Alanyl Glutamine

Clinical trials are investigating Alanyl Glutamine in people with vulvar lichen sclerosus and chronic kidney disease-associated pruritus. These studies are checking whether the tested cream is effective and safe compared with a vehicle, which is the same cream without the active substance. The trials are in adults and use patient-reported itch scores as a main measure.

Table of contents

Clinical trials overview

Two interventional studies investigated Alanyl Glutamine in people with itching-related conditions.[1][2] Both trials were Phase 2 and both were marked as completed.[1][2]

The studies looked at whether the tested cream could help reduce itch compared with a cream base without the active substance, also called a vehicle.[1][2] The main focus was patient-reported itch relief over 12 weeks.[1][2]

Vulvar lichen sclerosus study

The trial titled Orchid 1 studied people with vulvar lichen sclerosus, a long-term skin condition that affects the vulvar area and can cause severe itching.[1] This study enrolled 40 participants and was done as a Phase 2 trial.[1]

Participants received either Alanyl Glutamine as a topical cream or a matching cream without the active substance.[1] The study was designed to explore efficacy, which means whether the treatment may help improve symptoms.[1]

The main endpoint was the mean change in weekly mean Worst Itch Numeric Rating Score (WI-NRS) from baseline to Week 12.[1] WI-NRS is a patient diary score used to measure how bad the itching feels.[1]

Chronic kidney disease-associated pruritus study

The second trial studied adults with chronic kidney disease-associated pruritus, which means itching linked to chronic kidney disease.[2] It enrolled 108 participants and was also a Phase 2 study.[2]

This study was a parallel-group, randomized, double-blind, 12-week trial.[2] Randomized means people were assigned by chance to a study group, and double-blind means neither the participants nor the researchers knew which treatment was given.[2]

Participants received either Alanyl Glutamine cutaneous use or a placebo-like cream that did not contain the active substance.[2] The study aimed to explore the clinical efficacy and safety of the cream compared with the vehicle.[2]

Study design and comparators

Both studies compared Alanyl Glutamine with a vehicle, which is the same cream without the active substance.[1][2] In the kidney disease study, the comparison product was also described as a placebo that did not contain the active substance.[2]

This type of design helps researchers see whether any change in itching is more likely due to the tested treatment rather than the cream base itself.[1][2] The 12-week study length gave enough time to measure symptom changes over time.[1][2]

Outcomes and endpoints

The main outcome in both trials was the change in Worst Itch Numeric Rating Score from the start of the study to Week 12.[1][2] This endpoint was recorded in the participant’s diary, making the patient’s own report of symptoms very important.[1][2]

In simple terms, the trials were asking whether people felt less itching after using the study cream for 12 weeks compared with the control cream.[1][2] The source data did not list other detailed endpoints, so the itch score is the key result described here.[1][2]

What participants were like

The trial data show that the studies focused on adults with a specific itching condition.[1][2] One group had vulvar lichen sclerosus, and the other group had chronic kidney disease-associated pruritus.[1][2]

These studies did not provide extra details about age ranges, sex limits, or other entry rules beyond the conditions studied.[1][2] What is clear is that the research was aimed at people whose main problem was persistent itch.[1][2]

Trial ID Phase Condition studied Status Enrollment
2023-503516-32-00 Phase 2 Vulvar lichen sclerosus (VLS) Completed 40
2022-500044-38-01 Phase 2 Chronic kidney disease-associated pruritus Completed 108

Ongoing Clinical Trials on Alanyl Glutamine

  • Study on the Effectiveness and Safety of MC2-25 Cream for Women with Vulvar Lichen Sclerosus

    Not recruiting

    Investigated drugs:
    Denmark
  • Study on the Effectiveness and Safety of MC2-25 Cream for Itching in Chronic Kidney Disease Patients

    Not recruiting

    Investigated drugs:
    Germany Hungary Poland

Glossary

  • Vulvar lichen sclerosus (VLS): A long-term skin condition that affects the vulva, which is the outside part of the female genital area. It can cause itching and discomfort.
  • Chronic kidney disease-associated pruritus (CKD-aP): Itching that happens in people with chronic kidney disease. Pruritus means itch.
  • Pruritus: The medical word for itching.
  • Phase 2: A stage in clinical research that checks early signs of how well a treatment works and continues to look at safety.
  • Interventional study: A study where researchers give a treatment or compare treatments to see what happens.
  • Randomized: Participants are assigned by chance to different treatment groups.
  • Double-blind: A study design where the participants and researchers do not know which treatment the participant gets.
  • Vehicle: The cream base without the active substance. It is used to compare the real treatment against the same cream without the active ingredient.
  • Placebo: A comparison treatment that does not contain the active substance.
  • Worst Itch Numeric Rating Score (WI-NRS): A patient score that rates the worst itching felt over a time period, usually on a numeric scale.
  • Baseline: The starting point before treatment begins.
  • Week 12: The 12-week time point in the study, used to compare how symptoms changed over time.

References

  1. https://clinicaltrials.gov/study/2023-503516-32-00
  2. https://clinicaltrials.gov/study/2022-500044-38-01