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Study of Equivalence of Generic Pimecrolimus Cream 1% and Elidel® 1% in Subjects With Mild to Moderate Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Pimecrolimus Cream 1% (Valeant)
Vehicle cream
Pimecrolimus Cream, 1%
Sponsored by
Actavis Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atopic Dermatitis

Eligibility Criteria

12 Years - 90 Years (Child, Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Willing and able to provide written informed consent/assent for the study.
  • Non-immunocompromised male or female aged 12 years or older.
  • A clinical diagnosis of mild to moderate atopic dermatitis that has failed to respond adequately to other topical prescription treatments for atopic dermatitis, or subjects for whom the use of those other treatments is deemed inadvisable.
  • A diagnosis of atopic dermatitis for at least 3 months.
  • A baseline Investigator's Global Assessment (IGA) of disease severity of mild or moderate (score of 2 or 3).
  • An affected area of atopic dermatitis involvement of at least 5% of the body surface area (BSA) at Visit 2/Day 1 (Baseline), as defined by the criteria of Hanifin and Rajka (1980).
  • Treatment with a bland emollient for at least 7 days prior to Visit 2/Day 1 (Baseline).
  • Agree to adhere to protocol-specified requirements and concomitant therapy restrictions.
  • Willing to avoid constant sun exposure and the use of tanning booths or other UV light sources during participation in the study.
  • In general good health, non-immunocompromised, and free from any clinically significant disease, other than atopic dermatitis, that might interfere with the study evaluations.
  • Willing and able to understand and comply with the requirements of the study, apply the study medication as instructed, return for the required study visits, comply with therapy prohibitions, and complete the study.
  • Female subjects of childbearing potential (excluding women who are surgically sterilized [hysterectomy, bilateral tubal ligation, or bilateral ovariectomy] or have been postmenopausal for at least 1 year) must have a negative urine pregnancy test and must be willing to use a medically accepted method of contraception during the study. The following are considered acceptable methods of birth control for the purpose of this study: oral contraceptives, contraceptive patches, contraceptive implant, vaginal contraceptive, double barrier methods (e.g., condom and spermicide), contraceptive injection (Depo-Provera®), intrauterine device (IUD), hormonal IUD (Mirena®), Essure® permanent birth control, and abstinence with a documented second acceptable method of birth control if the subject becomes sexually active. Subjects entering the study who are on hormonal contraceptives must have been on the method for at least 90 days prior to the study and continue the method for the duration of the study. Subjects who had used hormonal contraception and stopped must have stopped no less than 90 days prior to Visit 1.

Exclusion Criteria:

  • Females who were pregnant, breastfeeding, intending to become pregnant during the study, or who did not agree to use an acceptable form of birth control during the study.
  • Active cutaneous bacterial or viral infection in any proposed treatment area at Visit 2/Baseline (e.g., clinically infected atopic dermatitis).
  • Sunburn, extensive scarring, or pigmented lesion(s) in any treatment area at Visit 2/Baseline that would interfere with the study evaluations.
  • History of confounding skin conditions, e.g., psoriasis, rosacea, erythroderma, or ichthyosis.
  • History or presence of Netherton's Syndrome, immunological deficiencies or diseases, HIV, diabetes, malignancy, serious active or recurrent infection, clinically significant severe renal insufficiency, or severe hepatic disorders.
  • Use of any treatment listed in Table 9.1 more recently than the indicated washout period prior to Visit 2/Baseline.
  • Need or intent to continue to use any treatment listed in Table 9.1 during the current study.

Sites / Locations

  • Pinnacle Research Group, LLC
  • Clinical Research Center of Alabama
  • Agave Clinical Research, LLC
  • Omni Dermatology/Physicians Research Group, LLC
  • Northwest Arkansas Clinical Trials Center, PLLC
  • MD Studies, Inc.
  • Alliance Research Centers
  • Medical Center for Clinical Research
  • Skin Surgery Medical Group, Inc.
  • Horizons Clinical Research Ctr., LLC
  • Immunoe International Research Centers
  • Dermatology of Boca
  • Olympian Clinical Research
  • International Dermatology Research, Inc.
  • Radiant Research, Inc.
  • International Clinical Research- US, LLC
  • MOORE Clinical Research, Inc.
  • Olympian Clinical Research
  • Kansas City Dermatology PA
  • Kentucky Pediatric/Adult Research
  • Dermatology Specialists Research
  • Callender Center for Clinical Research, LLC
  • David Fivenson, MD, PLC
  • Minnesota Clinical Study Center
  • MediSearch Clinical Trials
  • Quality Clinical Research Inc.
  • Karl G. Heine, MD Dermatology
  • Academic Dermatology Associates
  • Pinkas E. Lebovits, MD, PC
  • Piedmont Plastic Surgery and Dermatology
  • Dermatology Consulting Services
  • PMG Research of Winston-Salem, LLC
  • Cyn3rgy Research
  • Baker Allergy, Asthma and Dermatology Research Center, LLC
  • Asthma & Allergy Research Associates
  • Clinical Partners, LLC
  • Greenville Dermatology
  • Spartanburg Medical Research
  • ClinSearch, LLC
  • Tennessee Clinical Research Center
  • J&S Studies, Inc.
  • Suzanne Bruce and Associates, P.A./The Center for Skin Research
  • Center for Clinical Studies
  • Suzanne Bruce and Associates, P.A., The Center for Skin Research
  • R/D Clinical Research, Inc.
  • Pflugerville Dermatology Clinical Research Center, Inc.
  • ACRC Trials
  • Texas Dermatology and Laser Specialists
  • Intermountain Clinical Research
  • The Education and Research Foundation, Inc.
  • National Clinical Research-Richmond, Inc.
  • Dermatology Associates
  • Eastern Washington Dermatology

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

Pimecrolimus Cream, 1%

Elidel Cream, 1%

Vehicle Cream

Arm Description

Pimecrolimus Cream, 1% (Actavis)

Reference listed drug: Elidel 1% cream (Valeant Pharmaceuticals North America LLC)

Cream vehicle of the test product (Actavis)

Outcomes

Primary Outcome Measures

Percentage of Subjects With Treatment Success at Visit 4/Day 15
Percentage of subjects in each treatment group with treatment success, defined as a grade of clear or almost clear (a score of 0 or 1 on the IGA) within all treatment areas at the end of treatment on Visit 4/Day 15

Secondary Outcome Measures

Full Information

First Posted
June 1, 2016
Last Updated
May 14, 2020
Sponsor
Actavis Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02791308
Brief Title
Study of Equivalence of Generic Pimecrolimus Cream 1% and Elidel® 1% in Subjects With Mild to Moderate Atopic Dermatitis
Official Title
Double-Blind Randomized Vehicle Controlled Study Evaluating Safety and Bioequivalence of Generic Pimecrolimus Cream 1% and Elidel® Comparing Both Active Treatments to a Vehicle Control in Treatment of Mild to Moderate Atopic Dermatitis
Study Type
Interventional

2. Study Status

Record Verification Date
May 2020
Overall Recruitment Status
Completed
Study Start Date
February 2015 (undefined)
Primary Completion Date
July 2016 (Actual)
Study Completion Date
July 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Actavis Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to compare the safety and efficacy profiles of Watson Laboratories, Inc.'s Pimecrolimus Cream, 1% to those of Valeant Pharmaceuticals North America LLC's Elidel® (pimecrolimus) Cream, 1%, and to demonstrate the superior efficacy of the two active creams over that of the placebo (Vehicle of test product), in the treatment of mild to moderate atopic dermatitis.
Detailed Description
Pimecrolimus cream, 1% is a calcineurin inhibitor immunosuppressant. Pimecrolimus inhibits T cell activation by blocking the transcription of early cytokines. Pimecrolimus cream, 1% is indicated as second-line therapy for the short-term and non-continuous chronic treatment of mild-to-moderate atopic dermatitis in non-immunocompromised adults and children 2 years of age and older who have failed to respond adequately to other topical prescription treatments, or when those treatments are not advisable. This study is being conducted to evaluate the clinical bioequivalence of sponsor's formulation of Pimecrolimus Cream, 1%, the Test product, and Elidel Cream, 1%, the Reference product. A vehicle control arm is included to demonstrate that the Test and Reference products are active and to establish that the study is sufficiently sensitive to detect differences between products.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
587 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pimecrolimus Cream, 1%
Arm Type
Experimental
Arm Description
Pimecrolimus Cream, 1% (Actavis)
Arm Title
Elidel Cream, 1%
Arm Type
Active Comparator
Arm Description
Reference listed drug: Elidel 1% cream (Valeant Pharmaceuticals North America LLC)
Arm Title
Vehicle Cream
Arm Type
Placebo Comparator
Arm Description
Cream vehicle of the test product (Actavis)
Intervention Type
Drug
Intervention Name(s)
Pimecrolimus Cream 1% (Valeant)
Other Intervention Name(s)
Elidel® (pimecrolimus) Cream, 1% (Valeant)
Intervention Type
Drug
Intervention Name(s)
Vehicle cream
Other Intervention Name(s)
Vehicle of test product (Actavis)
Intervention Type
Drug
Intervention Name(s)
Pimecrolimus Cream, 1%
Other Intervention Name(s)
Pimecrolimus Cream, 1% (Actavis)
Primary Outcome Measure Information:
Title
Percentage of Subjects With Treatment Success at Visit 4/Day 15
Description
Percentage of subjects in each treatment group with treatment success, defined as a grade of clear or almost clear (a score of 0 or 1 on the IGA) within all treatment areas at the end of treatment on Visit 4/Day 15
Time Frame
15 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Willing and able to provide written informed consent/assent for the study. Non-immunocompromised male or female aged 12 years or older. A clinical diagnosis of mild to moderate atopic dermatitis that has failed to respond adequately to other topical prescription treatments for atopic dermatitis, or subjects for whom the use of those other treatments is deemed inadvisable. A diagnosis of atopic dermatitis for at least 3 months. A baseline Investigator's Global Assessment (IGA) of disease severity of mild or moderate (score of 2 or 3). An affected area of atopic dermatitis involvement of at least 5% of the body surface area (BSA) at Visit 2/Day 1 (Baseline), as defined by the criteria of Hanifin and Rajka (1980). Treatment with a bland emollient for at least 7 days prior to Visit 2/Day 1 (Baseline). Agree to adhere to protocol-specified requirements and concomitant therapy restrictions. Willing to avoid constant sun exposure and the use of tanning booths or other UV light sources during participation in the study. In general good health, non-immunocompromised, and free from any clinically significant disease, other than atopic dermatitis, that might interfere with the study evaluations. Willing and able to understand and comply with the requirements of the study, apply the study medication as instructed, return for the required study visits, comply with therapy prohibitions, and complete the study. Female subjects of childbearing potential (excluding women who are surgically sterilized [hysterectomy, bilateral tubal ligation, or bilateral ovariectomy] or have been postmenopausal for at least 1 year) must have a negative urine pregnancy test and must be willing to use a medically accepted method of contraception during the study. The following are considered acceptable methods of birth control for the purpose of this study: oral contraceptives, contraceptive patches, contraceptive implant, vaginal contraceptive, double barrier methods (e.g., condom and spermicide), contraceptive injection (Depo-Provera®), intrauterine device (IUD), hormonal IUD (Mirena®), Essure® permanent birth control, and abstinence with a documented second acceptable method of birth control if the subject becomes sexually active. Subjects entering the study who are on hormonal contraceptives must have been on the method for at least 90 days prior to the study and continue the method for the duration of the study. Subjects who had used hormonal contraception and stopped must have stopped no less than 90 days prior to Visit 1. Exclusion Criteria: Females who were pregnant, breastfeeding, intending to become pregnant during the study, or who did not agree to use an acceptable form of birth control during the study. Active cutaneous bacterial or viral infection in any proposed treatment area at Visit 2/Baseline (e.g., clinically infected atopic dermatitis). Sunburn, extensive scarring, or pigmented lesion(s) in any treatment area at Visit 2/Baseline that would interfere with the study evaluations. History of confounding skin conditions, e.g., psoriasis, rosacea, erythroderma, or ichthyosis. History or presence of Netherton's Syndrome, immunological deficiencies or diseases, HIV, diabetes, malignancy, serious active or recurrent infection, clinically significant severe renal insufficiency, or severe hepatic disorders. Use of any treatment listed in Table 9.1 more recently than the indicated washout period prior to Visit 2/Baseline. Need or intent to continue to use any treatment listed in Table 9.1 during the current study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Beth Landis
Organizational Affiliation
Senior Clinical Project Manager
Official's Role
Study Director
Facility Information:
Facility Name
Pinnacle Research Group, LLC
City
Anniston
State/Province
Alabama
ZIP/Postal Code
36207
Country
United States
Facility Name
Clinical Research Center of Alabama
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35209
Country
United States
Facility Name
Agave Clinical Research, LLC
City
Mesa
State/Province
Arizona
ZIP/Postal Code
85202
Country
United States
Facility Name
Omni Dermatology/Physicians Research Group, LLC
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85018
Country
United States
Facility Name
Northwest Arkansas Clinical Trials Center, PLLC
City
Rogers
State/Province
Arkansas
ZIP/Postal Code
72758
Country
United States
Facility Name
MD Studies, Inc.
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
Facility Name
Alliance Research Centers
City
Laguna Hills
State/Province
California
ZIP/Postal Code
92653
Country
United States
Facility Name
Medical Center for Clinical Research
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Skin Surgery Medical Group, Inc.
City
San Diego
State/Province
California
ZIP/Postal Code
92117
Country
United States
Facility Name
Horizons Clinical Research Ctr., LLC
City
Denver
State/Province
Colorado
ZIP/Postal Code
80220
Country
United States
Facility Name
Immunoe International Research Centers
City
Thornton
State/Province
Colorado
ZIP/Postal Code
80233
Country
United States
Facility Name
Dermatology of Boca
City
Boca Raton
State/Province
Florida
ZIP/Postal Code
33431
Country
United States
Facility Name
Olympian Clinical Research
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33757
Country
United States
Facility Name
International Dermatology Research, Inc.
City
Miami
State/Province
Florida
ZIP/Postal Code
33144
Country
United States
Facility Name
Radiant Research, Inc.
City
Pinellas Park
State/Province
Florida
ZIP/Postal Code
33781
Country
United States
Facility Name
International Clinical Research- US, LLC
City
Sanford
State/Province
Florida
ZIP/Postal Code
32771
Country
United States
Facility Name
MOORE Clinical Research, Inc.
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
Olympian Clinical Research
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
Kansas City Dermatology PA
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66215
Country
United States
Facility Name
Kentucky Pediatric/Adult Research
City
Bardstown
State/Province
Kentucky
ZIP/Postal Code
40004
Country
United States
Facility Name
Dermatology Specialists Research
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
Callender Center for Clinical Research, LLC
City
Glenn Dale
State/Province
Maryland
ZIP/Postal Code
20769
Country
United States
Facility Name
David Fivenson, MD, PLC
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48103
Country
United States
Facility Name
Minnesota Clinical Study Center
City
Fridley
State/Province
Minnesota
ZIP/Postal Code
55432
Country
United States
Facility Name
MediSearch Clinical Trials
City
Saint Joseph
State/Province
Missouri
ZIP/Postal Code
64506
Country
United States
Facility Name
Quality Clinical Research Inc.
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68114
Country
United States
Facility Name
Karl G. Heine, MD Dermatology
City
Henderson
State/Province
Nevada
ZIP/Postal Code
89052
Country
United States
Facility Name
Academic Dermatology Associates
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87106
Country
United States
Facility Name
Pinkas E. Lebovits, MD, PC
City
New York
State/Province
New York
ZIP/Postal Code
10019
Country
United States
Facility Name
Piedmont Plastic Surgery and Dermatology
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28277
Country
United States
Facility Name
Dermatology Consulting Services
City
High Point
State/Province
North Carolina
ZIP/Postal Code
27262
Country
United States
Facility Name
PMG Research of Winston-Salem, LLC
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Cyn3rgy Research
City
Gresham
State/Province
Oregon
ZIP/Postal Code
97030
Country
United States
Facility Name
Baker Allergy, Asthma and Dermatology Research Center, LLC
City
Portland
State/Province
Oregon
ZIP/Postal Code
97223
Country
United States
Facility Name
Asthma & Allergy Research Associates
City
Upland
State/Province
Pennsylvania
ZIP/Postal Code
19013
Country
United States
Facility Name
Clinical Partners, LLC
City
Johnston
State/Province
Rhode Island
ZIP/Postal Code
02919
Country
United States
Facility Name
Greenville Dermatology
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29607
Country
United States
Facility Name
Spartanburg Medical Research
City
Spartanburg
State/Province
South Carolina
ZIP/Postal Code
29303
Country
United States
Facility Name
ClinSearch, LLC
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37421
Country
United States
Facility Name
Tennessee Clinical Research Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37215
Country
United States
Facility Name
J&S Studies, Inc.
City
College Station
State/Province
Texas
ZIP/Postal Code
77845
Country
United States
Facility Name
Suzanne Bruce and Associates, P.A./The Center for Skin Research
City
Houston
State/Province
Texas
ZIP/Postal Code
77056
Country
United States
Facility Name
Center for Clinical Studies
City
Houston
State/Province
Texas
ZIP/Postal Code
77065
Country
United States
Facility Name
Suzanne Bruce and Associates, P.A., The Center for Skin Research
City
Katy
State/Province
Texas
ZIP/Postal Code
77494
Country
United States
Facility Name
R/D Clinical Research, Inc.
City
Lake Jackson
State/Province
Texas
ZIP/Postal Code
77566
Country
United States
Facility Name
Pflugerville Dermatology Clinical Research Center, Inc.
City
Pflugerville
State/Province
Texas
ZIP/Postal Code
78660
Country
United States
Facility Name
ACRC Trials
City
Plano
State/Province
Texas
ZIP/Postal Code
75024
Country
United States
Facility Name
Texas Dermatology and Laser Specialists
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78218
Country
United States
Facility Name
Intermountain Clinical Research
City
Draper
State/Province
Utah
ZIP/Postal Code
84020
Country
United States
Facility Name
The Education and Research Foundation, Inc.
City
Lynchburg
State/Province
Virginia
ZIP/Postal Code
24501
Country
United States
Facility Name
National Clinical Research-Richmond, Inc.
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23294
Country
United States
Facility Name
Dermatology Associates
City
Seattle
State/Province
Washington
ZIP/Postal Code
98101
Country
United States
Facility Name
Eastern Washington Dermatology
City
Walla Walla
State/Province
Washington
ZIP/Postal Code
99362
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study of Equivalence of Generic Pimecrolimus Cream 1% and Elidel® 1% in Subjects With Mild to Moderate Atopic Dermatitis

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