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Trial · NCT01097044

Phase II Confirmatory Study in Erythropoietic Protoporphyria (EPP)

NCT01097044, Phase 2, Completed, Clinuvel Pharmaceuticals Limited; results first posted 2019-09-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Phase II Confirmatory Study in Erythropoietic Protoporphyria (EPP). Trials, record NCT01097044. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01097044

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Phase II Confirmatory Study in Erythropoietic Protoporphyria (EPP)
NCT number
NCT01097044
Status
Completed
Phases
Phase 2
Enrollment
77 participants, actual
Lead sponsor
Clinuvel Pharmaceuticals Limited
Conditions
Erythropoietic Protoporphyria
Interventions
Afamelanotide, Placebo
First posted
2010-04-01
Last updated
2019-10-28
Results first posted
2019-09-17

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime in Direct Sunlight Between 10:00-15:00 on Pain-free DaysDaily for 6 months
The amount of direct sunlight exposure between 10:00 and 15:00 hours on days when no pain was experienced (e.g. 11-point Likert pain score of 0). Time was recorded in a patient dairy using 15 minute time blocks. The pain score is measured by the 11-point Likert Pain scale with minimum of 0 and maximum of 10. Likert Pain scale of 0 represents no pain and 10 represents worst imaginable pain.
SecondaryMaximum Severity of Phototoxic Reaction Experienced by ParticipantsDaily for 6 months
The days on which the participant experienced pain as a result of phototoxic reactions (caused by exposure to natural light) was recorded in a study diary. On each day such a reaction occurred, the participant scored the level of pain using an 11-point Likert pain scale, with minimum of 0 and maximum of 10. The 11-point Likert pain scale with a value of 0 represents no pain and 10 represents worst imaginable pain. The maximum severity of a phototoxic reaction was determined by the highest daily 11-point Likert scale score that occurred during that phototoxic reaction.
SecondaryQuality of Life Measured by Participant Completed QuestionnaireDay 0, Day 60, Day 120, Day 180
Erythropoietic Protoporphyria Quality of Life Measure (EPP-QoL) is used to measure the quality of life of participants. The total EPP-QoL score ranges from 0 to 100, with a score of 0 as the worst quality of life and score of 100 as the best quality of life.
SecondaryChange of Total Protoporphyrin IX Level in ParticipantsBaseline, Day 60, Day 120, Day 180
This was an exploratory assessment only to analyze whether afamelanotide-induced change in sun exposure would result in a reduction of protoporphyrin IX. The changes of the Total Protoporphyrin IX Level (μg/dL) from Screening Visit (ITT Population) were measured between the two groups. The Protoporphyrin IX level is a laboratory parameter that is measured in specialist labs.
SecondaryNumber of Participants With Phototoxic Reactions With Likert Severity Scores ≥ 4 and ≥ 7Daily for 6 months
The number of participants who experienced phototoxic reactions with Likert severity scores ≥ 4 and severity scores ≥7 were recorded. A derived endpoint was used. The number of participants who reported at least one phototoxic reaction with a Likert severity score of ≥ 4 was recorded. For severity scores ≥ 7, the number of patients who reported at least one phototoxic reaction with a Likert severity score of ≥ 7 was recorded. The 11-point Likert pain scale ranges from minimum of 0 to maximum of 10. The 11-point Likert pain scale with a value of 0 represents no pain and 10 represents worst imaginable pain.
SecondaryNumber of Phototoxic Reactions Experienced by ParticipantsDaily for 6 months
The days on which the participant experienced pain as a result of phototoxic reactions (caused by exposure to natural light) was recorded in a study diary. On each day such a reaction occurred, the participant scored the level of pain using an 11-point Likert pain scale, with minimum of 0 and maximum of 10. The 11-point Likert pain scale with a value of 0 represents no pain and 10 represents worst imaginable pain. The number of phototoxic reactions was determined by counting the number of episodes on which participants report a 11-point Likert scale score of 4 or more for one or more consecutive days.
SecondaryTotal Severity of Phototoxic Reactions Experienced by Participants Over the Entire StudyDaily for 6 months.
The days on which the participant experienced pain as a result of phototoxic reactions (caused by exposure to natural light) was recorded in a study diary. On each day such a reaction occurred, the participant scored the level of pain using an 11-point Likert pain scale, with minimum of 0 and maximum of 10. The 11-point Likert Pain scale with a value of 0 represents no pain and 10 represents worst imaginable pain. The total severity of phototoxic reactions was determined by the sum of daily 11-point Likert scale scores that occurred during phototoxic reactions. The overall sum of the severity per participant over the entire study was analyzed. The theoretical minimum score is 0 and the maximum possible score is 1800.

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime in Direct Sunlight Between 10:00-15:00 on Pain-free DaysDaily for 6 months
One active participant and one placebo participant withdrew after Baseline assessment and no data was provided for the analysis of this endpoint.~The overall number of participants analyzed differs from the total number of study participants because the data was either incomplete and/or missing.
HoursMEDIAN
SECONDARYMaximum Severity of Phototoxic Reaction Experienced by ParticipantsDaily for 6 months
One active participant and one placebo participant withdrew after Baseline assessment and no data was provided for the analysis of this endpoint.~The overall number of participants analyzed differs from the total number of study participants because the data was either incomplete and/or missing.
score on a scaleMEDIAN
SECONDARYQuality of Life Measured by Participant Completed QuestionnaireDay 0, Day 60, Day 120, Day 180
One active participant and one placebo participant withdrew after Baseline assessment and no data was provided for the analysis of this endpoint.~The overall number of participants analyzed differs from the total number of study participants because the data was either incomplete and/or missing.
units on a scaleMEDIAN
SECONDARYChange of Total Protoporphyrin IX Level in ParticipantsBaseline, Day 60, Day 120, Day 180
One active participant and one placebo participant withdrew after Baseline assessment and no data was provided for the analysis of this endpoint.~The overall number of participants analyzed differs from the total number of study participants because the data was either incomplete and/or missing.
mcg/dLMEAN
SECONDARYNumber of Participants With Phototoxic Reactions With Likert Severity Scores ≥ 4 and ≥ 7Daily for 6 months
One active participant and one placebo participant withdrew after Baseline assessment and no data was provided for the analysis of this endpoint.~The overall number of participants analyzed differs from the total number of study participants because the data was either incomplete and/or missing.
Count of ParticipantsNUMBER
SECONDARYNumber of Phototoxic Reactions Experienced by ParticipantsDaily for 6 months
One active participant and one placebo participant withdrew after Baseline assessment and no data was provided for the analysis of this endpoint.~The overall number of participants analyzed differs from the total number of study participants because the data was either incomplete and/or missing.
EpisodesMEDIAN
SECONDARYTotal Severity of Phototoxic Reactions Experienced by Participants Over the Entire StudyDaily for 6 months.
One active participant and one placebo participant withdrew after Baseline assessment and no data was provided for the analysis of this endpoint.~The overall number of participants analyzed differs from the total number of study participants because the data was either incomplete and/or missing.
units on a scaleMEAN

Results by group26

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time in Direct Sunlight Between 10:00-15:00 on Pain-free DaysAfamelanotide8.25Full Range 0 to 48.3Hours
Time in Direct Sunlight Between 10:00-15:00 on Pain-free DaysPlacebo0.75Full Range 0 to 71.3Hours
Maximum Severity of Phototoxic Reaction Experienced by ParticipantsAfamelanotide5.0Full Range 0 to 8score on a scale
Maximum Severity of Phototoxic Reaction Experienced by ParticipantsPlacebo5.0Full Range 0 to 10score on a scale
Quality of Life Measured by Participant Completed QuestionnaireAfamelanotideDay 034.7Full Range 3 to 67units on a scale
Quality of Life Measured by Participant Completed QuestionnairePlaceboDay 022.2Full Range 3 to 78units on a scale
Quality of Life Measured by Participant Completed QuestionnaireAfamelanotideDay 6073.6Full Range 17 to 100units on a scale
Quality of Life Measured by Participant Completed QuestionnairePlaceboDay 6044.4Full Range 6 to 94units on a scale
Quality of Life Measured by Participant Completed QuestionnaireAfamelanotideDay 12084.7Full Range 6 to 100units on a scale
Quality of Life Measured by Participant Completed QuestionnairePlaceboDay 12055.6Full Range 6 to 100units on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAfamelanotide39
Overall StudySTARTEDPlacebo38
Overall StudyCOMPLETEDAfamelanotide34
Overall StudyCOMPLETEDPlacebo33
Overall StudyNOT COMPLETEDAfamelanotide5
Overall StudyNOT COMPLETEDPlacebo5

Adverse events28

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersAfamelanotide839
otherNauseaGastrointestinal disordersPlacebo238
otherAbdominal discomfortGastrointestinal disordersAfamelanotide339
otherAbdominal discomfortGastrointestinal disordersPlacebo238
otherFatigueGeneral disordersAfamelanotide339
otherFatigueGeneral disordersPlacebo138
otherImplant Site PainGeneral disordersAfamelanotide139
otherImplant Site PainGeneral disordersPlacebo538
otherPyrexiaGeneral disordersAfamelanotide339
otherPyrexiaGeneral disordersPlacebo138

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAfamelanotide
Total, all-cause mortalityPlacebo
Total, other adverse eventsAfamelanotide3139
Total, other adverse eventsPlacebo2938
Total, serious adverse eventsAfamelanotide239
Total, serious adverse eventsPlacebo238

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Afamelanotide vs Placebo: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01097044

GET https://conductscience.org/api/trials/v1/NCT01097044/results?page=2