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The Use of Onexton in Moderate Acne Vulgaris for Patients With Skin of Color

Primary Purpose

Acne Vulgaris, Post Inflammatory Hyperpigmentation

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
ONEXTON Topical Gel
Sponsored by
Derm Research, PLLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acne Vulgaris

Eligibility Criteria

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

Inclusion Criteria:

i. Outpatient, subjects of skin of color, age 12 or older. Female subjects of childbearing potential must have a negative urine pregnancy test result at Baseline and practice a reliable method of contraception throughout the study;

A female is considered of childbearing potential unless she is:

  • postmenopausal for at least 12 months prior to study drug administration
  • without a uterus and/or both ovaries; or
  • has been surgically sterile for at least 6 months prior to study drug administration

Reliable methods of contraception are:

  • intrauterine device in use ≥ 90 days prior to study drug administration;
  • barrier methods plus spermicide in use at least 14 days prior to study drug administration; or
  • vasectomized partner

[Exception: Female subjects of childbearing potential who are not sexually active will not be required to practice a reliable method of contraception. These subjects may be enrolled at the Investigator's discretion if they are counseled to remain sexually inactive during the study and understand the possible risks in getting pregnant during the study.]

ii. Facial acne vulgaris in patients with skin of color (Fitzpatrick Type V & VI Supplement VI) characterized by the following:

  • IGA Score for acne vulgaris 3
  • IGA Score for PIH 3

iii. Able to understand and comply with the requirements of the study and sign Informed Consent /HIPAA Authorization forms

Exclusion Criteria:

i. Female subjects who are pregnant (positive urine pregnancy test), breast-feeding, or who are of childbearing potential and not practicing a reliable method of birth control

ii. Allergy/sensitivity to any component of the test treatment

iii. IGA score for acne of 2 (mild) or 4 (severe)

iv. IGA score for Post Inflammatory Hyperpigmentation of 2 (mild) or 4 (severe)

v. Subjects who have not complied with the proper wash-out periods for prohibited medications (Supplement I).

vi. Medical condition that, in the opinion of the Investigator, contraindicates the subject's participation in the clinical study

vii. Skin disease/disorder that might interfere with the diagnosis or evaluation of acne vulgaris

viii. Evidence of recent alcohol or drug abuse

ix. History of poor cooperation, non-compliance with medical treatment, or unreliability

x. Exposure to an investigational study drug within 30 days of the Baseline Visit

Sites / Locations

  • DermResearch, PLLC

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

single arm Onexton gel application

Arm Description

Onexton gel will be supplied to all subjects and applied once daily to the face

Outcomes

Primary Outcome Measures

Investigator Global Assessment Scale for Severity of Facial Acne
Percent of subjects achieving clear or almost clear on Investigator's Global Assessment (IGA) scale for facial acne; the IGA scale for acne reflects the Investigator's assessment of the severity of a subject's acne on a scale from 0 to 5 with 0 = Clear Skin, 1 = Almost Clear, 2 = Mild, 3 = Moderate severity, 4 = Severe, 5 = Very Severe Each of these gradations is based upon a lesion count by the Investigator.
Investigator Global Assessment Scale for Severity of Post Inflammatory Hyperpigmentation
Percent of subjects achieving clear or almost clear on Investigator's Global Assessment (IGA) scale for severity of post inflammatory hyperpigmentation; the IGA scale of post-inflammatory hyperpigmentation reflects the Investigator's assessment of the severity of a subject's hyperpigmentation on a scale from 0 to 6 with 0 = None, 1 = Slight, 2 = Mild, 3 = Moderate, 4 = moderately Severe, 5 = Severe, 6 = Very severe Each of these gradations is based upon the investigator's impression

Secondary Outcome Measures

Percent Change in Inflammatory Lesions
The Investigator will count the number of facial (from hairline to mandibular line) inflammatory acne lesions at each study visit. Inflammatory lesions include papules, pustules and nodules.
Percent Change in Non-inflammatory Lesion Count
The Investigator will count the number of facial non-inflammatory acne lesions at each study visit. these include open and closed comedones.
Percent Change in Total Lesion Count
The Investigator will count the number of facial inflammatory and non-inflammatory acne lesions at each study visit. These include papules, pustules, nodules, and open and closed comedones.
Post-Inflammatory Hyperpigmentation (PIH) Distribution
This measure as assessed by the Investigator seeks to quantify the extent to which post-inflammatory hyperpigmentation is distributed across the face, wherein 0= No PIH, 1=1-10% of the face affected, 2=11-20%, 3=21-30%, 4=31-40%, 5=41-50%, and 6=More than 50% of the face. Lower numbers reflect less severe disease.

Full Information

First Posted
January 11, 2018
Last Updated
March 19, 2019
Sponsor
Derm Research, PLLC
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1. Study Identification

Unique Protocol Identification Number
NCT03402893
Brief Title
The Use of Onexton in Moderate Acne Vulgaris for Patients With Skin of Color
Official Title
The Use of Onexton in Moderate Acne Vulgaris for Patients With Skin of Color
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
July 28, 2017 (Actual)
Primary Completion Date
November 15, 2017 (Actual)
Study Completion Date
February 28, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Derm Research, PLLC

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

5. Study Description

Brief Summary
This is a single-center, open label pilot study. The study is comprised of 5 study visits; Screening, Baseline, and Weeks 4, 8, and 16. All subjects will receive Onexton at Baseline and be instructed to apply the gel once daily to the face. The investigators will evaluate Investigator Global Assessment of acne (IGA), total lesion count, inflammatory lesion count, non-inflammatory lesion count, Investigator Global Assessment of Post-Inflammatory Hyperpigmentation and distribution of Post-Inflammatory Hyperpigmentation, adverse events and concomitant medications.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acne Vulgaris, Post Inflammatory Hyperpigmentation

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
single arm Onexton gel application
Arm Type
Experimental
Arm Description
Onexton gel will be supplied to all subjects and applied once daily to the face
Intervention Type
Drug
Intervention Name(s)
ONEXTON Topical Gel
Intervention Description
Onexton gel applied once daily to face
Primary Outcome Measure Information:
Title
Investigator Global Assessment Scale for Severity of Facial Acne
Description
Percent of subjects achieving clear or almost clear on Investigator's Global Assessment (IGA) scale for facial acne; the IGA scale for acne reflects the Investigator's assessment of the severity of a subject's acne on a scale from 0 to 5 with 0 = Clear Skin, 1 = Almost Clear, 2 = Mild, 3 = Moderate severity, 4 = Severe, 5 = Very Severe Each of these gradations is based upon a lesion count by the Investigator.
Time Frame
Week 4, Week 8, Week 16
Title
Investigator Global Assessment Scale for Severity of Post Inflammatory Hyperpigmentation
Description
Percent of subjects achieving clear or almost clear on Investigator's Global Assessment (IGA) scale for severity of post inflammatory hyperpigmentation; the IGA scale of post-inflammatory hyperpigmentation reflects the Investigator's assessment of the severity of a subject's hyperpigmentation on a scale from 0 to 6 with 0 = None, 1 = Slight, 2 = Mild, 3 = Moderate, 4 = moderately Severe, 5 = Severe, 6 = Very severe Each of these gradations is based upon the investigator's impression
Time Frame
Week 4, Week 8, Week 16
Secondary Outcome Measure Information:
Title
Percent Change in Inflammatory Lesions
Description
The Investigator will count the number of facial (from hairline to mandibular line) inflammatory acne lesions at each study visit. Inflammatory lesions include papules, pustules and nodules.
Time Frame
Week 4, Week 8, Week 16
Title
Percent Change in Non-inflammatory Lesion Count
Description
The Investigator will count the number of facial non-inflammatory acne lesions at each study visit. these include open and closed comedones.
Time Frame
Week 4, Week 8, Week 16
Title
Percent Change in Total Lesion Count
Description
The Investigator will count the number of facial inflammatory and non-inflammatory acne lesions at each study visit. These include papules, pustules, nodules, and open and closed comedones.
Time Frame
week 4, Week 8, Week 16
Title
Post-Inflammatory Hyperpigmentation (PIH) Distribution
Description
This measure as assessed by the Investigator seeks to quantify the extent to which post-inflammatory hyperpigmentation is distributed across the face, wherein 0= No PIH, 1=1-10% of the face affected, 2=11-20%, 3=21-30%, 4=31-40%, 5=41-50%, and 6=More than 50% of the face. Lower numbers reflect less severe disease.
Time Frame
baseline, Week 4, week 8, week 16

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: i. Outpatient, subjects of skin of color, age 12 or older. Female subjects of childbearing potential must have a negative urine pregnancy test result at Baseline and practice a reliable method of contraception throughout the study; A female is considered of childbearing potential unless she is: postmenopausal for at least 12 months prior to study drug administration without a uterus and/or both ovaries; or has been surgically sterile for at least 6 months prior to study drug administration Reliable methods of contraception are: intrauterine device in use ≥ 90 days prior to study drug administration; barrier methods plus spermicide in use at least 14 days prior to study drug administration; or vasectomized partner [Exception: Female subjects of childbearing potential who are not sexually active will not be required to practice a reliable method of contraception. These subjects may be enrolled at the Investigator's discretion if they are counseled to remain sexually inactive during the study and understand the possible risks in getting pregnant during the study.] ii. Facial acne vulgaris in patients with skin of color (Fitzpatrick Type V & VI Supplement VI) characterized by the following: IGA Score for acne vulgaris 3 IGA Score for PIH 3 iii. Able to understand and comply with the requirements of the study and sign Informed Consent /HIPAA Authorization forms Exclusion Criteria: i. Female subjects who are pregnant (positive urine pregnancy test), breast-feeding, or who are of childbearing potential and not practicing a reliable method of birth control ii. Allergy/sensitivity to any component of the test treatment iii. IGA score for acne of 2 (mild) or 4 (severe) iv. IGA score for Post Inflammatory Hyperpigmentation of 2 (mild) or 4 (severe) v. Subjects who have not complied with the proper wash-out periods for prohibited medications (Supplement I). vi. Medical condition that, in the opinion of the Investigator, contraindicates the subject's participation in the clinical study vii. Skin disease/disorder that might interfere with the diagnosis or evaluation of acne vulgaris viii. Evidence of recent alcohol or drug abuse ix. History of poor cooperation, non-compliance with medical treatment, or unreliability x. Exposure to an investigational study drug within 30 days of the Baseline Visit
Facility Information:
Facility Name
DermResearch, PLLC
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40217
Country
United States

12. IPD Sharing Statement

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The Use of Onexton in Moderate Acne Vulgaris for Patients With Skin of Color

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