Evaluate Therapeutic Equivalence and Safety of Two Clindamycin Phosphate and Benzoyl Peroxide Gels in Acne Vulgaris
Primary Purpose
Acne Vulgaris
Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Clindamycin Phosphate / Benzoyl Peroxide Gel
Clindamycin Phosphate and Benzoyl Peroxide Gel, 1.2%/2.5%
Placebo (Vehicle Gel)
Sponsored by
About this trial
This is an interventional treatment trial for Acne Vulgaris focused on measuring acne, Clindamycin Phosphate/Benzoyl Peroxide, Acanya, Mild to severe acne vulgaris
Eligibility Criteria
Inclusion Criteria:
- Healthy male or non pregnant female
- ≥ 12 and ≤ 40 years
- Diagnosis of acne vulgaris (acne)
- >18 years and provide written informed consent
- Ages 12 to 17 and provide written assent and written informed consent from patient's legal representative
- Must sign a HIPAA authorization
- Minimum ≥ 25 non-inflammatory lesions
- ≥ 20 inflammatory lesions
- ≤ 2 nodulocystic lesions on the face
- Acne of severity grade 2, 3, or 4 -Investigator's Global Assessment (IGA)
- Refrain from all other topical acne medications or antibiotics during the 12-week treatment period except Investigational Product
- All Female patients with a negative urine pregnancy test who use birth control from the study start to 30 days after the last administration of study drug
- All male patients who use birth control with their partners, from the study start to 30 days after the last administration of study drug. Abstinence is acceptable. Female partners should use birth control
- Must be willing and able to understand and comply with the protocol requirements and required study visits
- In good health
- Free from any clinically significant disease
- Must have used the same brands/types of make-up for a minimum period of 14 days prior to study entry and must agree to use the same make-up, brand/type and maintain the same frequency of use throughout the study
Exclusion Criteria:
- Female patients who are pregnant, nursing or planning to become pregnant during study
- History or presence of Crohn's disease, ulcerative colitis, regional enteritis, or antibiotic-associated colitis
- Hypersensitivity or allergy to benzoyl peroxide, clindamycin and/or any of the study medication ingredients
- Presence of any skin condition that would interfere with the diagnosis or assessment
- Excessive facial hair
- Wax epilation of the face within 14 days prior
- Used oral retinoids or therapeutic vitamin A supplements of >10,000 units/day (multivitamins are allowed) within 6 months prior to or during the study
- Estrogens or oral contraceptives for <3 months prior to baseline; Use of such therapy must remain constant throughout the study
- Cryodestruction, chemodestruction, dermabrasion, photodynamic therapy, acne surgery, intralesional steroids, X-ray therapy procedures performed on the face within 1 month prior to or during the study
- Any systemic (steroids, antibiotics treatment for acne, anti-inflammatory agents) treatments within 1 month prior to baseline or during the study
- Any (topical steroids, topical retinoids, α-hydroxy/glycolic acid, benzoyl peroxide, topical anti-inflammatory agents, topical antibiotics) treatments within 2 weeks prior to baseline or during the study:
- Intend to use Spironolactone
- Intend to use tanning booths, sunbathing, or excessive exposure to the sun
- Radiation therapy and/or anti-neoplastic agents within 90 days prior to baseline
- Unstable clinically significant medical disorders or life-threatening diseases
- On-going malignancies requiring systemic treatment
- Any malignancy of the facial area skin
- Engage in activities that involve excessive or prolonged exposure to sunlight or weather extremes
- Consume excessive amounts of alcohol or use drugs of abuse
- Participation in an investigational drug study within 30 days prior
- Are participating in non-treatment studies such as observational studies or registry studies can be considered for inclusion
- Previously enrolled in this study
- Laser therapy, electrodessication and phototherapy to the facial area within 180 days prior to study entry
- Cosmetic procedures which may affect the efficacy and safety profile of the study drug within 14 days prior to study entry
- Currently have or have recently had bacterial folliculitis on the face
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Experimental
Placebo Comparator
Arm Label
Acanya
Clindamycin Phosphate / Benzoyl Peroxide
Vehicle Gel
Arm Description
Acanya® (Clindamycin Phosphate and Benzoyl Peroxide) Gel, 1.2%/2.5% gel (Valeant Pharmaceuticals, North America)
Clindamycin Phosphate / Benzoyl Peroxide Gel, 1.2%/2.5%
Placebo (Vehicle Gel)of the test product (Watson Laboratories, Inc.)
Outcomes
Primary Outcome Measures
The evaluation of the primary endpoint will be based on the mean percent changes from baseline to week 12 in the inflammatory (papules and pustules) lesion counts and in the non-inflammatory (comedones) lesion counts.
Secondary Outcome Measures
The proportion of subjects with a clinical response of "success" at Week 12 using IGA.
The proportion of subjects with a clinical response of "success" at Week 12. Success was defined as an IGA score that was at least 2 grades less than the baseline assessment.
Full Information
NCT ID
NCT01788384
First Posted
February 7, 2013
Last Updated
February 7, 2013
Sponsor
Watson Laboratories, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT01788384
Brief Title
Evaluate Therapeutic Equivalence and Safety of Two Clindamycin Phosphate and Benzoyl Peroxide Gels in Acne Vulgaris
Official Title
A Multicenter, Double-blind, Randomized, Vehicle-controlled, Parallel-group Study Comparing Clindamycin Phosphate and Benzoyl Peroxide Gel and Acanya® 1.2%/2.5% and Both Active Treatments to Vehicle Control for Treating Acne Vulgaris
Study Type
Interventional
2. Study Status
Record Verification Date
February 2013
Overall Recruitment Status
Completed
Study Start Date
July 2012 (undefined)
Primary Completion Date
December 2012 (Actual)
Study Completion Date
December 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Watson Laboratories, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Acanya (Clindamycin Phosphate and Benzoyl Peroxide) Gel, 1.2%/2.5% gel marketed by Valeant Pharmaceuticals, North America, is a safe and effective topical therapy used for the treatment of acne vulgaris.
Detailed Description
Watson Laboratories, Inc. has developed a generic formulation of Clindamycin Phosphate and Benzoyl Peroxide Gel, 1.2%/2.5%,and the current study is designed to evaluate the safety and efficacy of this formulation to determine if it is bioequivalent to Acanya.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acne Vulgaris
Keywords
acne, Clindamycin Phosphate/Benzoyl Peroxide, Acanya, Mild to severe acne vulgaris
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
708 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Acanya
Arm Type
Active Comparator
Arm Description
Acanya® (Clindamycin Phosphate and Benzoyl Peroxide) Gel, 1.2%/2.5% gel (Valeant Pharmaceuticals, North America)
Arm Title
Clindamycin Phosphate / Benzoyl Peroxide
Arm Type
Experimental
Arm Description
Clindamycin Phosphate / Benzoyl Peroxide Gel, 1.2%/2.5%
Arm Title
Vehicle Gel
Arm Type
Placebo Comparator
Arm Description
Placebo (Vehicle Gel)of the test product (Watson Laboratories, Inc.)
Intervention Type
Drug
Intervention Name(s)
Clindamycin Phosphate / Benzoyl Peroxide Gel
Other Intervention Name(s)
Generic
Intervention Description
Dosage form: topical gel Dosage: One pea-sized amount will be applied onto six areas of the face (chin, left cheek, right cheek, nose, left forehead, right forehead), avoiding the eyes, lips and mucous membranes.
Intervention Type
Drug
Intervention Name(s)
Clindamycin Phosphate and Benzoyl Peroxide Gel, 1.2%/2.5%
Other Intervention Name(s)
Acanya
Intervention Description
Dosage form: topical gel Dosage: One pea-sized amount will be applied onto six areas of the face (chin, left cheek, right cheek, nose, left forehead, right forehead), avoiding the eyes, lips and mucous membranes.
Intervention Type
Drug
Intervention Name(s)
Placebo (Vehicle Gel)
Other Intervention Name(s)
Vehicle Gel
Intervention Description
Dosage form: topical gel Dosage: One pea-sized amount will be applied onto six areas of the face (chin, left cheek, right cheek, nose, left forehead, right forehead), avoiding the eyes, lips and mucous membranes.
Primary Outcome Measure Information:
Title
The evaluation of the primary endpoint will be based on the mean percent changes from baseline to week 12 in the inflammatory (papules and pustules) lesion counts and in the non-inflammatory (comedones) lesion counts.
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
The proportion of subjects with a clinical response of "success" at Week 12 using IGA.
Description
The proportion of subjects with a clinical response of "success" at Week 12. Success was defined as an IGA score that was at least 2 grades less than the baseline assessment.
Time Frame
12 Weeks
Other Pre-specified Outcome Measures:
Title
Analysis of Application Site Reactions
Description
A descriptive analysis comparing the application site reactions for each treatment group will be conducted to ensure that the test product is not worse than the reference product with regard to the expected and unexpected application site reactions.
Time Frame
12 Weeks
Title
Safety analyses were conducted on the Safety population.
Description
Safety incidence of all AEs reported during the study was summarized using the Medical Dictionary for Drug Regulatory Activities (MedDRA), by treatment group, body system, severity, and relationship to study drug.
The report of AEs included date of onset, description of the AE, and date of resolution.
Time Frame
12 Weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Healthy male or non pregnant female
≥ 12 and ≤ 40 years
Diagnosis of acne vulgaris (acne)
>18 years and provide written informed consent
Ages 12 to 17 and provide written assent and written informed consent from patient's legal representative
Must sign a HIPAA authorization
Minimum ≥ 25 non-inflammatory lesions
≥ 20 inflammatory lesions
≤ 2 nodulocystic lesions on the face
Acne of severity grade 2, 3, or 4 -Investigator's Global Assessment (IGA)
Refrain from all other topical acne medications or antibiotics during the 12-week treatment period except Investigational Product
All Female patients with a negative urine pregnancy test who use birth control from the study start to 30 days after the last administration of study drug
All male patients who use birth control with their partners, from the study start to 30 days after the last administration of study drug. Abstinence is acceptable. Female partners should use birth control
Must be willing and able to understand and comply with the protocol requirements and required study visits
In good health
Free from any clinically significant disease
Must have used the same brands/types of make-up for a minimum period of 14 days prior to study entry and must agree to use the same make-up, brand/type and maintain the same frequency of use throughout the study
Exclusion Criteria:
Female patients who are pregnant, nursing or planning to become pregnant during study
History or presence of Crohn's disease, ulcerative colitis, regional enteritis, or antibiotic-associated colitis
Hypersensitivity or allergy to benzoyl peroxide, clindamycin and/or any of the study medication ingredients
Presence of any skin condition that would interfere with the diagnosis or assessment
Excessive facial hair
Wax epilation of the face within 14 days prior
Used oral retinoids or therapeutic vitamin A supplements of >10,000 units/day (multivitamins are allowed) within 6 months prior to or during the study
Estrogens or oral contraceptives for <3 months prior to baseline; Use of such therapy must remain constant throughout the study
Cryodestruction, chemodestruction, dermabrasion, photodynamic therapy, acne surgery, intralesional steroids, X-ray therapy procedures performed on the face within 1 month prior to or during the study
Any systemic (steroids, antibiotics treatment for acne, anti-inflammatory agents) treatments within 1 month prior to baseline or during the study
Any (topical steroids, topical retinoids, α-hydroxy/glycolic acid, benzoyl peroxide, topical anti-inflammatory agents, topical antibiotics) treatments within 2 weeks prior to baseline or during the study:
Intend to use Spironolactone
Intend to use tanning booths, sunbathing, or excessive exposure to the sun
Radiation therapy and/or anti-neoplastic agents within 90 days prior to baseline
Unstable clinically significant medical disorders or life-threatening diseases
On-going malignancies requiring systemic treatment
Any malignancy of the facial area skin
Engage in activities that involve excessive or prolonged exposure to sunlight or weather extremes
Consume excessive amounts of alcohol or use drugs of abuse
Participation in an investigational drug study within 30 days prior
Are participating in non-treatment studies such as observational studies or registry studies can be considered for inclusion
Previously enrolled in this study
Laser therapy, electrodessication and phototherapy to the facial area within 180 days prior to study entry
Cosmetic procedures which may affect the efficacy and safety profile of the study drug within 14 days prior to study entry
Currently have or have recently had bacterial folliculitis on the face
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John L Capicchioni
Organizational Affiliation
Akesis, LLC
Official's Role
Study Director
12. IPD Sharing Statement
Learn more about this trial
Evaluate Therapeutic Equivalence and Safety of Two Clindamycin Phosphate and Benzoyl Peroxide Gels in Acne Vulgaris
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