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Study Comparing GDC 695 and Diclofenac Sodium Gel, 3% in Subjects With Actinic Keratoses

Primary Purpose

Actinic Keratosis

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
GDC 695
Diclofenac Sodium Gel, 3%
Vehicle gel
Sponsored by
Gage Development Company, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Actinic Keratosis focused on measuring solar keratoses

Eligibility Criteria

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

Inclusion Criteria:

  • Has provided written informed consent.
  • Immunocompetent male and/or non-pregnant female, 18 years of age or older.
  • Willing and able to apply the test article(s) as directed, comply with study instructions, and commit to all follow-up visits for the duration of the study.
  • Clinical diagnosis of actinic keratosis.
  • In good general health and free of any disease state or physical condition.
  • Women, must be post-menopausal, surgically sterile, or use an effective method of birth control with a negative urine pregnancy test (UPT) at the Baseline Visit (Day 1).

Exclusion Criteria:

  • Women who are pregnant, breastfeeding, or are planning to become pregnant or breastfeed during the study.
  • Is currently enrolled in another investigational drug or device study or has used an investigational drug or investigational device within 30 days prior to the Baseline Visit (Day 1).
  • Has the need or plans to be exposed to artificial tanning devices or excessive sunlight during the study.
  • Is immunosuppressed (e.g., human immunodeficiency virus [ HIV], systemic malignancy, graft host disease, etc.) or is taking medications that suppress the immune system.
  • Has experienced an unsuccessful outcome from previous topical diclofenac sodium therapy.
  • Has a history of sensitivity to any of the ingredients in the test articles or other excipients in the test or reference drug.
  • Has signs or symptoms consistent with the aspirin (ASA) triad.
  • Has used topical medications: corticosteroids, alpha hydroxy acids (e.g., glycolic acid, lactic acid, etc. >5%), beta hydroxy acid (salicylic acid >2%), urea >2%, 5-fluorouracil, diclofenac, imiquimod, ingenol mebutate, aminolevulinic acid (ALA) or prescription retinoids (e.g., tazarotene, adapalene, tretinoin), over-the-counter (OTC) products labeled as scrubs of any kind which are used to smooth the skin (as they contain some form of exfoliant such as nut shells, coffee grounds, polymer particles, etc.) within the selected treatment area (face or bald scalp) within one month prior to the Baseline Visit.
  • Has had cryodestruction or chemodestruction, curettage, photodynamic therapy (PDT), surgical excision, or other treatments for AK within the selected treatment area (face or bald scalp) within one month prior to the Baseline Visit.
  • Has used oral corticosteroid therapy, interferon, cytotoxic drugs, immunomodulators, immunosuppressive therapies, or retinoids within one month prior to the Baseline Visit.
  • Has used oral isotretinoin within six months prior to the Baseline Visit.
  • Has used chemical peels, including but not limited to alphahydroxy acid, betahydroxy acid, bichloroacetic acid, trichloroacetic acid, and phenol within the selected treatment area (face or bald scalp) within six months prior to the Baseline Visit.
  • Has had dermatologic procedures or surgeries such as: laser resurfacing, PUVA (Psoralen + ultraviolet A) therapy, ultraviolet B (UVB) therapy, ALA-PDT, or dermabrasion within the selected treatment area (face or bald scalp) within six months prior to the Baseline Visit.
  • Has lesions suspicious for skin cancer (skin cancer not ruled out by biopsy) or untreated skin cancers within the selected treatment area (face or bald scalp).
  • Has active gastrointestinal ulceration or bleeding or has a history of gastrointestinal bleeds due to use of aspirin or other NSAIDs.
  • Has severe renal or hepatic impairment.
  • Has any condition which, in the investigator's opinion, could interfere with the evaluation of the test drugs or that could make it unsafe or preclude the subject's ability to fully participate in this research study.

Sites / Locations

  • Site 07
  • Site 14
  • Site 24
  • Site 22
  • Site 01
  • Site 27
  • Site 12
  • Site 05
  • Site 02
  • Site 25
  • Site 21
  • Site 03
  • Site 26
  • Site 04
  • Site 28
  • Site 10

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Placebo Comparator

Arm Label

Test Drug

Reference Drug

Placebo

Arm Description

GDC 695 gel applied topically as directed.

Diclofenac sodium gel, 3% applied topically as directed.

Vehicle gel applied topically as directed.

Outcomes

Primary Outcome Measures

Number of Subjects With Complete Clearance of AK Lesions
Complete Clearance was defined as 100% clearance of all Actinic Keratosis (AK) lesions (having a count of zero AKs) in the treatment area (face or bald scalp) at the Day 90 visit (30 Days Post Treatment).

Secondary Outcome Measures

Full Information

First Posted
October 31, 2016
Last Updated
January 2, 2020
Sponsor
Gage Development Company, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02952898
Brief Title
Study Comparing GDC 695 and Diclofenac Sodium Gel, 3% in Subjects With Actinic Keratoses
Official Title
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Comparison Study to Determine the Therapeutic Equivalence of GDC 695 and Diclofenac Sodium Gel, 3% in Subjects With Actinic Keratoses
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Completed
Study Start Date
October 27, 2016 (Actual)
Primary Completion Date
July 11, 2017 (Actual)
Study Completion Date
September 6, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gage Development Company, LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This research study is being done to compare the safety and effectiveness of GDC 695 (test drug) against the currently marketed reference drug (diclofenac sodium gel, 3%) and to establish that these two drugs work better than placebo in the treatment of actinic keratosis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Actinic Keratosis
Keywords
solar keratoses

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Test Drug
Arm Type
Experimental
Arm Description
GDC 695 gel applied topically as directed.
Arm Title
Reference Drug
Arm Type
Active Comparator
Arm Description
Diclofenac sodium gel, 3% applied topically as directed.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Vehicle gel applied topically as directed.
Intervention Type
Drug
Intervention Name(s)
GDC 695
Intervention Description
GDC 695 is a topical gel.
Intervention Type
Drug
Intervention Name(s)
Diclofenac Sodium Gel, 3%
Intervention Description
Diclofenac sodium gel, 3% is an FDA-approved drug.
Intervention Type
Drug
Intervention Name(s)
Vehicle gel
Intervention Description
Vehicle topical gel contains 0.0% of active drug and is color matched to the other two active test drugs.
Primary Outcome Measure Information:
Title
Number of Subjects With Complete Clearance of AK Lesions
Description
Complete Clearance was defined as 100% clearance of all Actinic Keratosis (AK) lesions (having a count of zero AKs) in the treatment area (face or bald scalp) at the Day 90 visit (30 Days Post Treatment).
Time Frame
Day 90 (30 days after completion of 60 days of treatment)
Other Pre-specified Outcome Measures:
Title
Adverse Events (AEs)
Description
AEs will be assessed by the investigator and the incidence (severity and causality) of any local and systemic AEs will be reported.
Time Frame
Day 0 through Day 90

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Has provided written informed consent. Immunocompetent male and/or non-pregnant female, 18 years of age or older. Willing and able to apply the test article(s) as directed, comply with study instructions, and commit to all follow-up visits for the duration of the study. Clinical diagnosis of actinic keratosis. In good general health and free of any disease state or physical condition. Women, must be post-menopausal, surgically sterile, or use an effective method of birth control with a negative urine pregnancy test (UPT) at the Baseline Visit (Day 1). Exclusion Criteria: Women who are pregnant, breastfeeding, or are planning to become pregnant or breastfeed during the study. Is currently enrolled in another investigational drug or device study or has used an investigational drug or investigational device within 30 days prior to the Baseline Visit (Day 1). Has the need or plans to be exposed to artificial tanning devices or excessive sunlight during the study. Is immunosuppressed (e.g., human immunodeficiency virus [ HIV], systemic malignancy, graft host disease, etc.) or is taking medications that suppress the immune system. Has experienced an unsuccessful outcome from previous topical diclofenac sodium therapy. Has a history of sensitivity to any of the ingredients in the test articles or other excipients in the test or reference drug. Has signs or symptoms consistent with the aspirin (ASA) triad. Has used topical medications: corticosteroids, alpha hydroxy acids (e.g., glycolic acid, lactic acid, etc. >5%), beta hydroxy acid (salicylic acid >2%), urea >2%, 5-fluorouracil, diclofenac, imiquimod, ingenol mebutate, aminolevulinic acid (ALA) or prescription retinoids (e.g., tazarotene, adapalene, tretinoin), over-the-counter (OTC) products labeled as scrubs of any kind which are used to smooth the skin (as they contain some form of exfoliant such as nut shells, coffee grounds, polymer particles, etc.) within the selected treatment area (face or bald scalp) within one month prior to the Baseline Visit. Has had cryodestruction or chemodestruction, curettage, photodynamic therapy (PDT), surgical excision, or other treatments for AK within the selected treatment area (face or bald scalp) within one month prior to the Baseline Visit. Has used oral corticosteroid therapy, interferon, cytotoxic drugs, immunomodulators, immunosuppressive therapies, or retinoids within one month prior to the Baseline Visit. Has used oral isotretinoin within six months prior to the Baseline Visit. Has used chemical peels, including but not limited to alphahydroxy acid, betahydroxy acid, bichloroacetic acid, trichloroacetic acid, and phenol within the selected treatment area (face or bald scalp) within six months prior to the Baseline Visit. Has had dermatologic procedures or surgeries such as: laser resurfacing, PUVA (Psoralen + ultraviolet A) therapy, ultraviolet B (UVB) therapy, ALA-PDT, or dermabrasion within the selected treatment area (face or bald scalp) within six months prior to the Baseline Visit. Has lesions suspicious for skin cancer (skin cancer not ruled out by biopsy) or untreated skin cancers within the selected treatment area (face or bald scalp). Has active gastrointestinal ulceration or bleeding or has a history of gastrointestinal bleeds due to use of aspirin or other NSAIDs. Has severe renal or hepatic impairment. Has any condition which, in the investigator's opinion, could interfere with the evaluation of the test drugs or that could make it unsafe or preclude the subject's ability to fully participate in this research study.
Facility Information:
Facility Name
Site 07
City
Fort Smith
State/Province
Arkansas
ZIP/Postal Code
72916
Country
United States
Facility Name
Site 14
City
San Diego
State/Province
California
ZIP/Postal Code
92117
Country
United States
Facility Name
Site 24
City
San Ramon
State/Province
California
ZIP/Postal Code
94582
Country
United States
Facility Name
Site 22
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33756
Country
United States
Facility Name
Site 01
City
North Miami Beach
State/Province
Florida
ZIP/Postal Code
33162
Country
United States
Facility Name
Site 27
City
Ocala
State/Province
Florida
ZIP/Postal Code
34471
Country
United States
Facility Name
Site 12
City
Tampa
State/Province
Florida
ZIP/Postal Code
33609
Country
United States
Facility Name
Site 05
City
Carmel
State/Province
Indiana
ZIP/Postal Code
46032
Country
United States
Facility Name
Site 02
City
Plainfield
State/Province
Indiana
ZIP/Postal Code
46168
Country
United States
Facility Name
Site 25
City
Saint Joseph
State/Province
Missouri
ZIP/Postal Code
64506
Country
United States
Facility Name
Site 21
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87106
Country
United States
Facility Name
Site 03
City
Warwick
State/Province
Rhode Island
ZIP/Postal Code
02886
Country
United States
Facility Name
Site 26
City
Anderson
State/Province
South Carolina
ZIP/Postal Code
29621
Country
United States
Facility Name
Site 04
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29607
Country
United States
Facility Name
Site 28
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States
Facility Name
Site 10
City
Spokane
State/Province
Washington
ZIP/Postal Code
99202
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study Comparing GDC 695 and Diclofenac Sodium Gel, 3% in Subjects With Actinic Keratoses

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