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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
Watson Laboratories, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

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

12 Years - 40 Years (Child, Adult)All SexesDoes not accept healthy volunteers

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

    First Posted
    February 7, 2013
    Last Updated
    February 7, 2013
    Sponsor
    Watson Laboratories, Inc.
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    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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