baseline (excluding face and scalp)
Exclusion criteria
* Subjects with guttate or pustular psoriasis, erythrodermic psoriasis or active infection * Vitamin D deficiency at screening * Subjects with hypercalcemia and out of range urinary calcium/creatinine ratio at screening * Subjects with secondary hyperparathyroidism at screening
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cmax of Calcitriol Plasma Level | Day 14 | Cmax of calcitriol plasma level at Day 14 (Peak plasma concentration of calcitriol from Day 1 to Day 14) |
| Cmin of Calcitriol Plasma Level | Day 14 | Cmin of calcitriol plasma level at Day 14 |
| Tmax of Calcitriol Plasma Level | Day 14 | Tmax of calcitriol plasma level at Day 14 |
| AUC (0-6h) of Calcitriol Plasma Level | Day 14 | AUC (0-6h) of calcitriol plasma level at Day 14 (Pre-dose to 6 hours post-dose) |
| AUC (0-9h) of Calcitriol Plasma Level | Day 14 | AUC (0-9h) of calcitriol plasma level at Day 14 (Pre-dose to 9 hours post-dose. For subjects with a body weight of \<15 kg, AUC (0-9h) was extrapolated based on the pre-dose to 6 hours post-dose PK samples.) |
| AUC (0-12h) of Calcitriol Plasma Level | Day 14 | AUC (0-12h) of calcitriol plasma level at Day 14 (For subjects with a body weight of \< 15 kg, AUC (0-9h) was extrapolated based on the pre-dose to 6 hours post dose PK samples. For subjects with a body weight of ≥ 15 kg, AUC (0-12h) was extrapolated based on the pre-dose to 9 hours post-dose PK samples.) |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Calcitriol 3 mcg/g Ointment Topical application every 12 hours for 14 consecutive days
Calcitriol 3 mcg/g ointment: Topical ointment; twice daily application | 18 |
| Total | 18 |
Baseline characteristics
| Characteristic | Calcitriol 3 mcg/g Ointment |
|---|---|
| Age, Continuous | 8.4 years STANDARD_DEVIATION 3 |
| Sex: Female, Male Female | 8 Participants |
| Sex: Female, Male Male | 10 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 9 / 18 |
| serious Total, serious adverse events | 0 / 18 |
Outcome results
AUC (0-12h) of Calcitriol Plasma Level
AUC (0-12h) of calcitriol plasma level at Day 14 (For subjects with a body weight of \< 15 kg, AUC (0-9h) was extrapolated based on the pre-dose to 6 hours post dose PK samples. For subjects with a body weight of ≥ 15 kg, AUC (0-12h) was extrapolated based on the pre-dose to 9 hours post-dose PK samples.)
Time frame: Day 14
Population: Safety population: All enrolled subjects having received the treatment at least once.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Calcitriol 3 mcg/g Ointment | AUC (0-12h) of Calcitriol Plasma Level | 1268.9 pg*h/mL | Standard Deviation 307.3 |
AUC (0-6h) of Calcitriol Plasma Level
AUC (0-6h) of calcitriol plasma level at Day 14 (Pre-dose to 6 hours post-dose)
Time frame: Day 14
Population: Safety population: All enrolled subjects having received the treatment at least once.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Calcitriol 3 mcg/g Ointment | AUC (0-6h) of Calcitriol Plasma Level | 650.3 pg*h/mL | Standard Deviation 166.8 |
AUC (0-9h) of Calcitriol Plasma Level
AUC (0-9h) of calcitriol plasma level at Day 14 (Pre-dose to 9 hours post-dose. For subjects with a body weight of \<15 kg, AUC (0-9h) was extrapolated based on the pre-dose to 6 hours post-dose PK samples.)
Time frame: Day 14
Population: Safety population: All enrolled subjects having received the treatment at least once.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Calcitriol 3 mcg/g Ointment | AUC (0-9h) of Calcitriol Plasma Level | 952.6 pg*h/mL | Standard Deviation 235.9 |
Cmax of Calcitriol Plasma Level
Cmax of calcitriol plasma level at Day 14 (Peak plasma concentration of calcitriol from Day 1 to Day 14)
Time frame: Day 14
Population: Safety population: All enrolled subjects having received the treatment at least once.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Calcitriol 3 mcg/g Ointment | Cmax of Calcitriol Plasma Level | 120.7 pg/mL | Standard Deviation 31.5 |
Cmin of Calcitriol Plasma Level
Cmin of calcitriol plasma level at Day 14
Time frame: Day 14
Population: Safety population: All enrolled subjects having received the treatment at least once.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Calcitriol 3 mcg/g Ointment | Cmin of Calcitriol Plasma Level | 92.6 pg/mL | Standard Deviation 24.2 |
Tmax of Calcitriol Plasma Level
Tmax of calcitriol plasma level at Day 14
Time frame: Day 14
Population: Safety population: All enrolled subjects having received the treatment at least once.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Calcitriol 3 mcg/g Ointment | Tmax of Calcitriol Plasma Level | 1.46 hour | Standard Deviation 2.36 |