Clinical Study to Evaluate the Bioequivalence of Two Imiquimod Cream 3.75% Formulations in Patients With Actinic Keratosis.
Primary Purpose
Actinic Keratosis
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Imiquimod Topical Cream 3.75%
Zyclara® (imiquimod) Topical Cream 3.75%
Vehicle Topical Cream
Sponsored by
About this trial
This is an interventional treatment trial for Actinic Keratosis focused on measuring Actinic Keratosis, Imiquimod Topical Cream 3.75%, Zyclara® (imiquimod) Topical Cream 3.75%
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent form.
- Immunocompetent male or non-pregnant, non-lactating female at least 18 years of age.
- Diagnosis of actinic keratosis with at least 5 and no more than 20 clinically typical, visible or palpable actinic keratosis lesions, each at least 4 mm in diameter, in an area that exceeds 25 cm2 on either the face (excluding ear) or balding scalp (but not both.)
- Women either must be 1 year post-menopausal, surgically sterile, or if they are of child-bearing potential, they must: a) have been using systemic birth control, intrauterine device, or Norplant for at least 28 days prior to the start of treatment period, or used barrier methods consistently, at least 14 days before study cream administration; b) had a normal menstrual cycle for the month prior to the start of treatment; c) have a negative urine pregnancy test result upon entry into the study; d) 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 risk of adverse events.
- 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:
- 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 baseline on the face or bald scalp of chemical peel, dermabrasion, laser abrasion, psoralen plus ultraviolet A therapy, or ultra violet B 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, oral corticosteroids or cytotoxic drugs.
- Known allergies to imiquimod or any excipients to the test or reference creams.
- 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
Placebo Comparator
Active Comparator
Arm Label
Imiquimod Topical Cream 3.75%
Vehicle Topical Cream
Zyclara® (imiquimod) Topical Cream 3.75%
Arm Description
Imiquimod Topical Cream 3.75% (Taro Pharmaceutical Industries Ltd.)
Vehicle Topical Cream (Taro Pharmaceutical Industries Ltd.)
Zyclara® (imiquimod) Topical Cream 3.75% (Medicis Pharmaceutical Co.)
Outcomes
Primary Outcome Measures
Treatment success
Treatment success will be defined by the proportion of patients in the per protocol population with 100% clearance of all actinic keratosis lesions within the treatment area at study week 14 (8 weeks after completion of treatment.)
Secondary Outcome Measures
Superiority to placebo
The modified intent-to-treat population and last observation carried forward will be used to evaluate the superiority of both the test and reference product to placebo for the proportion of patients showing 100% clearance of actinic keratosis lesions at week 14 (8 weeks after completion of treatment.)
Full Information
NCT ID
NCT01788007
First Posted
February 7, 2013
Last Updated
January 19, 2014
Sponsor
Taro Pharmaceuticals USA
1. Study Identification
Unique Protocol Identification Number
NCT01788007
Brief Title
Clinical Study to Evaluate the Bioequivalence of Two Imiquimod Cream 3.75% Formulations in Patients With Actinic Keratosis.
Official Title
A Randomized, Double Blind, Placebo Controlled, Parallel Design, Multiple Site, Clinical Study to Evaluate the Bioequivalence of Two Imiquimod Cream 3.75% Formulations in Patients With Actinic Keratosis.
Study Type
Interventional
2. Study Status
Record Verification Date
January 2014
Overall Recruitment Status
Completed
Study Start Date
January 2013 (undefined)
Primary Completion Date
October 2013 (Actual)
Study Completion Date
December 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 Imiquimod 3.75% Topical Cream to the marketed formulation Zyclara® (imiquimod) 3.75% Topical Cream in the treatment of actinic keratosis. Both the test and reference formulations will also be compared to a placebo cream 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
Actinic Keratosis, Imiquimod Topical Cream 3.75%, Zyclara® (imiquimod) Topical Cream 3.75%
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
443 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Imiquimod Topical Cream 3.75%
Arm Type
Experimental
Arm Description
Imiquimod Topical Cream 3.75% (Taro Pharmaceutical Industries Ltd.)
Arm Title
Vehicle Topical Cream
Arm Type
Placebo Comparator
Arm Description
Vehicle Topical Cream (Taro Pharmaceutical Industries Ltd.)
Arm Title
Zyclara® (imiquimod) Topical Cream 3.75%
Arm Type
Active Comparator
Arm Description
Zyclara® (imiquimod) Topical Cream 3.75% (Medicis Pharmaceutical Co.)
Intervention Type
Drug
Intervention Name(s)
Imiquimod Topical Cream 3.75%
Intervention Description
Imiquimod Topical Cream 3.75% (Taro Pharmaceutical Industries Ltd.) applied once daily for two 14 day treatment cycles separated by a 14 day no treatment period.
Intervention Type
Drug
Intervention Name(s)
Zyclara® (imiquimod) Topical Cream 3.75%
Intervention Description
Zyclara® (imiquimod) Topical Cream 3.75% (Medicis Pharmaceutical Co.) applied once daily for two 14 day treatment cycles separated by a 14 day no treatment period.
Intervention Type
Drug
Intervention Name(s)
Vehicle Topical Cream
Intervention Description
Vehicle Topical Cream (Taro Pharmaceutical Industries Ltd.) applied once daily for two 14 day treatment cycles separated by a 14 day no treatment period.
Primary Outcome Measure Information:
Title
Treatment success
Description
Treatment success will be defined by the proportion of patients in the per protocol population with 100% clearance of all actinic keratosis lesions within the treatment area at study week 14 (8 weeks after completion of treatment.)
Time Frame
Week 14 (8 weeks after completion of treatment)
Secondary Outcome Measure Information:
Title
Superiority to placebo
Description
The modified intent-to-treat population and last observation carried forward will be used to evaluate the superiority of both the test and reference product to placebo for the proportion of patients showing 100% clearance of actinic keratosis lesions at week 14 (8 weeks after completion of treatment.)
Time Frame
Week 14 (8 weeks after completion 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 actinic keratosis with at least 5 and no more than 20 clinically typical, visible or palpable actinic keratosis lesions, each at least 4 mm in diameter, in an area that exceeds 25 cm2 on either the face (excluding ear) or balding scalp (but not both.)
Women either must be 1 year post-menopausal, surgically sterile, or if they are of child-bearing potential, they must: a) have been using systemic birth control, intrauterine device, or Norplant for at least 28 days prior to the start of treatment period, or used barrier methods consistently, at least 14 days before study cream administration; b) had a normal menstrual cycle for the month prior to the start of treatment; c) have a negative urine pregnancy test result upon entry into the study; d) 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 risk of adverse events.
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:
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 baseline on the face or bald scalp of chemical peel, dermabrasion, laser abrasion, psoralen plus ultraviolet A therapy, or ultra violet B 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, oral corticosteroids or cytotoxic drugs.
Known allergies to imiquimod or any excipients to the test or reference creams.
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
Clinical Study to Evaluate the Bioequivalence of Two Imiquimod Cream 3.75% Formulations in Patients With Actinic Keratosis.
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