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A Multicenter, Open-label Clinical Trial to Evaluate the Efficacy and Safety of Once Daily Mirvaso® Gel in Patients With Chronic Persistent Vascular Facial Erythema. (BR14004)

Primary Purpose

Chronic Persistent Vascular Facial Erythema

Status
Completed
Phase
Phase 4
Locations
Brazil
Study Type
Interventional
Intervention
brimonidine tartrate
Sponsored by
Galderma Brasil Ltda.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Persistent Vascular Facial Erythema

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female research participants aged 18 or higher.
  2. Patients with chronic persistent facial erythema (at least 1 month before baseline [Day 1 hour 0]) of rosacea (with no restrictions to subtypes of rosacea), or originated from other dermatological condition, including, but not limited to seborrhoeic dermatitis, ulerythema ophryogenes, keratosis pillaris, microneedling, fractional radiofrequency, post-peeling treatments (medium depth and deep) or post-laser (ablative laser). Diagnosis is based on the investigator clinical judgement.
  3. Clinician Erythema Assessment scores 2 (mild), 3 (moderate), or 4 (severe) at Day 1 prior to study treatment administration.
  4. Patient Self-Evaluation scores 2 (mild), 3 (moderate), or 4 (severe) at Day 1 prior to study treatment administration.
  5. Female patients with childbearing potential and negative pregnancy test at baseline. These patients should use a highly efficient contraceptive method during the study: combined oral contraceptives (estrogen and progesterone) or implanted contraceptives, or injectable contraceptives (with a stable dose for at least 1 month before study enrolment), bilateral tube ligation, hormonal intrauterine device (inserted at least 1 month before study entry), strict abstinence (at least 1 month prior to study entry and agreement in continuing throughout the study), or vasectomized partner (at least 3 months prior to study entry).
  6. Female patients without childbearing potential (e.g., before menstruating, post-menopausal [absence of menstrual bleeding for 1 year prior to study entry], hysterectomy, or bilateral oophorectomy, less than one year after menopause).
  7. Patients willing and able to fulfill the protocol requirements and duration.
  8. Patients who understand and sign the Informed Consent Form at study inclusion, before any study procedure is carried out.

Exclusion Criteria:

- Any research participant that meets one or more of the following criteria is not eligible for the trial:

  1. Female patients who are pregnant, breastfeeding or planning for pregnancy.
  2. Current treatment with monoamine oxidase inhibitors, barbiturates, opiates, sedatives, systemic anesthetics or alpha agonists.
  3. Patients who started or changed their doses of tricyclic antidepressants, cardiac glycosides, beta-blockers or other anti-hypertensive agents, in the 3 months prior to study entry.
  4. Current diagnosis of Raynaud syndrome, thromboangiitis obliterans, orthostatic hypotension, severe cardiovascular disease, coronary or cerebral insufficiency, hepatic or renal failure, sclerodermia, Sjögren syndrome, or depression.
  5. Any chronic or severe uncontrolled disease or medical chronic which may interfere with the interpretation of the study results, or may present a significant healthcare risk to the patient, if he/she participates in the study in accordance with the investigator judgment. (e.g. endocrine tumors, chromocytomas, systemic diseases that cause vascular erythema).
  6. Known or suspected allergies or hypersensitivities to any of the components of the study treatments, including the active substance of brimonidine tartrate (see summary of product characteristics).
  7. Patients who received, applied or ingested the following treatments in accordance with the time period specified before Day 1:

    • Topic facial treatments or procedures:

    Any dermatological/surgical facial procedure - 4 weeks. Immunomodulators (e.g. Methotrexate, Cyclosporin) - 4 weeks. Mirvaso® - 4 weeks.

    • Systemic treatments:

    Isotretinoin - 6 months. Immunomodulators - 90 days. Phototherapy - 4 weeks.

  8. Exposure to excessive ultraviolet radiation within a week before Day 1 visit.
  9. Presence of beard or excessive facial hair at Day 1, which interferes with the study treatment or study assessments and refusal to remove it during the study period.
  10. Patients who do not wish to abstain from the use of forbidden medication or excessive exposure to ultraviolet radiation during the study period.
  11. Vulnerable research participants (as deprived of freedom), in accordance with Section 1.61 of the International Conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use - ICH for Good Clinical Practices.
  12. Current participation in any other clinical study with a drug or device OR participation within 30 days prior to Day 1 OR in an exclusion period of a previous clinical study (when possible).

Sites / Locations

  • Instituto de Dermatologia e Estética do Brasil Ltda
  • Centro Brasileiro de Estudos em Dermatologia
  • Clinica Drmatologica Dra. Laura Buratini Ltda.
  • Hosptial do Servidor Publico Municipal
  • Fundação do ABC

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Mirvaso® gel

Arm Description

Mirvaso® gel (5 mg/g brimonidine tartrate)

Outcomes

Primary Outcome Measures

Efficacy endpoints: Percentage of research participants with at least 1 degree of improvement from baseline in PSE on each moment of post-baseline evaluation
• Facial Erythema based on the Patient self-Evaluation (PSE) evaluated by the research participant on Day 1 (Hour 0 and Hour 3), Day 29 (Hour 0 and Hour 3). All eligible research participants will receive Mirvaso® gel once daily for 4 weeks. The study will include 4 clinical visits: before Day 1, on Day 1, Day 29 and Week 6. Within 5 days before Day 1, the research participant will have a screening visit for confirmation of eligibility. On Day 1 and on Day 29, the research participant will have Mirvaso® gel applied, at the research site, and the evaluation will be conducted before application and 3 hours after application; During Days 2-28, research participants will have Mirvaso® gel applied once daily, at home; No Mirvaso® gel will be applied after the visit on Day 29; • Unscheduled visits may be performed during the trial for any safety reason.
Percentage of research participants with at least 1 degree of improvement from baseline in CEA on each moment of post-baseline evaluation.
• Facial Erythema based on the Clinician erythema assessment (CEA) evaluated by the investigator on Day 1 (Hour 0 and Hour 3), Day 29 (Hour 0 and Hour 3) . Clinician Erythema Assessment scores: 2 (mild), 3 (moderate), or 4 (severe) . All eligible research participants will receive Mirvaso® gel once daily for 4 weeks. The study will include 4 clinical visits: before Day 1, on Day 1, Day 29 and Week 6. Within 5 days before Day 1, the research participant will have a screening visit for confirmation of eligibility. On Day 1 and on Day 29, the research participant will have Mirvaso® gel applied, at the research site, and the evaluation will be conducted before application and 3 hours after application; During Days 2-28, research participants will have Mirvaso® gel applied once daily, at home; No Mirvaso® gel will be applied after the visit on Day 29; Unscheduled visits may be performed during the trial for any safety reason.

Secondary Outcome Measures

Evaluate the efficacy of Mirvaso by the Patient Self Evaluation - PSE
To evaluate the efficacy of Mirvaso in the treatment of chronic persistent vascular facial erythema, after 4 and 6 weeks of treatment, by the patient self evaluation
Evaluate the efficacy of Mirvaso by the clinician erythema assessment - CEA
To evaluate the efficacy of Mirvaso in the treatment of chronic persistent vascular facial erythema, after 6 weeks of treatment, by the clinician erythema assessment.
Incidence of AEs. Evaluate the safety of Mirvaso
To evaluate the safety of Mirvaso up to 6 weeks after beginning the treatment
Study Participant Satisfaction Questionnaire
Research participants will fill the Study Participant Satisfaction Questionnaire at Hour 3 on Day 29 with 7 questions.
To evaluate the impact in the quality of life after 4 weeks of treatment with Mirvaso
Variation in the overall score in DLQI from baseline visit to each moment of post-baseline evaluation Dermatology life quality Index (DLQI) Questionnaire on Hour 0 on Day 1 and on Hour 3 on Day 29. 10 questions to measure how much the skin problem affected the quality life.
Variation in the overall score in FRQ from baseline visit to each moment of post-baseline evaluation
Variation in the overall score in FRQ from baseline visit to each moment of post-baseline evaluation Facial Redness Questionnaire (FRQ) on Hour 0 on Day 1 and on Hour 3 on Day 29. 12 questions to evaluate how much facial erythema (redness) is affecting life at the moment of answer.

Full Information

First Posted
July 19, 2016
Last Updated
April 5, 2017
Sponsor
Galderma Brasil Ltda.
Collaborators
Eurotrials Brasil Consultores Cientificos Ltda
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1. Study Identification

Unique Protocol Identification Number
NCT02856919
Brief Title
A Multicenter, Open-label Clinical Trial to Evaluate the Efficacy and Safety of Once Daily Mirvaso® Gel in Patients With Chronic Persistent Vascular Facial Erythema.
Acronym
BR14004
Official Title
A Multicenter, Open-label Clinical Trial to Evaluate the Efficacy and Safety of Once Daily Mirvaso® Gel (5 mg/g Brimonidine Tartrate) in Patients With Chronic Persistent Vascular Facial Erythema.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2016
Overall Recruitment Status
Completed
Study Start Date
June 13, 2016 (Actual)
Primary Completion Date
February 8, 2017 (Actual)
Study Completion Date
February 8, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Galderma Brasil Ltda.
Collaborators
Eurotrials Brasil Consultores Cientificos Ltda

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study evaluates the efficacy of Mirvaso® in the treatment of chronic persistent vascular facial erythema, after 4 weeks of treatment, by the Clinician erythema assessment.
Detailed Description
This is a multicenter, open-label trial in research participants with chronic persistent vascular facial erythema. All eligible research participants will receive Mirvaso® gel once daily for 4 weeks, and then will be followed-up for another 2 weeks. The study will include 4 clinical visits: before Day 1, on Day 1, Day 29 and Week 6. Within 5 days before Day 1, the research participant will have a screening visit for confirmation of eligibility. On Day 1 and on Day 29, the research participant will have Mirvaso® gel applied, at the research site, and the evaluation will be conducted before application and 3 hours after application; During Days 2-28, research participants will have Mirvaso® gel applied once daily, at home; On Week 6, the research participants will go back to the research site for evaluation. No Mirvaso® gel will be applied after the visit on Day 29; Unscheduled visits may be performed during the trial for any safety reason.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Persistent Vascular Facial Erythema

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
101 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Mirvaso® gel
Arm Type
Other
Arm Description
Mirvaso® gel (5 mg/g brimonidine tartrate)
Intervention Type
Drug
Intervention Name(s)
brimonidine tartrate
Intervention Description
Mirvaso® gel (5 mg/g brimonidine tartrate)
Primary Outcome Measure Information:
Title
Efficacy endpoints: Percentage of research participants with at least 1 degree of improvement from baseline in PSE on each moment of post-baseline evaluation
Description
• Facial Erythema based on the Patient self-Evaluation (PSE) evaluated by the research participant on Day 1 (Hour 0 and Hour 3), Day 29 (Hour 0 and Hour 3). All eligible research participants will receive Mirvaso® gel once daily for 4 weeks. The study will include 4 clinical visits: before Day 1, on Day 1, Day 29 and Week 6. Within 5 days before Day 1, the research participant will have a screening visit for confirmation of eligibility. On Day 1 and on Day 29, the research participant will have Mirvaso® gel applied, at the research site, and the evaluation will be conducted before application and 3 hours after application; During Days 2-28, research participants will have Mirvaso® gel applied once daily, at home; No Mirvaso® gel will be applied after the visit on Day 29; • Unscheduled visits may be performed during the trial for any safety reason.
Time Frame
1 year
Title
Percentage of research participants with at least 1 degree of improvement from baseline in CEA on each moment of post-baseline evaluation.
Description
• Facial Erythema based on the Clinician erythema assessment (CEA) evaluated by the investigator on Day 1 (Hour 0 and Hour 3), Day 29 (Hour 0 and Hour 3) . Clinician Erythema Assessment scores: 2 (mild), 3 (moderate), or 4 (severe) . All eligible research participants will receive Mirvaso® gel once daily for 4 weeks. The study will include 4 clinical visits: before Day 1, on Day 1, Day 29 and Week 6. Within 5 days before Day 1, the research participant will have a screening visit for confirmation of eligibility. On Day 1 and on Day 29, the research participant will have Mirvaso® gel applied, at the research site, and the evaluation will be conducted before application and 3 hours after application; During Days 2-28, research participants will have Mirvaso® gel applied once daily, at home; No Mirvaso® gel will be applied after the visit on Day 29; Unscheduled visits may be performed during the trial for any safety reason.
Time Frame
1 year
Secondary Outcome Measure Information:
Title
Evaluate the efficacy of Mirvaso by the Patient Self Evaluation - PSE
Description
To evaluate the efficacy of Mirvaso in the treatment of chronic persistent vascular facial erythema, after 4 and 6 weeks of treatment, by the patient self evaluation
Time Frame
1 year
Title
Evaluate the efficacy of Mirvaso by the clinician erythema assessment - CEA
Description
To evaluate the efficacy of Mirvaso in the treatment of chronic persistent vascular facial erythema, after 6 weeks of treatment, by the clinician erythema assessment.
Time Frame
1 year
Title
Incidence of AEs. Evaluate the safety of Mirvaso
Description
To evaluate the safety of Mirvaso up to 6 weeks after beginning the treatment
Time Frame
1 year
Title
Study Participant Satisfaction Questionnaire
Description
Research participants will fill the Study Participant Satisfaction Questionnaire at Hour 3 on Day 29 with 7 questions.
Time Frame
1 year
Title
To evaluate the impact in the quality of life after 4 weeks of treatment with Mirvaso
Description
Variation in the overall score in DLQI from baseline visit to each moment of post-baseline evaluation Dermatology life quality Index (DLQI) Questionnaire on Hour 0 on Day 1 and on Hour 3 on Day 29. 10 questions to measure how much the skin problem affected the quality life.
Time Frame
1 year
Title
Variation in the overall score in FRQ from baseline visit to each moment of post-baseline evaluation
Description
Variation in the overall score in FRQ from baseline visit to each moment of post-baseline evaluation Facial Redness Questionnaire (FRQ) on Hour 0 on Day 1 and on Hour 3 on Day 29. 12 questions to evaluate how much facial erythema (redness) is affecting life at the moment of answer.
Time Frame
1 year
Other Pre-specified Outcome Measures:
Title
Instrumental Evaluation by Mexameter®
Description
Evaluation by Mexameter®, including Day 1 (Hour 0 and Hour 3), Day 29 (Hour 0 and Hour 3) and Week 6. The equipment measures the main components of skin color, melanin and hemoglobin (erythema). This evaluation will only be performed in research sites where the necessary equipment is available.
Time Frame
1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female research participants aged 18 or higher. Patients with chronic persistent facial erythema (at least 1 month before baseline [Day 1 hour 0]) of rosacea (with no restrictions to subtypes of rosacea), or originated from other dermatological condition, including, but not limited to seborrhoeic dermatitis, ulerythema ophryogenes, keratosis pillaris, microneedling, fractional radiofrequency, post-peeling treatments (medium depth and deep) or post-laser (ablative laser). Diagnosis is based on the investigator clinical judgement. Clinician Erythema Assessment scores 2 (mild), 3 (moderate), or 4 (severe) at Day 1 prior to study treatment administration. Patient Self-Evaluation scores 2 (mild), 3 (moderate), or 4 (severe) at Day 1 prior to study treatment administration. Female patients with childbearing potential and negative pregnancy test at baseline. These patients should use a highly efficient contraceptive method during the study: combined oral contraceptives (estrogen and progesterone) or implanted contraceptives, or injectable contraceptives (with a stable dose for at least 1 month before study enrolment), bilateral tube ligation, hormonal intrauterine device (inserted at least 1 month before study entry), strict abstinence (at least 1 month prior to study entry and agreement in continuing throughout the study), or vasectomized partner (at least 3 months prior to study entry). Female patients without childbearing potential (e.g., before menstruating, post-menopausal [absence of menstrual bleeding for 1 year prior to study entry], hysterectomy, or bilateral oophorectomy, less than one year after menopause). Patients willing and able to fulfill the protocol requirements and duration. Patients who understand and sign the Informed Consent Form at study inclusion, before any study procedure is carried out. Exclusion Criteria: - Any research participant that meets one or more of the following criteria is not eligible for the trial: Female patients who are pregnant, breastfeeding or planning for pregnancy. Current treatment with monoamine oxidase inhibitors, barbiturates, opiates, sedatives, systemic anesthetics or alpha agonists. Patients who started or changed their doses of tricyclic antidepressants, cardiac glycosides, beta-blockers or other anti-hypertensive agents, in the 3 months prior to study entry. Current diagnosis of Raynaud syndrome, thromboangiitis obliterans, orthostatic hypotension, severe cardiovascular disease, coronary or cerebral insufficiency, hepatic or renal failure, sclerodermia, Sjögren syndrome, or depression. Any chronic or severe uncontrolled disease or medical chronic which may interfere with the interpretation of the study results, or may present a significant healthcare risk to the patient, if he/she participates in the study in accordance with the investigator judgment. (e.g. endocrine tumors, chromocytomas, systemic diseases that cause vascular erythema). Known or suspected allergies or hypersensitivities to any of the components of the study treatments, including the active substance of brimonidine tartrate (see summary of product characteristics). Patients who received, applied or ingested the following treatments in accordance with the time period specified before Day 1: Topic facial treatments or procedures: Any dermatological/surgical facial procedure - 4 weeks. Immunomodulators (e.g. Methotrexate, Cyclosporin) - 4 weeks. Mirvaso® - 4 weeks. Systemic treatments: Isotretinoin - 6 months. Immunomodulators - 90 days. Phototherapy - 4 weeks. Exposure to excessive ultraviolet radiation within a week before Day 1 visit. Presence of beard or excessive facial hair at Day 1, which interferes with the study treatment or study assessments and refusal to remove it during the study period. Patients who do not wish to abstain from the use of forbidden medication or excessive exposure to ultraviolet radiation during the study period. Vulnerable research participants (as deprived of freedom), in accordance with Section 1.61 of the International Conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use - ICH for Good Clinical Practices. Current participation in any other clinical study with a drug or device OR participation within 30 days prior to Day 1 OR in an exclusion period of a previous clinical study (when possible).
Facility Information:
Facility Name
Instituto de Dermatologia e Estética do Brasil Ltda
City
Rio de Janeiro
State/Province
RJ
ZIP/Postal Code
22471003
Country
Brazil
Facility Name
Centro Brasileiro de Estudos em Dermatologia
City
Porto Alegre - RS
State/Province
RS
ZIP/Postal Code
91781200
Country
Brazil
Facility Name
Clinica Drmatologica Dra. Laura Buratini Ltda.
City
Botucatu
State/Province
SP
ZIP/Postal Code
18603-440
Country
Brazil
Facility Name
Hosptial do Servidor Publico Municipal
City
Sao Paulo
State/Province
SP
ZIP/Postal Code
04564000
Country
Brazil
Facility Name
Fundação do ABC
City
São Paulo
State/Province
SP
ZIP/Postal Code
09041-410
Country
Brazil

12. IPD Sharing Statement

Learn more about this trial

A Multicenter, Open-label Clinical Trial to Evaluate the Efficacy and Safety of Once Daily Mirvaso® Gel in Patients With Chronic Persistent Vascular Facial Erythema.

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