Three Randomised Phase I/IIa Trials of 5% Cis-urocanic Acid Emulsion Cream in Healthy Adult Subjects and in Patients with Atopic Dermatitis - UTU Research Portal

A1 Refereed original research article in a scientific journal

Three Randomised Phase I/IIa Trials of 5% Cis-urocanic Acid Emulsion Cream in Healthy Adult Subjects and in Patients with Atopic Dermatitis

Authors: Juha M. Peltonen, Liisa Pylkkänen, Christer T. Jansén, Iina Volanen, Terhi Lehtinen, Jarmo K. Laihia, Lasse Leino

Publisher: Society for the Publication of Acta Dermato - Venereologica

Publication year: 2014

Journal: Acta Dermato-Venereologica

Journal acronym: Acta Derm Venereol

Volume: 94

Issue: 4

First page : 415

Last page: 420

Number of pages: 6

ISSN: 0001-5555

DOI: https://doi.org/10.2340/00015555-1735

Web address : http://www.medicaljournals.se/acta/content/?doi=10.2340/00015555-1735

Abstract

New treatment modalities are needed in atopic dermatitis. We evaluated the pharmacokinetics, safety, tolerability, and efficacy of topical cis-urocanic acid (cis-UCA) cream in randomised vehicle-controlled double-blinded clinical trials. The subjects received 5% cis-UCA emulsion cream and control vehicle on volar forearms after right–left randomisation. Study 1: 16 healthy subjects received one dose on the skin and, a week later, on DMSO-irritated skin. Study 2: 16 healthy subjects received 2 daily doses for 10 days. Study 3: 13 patients with mild to moderate disease were treated on selected skin lesions twice daily for 28 days. Study treatments were well tolerated. cis-UCA remained close to endogenous levels in plasma and urine. cis-UCA reduced transepidermal water loss (TEWL) both in healthy subjects and in the patients. Eczema area severity index and physician’s global assessment improved from baseline with both treatments. cis-UCA cream improved skin barrier function and suppressed inflammation in the human skin.

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