Study of Equivalence of Generic Pimecrolimus Cream 1% and Elidel® 1% in Subjects With Mild to Moderate Atopic Dermatitis

Phase 3

Completed

Conditions: Atopic Dermatitis

Interventions: Drug: Pimecrolimus Cream, 1%
Drug: Vehicle cream
Drug: Pimecrolimus Cream 1% (Valeant)

Registration Number: NCT02791308

Lead Sponsor: Actavis Inc.

Brief Summary: The purpose of this study is to compare the safety and efficacy profiles of Watson Laboratories, Inc.'s Pimecrolimus Cream, 1% to those of Valeant Pharmaceuticals North America LLC's Elidel® (pimecrolimus) Cream, 1%, and to demonstrate the superior efficacy of the two active creams over that of the placebo (Vehicle of test product), in the treatment of mild to moderate atopic dermatitis.

Detailed Description: Pimecrolimus cream, 1% is a calcineurin inhibitor immunosuppressant. Pimecrolimus inhibits T cell activation by blocking the transcription of early cytokines. Pimecrolimus cream, 1% is indicated as second-line therapy for the short-term and non-continuous chronic treatment of mild-to-moderate atopic dermatitis in non-immunocompromised adults and children 2 years of age and older who have failed to respond adequately to other topical prescription treatments, or when those treatments are not advisable. This study is being conducted to evaluate the clinical bioequivalence of sponsor's formulation of Pimecrolimus Cream, 1%, the Test product, and Elidel Cream, 1%, the Reference product. A vehicle control arm is included to demonstrate that the Test and Reference products are active and to establish that the study is sufficiently sensitive to detect differences between products.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 587

Inclusion Criteria

Willing and able to provide written informed consent/assent for the study.
Non-immunocompromised male or female aged 12 years or older.
A clinical diagnosis of mild to moderate atopic dermatitis that has failed to respond adequately to other topical prescription treatments for atopic dermatitis, or subjects for whom the use of those other treatments is deemed inadvisable.
A diagnosis of atopic dermatitis for at least 3 months.
A baseline Investigator's Global Assessment (IGA) of disease severity of mild or moderate (score of 2 or 3).
An affected area of atopic dermatitis involvement of at least 5% of the body surface area (BSA) at Visit 2/Day 1 (Baseline), as defined by the criteria of Hanifin and Rajka (1980).
Treatment with a bland emollient for at least 7 days prior to Visit 2/Day 1 (Baseline).
Agree to adhere to protocol-specified requirements and concomitant therapy restrictions.
Willing to avoid constant sun exposure and the use of tanning booths or other UV light sources during participation in the study.
In general good health, non-immunocompromised, and free from any clinically significant disease, other than atopic dermatitis, that might interfere with the study evaluations.
Willing and able to understand and comply with the requirements of the study, apply the study medication as instructed, return for the required study visits, comply with therapy prohibitions, and complete the study.
Female subjects of childbearing potential (excluding women who are surgically sterilized [hysterectomy, bilateral tubal ligation, or bilateral ovariectomy] or have been postmenopausal for at least 1 year) must have a negative urine pregnancy test and must be willing to use a medically accepted method of contraception during the study. The following are considered acceptable methods of birth control for the purpose of this study: oral contraceptives, contraceptive patches, contraceptive implant, vaginal contraceptive, double barrier methods (e.g., condom and spermicide), contraceptive injection (Depo-Provera®), intrauterine device (IUD), hormonal IUD (Mirena®), Essure® permanent birth control, and abstinence with a documented second acceptable method of birth control if the subject becomes sexually active. Subjects entering the study who are on hormonal contraceptives must have been on the method for at least 90 days prior to the study and continue the method for the duration of the study. Subjects who had used hormonal contraception and stopped must have stopped no less than 90 days prior to Visit 1.

Exclusion Criteria

Females who were pregnant, breastfeeding, intending to become pregnant during the study, or who did not agree to use an acceptable form of birth control during the study.
Active cutaneous bacterial or viral infection in any proposed treatment area at Visit 2/Baseline (e.g., clinically infected atopic dermatitis).
Sunburn, extensive scarring, or pigmented lesion(s) in any treatment area at Visit 2/Baseline that would interfere with the study evaluations.
History of confounding skin conditions, e.g., psoriasis, rosacea, erythroderma, or ichthyosis.
History or presence of Netherton's Syndrome, immunological deficiencies or diseases, HIV, diabetes, malignancy, serious active or recurrent infection, clinically significant severe renal insufficiency, or severe hepatic disorders.
Use of any treatment listed in Table 9.1 more recently than the indicated washout period prior to Visit 2/Baseline.
Need or intent to continue to use any treatment listed in Table 9.1 during the current study.

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Pimecrolimus Cream, 1%	Pimecrolimus Cream, 1%	Pimecrolimus Cream, 1% (Actavis)
Vehicle Cream	Vehicle cream	Cream vehicle of the test product (Actavis)
Elidel Cream, 1%	Pimecrolimus Cream 1% (Valeant)	Reference listed drug: Elidel 1% cream (Valeant Pharmaceuticals North America LLC)

Primary Outcome Measures

Name	Time	Method
Percentage of Subjects With Treatment Success at Visit 4/Day 15	15 days	Percentage of subjects in each treatment group with treatment success, defined as a grade of clear or almost clear (a score of 0 or 1 on the IGA) within all treatment areas at the end of treatment on Visit 4/Day 15

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (52): Pflugerville Dermatology Clinical Research Center, Inc.
🇺🇸
Pflugerville, Texas, United States
International Clinical Research- US, LLC
🇺🇸
Sanford, Florida, United States
MD Studies, Inc.
🇺🇸
Fountain Valley, California, United States
Olympian Clinical Research
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Tampa, Florida, United States
Dermatology of Boca
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Boca Raton, Florida, United States
David Fivenson, MD, PLC
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Ann Arbor, Michigan, United States
Alliance Research Centers
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Laguna Hills, California, United States
MediSearch Clinical Trials
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Saint Joseph, Missouri, United States
Eastern Washington Dermatology
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Walla Walla, Washington, United States
Agave Clinical Research, LLC
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Mesa, Arizona, United States
Northwest Arkansas Clinical Trials Center, PLLC
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Rogers, Arkansas, United States
MOORE Clinical Research, Inc.
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Tampa, Florida, United States
Kentucky Pediatric/Adult Research
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Bardstown, Kentucky, United States
Cyn3rgy Research
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Gresham, Oregon, United States
Dermatology Specialists Research
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Louisville, Kentucky, United States
Greenville Dermatology
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Greenville, South Carolina, United States
Kansas City Dermatology PA
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Overland Park, Kansas, United States
Asthma & Allergy Research Associates
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Upland, Pennsylvania, United States
J&S Studies, Inc.
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College Station, Texas, United States
Minnesota Clinical Study Center
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Fridley, Minnesota, United States
Quality Clinical Research Inc.
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Omaha, Nebraska, United States
Clinical Partners, LLC
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Johnston, Rhode Island, United States
Pinkas E. Lebovits, MD, PC
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New York, New York, United States
Karl G. Heine, MD Dermatology
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Henderson, Nevada, United States
International Dermatology Research, Inc.
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Miami, Florida, United States
Center for Clinical Studies
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Houston, Texas, United States
Dermatology Associates
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Seattle, Washington, United States
Medical Center for Clinical Research
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San Diego, California, United States
Skin Surgery Medical Group, Inc.
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San Diego, California, United States
Tennessee Clinical Research Center
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Nashville, Tennessee, United States
Texas Dermatology and Laser Specialists
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San Antonio, Texas, United States
Horizons Clinical Research Ctr., LLC
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Denver, Colorado, United States
Baker Allergy, Asthma and Dermatology Research Center, LLC
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Portland, Oregon, United States
Pinnacle Research Group, LLC
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Anniston, Alabama, United States
Clinical Research Center of Alabama
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Birmingham, Alabama, United States
Omni Dermatology/Physicians Research Group, LLC
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Phoenix, Arizona, United States
Radiant Research, Inc.
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Pinellas Park, Florida, United States
Callender Center for Clinical Research, LLC
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Glenn Dale, Maryland, United States
Piedmont Plastic Surgery and Dermatology
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Charlotte, North Carolina, United States
Spartanburg Medical Research
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Spartanburg, South Carolina, United States
ClinSearch, LLC
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Chattanooga, Tennessee, United States
R/D Clinical Research, Inc.
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Lake Jackson, Texas, United States
Intermountain Clinical Research
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Draper, Utah, United States
Dermatology Consulting Services
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High Point, North Carolina, United States
Suzanne Bruce and Associates, P.A., The Center for Skin Research
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Katy, Texas, United States
PMG Research of Winston-Salem, LLC
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Winston-Salem, North Carolina, United States
Immunoe International Research Centers
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Thornton, Colorado, United States
Academic Dermatology Associates
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Albuquerque, New Mexico, United States
The Education and Research Foundation, Inc.
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Lynchburg, Virginia, United States
Suzanne Bruce and Associates, P.A./The Center for Skin Research
🇺🇸
Houston, Texas, United States
ACRC Trials
🇺🇸
Plano, Texas, United States
National Clinical Research-Richmond, Inc.
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Richmond, Virginia, United States