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A Double-Blinded, Randomized Placebo Controlled Pilot Study Comparing the Efficacy and Safety of IncobotulinumtoxinA Versus Saline Injections to the Cheek Region in Patients With Rosacea

Primary Purpose

Rosacea

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
IncobotulinumtoxinA
Bacteriostatic saline
Sponsored by
DeNova Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rosacea focused on measuring Rosacea

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Males and females between 18 and 65 years of age.
  2. Subjects presenting with rosacea in the cheek area.
  3. Willingness and ability to comply with protocol requirements, including returning for follow-up visits and abstaining from exclusionary procedures for the duration of the study.
  4. Subjects of childbearing potential must have a negative urine pregnancy test result at Visit 1 and be willing able to use an acceptable method of birth control (e.g., barrier methods used with a spermicidal agent, hormonal methods, IUD, surgical sterilization, abstinence) during the study. Women will not be considered of childbearing potential if one of the following is documented on the medical history:

    • postmenopausal for at least 12 months prior to study drug administration
    • without a uterus and/or both ovaries
    • has had a bilateral tubal ligation for at least 6 months prior to study drug administration.
    • absence of an other physical condition according to the PI's discretion
  5. Willingness and ability to provide written photo consent and adherence to photography procedures (i.e., removal of jewelry and makeup).
  6. Willingness and ability to provide written informed consent prior to performance of any study related procedure.

Exclusion Criteria:

  1. Subjects who are pregnant, nursing, planning to become pregnant, and/or not using a reliable form of birth control.
  2. Subjects with a known allergy or sensitivity to any component of the study medications or anesthesia.
  3. Topical or oral rosacea treatments within the past 2 weeks.
  4. Subjects with a significant systemic illness or illness localized to the areas of treatment.
  5. Botulinum toxin to the face within the past 6 months.
  6. Significant concurrent illness such as diabetes, epilepsy, lupus, or congestive heart failure.
  7. Concurrent skin condition affecting area to be treated.
  8. Prior surgery on the area to be treated within 3 months of initial treatment or during the study.
  9. History or evidence of keloids or hypertrophic scarring.
  10. Subjects currently using aminoglycoside antibiotics, curare-like agents or other agents that might interfere with neuromuscular function.
  11. Subjects with a diagnosis of Myasthenia Gravis, Eaton-Lambert Syndrome, Amyotrophic Lateral Sclerosis, or any other disease that might interfere with neuromuscular function or current facial palsy.
  12. Current history of chronic drug or alcohol abuse.
  13. Concurrent therapy that, in the investigator's opinion, would interfere with the evaluation of the safety or efficacy of the study medication.
  14. Subjects who, in the Investigator's opinion, have a history of poor cooperation, non¬compliance with medical treatment or unreliability.
  15. Enrollment in any active study involving the use of investigational devices or drugs.

Sites / Locations

  • DeNova Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

IncobotulinumtoxinA

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Percent Change From Baseline in the Rosacea Clinical Score Card
Live rosacea assessment for each side of the face using the Rosacea Clinical Scorecard for clinical assessment.The Rosacea Clinical Scorecard assesses the primary signs and symptoms of rosacea and is graded as absent (0), mild (1), moderate (2) or severe (3).
Number of Participants Experiencing Adverse Events
Rate of adverse events

Secondary Outcome Measures

Mean Heatherton & Polivy State Self-Esteem (HPSS) Scale Score at Baseline, 1, 4, 12, 16, 17, and 20 Weeks
Self-esteem change will be determined by patient self-evaluation using the Heatherton & Polivy State Self-Esteem (HPSS) Scale. Heatherton & Polivy State Self-Esteem (HPSS) Scale includes three facets of self-esteem: Appearance, Performance, and Social The scale has a range of 20-100. A score closer to 100 signifies higher self-esteem, while a score closer to 20 signifies lower seld-esteem.
Patient Satisfaction
4-point categorical assessment of patient satisfaction with treatment. Highly Satisfied- Optimal cosmetic result Very Satisfied- Obvious improvement in appearance form the initial condition, but not completely optimal for this subject Satisfied- Marked improvement in appearance from initial condition Unsatisfied- The appearance is essentially the same or worse as the original condition.

Full Information

First Posted
June 4, 2012
Last Updated
September 14, 2020
Sponsor
DeNova Research
Collaborators
Merz North America, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01614743
Brief Title
A Double-Blinded, Randomized Placebo Controlled Pilot Study Comparing the Efficacy and Safety of IncobotulinumtoxinA Versus Saline Injections to the Cheek Region in Patients With Rosacea
Official Title
A Double-Blinded, Randomized Placebo Controlled Pilot Study Comparing the Efficacy and Safety of IncobotulinumtoxinA Versus Saline Injections to the Cheek Region in Patients With Rosacea
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
June 2012 (undefined)
Primary Completion Date
November 2013 (Actual)
Study Completion Date
November 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
DeNova Research
Collaborators
Merz North America, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a double-blinded, randomized placebo controlled pilot study comparing the efficacy and safety of incobotulinumtoxinA versus saline injections to the cheek region in patients with rosacea. The pilot study will enroll and treat a total of 10 subjects who present with rosacea of the cheek area. Upon study entry, subjects will be randomized to receive treatment with incobotulinumtoxinA or bacteriostatic saline to the cheek area. Study treatment will be prepared by an unblinded designee and both Physician Investigator (PI) and subject will remain blinded for the duration of the study. At the 16 week visit, control subjects will enter the rescue arm portion of the study and all study subjects will receive treatment with incobotulinumtoxinA to the cheek areas.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rosacea
Keywords
Rosacea

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
IncobotulinumtoxinA
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
IncobotulinumtoxinA
Intervention Description
Experimental injection given at baseline and Week 16
Intervention Type
Drug
Intervention Name(s)
Bacteriostatic saline
Intervention Description
Placebo at baseline, incobotulinumtoxinA at 16 weeks
Primary Outcome Measure Information:
Title
Percent Change From Baseline in the Rosacea Clinical Score Card
Description
Live rosacea assessment for each side of the face using the Rosacea Clinical Scorecard for clinical assessment.The Rosacea Clinical Scorecard assesses the primary signs and symptoms of rosacea and is graded as absent (0), mild (1), moderate (2) or severe (3).
Time Frame
baseline, 1 week, 4 weeks, 12 weeks, 16 weeks, 17 weeks and 20 weeks
Title
Number of Participants Experiencing Adverse Events
Description
Rate of adverse events
Time Frame
baseline, 1 week, 4 weeks, 12 weeks, 16 weeks, 17 weeks and 20 weeks
Secondary Outcome Measure Information:
Title
Mean Heatherton & Polivy State Self-Esteem (HPSS) Scale Score at Baseline, 1, 4, 12, 16, 17, and 20 Weeks
Description
Self-esteem change will be determined by patient self-evaluation using the Heatherton & Polivy State Self-Esteem (HPSS) Scale. Heatherton & Polivy State Self-Esteem (HPSS) Scale includes three facets of self-esteem: Appearance, Performance, and Social The scale has a range of 20-100. A score closer to 100 signifies higher self-esteem, while a score closer to 20 signifies lower seld-esteem.
Time Frame
baseline, 1 week, 4 weeks, 12 weeks, 16 weeks, 17 weeks and 20 weeks
Title
Patient Satisfaction
Description
4-point categorical assessment of patient satisfaction with treatment. Highly Satisfied- Optimal cosmetic result Very Satisfied- Obvious improvement in appearance form the initial condition, but not completely optimal for this subject Satisfied- Marked improvement in appearance from initial condition Unsatisfied- The appearance is essentially the same or worse as the original condition.
Time Frame
week 1, 4 weeks, 12 weeks, 16 weeks, 17 weeks and 20 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females between 18 and 65 years of age. Subjects presenting with rosacea in the cheek area. Willingness and ability to comply with protocol requirements, including returning for follow-up visits and abstaining from exclusionary procedures for the duration of the study. Subjects of childbearing potential must have a negative urine pregnancy test result at Visit 1 and be willing able to use an acceptable method of birth control (e.g., barrier methods used with a spermicidal agent, hormonal methods, IUD, surgical sterilization, abstinence) during the study. Women will not be considered of childbearing potential if one of the following is documented on the medical history: postmenopausal for at least 12 months prior to study drug administration without a uterus and/or both ovaries has had a bilateral tubal ligation for at least 6 months prior to study drug administration. absence of an other physical condition according to the PI's discretion Willingness and ability to provide written photo consent and adherence to photography procedures (i.e., removal of jewelry and makeup). Willingness and ability to provide written informed consent prior to performance of any study related procedure. Exclusion Criteria: Subjects who are pregnant, nursing, planning to become pregnant, and/or not using a reliable form of birth control. Subjects with a known allergy or sensitivity to any component of the study medications or anesthesia. Topical or oral rosacea treatments within the past 2 weeks. Subjects with a significant systemic illness or illness localized to the areas of treatment. Botulinum toxin to the face within the past 6 months. Significant concurrent illness such as diabetes, epilepsy, lupus, or congestive heart failure. Concurrent skin condition affecting area to be treated. Prior surgery on the area to be treated within 3 months of initial treatment or during the study. History or evidence of keloids or hypertrophic scarring. Subjects currently using aminoglycoside antibiotics, curare-like agents or other agents that might interfere with neuromuscular function. Subjects with a diagnosis of Myasthenia Gravis, Eaton-Lambert Syndrome, Amyotrophic Lateral Sclerosis, or any other disease that might interfere with neuromuscular function or current facial palsy. Current history of chronic drug or alcohol abuse. Concurrent therapy that, in the investigator's opinion, would interfere with the evaluation of the safety or efficacy of the study medication. Subjects who, in the Investigator's opinion, have a history of poor cooperation, non¬compliance with medical treatment or unreliability. Enrollment in any active study involving the use of investigational devices or drugs.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Steven H Dayan, MD
Organizational Affiliation
DeNova Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
DeNova Research
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States

12. IPD Sharing Statement

Links:
URL
http://www.denovaresearch.com
Description
DeNova Research Website

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A Double-Blinded, Randomized Placebo Controlled Pilot Study Comparing the Efficacy and Safety of IncobotulinumtoxinA Versus Saline Injections to the Cheek Region in Patients With Rosacea

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