Confirmatory Study of Topical HyBryte™ vs. Placebo for the Treatment of CTCL

Last updated: April 3, 2025
Sponsor: Soligenix
Overall Status: Active - Recruiting

Phase

3

Condition

Mycosis Fungoides

Cutaneous T-cell Lymphoma

Non-hodgkin's Lymphoma

Treatment

Placebo

Hypericin

Clinical Study ID

NCT06470451
HPN-CTCL-03-EUR
  • Ages > 18
  • All Genders

Study 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 Criteria

Inclusion

Inclusion Criteria:

  • Patients must have a clinical diagnosis of cutaneous T-cell lymphoma (CTCL), StageIA, 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 writteninformed consent.

  • Female patients not pregnant or nursing and willing to undergo a pregnancy testwithin 30 days prior to treatment initiation.

Exclusion

Exclusion Criteria:

  • 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 theFridericia's formula).

  • All women of childbearing potential (WOCBP) and males with female partners who areWOCBP not willing to use effective contraception.

  • Patients receiving topical steroids or other topical treatments (eg, nitrogenmustard) on treated lesions for CTCL within 2 weeks of enrollment.

  • Patients receiving systemic steroids, psoralen UVA radiation therapy (PUVA), narrowband UVB light therapy (NB-UVB) or carmustine (BCNU) or other systemic therapies forCTCL 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 ofentry 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 thejudgement of the Principal Investigator, candidates for systemic treatment.

  • Patient has any condition that, in the judgment of the PI, is likely to interferewith participation in the study.

  • Prior participation in the current study.

Study Design

Total Participants: 80
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 3
Study Start date:
January 07, 2025
Estimated Completion Date:
October 31, 2026

Study Description

The primary objective of this Phase 3 study is to evaluate the ability of an 18-week course of HyBryte and visible light to induce a Treatment Response in patients with patch/plaque phase CTCL compared to patients receiving placebo and visible light.The study will evaluate the efficacy and safety of HyBryte (0.25% hypericin) gel or placebo gel applied twice weekly for 18 weeks. Treated lesions will be covered with opaque material (such as opaque clothing), followed 21 (±3) hours later by the administration of visible light. All of the participant's lesions that are readily available for exposure to the visible light source will be treated and 3 to 5 index lesions in each patient will be prospectively identified and documented for modified Composite Assessment of Index Lesion Severity (mCAILS) evaluation. Participants will be followed every 4 weeks for a total of 12 weeks following their last light session.

Connect with a study center

  • Medical Dermatology Specialists

    Phoenix, Arizona 85006
    United States

    Active - Recruiting

  • Mayo Clinic

    Scottsdale, Arizona 85259
    United States

    Active - Recruiting

  • Therapeutics Clinical Research

    San Diego, California 92123
    United States

    Active - Recruiting

  • Northwestern University

    Chicago, Illinois 60611
    United States

    Site Not Available

  • Dawes Fretzin Dermatology Group

    Indianapolis, Indiana 46256
    United States

    Active - Recruiting

  • Washington University

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Washington University

    St. Louis, Missouri 63110
    United States

    Active - Recruiting

  • Rochester Skin Lymphoma Medical Group

    Fairport, New York 14450
    United States

    Active - Recruiting

  • Columbia University Medical Center

    New York, New York 10032
    United States

    Site Not Available

  • Accellacare (PMG)

    Wilmington, North Carolina 28411
    United States

    Active - Recruiting

  • Penn State Health Hershey Medical Center

    Hershey, Pennsylvania 17033
    United States

    Active - Recruiting

  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Active - Recruiting

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania 15213
    United States

    Active - Recruiting

  • Vanderbilt University

    Nashville, Tennessee 37212
    United States

    Site Not Available

  • MD Anderson

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Austin Institute for Clinical Research

    Pflugerville, Texas 78660
    United States

    Active - Recruiting

  • Inova Schar Cancer Institute

    Fairfax, Virginia 22031
    United States

    Active - Recruiting

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