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A Study Comparing Diclofenac Sodium Gel 3% to Solaraze® Gel 3% in the Treatment of Actinic Keratosis

Primary Purpose

Actinic Keratosis

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Diclofenac Sodium Gel 3%
Solaraze® (diclofenac sodium) Gel 3%
Vehicle Topical Gel
Sponsored by
Taro Pharmaceuticals USA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Actinic Keratosis focused on measuring Diclofenac Sodium Gel 3%, Solaraze® (diclofenac sodium) Gel 3%, Actinic Keratosis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Signed informed consent form.
  • Immunocompetent male or non-pregnant, non-lactating female at least 18 years of age.
  • Diagnosis of AK with at least 5 and no more than 10 clinically typical, visable, discrete, nonhyperkeratotic, nonhypertrophic AK lesions each at least 4 mm in diameter on the face and/or bald scalp contained within a 25 cm2 treatment area.
  • Women either must be 1 year post-menopausal, surgically sterile, or if they are of child-bearing potential they must have been using systemic birth control, IUD or Norplant for at least 28 days prior to treatment start, or used barrier methods consistently at least 14 days before study gel administration, had a normal menstrual cycle for the month prior to the start of treatment, have a negative urine pregnancy test result upon entry into the study and agree to use a medically accepted form of birth control throughout the study period.
  • Free from any systemic or dermatologic disorder that, in the opinion of the investigator, will interfere with the study results or increase the risks of AEs.
  • Any skin type or race, providing the skin pigmentation will allow discernment of erythema.
  • Willingness and capability to cooperate to the extent and degree required by the protocol.

Exclusion Criteria:

  • Active gastrointestinal ulceration or bleeding.
  • Current or history of severe renal or hepatic impairment.
  • Presence of atopic dermatitis, basal cell carcinoma, squamous cell carcinoma, eczema, psoriasis, rosacea, sunburn or other possible confounding skin conditions on the face or bald scalp.
  • Use within six months prior to randomization of oral isotretinoin.
  • Use within six months prior to baseline on the face or bald scalp of chemical peel, dermabrasion, laser abrasion, PUVA therapy or UVB therapy.
  • Use within one month prior to baseline on the face or bald scalp of cryodestruction or chemodestruction, curettage, photodynamic therapy, surgical excision, topical 5-fluorouracil, topical corticosteroids, topical diclofenac, topical Imiquimod, topical retinoids or other treatments for actinic keratosis including glycolic acids or over-the-counter products containing retinol, alpha or beta hydroxy acids.
  • Use within one month prior to baseline of immunomodulators or immunosuppressive therapies, interferon, systemic corticosteroids or cytotoxic drugs.
  • Known allergies to diclofenac sodium, benzyl alcohol, polyethylene glycol monomethyl ether 359, hyaluronate sodium or any excipients in the test or reference gels.
  • Receiving 5-Fluorouracil or other systemic cancer chemotherapy within 6 months prior to study entry.
  • Any condition, medical, psychological or social, that, in the investigator's opinion, would interfere with participation in the study.
  • Women who are pregnant or planning pregnancy or lactating during the study.
  • Participation in any investigational drug study within 30 days of enrollment or previous participation in this study.
  • Employees or family members of employees of the research center or investigator.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Active Comparator

    Placebo Comparator

    Arm Label

    Diclofenac Sodium Gel 3%

    Solaraze® (diclofenac sodium) Gel 3%

    Vehicle Topical Gel

    Arm Description

    Diclofenac Sodium Gel 3% (Taro Pharmaceuticals Inc.)

    Solaraze® (diclofenac sodium) Gel 3% (Fougera Pharms)

    Vehicle Topical Gel (Taro Pharmaceuticals Inc.)

    Outcomes

    Primary Outcome Measures

    Bioequivalence
    Bioequivalence will be determined by evaluating the proportion of patients in the test and reference groups with 100% clearance of all AK lesions in the treatment area.

    Secondary Outcome Measures

    Superiority to placebo
    The superiority of the test and reference gels against the placebo will be tested by the proportion of patients showing 100% clearance of actinic keratosis lesions at Day 90 (30 days after completion of 60 days of treatment)using the modified intent to treat population and last observation carried forward.

    Full Information

    First Posted
    December 3, 2012
    Last Updated
    January 19, 2014
    Sponsor
    Taro Pharmaceuticals USA
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01742663
    Brief Title
    A Study Comparing Diclofenac Sodium Gel 3% to Solaraze® Gel 3% in the Treatment of Actinic Keratosis
    Official Title
    A Randomized, Double-Blind, Multiple-Site, Placebo-Controlled, Parallel Design Study Comparing Diclofenac Sodium Gel 3% (Taro Pharmaceuticals Inc.) to Solaraze® (Diclofenac Sodium) Gel 3% (Fougera Pharms) in the Treatment of Actinic Keratosis.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    October 2012 (undefined)
    Primary Completion Date
    July 2013 (Actual)
    Study Completion Date
    October 2013 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Taro Pharmaceuticals USA

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The objective of this study is to compare the relative efficacy and safety of the test formulation diclofenac sodium gel 3% (Taro Pharmaceuticals Inc.) to the marketed formulation Solaraze® (diclofenac sodium) Gel 3% (Fougera Pharms) in the treatment of actinic keratosis. Both the test and reference formulations will also be compared to a placebo formulation to test for superiority.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Actinic Keratosis
    Keywords
    Diclofenac Sodium Gel 3%, Solaraze® (diclofenac sodium) Gel 3%, Actinic Keratosis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    435 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Diclofenac Sodium Gel 3%
    Arm Type
    Experimental
    Arm Description
    Diclofenac Sodium Gel 3% (Taro Pharmaceuticals Inc.)
    Arm Title
    Solaraze® (diclofenac sodium) Gel 3%
    Arm Type
    Active Comparator
    Arm Description
    Solaraze® (diclofenac sodium) Gel 3% (Fougera Pharms)
    Arm Title
    Vehicle Topical Gel
    Arm Type
    Placebo Comparator
    Arm Description
    Vehicle Topical Gel (Taro Pharmaceuticals Inc.)
    Intervention Type
    Drug
    Intervention Name(s)
    Diclofenac Sodium Gel 3%
    Intervention Description
    Diclofenac Sodium Gel 3% (Taro Pharmaceuticals Inc.) applied twice daily for 60 days.
    Intervention Type
    Drug
    Intervention Name(s)
    Solaraze® (diclofenac sodium) Gel 3%
    Intervention Description
    Solaraze® (diclofenac sodium) Gel 3% (Fougera Pharms)applied twice daily for 60 days.
    Intervention Type
    Drug
    Intervention Name(s)
    Vehicle Topical Gel
    Intervention Description
    Vehicle Topical Gel (Taro Pharmaceuticals Inc.) applied twice daily for 60 days.
    Primary Outcome Measure Information:
    Title
    Bioequivalence
    Description
    Bioequivalence will be determined by evaluating the proportion of patients in the test and reference groups with 100% clearance of all AK lesions in the treatment area.
    Time Frame
    Study day 90 (30 days after completion of 60 days of treatment)
    Secondary Outcome Measure Information:
    Title
    Superiority to placebo
    Description
    The superiority of the test and reference gels against the placebo will be tested by the proportion of patients showing 100% clearance of actinic keratosis lesions at Day 90 (30 days after completion of 60 days of treatment)using the modified intent to treat population and last observation carried forward.
    Time Frame
    Study day 90 (30 days after completion of 60 days of treatment)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Signed informed consent form. Immunocompetent male or non-pregnant, non-lactating female at least 18 years of age. Diagnosis of AK with at least 5 and no more than 10 clinically typical, visable, discrete, nonhyperkeratotic, nonhypertrophic AK lesions each at least 4 mm in diameter on the face and/or bald scalp contained within a 25 cm2 treatment area. Women either must be 1 year post-menopausal, surgically sterile, or if they are of child-bearing potential they must have been using systemic birth control, IUD or Norplant for at least 28 days prior to treatment start, or used barrier methods consistently at least 14 days before study gel administration, had a normal menstrual cycle for the month prior to the start of treatment, have a negative urine pregnancy test result upon entry into the study and agree to use a medically accepted form of birth control throughout the study period. Free from any systemic or dermatologic disorder that, in the opinion of the investigator, will interfere with the study results or increase the risks of AEs. Any skin type or race, providing the skin pigmentation will allow discernment of erythema. Willingness and capability to cooperate to the extent and degree required by the protocol. Exclusion Criteria: Active gastrointestinal ulceration or bleeding. Current or history of severe renal or hepatic impairment. Presence of atopic dermatitis, basal cell carcinoma, squamous cell carcinoma, eczema, psoriasis, rosacea, sunburn or other possible confounding skin conditions on the face or bald scalp. Use within six months prior to randomization of oral isotretinoin. Use within six months prior to baseline on the face or bald scalp of chemical peel, dermabrasion, laser abrasion, PUVA therapy or UVB therapy. Use within one month prior to baseline on the face or bald scalp of cryodestruction or chemodestruction, curettage, photodynamic therapy, surgical excision, topical 5-fluorouracil, topical corticosteroids, topical diclofenac, topical Imiquimod, topical retinoids or other treatments for actinic keratosis including glycolic acids or over-the-counter products containing retinol, alpha or beta hydroxy acids. Use within one month prior to baseline of immunomodulators or immunosuppressive therapies, interferon, systemic corticosteroids or cytotoxic drugs. Known allergies to diclofenac sodium, benzyl alcohol, polyethylene glycol monomethyl ether 359, hyaluronate sodium or any excipients in the test or reference gels. Receiving 5-Fluorouracil or other systemic cancer chemotherapy within 6 months prior to study entry. Any condition, medical, psychological or social, that, in the investigator's opinion, would interfere with participation in the study. Women who are pregnant or planning pregnancy or lactating during the study. Participation in any investigational drug study within 30 days of enrollment or previous participation in this study. Employees or family members of employees of the research center or investigator.

    12. IPD Sharing Statement

    Learn more about this trial

    A Study Comparing Diclofenac Sodium Gel 3% to Solaraze® Gel 3% in the Treatment of Actinic Keratosis

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