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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
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 Actinic Keratosis, Imiquimod Topical Cream 3.75%, Zyclara® (imiquimod) Topical Cream 3.75%

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 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

    First Posted
    February 7, 2013
    Last Updated
    January 19, 2014
    Sponsor
    Taro Pharmaceuticals USA
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    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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