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Safety and Efficacy Study of Triamcinolone Acetonide DuraPeel to Treat Hand Dermatitis (TAC-202)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00890968
Recruitment Status : Completed
First Posted : April 30, 2009
Last Update Posted : March 16, 2012
Information provided by (Responsible Party):
ZARS Pharma Inc.

Brief Summary:
The purpose of this study is to determine whether Triamcinolone Acetonide (TAC) DuraPeel is safe and effective in the treatment of hand dermatitis.

Condition or disease Intervention/treatment Phase
Hand Dermatoses Drug: Triamcinolone Acetonide (TAC) DuraPeel Drug: Placebo DuraPeel Phase 2

Detailed Description:

Triamcinolone acetonide is a commonly used, safe, and effective topical corticosteroid indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses. However, the effectiveness of topical agents such as creams or ointments is limited by patients' routine activities using bare hands that may remove the topical agent from the hands. The use of a topical corticosteroid in a vehicle that allows the product to remain in contact with the skin and is not susceptible to inadvertent removal would be beneficial.

The DuraPeel membrane is expected to optimize exposure to the steroid by remaining on the treatment area for a prolonged period of time.

This study is designed to evaluate the efficacy and safety of Triamcinolone Acetonide 0.5% DuraPeel. Eligible subjects will receive Triamcinolone Acetonide 0.5% DuraPeel or Placebo DuraPeel. The study duration will be approximately 4 weeks.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 56 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Multi-Center Randomized, Double-Blind, Placebo Controlled, Parallel Group Comparison Study of Once Daily Triamcinolone Acetonide 0.5% DuraPeel™ Versus Placebo DuraPeel in the Treatment of Hand Dermatitis
Study Start Date : April 2009
Actual Primary Completion Date : June 2009
Actual Study Completion Date : August 2009

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Triamcinolone Acetonide (TAC) DuraPeel Drug: Triamcinolone Acetonide (TAC) DuraPeel
topical gel; once daily (nightly); total duration: 4 weeks
Other Name: TAC DuraPeel

Placebo Comparator: Placebo Drug: Placebo DuraPeel
topical gel; once daily (nightly); total duration: 4 weeks

Primary Outcome Measures :
  1. Response as assessed by Investigator Global Assessment (IGA) [ Time Frame: Baseline, Week 1, Week 2, Week 4 ]

Secondary Outcome Measures :
  1. Subject's Global Impression of Change (SGIC) [ Time Frame: Week 4 (end-of-treatment) ]
  2. Individual Primary Parameters of Hand Dermatitis [ Time Frame: Baseline, Week 1, Week 2, Week 4 ]
  3. Signs or symptoms of hand dermatitis [ Time Frame: Baseline, Week 1, Week 2, Week 4 ]
  4. Subject's self-assessment of overall hand disease [ Time Frame: Baseline, Week 4 ]
  5. Study medication assessment [ Time Frame: Week 1, Week 2, Week 4 ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Clinical diagnosis of stable chronic hand dermatitis (greater than 6 weeks duration) that is KOH-negative
  • Dermatitis of mild to moderate severity, as defined by an Investigator's Global Assessment (a score of 2 or 3 on the Target Hand)
  • Individual signs of hand dermatitis disease of at least mild scaling and mild erythema (a score of 2 or more on the Target Hand)
  • Written informed consent

Exclusion Criteria:

  • Subject is female and is pregnant, lactating, or is planning to become pregnant during the study
  • Spontaneously improving or rapidly deteriorating hand dermatitis at the time of enrollment; subject may have history of waxing and waning disease in the past
  • History of hand dermatitis that has been shown to be unresponsive to super potent (Group 1) topical steroids
  • Concurrent flaring of inflammatory skin disease (e.g., atopic dermatitis or psoriasis) anywhere on the body outside the study areas
  • Bullous disorders or hand, foot, and mouth disease (HFMD); however, subjects with dyshidrotic hand dermatitis or pompholyx are allowed to participate provided they meet all other Inclusion/Exclusion criteria
  • Known allergic mediated hand dermatitis (e.g., allergic to latex, etc.)
  • Concurrent skin diseases in the study area that require concomitant topical treatment (e.g., tinea manuum, scabies, infected eczema, and paronychia) that could interfere with the evaluation of his/her dermatitis
  • Pustular diseases of the hands (e.g., acrodermatitis perstans continua).
  • Used photo-therapy, photo-chemotherapy, systemic immunomodulatory therapy (such as systemic corticosteroids, methotrexate, retinoids or cyclosporine), or other therapy within 30 days prior to the first application of study medication that is known or suspected, in the opinion of the investigator, to have an effect on hand dermatitis
  • Prolonged exposure to natural or artificial sources (e.g., UVB, UVA, etc.) of ultraviolet radiation within 30 days prior to the first application of study medication or is intending to have such exposure during the study
  • Received intralesional therapy to the hands (e.g., corticosteroids) within 30 days prior to first application of study medication
  • Treated with Grenz ray or soft x-ray therapy to the hands within 6 months of first application of study medication
  • Treated with topical hand therapy (e.g., tar, topical corticosteroids, topical retinoids, topical antimicrobials, topical calcineurin inhibitors, Burrow's solution soaks) within 7 days prior to first application of study medication that is known or suspected to have an effect on hand dermatitis
  • Received systemic antibiotics for infections of the hands within 7 days prior to the first application of study medication

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00890968

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United States, California
Therapeutics Clinical Research
San Diego, California, United States, 92123
United States, Michigan
Michigan Center for Skin Care Research
Clinton Township, Michigan, United States, 48038
United States, Texas
DermResearch Inc.
Austin, Texas, United States, 78759
Sponsors and Collaborators
ZARS Pharma Inc.
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Study Director: Daniel Piacquadio, MD Therapeutics, Inc.
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Responsible Party: ZARS Pharma Inc. Identifier: NCT00890968    
Other Study ID Numbers: TAC-202
First Posted: April 30, 2009    Key Record Dates
Last Update Posted: March 16, 2012
Last Verified: March 2012
Keywords provided by ZARS Pharma Inc.:
hand dermatitis
hand eczema
triamcinolone acetonide
Additional relevant MeSH terms:
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Skin Diseases
Hand Dermatoses
Triamcinolone Acetonide
Triamcinolone hexacetonide
Triamcinolone diacetate
Anti-Inflammatory Agents
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs
Immunosuppressive Agents
Immunologic Factors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action