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Evaluation of Rosacea-related Inflammatory Biochemical Markers in Adult Skin When Treated With Oracea® vs Placebo

Primary Purpose

Rosacea

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Doxycycline
Placebo
Sponsored by
Galderma R&D
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rosacea

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject is male or female aged 18 to 70 years inclusive
  • Subject with papulopustular rosacea (5 to 40 papules or pustules)

Exclusion Criteria:

  • Subject has any other active dermatological condition on face that may interfere with the conduct of the study
  • Subject uses proton pump inhibitors for treatment of gastroesophageal reflux within 30 days prior to baseline visit or during the study
  • Subject uses spironolactone within 30 days prior to baseline visit or during the study
  • Subject requires chronic treatment (>14 days) with sulfa drugs, erythromycin, cephalosporins and quinolones within 30 days prior to baseline visit or during the study
  • Subject has used tetracycline antibiotics within 30 days prior to baseline visit or during the study
  • Subject has used penicillin antibiotics within 30 days prior to baseline visit or during the study
  • Subject uses topical or oral dapsone
  • Subject has had a change in hormonal therapy within 3 months of initiation of therapy or during the study
  • Subject has used systemic immunosuppressants (e.g. corticosteroids, cyclosporine, imuran, biologics, mycophenolate mofetil) within 30 days prior to baseline visit. For subjects who have received treatment with biologics, treatment must have been discontinued within 90 days prior to baseline
  • Subject has used any systemic therapy directed at improving rosacea, including antibiotics, within 30 days prior to baseline visit
  • Subject has used systemic retinoids within 6 months of the baseline visit
  • Subject takes niacin at a dosage of 500 mg or more per day
  • Subject has used any topical rosacea therapy including topical antibiotics, topical retinoids, topical sodium sulfacetamide preparations, topical benzoyl peroxides, topical vasoconstricting agents (e.g., oxymetazoline) topical calcineurin inhibitors (e.g. tacrolimus, pimecrolimus) within 30 days prior to baseline visit
  • Subject has been treated with another investigational drug or device within 30 days of baseline visit. For subjects who received experimental biologic treatment, treatment must have been discontinued within five half lives of the baseline visit.
  • Subject has a known allergy to any of the components of the study products, and/or a known hypersensitivity to tetracyclines
  • Subject is using a clinically significant concomitant drug (e.g., use of long term non-steroidal anti-inflammatory agents unless used only on a PRN basis less than 7 days per month)
  • Subject has used vasodilators or an adrenergic blocking agent within 6 weeks of baseline visit (except subjects on stable dose for greater than 3 months)
  • Subject has had laser or light therapy on the face within 3 months of the baseline visit
  • Subject with active ocular rosacea and/or blepharitis/meibomianitis requiring systemic treatment by an ophthalmologist
  • Subject with rhinophymatous rosacea
  • Subject with a history of noncompliance with a treatment regimen
  • Subject is at risk in terms of precautions, warnings, and contraindications (see package insert)
  • Subject has previously failed to have improvement of rosacea with appropriate use of systemic tetracycline family of antibiotics
  • Subjects with a recent history of alcohol and/or drug abuse

Sites / Locations

  • Burke Pharmaceutical Research
  • Therapeutics Clinical Research
  • Hudson Dermatology
  • The Indiana Clinical Trials Center
  • Michigan Center for Research Corp
  • Skin Search of Rochester, Inc
  • Oregon Medical Research Center, PC
  • Derm Research
  • J & S Studies, Inc.
  • Suzanne Bruce and Associates, PA

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Oracea®

placebo

Arm Description

Doxycycline 40 mg (30 mg immediate release / 10 mg delayed release beads) Capsules

placebo

Outcomes

Primary Outcome Measures

Change From Baseline in Inflammatory Lesion Counts
Mean change in inflammatory lesion counts from baseline to week 12

Secondary Outcome Measures

Change From Baseline in Biochemical Markers of Rosacea From Tape Stripping and/or Skin Biopsy From Baseline to Week 12
Mean change from baseline to week 12 in biochemical markers of rosacea and expression in skin samples. A biological marker is a substance used as an indicator of a biological state such as rosacea. Biochemical markers are serine protease activity and expression, metalloprotease activity and expression, and production of leucine leucine-37 [LL-37] peptide.
Investigator's Global Assessment (IGA) Scores at Week 12
Number of participants in each category of the Investigator's Global Assessment (IGA) scores at week 12. Investigator's Global Assessment evaluates papules and pustules of rosacea on a scale from 0 - 4 (0 = Clear, 1 = Near Clear, 2 = Mild, 3 = Moderate and 4 = Severe) with 0 being best and 4 being worst.
Change From Baseline in Clinician's Erythema Assessment (CEA) Scores
Mean change in Clinician's Erythema Assessment (CEA) from baseline to week 12. Clinician's Erythema Assessment evaluates erythema on a scale from 0 - 4 (0 = None, 1 = Mild, 2 = Moderate, 3 = Significant and 4 = Severe) with 0 being best and 4 being worst.

Full Information

First Posted
March 2, 2011
Last Updated
July 28, 2022
Sponsor
Galderma R&D
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1. Study Identification

Unique Protocol Identification Number
NCT01308619
Brief Title
Evaluation of Rosacea-related Inflammatory Biochemical Markers in Adult Skin When Treated With Oracea® vs Placebo
Official Title
A Multicenter, Randomized, Double-blind, Placebo-controlled Evaluation of Rosacea-related Inflammatory Biochemical Markers in the Skin of Adults With Papulopustular Rosacea Treated With Daily Doxycycline 40 mg (30 mg Immediate Release / 10 mg Delayed Release Beads) Capsules
Study Type
Interventional

2. Study Status

Record Verification Date
July 2014
Overall Recruitment Status
Completed
Study Start Date
April 2011 (undefined)
Primary Completion Date
August 2012 (Actual)
Study Completion Date
August 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Galderma R&D

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of this study is to determine the clinical effects of doxycycline 40 mg (30 mg immediate release and 10 mg delayed release beads) capsules (Oracea®) as compared to placebo in the skin of adults with papulopustular rosacea and to identify a correlation, if any, with rosacea-related inflammatory markers.

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 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
170 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Oracea®
Arm Type
Active Comparator
Arm Description
Doxycycline 40 mg (30 mg immediate release / 10 mg delayed release beads) Capsules
Arm Title
placebo
Arm Type
Active Comparator
Arm Description
placebo
Intervention Type
Drug
Intervention Name(s)
Doxycycline
Other Intervention Name(s)
Oracea®
Intervention Description
doxycycline 40 mg (30 mg immediate release / 10 mg delayed release beads) Capsules, oral, one capsule daily in the morning
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo, oral, one capsule daily in the morning
Primary Outcome Measure Information:
Title
Change From Baseline in Inflammatory Lesion Counts
Description
Mean change in inflammatory lesion counts from baseline to week 12
Time Frame
baseline to week 12
Secondary Outcome Measure Information:
Title
Change From Baseline in Biochemical Markers of Rosacea From Tape Stripping and/or Skin Biopsy From Baseline to Week 12
Description
Mean change from baseline to week 12 in biochemical markers of rosacea and expression in skin samples. A biological marker is a substance used as an indicator of a biological state such as rosacea. Biochemical markers are serine protease activity and expression, metalloprotease activity and expression, and production of leucine leucine-37 [LL-37] peptide.
Time Frame
baseline to week 12
Title
Investigator's Global Assessment (IGA) Scores at Week 12
Description
Number of participants in each category of the Investigator's Global Assessment (IGA) scores at week 12. Investigator's Global Assessment evaluates papules and pustules of rosacea on a scale from 0 - 4 (0 = Clear, 1 = Near Clear, 2 = Mild, 3 = Moderate and 4 = Severe) with 0 being best and 4 being worst.
Time Frame
Week 12
Title
Change From Baseline in Clinician's Erythema Assessment (CEA) Scores
Description
Mean change in Clinician's Erythema Assessment (CEA) from baseline to week 12. Clinician's Erythema Assessment evaluates erythema on a scale from 0 - 4 (0 = None, 1 = Mild, 2 = Moderate, 3 = Significant and 4 = Severe) with 0 being best and 4 being worst.
Time Frame
baseline to week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is male or female aged 18 to 70 years inclusive Subject with papulopustular rosacea (5 to 40 papules or pustules) Exclusion Criteria: Subject has any other active dermatological condition on face that may interfere with the conduct of the study Subject uses proton pump inhibitors for treatment of gastroesophageal reflux within 30 days prior to baseline visit or during the study Subject uses spironolactone within 30 days prior to baseline visit or during the study Subject requires chronic treatment (>14 days) with sulfa drugs, erythromycin, cephalosporins and quinolones within 30 days prior to baseline visit or during the study Subject has used tetracycline antibiotics within 30 days prior to baseline visit or during the study Subject has used penicillin antibiotics within 30 days prior to baseline visit or during the study Subject uses topical or oral dapsone Subject has had a change in hormonal therapy within 3 months of initiation of therapy or during the study Subject has used systemic immunosuppressants (e.g. corticosteroids, cyclosporine, imuran, biologics, mycophenolate mofetil) within 30 days prior to baseline visit. For subjects who have received treatment with biologics, treatment must have been discontinued within 90 days prior to baseline Subject has used any systemic therapy directed at improving rosacea, including antibiotics, within 30 days prior to baseline visit Subject has used systemic retinoids within 6 months of the baseline visit Subject takes niacin at a dosage of 500 mg or more per day Subject has used any topical rosacea therapy including topical antibiotics, topical retinoids, topical sodium sulfacetamide preparations, topical benzoyl peroxides, topical vasoconstricting agents (e.g., oxymetazoline) topical calcineurin inhibitors (e.g. tacrolimus, pimecrolimus) within 30 days prior to baseline visit Subject has been treated with another investigational drug or device within 30 days of baseline visit. For subjects who received experimental biologic treatment, treatment must have been discontinued within five half lives of the baseline visit. Subject has a known allergy to any of the components of the study products, and/or a known hypersensitivity to tetracyclines Subject is using a clinically significant concomitant drug (e.g., use of long term non-steroidal anti-inflammatory agents unless used only on a PRN basis less than 7 days per month) Subject has used vasodilators or an adrenergic blocking agent within 6 weeks of baseline visit (except subjects on stable dose for greater than 3 months) Subject has had laser or light therapy on the face within 3 months of the baseline visit Subject with active ocular rosacea and/or blepharitis/meibomianitis requiring systemic treatment by an ophthalmologist Subject with rhinophymatous rosacea Subject with a history of noncompliance with a treatment regimen Subject is at risk in terms of precautions, warnings, and contraindications (see package insert) Subject has previously failed to have improvement of rosacea with appropriate use of systemic tetracycline family of antibiotics Subjects with a recent history of alcohol and/or drug abuse
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ronald W Gottschalk, MD
Organizational Affiliation
Galderma R&D
Official's Role
Study Director
Facility Information:
Facility Name
Burke Pharmaceutical Research
City
Hot Springs
State/Province
Arkansas
ZIP/Postal Code
71913
Country
United States
Facility Name
Therapeutics Clinical Research
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Hudson Dermatology
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47714
Country
United States
Facility Name
The Indiana Clinical Trials Center
City
Plainfield
State/Province
Indiana
ZIP/Postal Code
46168
Country
United States
Facility Name
Michigan Center for Research Corp
City
Clinton Township
State/Province
Michigan
ZIP/Postal Code
48038
Country
United States
Facility Name
Skin Search of Rochester, Inc
City
Rochester
State/Province
New York
ZIP/Postal Code
14623
Country
United States
Facility Name
Oregon Medical Research Center, PC
City
Portland
State/Province
Oregon
ZIP/Postal Code
97223
Country
United States
Facility Name
Derm Research
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
J & S Studies, Inc.
City
College Station
State/Province
Texas
ZIP/Postal Code
77845
Country
United States
Facility Name
Suzanne Bruce and Associates, PA
City
Houston
State/Province
Texas
ZIP/Postal Code
77056
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Evaluation of Rosacea-related Inflammatory Biochemical Markers in Adult Skin When Treated With Oracea® vs Placebo

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