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A Study to Determine Safety and Efficacy of B244 in Subjects With Mild to Moderate Rosacea

Primary Purpose

Rosacea

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
B244
Vehicle
Sponsored by
AOBiome LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rosacea focused on measuring Type 1 erythematotelangiectatic rosacea

Eligibility Criteria

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

Inclusion Criteria:

  1. Male and female subjects ≥18.
  2. A clinical diagnosis of mild to moderate facial rosacea.
  3. In good general health as determined by a thorough medical history, physical examination, clinical chemistry and hematology.
  4. Presence of 3 to 20 inflammatory lesions on the face (i.e. papules/pustules).
  5. A Clinician Erythema Assessment (CEA) score of 2-3 at Screening and at Baseline Visits (prior to the investigational product application).
  6. Mild to Moderate IGA score of 2-3 at Screening and at Baseline Visits (prior to the investigational product application).
  7. Willing to refrain from using any topical or systemic treatments for the treatment of rosacea, other than the investigational product.
  8. Females of childbearing potential with a negative urine pregnancy test (UPT) at Screening and Baseline/Day 1 (prior to the investigational product application).
  9. Ability to comprehend and comply with study procedures.
  10. Agree to commit to participate in the current protocol.
  11. Provide written informed consent prior to any study procedure being performed.

Exclusion Criteria:

  1. Female subjects who are pregnant, lactating or who are trying to conceive will be excluded from participation in this study.
  2. Any uncontrolled chronic or serious disease or medical condition that would normally prevent participation in a clinical trial, or, in the judgment of the Investigator, would put the subject at undue risk, or might confound the study assessments (e.g., other dermatological diseases), or might interfere with the subject's participation in the study, (e.g., planned hospitalization during the study).
  3. Particular forms of rosacea (e.g., rosacea conglobata, rosacea fulminans, isolated rhinophyma, isolated pustulosis of the chin, Ocular rosacea Phymatous rosacea, Steroid-induced rosacea, severe rosacea including pyoderma faciale) or other concomitant facial dermatoses that are similar to rosacea such as peri-oral dermatitis, demodicidosis, facial keratosis pilaris, seborrheic dermatitis, acute lupus erythematosus, or actinic telangiectasia.
  4. Presence of more than two (2) nodulocystic lesions on the face.
  5. Presence of less than 3 and more than 20 inflammatory lesions on the face (i.e. papules/pustules).
  6. Severe papulopustular rosacea requiring systemic treatment.
  7. Participation at the time of eligibility assessment (Screening) in any other investigational drug or device study or may have participated within 30 days prior to Screening.
  8. Commencement of new hormonal therapy or dose change to hormonal therapy within 30 days prior to baseline. Dose and frequency of use of any hormonal therapy started more than 30 days prior to baseline must remain unchanged throughout the study. Hormonal therapies include, but are not limited to, oral, injected or implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS) or other forms of hormonal contraception that have comparable efficacy (e.g. vaginal ring or transdermal hormone contraception)
  9. Presence of beard or excessive facial hair at Screening which would interfere with the study treatments or study assessments and refusal to remove for duration of study.
  10. Carcinoid, Pheochromocytoma or other systemic causes of flushing.
  11. Known sensitivity to B244 or its components.
  12. Refusal to submit to blood and urine sampling for laboratory analysis.
  13. Treatment with prohibited medications.

Sites / Locations

  • Tampa Bay Medical Research
  • Veritas Research Corp
  • South Coast Research Center, Inc.
  • FXM Research Corp.
  • FXM Research Miramar
  • Wake Research Associates, LLC
  • Paddington Testing Co.
  • Omega Medical Research
  • West Houston Clinical Research Service

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

B244

Vehicle

Arm Description

B244 suspension in 30ml/bottle Subjects will apply a total of 4 pumps of IP per application to the face twice-a-day.

Vehicle, 30ml/bottle Subjects will apply a total of 4 pumps of IP per application to the face twice-a-day.

Outcomes

Primary Outcome Measures

Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0
Safety and tolerability endpoints will consist of all treatment-related adverse events reporting during the study duration.

Secondary Outcome Measures

Proportion of Subjects With IGA Improvement at Week 8 Relative to Baseline.
IGA (Investigator's Global Assessment) was used to assess the overall diseases severity on a scale of 0 to 4 (0=clear, 1=almost clear, 2=mild disease, 3=moderate disease, and 4=severe disease). Improvement is defined as at least 1-grade change.
Proportion of Subjects With CEA Improvement at Week 8 Relative to Baseline.
Clinical Erythema Assessment (CEA) was used to assess the extent of rosacea on a scale of 0 to 4 (0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe). Improvement is defined as at least 1-grade change.
Change in IGA From Week 8 to Baseline.
IGA (Investigator's Global Assessment) was used to assess the overall diseases severity on a scale of 0 to 4 (0=clear, 1=almost clear, 2=mild disease, 3=moderate disease, and 4=severe disease). A higher grade change indicates greater improvement in disease.
Change in CEA From Week 8 to Baseline.
Clinical Erythema Assessment (CEA) was used to assess the extent of rosacea on a scale of 0 to 4 (0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe). A higher grade change indicates greater improvement in disease.
Change in Skindex 16 and Skindex 16 Sub Scores at Week 1, Week 4, Week 8 and Week 12 From Baseline.
The Skindex 16 questionnaire was assigned to subjects to examine the relationship between the subject's skin health and quality of life. Subjects scored 16 questions from 0 to 6 (0=never bothered, 6=always bothered). Total scores could range between 0 to 96, where a higher score is associated with a worse quality of life.
Proportion of Subjects With Change in PSA at Week 1, Week 4, Week 8 and Week 12 From Baseline.
Subjects were asked to perform static ("snap-shot") evaluations of their rosacea-associated facial erythema severity using the Patient Self Assessment scale (PSA) at each study visit, and report the one integer that best describes the overall severity of their facial redness as seen in a mirror at the time of the evaluation on a scale of 0 to 4 (0=no redness, 1=very mild redness, 2=mild redness, 3=moderate redness, 4=severe redness). A higher grade change indicates greater improvement.

Full Information

First Posted
June 25, 2018
Last Updated
August 23, 2022
Sponsor
AOBiome LLC
Collaborators
bioRASI, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT03590366
Brief Title
A Study to Determine Safety and Efficacy of B244 in Subjects With Mild to Moderate Rosacea
Official Title
A Vehicle-Controlled, Double-Blind, Randomized Phase II Study of B244 Delivered as a Topical Spray to Determine Safety and Efficacy in Subjects With Mild to Moderate Rosacea
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
July 2, 2018 (Actual)
Primary Completion Date
February 11, 2019 (Actual)
Study Completion Date
March 5, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AOBiome LLC
Collaborators
bioRASI, LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Prospective, Vehicle Controlled, Double Blind, Multicenter, Randomized Phase II trial, comparing the effect of twice daily B244 application for 8 weeks vs. vehicle application on treatment of mild to moderate rosacea.
Detailed Description
This is a Prospective, Vehicle Controlled, Double Blind, Multicenter, Randomized Phase II trial, comparing the effect of twice daily B244 application for 8 weeks vs. vehicle application on treatment of mild to moderate rosacea. At Screening and Baseline all subjects must have Type 1 erythematotelangiectatic rosacea (ETR). The total duration of the study will be approximately 12 weeks. Participants will report for a Screening visit and if all inclusion criteria are met will undergo a washout period, between 2 days and 4 weeks, depending on current treatment. Subjects will then report for the Baseline visit. Subjects will come in for visits at Day 7 (Week 1), Day 28 (Week 4), and Day 56 (Week 8). A final visit will be conducted at Day 84 (Week 12). Efficacy will be assessed using Clinician Erythema Assessment (CEA), Investigator Global Assessment (IGA), Skindex16, and Patient Self-Assessment (PSA). Blood and urine samples will be collected for standard safety laboratory tests. Participant's safety will be monitored throughout the study. Investigators plan to enroll approximately 130 subjects. Randomization will be 1:1 so that equal numbers of subjects will be treated in each arm of the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rosacea
Keywords
Type 1 erythematotelangiectatic rosacea

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Randomization will be 1:1 so that equal numbers of patients will be treated in each arm of the study.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
This is a double blind study. Participants will be assigned to study treatment in accordance with the randomization schedule generated for the allocation of vehicle or B244 prior to the initiation of the trial. Randomization will be centrally-based and performed using an appropriate IWRS (an automated randomization system). Each participant scheduled to receive investigational product (IP) will receive a randomization number at the time of randomization. The randomization number will be used to identify the study medication kit assigned to the participant and indicate the treatment to be administered to that participant.
Allocation
Randomized
Enrollment
140 (Actual)

8. Arms, Groups, and Interventions

Arm Title
B244
Arm Type
Active Comparator
Arm Description
B244 suspension in 30ml/bottle Subjects will apply a total of 4 pumps of IP per application to the face twice-a-day.
Arm Title
Vehicle
Arm Type
Placebo Comparator
Arm Description
Vehicle, 30ml/bottle Subjects will apply a total of 4 pumps of IP per application to the face twice-a-day.
Intervention Type
Biological
Intervention Name(s)
B244
Intervention Description
B244 Suspension
Intervention Type
Biological
Intervention Name(s)
Vehicle
Intervention Description
Vehicle suspension
Primary Outcome Measure Information:
Title
Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0
Description
Safety and tolerability endpoints will consist of all treatment-related adverse events reporting during the study duration.
Time Frame
Baseline to Day 84
Secondary Outcome Measure Information:
Title
Proportion of Subjects With IGA Improvement at Week 8 Relative to Baseline.
Description
IGA (Investigator's Global Assessment) was used to assess the overall diseases severity on a scale of 0 to 4 (0=clear, 1=almost clear, 2=mild disease, 3=moderate disease, and 4=severe disease). Improvement is defined as at least 1-grade change.
Time Frame
Baseline to Day 56
Title
Proportion of Subjects With CEA Improvement at Week 8 Relative to Baseline.
Description
Clinical Erythema Assessment (CEA) was used to assess the extent of rosacea on a scale of 0 to 4 (0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe). Improvement is defined as at least 1-grade change.
Time Frame
Baseline to Day 56
Title
Change in IGA From Week 8 to Baseline.
Description
IGA (Investigator's Global Assessment) was used to assess the overall diseases severity on a scale of 0 to 4 (0=clear, 1=almost clear, 2=mild disease, 3=moderate disease, and 4=severe disease). A higher grade change indicates greater improvement in disease.
Time Frame
Baseline to Day 56
Title
Change in CEA From Week 8 to Baseline.
Description
Clinical Erythema Assessment (CEA) was used to assess the extent of rosacea on a scale of 0 to 4 (0=clear, 1=almost clear, 2=mild, 3=moderate, 4=severe). A higher grade change indicates greater improvement in disease.
Time Frame
Baseline to Day 56
Title
Change in Skindex 16 and Skindex 16 Sub Scores at Week 1, Week 4, Week 8 and Week 12 From Baseline.
Description
The Skindex 16 questionnaire was assigned to subjects to examine the relationship between the subject's skin health and quality of life. Subjects scored 16 questions from 0 to 6 (0=never bothered, 6=always bothered). Total scores could range between 0 to 96, where a higher score is associated with a worse quality of life.
Time Frame
Baseline to Day 84
Title
Proportion of Subjects With Change in PSA at Week 1, Week 4, Week 8 and Week 12 From Baseline.
Description
Subjects were asked to perform static ("snap-shot") evaluations of their rosacea-associated facial erythema severity using the Patient Self Assessment scale (PSA) at each study visit, and report the one integer that best describes the overall severity of their facial redness as seen in a mirror at the time of the evaluation on a scale of 0 to 4 (0=no redness, 1=very mild redness, 2=mild redness, 3=moderate redness, 4=severe redness). A higher grade change indicates greater improvement.
Time Frame
Baseline to Day 84

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects ≥18. A clinical diagnosis of mild to moderate facial rosacea. In good general health as determined by a thorough medical history, physical examination, clinical chemistry and hematology. Presence of 3 to 20 inflammatory lesions on the face (i.e. papules/pustules). A Clinician Erythema Assessment (CEA) score of 2-3 at Screening and at Baseline Visits (prior to the investigational product application). Mild to Moderate IGA score of 2-3 at Screening and at Baseline Visits (prior to the investigational product application). Willing to refrain from using any topical or systemic treatments for the treatment of rosacea, other than the investigational product. Females of childbearing potential with a negative urine pregnancy test (UPT) at Screening and Baseline/Day 1 (prior to the investigational product application). Ability to comprehend and comply with study procedures. Agree to commit to participate in the current protocol. Provide written informed consent prior to any study procedure being performed. Exclusion Criteria: Female subjects who are pregnant, lactating or who are trying to conceive will be excluded from participation in this study. Any uncontrolled chronic or serious disease or medical condition that would normally prevent participation in a clinical trial, or, in the judgment of the Investigator, would put the subject at undue risk, or might confound the study assessments (e.g., other dermatological diseases), or might interfere with the subject's participation in the study, (e.g., planned hospitalization during the study). Particular forms of rosacea (e.g., rosacea conglobata, rosacea fulminans, isolated rhinophyma, isolated pustulosis of the chin, Ocular rosacea Phymatous rosacea, Steroid-induced rosacea, severe rosacea including pyoderma faciale) or other concomitant facial dermatoses that are similar to rosacea such as peri-oral dermatitis, demodicidosis, facial keratosis pilaris, seborrheic dermatitis, acute lupus erythematosus, or actinic telangiectasia. Presence of more than two (2) nodulocystic lesions on the face. Presence of less than 3 and more than 20 inflammatory lesions on the face (i.e. papules/pustules). Severe papulopustular rosacea requiring systemic treatment. Participation at the time of eligibility assessment (Screening) in any other investigational drug or device study or may have participated within 30 days prior to Screening. Commencement of new hormonal therapy or dose change to hormonal therapy within 30 days prior to baseline. Dose and frequency of use of any hormonal therapy started more than 30 days prior to baseline must remain unchanged throughout the study. Hormonal therapies include, but are not limited to, oral, injected or implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS) or other forms of hormonal contraception that have comparable efficacy (e.g. vaginal ring or transdermal hormone contraception) Presence of beard or excessive facial hair at Screening which would interfere with the study treatments or study assessments and refusal to remove for duration of study. Carcinoid, Pheochromocytoma or other systemic causes of flushing. Known sensitivity to B244 or its components. Refusal to submit to blood and urine sampling for laboratory analysis. Treatment with prohibited medications.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Judith Ng-Cashin, MD
Organizational Affiliation
Chief Medical Officer
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Spiros Jamas, ScD
Organizational Affiliation
AOBiome Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Tampa Bay Medical Research
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33761
Country
United States
Facility Name
Veritas Research Corp
City
Miami
State/Province
Florida
ZIP/Postal Code
33126
Country
United States
Facility Name
South Coast Research Center, Inc.
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
FXM Research Corp.
City
Miami
State/Province
Florida
ZIP/Postal Code
33175
Country
United States
Facility Name
FXM Research Miramar
City
Miramar
State/Province
Florida
ZIP/Postal Code
33027
Country
United States
Facility Name
Wake Research Associates, LLC
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27612
Country
United States
Facility Name
Paddington Testing Co.
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19103
Country
United States
Facility Name
Omega Medical Research
City
Warwick
State/Province
Rhode Island
ZIP/Postal Code
02886
Country
United States
Facility Name
West Houston Clinical Research Service
City
Houston
State/Province
Texas
ZIP/Postal Code
77055
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Study to Determine Safety and Efficacy of B244 in Subjects With Mild to Moderate Rosacea

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