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A Study to Assess the Efficacy, Safety and Tolerability of DFD-04

Primary Purpose

Rosacea

Status
Completed
Phase
Phase 2
Locations
Germany
Study Type
Interventional
Intervention
DFD-04 Ointment
Placebo Ointment
Sponsored by
Dr. Reddy's Laboratories Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rosacea

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subjects must be able to understand the requirements of the study and be willing to give written informed consent.
  2. Subjects must be willing to provide authorization to use protected health information.
  3. Subjects, any gender or race, must be in good general health as determined by the Investigator
  4. Subjects must have a clinical diagnosis of papulopustular rosacea, Investigator's Global Assessment (IGA) grade 2 - 3.
  5. Subjects must have 6 - 30 inflammatory lesions (papules and pustules) of rosacea over the face.
  6. Subjects must have a Clinician's Erythema Assessment (CEA) score of 2 - 3.
  7. Subjects must have no more than 2 nodules.
  8. Subjects must agree to only use the study products and to not use any other treatment for rosacea (prescription or over the counter) or any other skin care or cosmetics product (make-up etc.) on the facial skin of the treatment area during the course of the study.
  9. Subjects must be free of any systemic or dermatologic disorder, which in the opinion of the Investigator, will interfere with the study results.
  10. Females have a negative urine pregnancy test at the Screening and Baseline Visit.
  11. Females must either be postmenopausal with no menses for at least 12 months or surgically sterile (hysterectomy or tubal ligation) or agree to use a reliable method of contraception with a failure rate of less than 1 percent per year when used consistently and correctly.
  12. Subject must be in good general health as determined by the investigator and supported by the medical history and normal or not clinically significant abnormal vital signs (blood pressure and pulse).
  13. Subject is physically able to apply study product to all affected areas.

Exclusion Criteria:

  1. Females who are pregnant or nursing or planning to become pregnant during the study.
  2. Subjects who have been treated for rosacea within the 30 days prior to the Baseline Visit.
  3. Subjects who have been treated with systemic retinoids within 6 months prior to the Baseline visit.
  4. Subjects who have participated in a trial involving any investigational product in the 30 days prior to the Baseline Visit.
  5. Subjects with any disease or medical condition that would interfere with the study or place the subject at undue risk especially cardiovascular diseases, reduced lung function (including asthma), renal dysfunction or liver dysfunction.
  6. Subjects who have been treated within 30 days prior to baseline visit with methadone,disopyramide, dofetilide, dronedarone, quinidine, ergot alkaloids (such as dihydroergotamine, ergometrine (ergonovine), ergotamine, methylergometrine (methylergonovine)), irinotecan, lurasidone, oral midazolam, pimozide, triazolam, felodipine, nisoldipine, ranolazine, eplerenone, cisapride, lovastatin, simvastatin, ticagrelor, terfenadine, astemizole, mizolastine, eletriptan, as well as lovastatin, simvastatin and atorvastatin and, in subjects with varying degrees of renal or hepatic impairment, colchicine, fesoterodine, telithromycin and solifenacin.
  7. Subjects who use or have used systemic steroids within the 30 days prior to the Baseline Visit or any other immunosuppressive medication.
  8. Subjects positive for human immunodeficiency virus (HIV), hepatitis B and hepatitis C-test at screening.
  9. Subjects who are unable to comply with study requirements.
  10. Subjects with other skin diseases that may confound the evaluation of rosacea.
  11. History of organ transplant requiring immunosuppression, HIV, or other immune compromised state.
  12. Subject who in the opinion of the investigator or physician performing the initial examination the subject should not participate in the trial, e.g. due to probable noncompliance or inability to understand the trial and give adequately informed consent
  13. Subject with close affiliation with the investigator (e.g. a close relative) or persons working at the respective trial sites or subject who are an employee of sponsor.
  14. Subject institutionalized because of legal or regulatory order.
  15. History of drug or alcohol abuse in the last year.

Sites / Locations

  • Site 201
  • Site 208
  • Site 202
  • Site 205
  • Site 203
  • Site 204
  • Site 207
  • Site 206

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

DFD-04 Ointment

Placebo Ointment

Arm Description

DFD-04 (Itraconazole) Ointment

Placebo Ointment

Outcomes

Primary Outcome Measures

Change in Inflammatory Lesion Counts
Mean change from Baseline in the inflammatory lesion count at the End of Treatment. A lower score at the end of the study compared to Baseline is considered a better outcome.
Number of Subjects With Investigator's Global Assessment (IGA) Success
Number of subjects with treatment success based on Investigator's Global Assessment (IGA) score at the End of Treatment, defined as an IGA score of 0 (clear) or 1 (almost clear) with composite grade change from Baseline of at least 2 points.
Number of Subjects With Treatment Success by Clinician's Erythema Assessment (CEA) Scale
Number of subjects with Treatment Success defined as a score of 0 or 1 and a 2 grade improvement on the CEA scale from Baseline to 12 weeks.

Secondary Outcome Measures

Full Information

First Posted
July 7, 2016
Last Updated
January 17, 2019
Sponsor
Dr. Reddy's Laboratories Limited
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1. Study Identification

Unique Protocol Identification Number
NCT02828241
Brief Title
A Study to Assess the Efficacy, Safety and Tolerability of DFD-04
Official Title
A Multi-center, Randomized, Double-Blind, Parallel-group, Placebo-Controlled Study to Assess the Efficacy, Safety and Tolerability of DFD-04 (Itraconazole) Ointment, 5% in Patients With Inflammatory Lesions of Rosacea Over 12 Weeks
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
July 2016 (Actual)
Primary Completion Date
January 2017 (Actual)
Study Completion Date
November 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dr. Reddy's Laboratories Limited

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this exploratory study is to assess the efficacy, safety and tolerability of DFD-04 Ointment for topical treatment of rosacea over 12 weeks of treatment.
Detailed Description
Subjects with mild to moderate papulopustular rosacea (Investigator's Global Assessment [IGA] grade 2-3), a Clinician's Erythema Assessment (CEA) score of 2-3 and 6-30 inflammatory lesions (papules and pustules) were randomized to treatment with DFD-04 ointment or Vehicle ointment in a ratio of 2:1. During the 12-week treatment period subjects used the IMP twice daily with approximately 12 hours between applications. Subjects were instructed to treat affected skin in a defined treatment area on the face. The investigator assessed efficacy by using an IGA 5-point scale and CEA 4-point scale and by counting the number of inflammatory lesions on the face at Baseline (Day 1) and Weeks 4, 8 and 12 (End of Treatment [EoT], defined as complete clearance of inflammatory lesions or Week 12, whichever was earlier). Furthermore, a non-invasive biomarker assessment was done by using a Transdermal Analysis Patch (TAP) at Baseline (Day 1) and Weeks 4 and 12. Safety assessments included investigator's assessment of application site reactions at Baseline (Day 1) and Weeks 4, 8, and 12 for all treated areas. Other safety assessments included vital signs (blood pressure [BP] and pulse rate) and urine pregnancy tests (UPTs) (only for females), clinical laboratory parameters (serum and urine), extent of exposure, and Adverse Events. In addition, pharmacokinetic (PK) analysis was performed to evaluate the systemic exposures of itraconazole and its active metabolite, hydroxyl-itraconazole, with blood samples drawn from the first 12 subjects at various pre-specified timepoints.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
DFD-04 Ointment
Arm Type
Experimental
Arm Description
DFD-04 (Itraconazole) Ointment
Arm Title
Placebo Ointment
Arm Type
Placebo Comparator
Arm Description
Placebo Ointment
Intervention Type
Drug
Intervention Name(s)
DFD-04 Ointment
Intervention Type
Other
Intervention Name(s)
Placebo Ointment
Other Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Change in Inflammatory Lesion Counts
Description
Mean change from Baseline in the inflammatory lesion count at the End of Treatment. A lower score at the end of the study compared to Baseline is considered a better outcome.
Time Frame
At the end of study (12 weeks)
Title
Number of Subjects With Investigator's Global Assessment (IGA) Success
Description
Number of subjects with treatment success based on Investigator's Global Assessment (IGA) score at the End of Treatment, defined as an IGA score of 0 (clear) or 1 (almost clear) with composite grade change from Baseline of at least 2 points.
Time Frame
At the end of study (12 weeks)
Title
Number of Subjects With Treatment Success by Clinician's Erythema Assessment (CEA) Scale
Description
Number of subjects with Treatment Success defined as a score of 0 or 1 and a 2 grade improvement on the CEA scale from Baseline to 12 weeks.
Time Frame
At end of study (12 weeks)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must be able to understand the requirements of the study and be willing to give written informed consent. Subjects must be willing to provide authorization to use protected health information. Subjects, any gender or race, must be in good general health as determined by the Investigator Subjects must have a clinical diagnosis of papulopustular rosacea, Investigator's Global Assessment (IGA) grade 2 - 3. Subjects must have 6 - 30 inflammatory lesions (papules and pustules) of rosacea over the face. Subjects must have a Clinician's Erythema Assessment (CEA) score of 2 - 3. Subjects must have no more than 2 nodules. Subjects must agree to only use the study products and to not use any other treatment for rosacea (prescription or over the counter) or any other skin care or cosmetics product (make-up etc.) on the facial skin of the treatment area during the course of the study. Subjects must be free of any systemic or dermatologic disorder, which in the opinion of the Investigator, will interfere with the study results. Females have a negative urine pregnancy test at the Screening and Baseline Visit. Females must either be postmenopausal with no menses for at least 12 months or surgically sterile (hysterectomy or tubal ligation) or agree to use a reliable method of contraception with a failure rate of less than 1 percent per year when used consistently and correctly. Subject must be in good general health as determined by the investigator and supported by the medical history and normal or not clinically significant abnormal vital signs (blood pressure and pulse). Subject is physically able to apply study product to all affected areas. Exclusion Criteria: Females who are pregnant or nursing or planning to become pregnant during the study. Subjects who have been treated for rosacea within the 30 days prior to the Baseline Visit. Subjects who have been treated with systemic retinoids within 6 months prior to the Baseline visit. Subjects who have participated in a trial involving any investigational product in the 30 days prior to the Baseline Visit. Subjects with any disease or medical condition that would interfere with the study or place the subject at undue risk especially cardiovascular diseases, reduced lung function (including asthma), renal dysfunction or liver dysfunction. Subjects who have been treated within 30 days prior to baseline visit with methadone,disopyramide, dofetilide, dronedarone, quinidine, ergot alkaloids (such as dihydroergotamine, ergometrine (ergonovine), ergotamine, methylergometrine (methylergonovine)), irinotecan, lurasidone, oral midazolam, pimozide, triazolam, felodipine, nisoldipine, ranolazine, eplerenone, cisapride, lovastatin, simvastatin, ticagrelor, terfenadine, astemizole, mizolastine, eletriptan, as well as lovastatin, simvastatin and atorvastatin and, in subjects with varying degrees of renal or hepatic impairment, colchicine, fesoterodine, telithromycin and solifenacin. Subjects who use or have used systemic steroids within the 30 days prior to the Baseline Visit or any other immunosuppressive medication. Subjects positive for human immunodeficiency virus (HIV), hepatitis B and hepatitis C-test at screening. Subjects who are unable to comply with study requirements. Subjects with other skin diseases that may confound the evaluation of rosacea. History of organ transplant requiring immunosuppression, HIV, or other immune compromised state. Subject who in the opinion of the investigator or physician performing the initial examination the subject should not participate in the trial, e.g. due to probable noncompliance or inability to understand the trial and give adequately informed consent Subject with close affiliation with the investigator (e.g. a close relative) or persons working at the respective trial sites or subject who are an employee of sponsor. Subject institutionalized because of legal or regulatory order. History of drug or alcohol abuse in the last year.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Srinivas R Sidgiddi, MD
Organizational Affiliation
Dr. Reddy's Laboratories Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Site 201
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Site 208
City
Berlin
ZIP/Postal Code
10783
Country
Germany
Facility Name
Site 202
City
Bochum
ZIP/Postal Code
44803
Country
Germany
Facility Name
Site 205
City
Hamburg
ZIP/Postal Code
22391
Country
Germany
Facility Name
Site 203
City
Mahlow
ZIP/Postal Code
15831
Country
Germany
Facility Name
Site 204
City
Munster
ZIP/Postal Code
48179
Country
Germany
Facility Name
Site 207
City
Potsdam
ZIP/Postal Code
14467
Country
Germany
Facility Name
Site 206
City
Wiesbaden
ZIP/Postal Code
65199
Country
Germany

12. IPD Sharing Statement

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A Study to Assess the Efficacy, Safety and Tolerability of DFD-04

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