Atopic Dermatitis, Healthy
Conditions
Brief summary
This is a Phase 1 parallel-cohort study of crisaborole ointment 2% to evaluate the skin irritation potential in adult Japanese healthy subjects in Cohort 1, and to evaluate the safety, tolerability and PK in adult Japanese subjects with mild to moderate AD in Cohort 2.
Interventions
Crisaborole ointment 2%
Vehicle
Sponsors
Study design
Eligibility
Inclusion criteria
Cohort 1 1. Healthy male Japanese subjects who, at the time of screening, are between the ages of 20 and 55 years, inclusive. 2. Healthy skin on which reddening can be easily recognized in the area of the test fields. Cohort 2 1. Male or female Japanese subjects aged 20 years to 55 years (inclusive) at the time of screening, and in generally good health except for AD. 2. Diagnosis of AD based on the criteria of Hanifin and Rajka (1980). 3. Has at least 25% Treatable %BSA on Day 1 (excluding the scalp and designated venous access areas). 4. Has an Investigator's static global assessment (ISGA) score of Mild (2) or Moderate (3) on Day 1.
Exclusion criteria
Cohort 1 1. Subjects who have any visible skin disease at the application site which, in the opinion of the investigative personnel, will interfere with the evaluation of the test site reaction. 2. Subjects who have psoriasis and/or active AD/eczema. 3. Subjects who have a history of AD. 4. Subjects who have damaged skin in or around the test sites, including sunburn, excessively deep tans, uneven skin tones, tattoos, scars, excessive hair, numerous freckles, or other disfigurations of the test site. 5. Known sensitivity to any of the components of the investigational products. 6. History of the rash to the adhesive plaster, contact dermatitis to metal, or cosmetic and household articles. Cohort 2 1. Has any clinically significant medical disorder, condition, disease (including active or potentially recurrent dermatological conditions other than AD), significant physical examination or laboratory findings that may interfere with study objectives, in the Investigator's opinion. 2. Has unstable AD or a consistent requirement for strong to strongest potency topical corticosteroids to manage AD signs and symptoms. 3. Has a significant active systemic or localized infection, including known actively infected AD. 4. Has a history or evidence of clinically significant or severe allergies (eg, seasonal, pet dander, environmental, food) requiring acute or chronic treatment. 5. Has recent or anticipated concomitant use of topical or systemic therapies that might alter the course of AD. 6. Has a history of recent (within 4 weeks of Day 1) sunbathing, tanning bed use, or ultraviolet (UV) light B therapy (UVB) or psoralen plus UVA \[PUVA\]). 7. Has a known sensitivity to any of the components of crisaborole ointment 2%. 8. Pregnant female subjects; breastfeeding female subjects; female subjects of childbearing potential who are unwilling or unable to use a highly effective method of contraception as outlined in this protocol for the duration of the study and for at least 28 days after the last dose of investigational product.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cohort 1: Skin Irritation Index | Day 3 to 4 | The skin irritation index is a common measure of skin irritation potential (safety criteria) of investigational product and derived using skin irritation scores. Individual skin irritation score ranges from 0-4, where 0 = no reaction, 0.5 = mild erythema, 1 = erythema, 2 = erythema with edema and papula, 3 = erythema with edema, papula and small water blister, 4 = large water blister, higher score indicates more skin irritation. For each investigational product, the skin irritation index was calculated as the sum of the maximum individual skin irritation scores divided by the number of evaluable participants and multiplied by 100, which ranged from 0 to 400; where, lower score indicated less skin irritation and higher score indicated more skin irritation. |
| Cohort 2: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs) | Baseline up to Day 36 | An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to 28 days after last dose of study drug (up to Day 36) that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-serious AEs. |
| Cohort 2: Number of Participants With Clinically Significant Vital Signs Abnormalities | Baseline up to end of treatment (Day 8) | Vital signs included pulse rate and blood pressure. Clinical significance of vital signs was determined at the investigator's discretion. |
| Cohort 2: Number of Participants With Laboratory Tests Abnormalities | Baseline up to end of treatment (Day 8) | Laboratory tests abnormalities included: hematology (haemoglobin\[Hb\], haematocrit and erythrocytes\<0.8\*lower limit of normal\[LLN\]; erythrocyte mean corpuscular volume, erythrocyte mean corpuscular Hb and erythrocyte mean corpuscular Hb concentration \<0.9\*LLN and \>1.1\*upper limit of normal\[ULN\]; platelets \<0.5\*LLN and \>1.75\*ULN; leukocytes \<0.6\*LLN and \>1.5\*ULN; lymphocytes/leukocytes\[%\], neutrophils/leukocytes\[%\] \<0.8\*LLN and \>1.2\*ULN; basophils/leukocytes\[%\], eosinophils/leukocytes\[%\], monocytes/leukocytes\[% \]\>1.2\*ULN); clinical chemistry(bilirubin\>1.5\*ULN; aspartate aminotransferase, alanine aminotransferase and alkaline phosphatase\>3.0\*ULN; protein and albumin\<0.8\*LLN and \>1.2\*ULN; urea nitrogen and creatinine \>1.3\*ULN; urate\>1.2\*ULN; sodium \<0.95\*LLN and \>1.05\*ULN; potassium, chloride and calcium \<0.9\*LLN and \>1.1\*ULN; fasting glucose \<0.6\*LLN and \>1.5\*ULN); and urinalysis (pH \<4.5 and \>8; glucose, ketones, protein, Hb, urobilinogen, bilirubin, nitrite and leukocyte esterase \>=1). |
| Cohort 2: Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities | Baseline up to end of treatment (Day 8) | Criteria for clinically significant ECG abnormalities included: QT interval \>=500 milliseconds (msec); QT interval corrected using the Fridericia's formula (QTcF) \>=450 msec to \<480 msec, \>=480 msec and \>=500 msec; increase from baseline in QTcF interval \>=30 msec to \<60 msec and \>=60 msec. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Tau (12 Hours Dosing Interval) (AUCtau) of Crisaborole and Its Identified Main Oxidative Metabolites | Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8 | AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole. AUC tau was defined as area under the plasma concentration-time curve from time 0 to time tau, the dosing interval, where tau =12 hours. |
| Cohort 1: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs) | Baseline up to Day 29 | An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to 28 days after last dose of study drug (up to Day 29) that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-serious AEs. |
| Cohort 2: Accumulation Ratio for AUCtau (Rac [AUCtau]) of Crisaborole and Its Identified Main Oxidative Metabolites | Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and 8 | AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole. Accumulation ratio for AUCtau (Rac) was calculated as area under the curve from time zero to end of dosing interval (AUCtau) on Day 8 divided by AUCtau on Day 1. Dosing interval = 12 hours. |
| Cohort 2: Accumulation Ratio for Cmax (Rac [Cmax]) of Crisaborole and Its Identified Main Oxidative Metabolites | Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and 8 | AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole. Accumulation ratio for Cmax (Rac, Cmax) was calculated as Cmax on Day 8 divided by Cmax on Day 1. Cmax was the maximum plasma concentration of Crisaborole and its identified main oxidative metabolites. |
| Cohort 2: Maximum Observed Plasma Concentration (Cmax) of Crisaborole and Its Identified Main Oxidative Metabolites | Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8 | AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole. |
| Cohort 2: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Crisaborole and Its Metabolites | Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8 | AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole. |
| Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero Until the Last Measurable Concentration (AUClast) of Crisaborole and Its Identified Main Oxidative Metabolites | Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8 | AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole. |
| Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to the 24 Hours Post-Dose (AUC24) of Crisaborole and Its Identified Main Oxidative Metabolites (AN7602 and AN8323) | Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8 | AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole. |
Countries
Japan
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle Crisaborole ointment 2% and matching vehicle was applied topically to 2 randomly assigned, adjacent sites on the skin area field at infrascapular area of the back respectively within each healthy participant under occlusive patch condition on Day 1. Ointment and vehicle were remained under occlusion for 48 hours. Target sites were identified at Baseline (Day 1) by investigator. | 20 |
| Cohort 2: Crisaborole Ointment 2% Crisaborole ointment 2% was applied topically to the treatable percent body surface area (%BSA: defined as percent of a participant's total BSA that is AD-involved and is not on the scalp or in designated venous access areas) of participants with AD twice daily from Days 2 to 7 and once only on Days 1 and 8. Treatable %BSA was calculated at Baseline (Day 1) by investigator. | 10 |
| Cohort 2: Vehicle Vehicle matched to Crisaborole ointment 2% was applied topically to the treatable %BSA (defined as percent of a participant's total BSA that AD-involved and is not on the scalp or in designated venous access areas) of participants with AD twice daily from Days 2 to 7 and once only on Days 1 and 8. Treatable %BSA was calculated at Baseline (Day 1) by investigator. | 2 |
| Total | 32 |
Baseline characteristics
| Characteristic | Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Crisaborole Ointment 2% | Cohort 2: Vehicle | Total |
|---|---|---|---|---|
| Age, Continuous | 26.2 years STANDARD_DEVIATION 5.66 | 35.0 years STANDARD_DEVIATION 11.28 | 23.5 years STANDARD_DEVIATION 4.95 | 28.8 years STANDARD_DEVIATION 8.72 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 20 Participants | 10 Participants | 2 Participants | 32 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 20 Participants | 10 Participants | 2 Participants | 32 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Female | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Male | 20 Participants | 10 Participants | 2 Participants | 32 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 20 | 0 / 10 | 0 / 2 |
| other Total, other adverse events | 0 / 20 | 9 / 10 | 2 / 2 |
| serious Total, serious adverse events | 0 / 20 | 0 / 10 | 0 / 2 |
Outcome results
Cohort 1: Skin Irritation Index
The skin irritation index is a common measure of skin irritation potential (safety criteria) of investigational product and derived using skin irritation scores. Individual skin irritation score ranges from 0-4, where 0 = no reaction, 0.5 = mild erythema, 1 = erythema, 2 = erythema with edema and papula, 3 = erythema with edema, papula and small water blister, 4 = large water blister, higher score indicates more skin irritation. For each investigational product, the skin irritation index was calculated as the sum of the maximum individual skin irritation scores divided by the number of evaluable participants and multiplied by 100, which ranged from 0 to 400; where, lower score indicated less skin irritation and higher score indicated more skin irritation.
Time frame: Day 3 to 4
Population: Safety analysis population included all participants who received at least one dose of study medication. Data for this outcome measure was not planned to be collected and analyzed for Cohort 2, as pre-specified in protocol.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 1: Skin Irritation Index | Vehicle | 5.0 scores on a scale |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 1: Skin Irritation Index | Crisaborole ointment 2% | 40.0 scores on a scale |
Cohort 2: Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities
Criteria for clinically significant ECG abnormalities included: QT interval \>=500 milliseconds (msec); QT interval corrected using the Fridericia's formula (QTcF) \>=450 msec to \<480 msec, \>=480 msec and \>=500 msec; increase from baseline in QTcF interval \>=30 msec to \<60 msec and \>=60 msec.
Time frame: Baseline up to end of treatment (Day 8)
Population: Safety analysis population included all participants who received at least one dose of study medication. Data for this outcome measure was not planned to be collected and analyzed for Cohort 1, as pre-specified in protocol.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities | 0 Participants |
| Cohort 2: Vehicle | Cohort 2: Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities | 0 Participants |
Cohort 2: Number of Participants With Clinically Significant Vital Signs Abnormalities
Vital signs included pulse rate and blood pressure. Clinical significance of vital signs was determined at the investigator's discretion.
Time frame: Baseline up to end of treatment (Day 8)
Population: Safety analysis population included all participants who received at least one dose of study medication. Data for this outcome measure was not planned to be collected and analyzed for Cohort 1, as pre-specified in protocol.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Number of Participants With Clinically Significant Vital Signs Abnormalities | 0 Participants |
| Cohort 2: Vehicle | Cohort 2: Number of Participants With Clinically Significant Vital Signs Abnormalities | 0 Participants |
Cohort 2: Number of Participants With Laboratory Tests Abnormalities
Laboratory tests abnormalities included: hematology (haemoglobin\[Hb\], haematocrit and erythrocytes\<0.8\*lower limit of normal\[LLN\]; erythrocyte mean corpuscular volume, erythrocyte mean corpuscular Hb and erythrocyte mean corpuscular Hb concentration \<0.9\*LLN and \>1.1\*upper limit of normal\[ULN\]; platelets \<0.5\*LLN and \>1.75\*ULN; leukocytes \<0.6\*LLN and \>1.5\*ULN; lymphocytes/leukocytes\[%\], neutrophils/leukocytes\[%\] \<0.8\*LLN and \>1.2\*ULN; basophils/leukocytes\[%\], eosinophils/leukocytes\[%\], monocytes/leukocytes\[% \]\>1.2\*ULN); clinical chemistry(bilirubin\>1.5\*ULN; aspartate aminotransferase, alanine aminotransferase and alkaline phosphatase\>3.0\*ULN; protein and albumin\<0.8\*LLN and \>1.2\*ULN; urea nitrogen and creatinine \>1.3\*ULN; urate\>1.2\*ULN; sodium \<0.95\*LLN and \>1.05\*ULN; potassium, chloride and calcium \<0.9\*LLN and \>1.1\*ULN; fasting glucose \<0.6\*LLN and \>1.5\*ULN); and urinalysis (pH \<4.5 and \>8; glucose, ketones, protein, Hb, urobilinogen, bilirubin, nitrite and leukocyte esterase \>=1).
Time frame: Baseline up to end of treatment (Day 8)
Population: Safety analysis population included all participants who received at least one dose of study medication. Data for this outcome measure was not planned to be collected and analyzed for Cohort 1, as pre-specified in protocol.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Number of Participants With Laboratory Tests Abnormalities | 7 Participants |
| Cohort 2: Vehicle | Cohort 2: Number of Participants With Laboratory Tests Abnormalities | 1 Participants |
Cohort 2: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to 28 days after last dose of study drug (up to Day 36) that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-serious AEs.
Time frame: Baseline up to Day 36
Population: Safety analysis population included all participants who received at least one dose of study medication.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs) | AEs | 9 Participants |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs) | SAEs | 0 Participants |
| Cohort 2: Vehicle | Cohort 2: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs) | AEs | 2 Participants |
| Cohort 2: Vehicle | Cohort 2: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs) | SAEs | 0 Participants |
Cohort 1: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs)
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to 28 days after last dose of study drug (up to Day 29) that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-serious AEs.
Time frame: Baseline up to Day 29
Population: Safety analysis population included all participants who received at least one dose of study medication.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 1: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs) | SAEs | 0 Participants |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 1: Number of Participants With Treatment-Emergent Adverse Events (AEs) And Serious Adverse Events (SAEs) | AEs | 0 Participants |
Cohort 2: Accumulation Ratio for AUCtau (Rac [AUCtau]) of Crisaborole and Its Identified Main Oxidative Metabolites
AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole. Accumulation ratio for AUCtau (Rac) was calculated as area under the curve from time zero to end of dosing interval (AUCtau) on Day 8 divided by AUCtau on Day 1. Dosing interval = 12 hours.
Time frame: Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and 8
Population: PK parameter analysis population was defined as all participants randomized and treated who had at least 1 of the PK parameters of primary interest. Data for this outcome measure was not planned to be collected and analyzed for Cohort 1, as pre-specified in protocol.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Accumulation Ratio for AUCtau (Rac [AUCtau]) of Crisaborole and Its Identified Main Oxidative Metabolites | Crisaborole | 1.209 ratio | Geometric Coefficient of Variation 25 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Accumulation Ratio for AUCtau (Rac [AUCtau]) of Crisaborole and Its Identified Main Oxidative Metabolites | AN7602 | 0.8688 ratio | Geometric Coefficient of Variation 19 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Accumulation Ratio for AUCtau (Rac [AUCtau]) of Crisaborole and Its Identified Main Oxidative Metabolites | AN8323 | 3.080 ratio | Geometric Coefficient of Variation 48 |
Cohort 2: Accumulation Ratio for Cmax (Rac [Cmax]) of Crisaborole and Its Identified Main Oxidative Metabolites
AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole. Accumulation ratio for Cmax (Rac, Cmax) was calculated as Cmax on Day 8 divided by Cmax on Day 1. Cmax was the maximum plasma concentration of Crisaborole and its identified main oxidative metabolites.
Time frame: Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and 8
Population: PK parameter analysis population was defined as all participants randomized and treated who had at least 1 of the PK parameters of primary interest. Data for this outcome measure was not planned to be collected and analyzed for Cohort 1, as pre-specified in protocol.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Accumulation Ratio for Cmax (Rac [Cmax]) of Crisaborole and Its Identified Main Oxidative Metabolites | Crisaborole | 1.007 ratio | Geometric Coefficient of Variation 32 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Accumulation Ratio for Cmax (Rac [Cmax]) of Crisaborole and Its Identified Main Oxidative Metabolites | AN7602 | 0.7247 ratio | Geometric Coefficient of Variation 24 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Accumulation Ratio for Cmax (Rac [Cmax]) of Crisaborole and Its Identified Main Oxidative Metabolites | AN8323 | 2.638 ratio | Geometric Coefficient of Variation 52 |
Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Tau (12 Hours Dosing Interval) (AUCtau) of Crisaborole and Its Identified Main Oxidative Metabolites
AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole. AUC tau was defined as area under the plasma concentration-time curve from time 0 to time tau, the dosing interval, where tau =12 hours.
Time frame: Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8
Population: PK parameter analysis population was defined as all participants randomized and treated who had at least 1 of the PK parameters of primary interest. Data for this outcome measure was not planned to be collected and analyzed for Cohort 1, as pre-specified in protocol.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Tau (12 Hours Dosing Interval) (AUCtau) of Crisaborole and Its Identified Main Oxidative Metabolites | AN7602: Day 1 | 500.4 hr*ng/mL | Geometric Coefficient of Variation 66 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Tau (12 Hours Dosing Interval) (AUCtau) of Crisaborole and Its Identified Main Oxidative Metabolites | AN7602: Day 8 | 434.9 hr*ng/mL | Geometric Coefficient of Variation 50 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Tau (12 Hours Dosing Interval) (AUCtau) of Crisaborole and Its Identified Main Oxidative Metabolites | AN8323: Day 1 | 29360 hr*ng/mL | Geometric Coefficient of Variation 92 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Tau (12 Hours Dosing Interval) (AUCtau) of Crisaborole and Its Identified Main Oxidative Metabolites | AN8323: Day 8 | 90360 hr*ng/mL | Geometric Coefficient of Variation 68 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Tau (12 Hours Dosing Interval) (AUCtau) of Crisaborole and Its Identified Main Oxidative Metabolites | Crisaborole: Day 1 | 928.9 hr*ng/mL | Geometric Coefficient of Variation 65 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to Tau (12 Hours Dosing Interval) (AUCtau) of Crisaborole and Its Identified Main Oxidative Metabolites | Crisaborole: Day 8 | 1123 hr*ng/mL | Geometric Coefficient of Variation 51 |
Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to the 24 Hours Post-Dose (AUC24) of Crisaborole and Its Identified Main Oxidative Metabolites (AN7602 and AN8323)
AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole.
Time frame: Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8
Population: PK parameter analysis population was defined as all participants randomized and treated who had at least 1 of the PK parameters of primary interest. Data for this outcome measure was not planned to be collected and analyzed for Cohort 1, as pre-specified in protocol.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to the 24 Hours Post-Dose (AUC24) of Crisaborole and Its Identified Main Oxidative Metabolites (AN7602 and AN8323) | Crisaborole: Day 1 | 1171 hr*ng/mL | Geometric Coefficient of Variation 60 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to the 24 Hours Post-Dose (AUC24) of Crisaborole and Its Identified Main Oxidative Metabolites (AN7602 and AN8323) | Crisaborole: Day 8 | 1527 hr*ng/mL | Geometric Coefficient of Variation 48 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to the 24 Hours Post-Dose (AUC24) of Crisaborole and Its Identified Main Oxidative Metabolites (AN7602 and AN8323) | AN7602: Day 1 | 601.9 hr*ng/mL | Geometric Coefficient of Variation 60 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to the 24 Hours Post-Dose (AUC24) of Crisaborole and Its Identified Main Oxidative Metabolites (AN7602 and AN8323) | AN7602: Day 8 | 565.5 hr*ng/mL | Geometric Coefficient of Variation 44 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to the 24 Hours Post-Dose (AUC24) of Crisaborole and Its Identified Main Oxidative Metabolites (AN7602 and AN8323) | AN8323: Day 1 | 57560 hr*ng/mL | Geometric Coefficient of Variation 84 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero to the 24 Hours Post-Dose (AUC24) of Crisaborole and Its Identified Main Oxidative Metabolites (AN7602 and AN8323) | AN8323: Day 8 | 169100 hr*ng/mL | Geometric Coefficient of Variation 68 |
Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero Until the Last Measurable Concentration (AUClast) of Crisaborole and Its Identified Main Oxidative Metabolites
AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole.
Time frame: Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8
Population: PK parameter analysis population was defined as all participants randomized and treated who had at least 1 of the PK parameters of primary interest. Data for this outcome measure was not planned to be collected and analyzed for Cohort 1, as pre-specified in protocol.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero Until the Last Measurable Concentration (AUClast) of Crisaborole and Its Identified Main Oxidative Metabolites | Crisaborole: Day 1 | 1171 hours*nanograms per milliliter(hr*ng/mL) | Geometric Coefficient of Variation 60 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero Until the Last Measurable Concentration (AUClast) of Crisaborole and Its Identified Main Oxidative Metabolites | Crisaborole: Day 8 | 1527 hours*nanograms per milliliter(hr*ng/mL) | Geometric Coefficient of Variation 48 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero Until the Last Measurable Concentration (AUClast) of Crisaborole and Its Identified Main Oxidative Metabolites | AN7602: Day 1 | 601.9 hours*nanograms per milliliter(hr*ng/mL) | Geometric Coefficient of Variation 60 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero Until the Last Measurable Concentration (AUClast) of Crisaborole and Its Identified Main Oxidative Metabolites | AN7602: Day 8 | 565.5 hours*nanograms per milliliter(hr*ng/mL) | Geometric Coefficient of Variation 44 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero Until the Last Measurable Concentration (AUClast) of Crisaborole and Its Identified Main Oxidative Metabolites | AN8323: Day 1 | 57560 hours*nanograms per milliliter(hr*ng/mL) | Geometric Coefficient of Variation 84 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Area Under the Plasma Concentration-Time Curve From Time Zero Until the Last Measurable Concentration (AUClast) of Crisaborole and Its Identified Main Oxidative Metabolites | AN8323: Day 8 | 169100 hours*nanograms per milliliter(hr*ng/mL) | Geometric Coefficient of Variation 68 |
Cohort 2: Maximum Observed Plasma Concentration (Cmax) of Crisaborole and Its Identified Main Oxidative Metabolites
AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole.
Time frame: Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8
Population: PK parameter analysis population was defined as all participants randomized and treated who had at least 1 of the PK parameters of primary interest. Data for this outcome measure was not planned to be collected and analyzed for Cohort 1, as pre-specified in protocol.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Maximum Observed Plasma Concentration (Cmax) of Crisaborole and Its Identified Main Oxidative Metabolites | Crisaborole: Day 1 | 163.7 nanograms per milliliter (ng/mL) | Geometric Coefficient of Variation 71 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Maximum Observed Plasma Concentration (Cmax) of Crisaborole and Its Identified Main Oxidative Metabolites | Crisaborole: Day 8 | 164.9 nanograms per milliliter (ng/mL) | Geometric Coefficient of Variation 56 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Maximum Observed Plasma Concentration (Cmax) of Crisaborole and Its Identified Main Oxidative Metabolites | AN7602: Day 1 | 94.97 nanograms per milliliter (ng/mL) | Geometric Coefficient of Variation 75 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Maximum Observed Plasma Concentration (Cmax) of Crisaborole and Its Identified Main Oxidative Metabolites | AN7602: Day 8 | 68.83 nanograms per milliliter (ng/mL) | Geometric Coefficient of Variation 59 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Maximum Observed Plasma Concentration (Cmax) of Crisaborole and Its Identified Main Oxidative Metabolites | AN8323: Day 1 | 3064 nanograms per milliliter (ng/mL) | Geometric Coefficient of Variation 97 |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Maximum Observed Plasma Concentration (Cmax) of Crisaborole and Its Identified Main Oxidative Metabolites | AN8323: Day 8 | 8080 nanograms per milliliter (ng/mL) | Geometric Coefficient of Variation 71 |
Cohort 2: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Crisaborole and Its Metabolites
AN7602 and AN8323 were the main identified oxidative metabolites of Crisaborole.
Time frame: Pre-dose, 3, 12 and 24 hours post-dose on Day 1 and Day 8
Population: PK parameter analysis population was defined as all participants randomized and treated who had at least 1 of the PK parameters of primary interest. Data for this outcome measure was not planned to be collected and analyzed for Cohort 1, as pre-specified in protocol.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Crisaborole and Its Metabolites | Crisaborole: Day 1 | 3.000 hours |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Crisaborole and Its Metabolites | Crisaborole: Day 8 | 3.000 hours |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Crisaborole and Its Metabolites | AN7602: Day 1 | 3.000 hours |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Crisaborole and Its Metabolites | AN7602: Day 8 | 3.000 hours |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Crisaborole and Its Metabolites | AN8323: Day 1 | 3.000 hours |
| Cohort 1: Crisaborole Ointment 2% and Vehicle | Cohort 2: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Crisaborole and Its Metabolites | AN8323: Day 8 | 3.000 hours |