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A Randomized, Double-Blind Study to Assess the Safety, Efficacy and Tolerability of Oral DFD-29 Capsules for the Treatment of Rosacea.

Phase 3
Completed
Conditions
Papulopustular Rosacea
Interventions
Registration Number
NCT05296629
Lead Sponsor
Journey Medical Corporation
Brief Summary

This is a 16-week, multicenter, randomized, parallel-group, double-blind, controlled study. After assessing eligibility during a screening period of up to 30 days, approximately 320 subjects at least 18 years old who are diagnosed with moderate to severe papulopustular rosacea will be randomized in a 3:3:2 ratio to DFD-29 (40 mg), Doxycycline capsules 40 mg, or Placebo once daily for 16 weeks.

Detailed Description

This is a 16-week, multicenter, randomized, parallel-group, double-blind, controlled study. After assessing eligibility during a screening period of up to 30 days, approximately 320 subjects at least 18 years old who are diagnosed with moderate to severe papulopustular rosacea will be randomized in a 3:3:2 ratio to DFD-29 (40 mg), Doxycycline capsules 40 mg, or Placebo once daily for 16 weeks.

Subject visits are scheduled at Screening, Baseline (Day 1), and Weeks 2, 4, 8, 12, and 16. Clinical assessments of efficacy will be conducted based on Investigator's Global Assessment modified scale without erythema (IGA), Clinician's Erythema Assessment (CEA), and total inflammatory lesion count at Weeks 2, 4, 8, 12, and 16 compared to Baseline.

Laboratory assessments of blood (hematology and biochemistry) and urine (routine tests) will be conducted at Screening and Week 16 (end of study \[EOS\] or early termination) to assess for any changes in the safety parameters. Other safety assessments include vital signs, physical examination, urine pregnancy tests (for females of childbearing potential), and collection of AE data.

The impact of the treatment on the quality of life (QoL) of the subjects will be assessed using the rosacea-specific tool RosaQoL in addition to the Dermatology Life Quality Index (DLQI) at Baseline and Weeks 2, 4, 8, 12, and 16.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
323
Inclusion Criteria
  • Male and female subjects aged 18 years and above.
  • Subjects must be in good general health as determined by the investigator and supported by the medical history.
  • Subjects must have a clinical diagnosis of papulopustular rosacea with IGA grade 3 (moderate) or IGA grade 4 (severe) at Baseline.
  • Subjects must have 15 to 60 (both inclusive) inflammatory lesions (papules and pustules) of rosacea over the face at Baseline.
  • Subjects must have not more than 2 nodules or cysts at Baseline.

Key

Exclusion Criteria
  • Female subjects who are pregnant or nursing or planning to become pregnant during the study.
  • Male subjects whose female partner is planning to conceive a child.
  • Clinically significant abnormal laboratory test results that, in the opinion of the investigator, would compromise the subject's safety or ability to participate in the trial.
  • History of organ transplant requiring immunosuppression, HIV, or other immune compromised state.
  • History of lupus-like syndrome, autoimmune hepatitis, vasculitis, or serum sickness.
  • Any clinically significant condition or situation other than the condition being studied that, in the opinion of the investigator, would interfere with the study evaluations or optimal participation in the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Doxycycline 40 mgDoxycyclineDoxycycline 40 mg modified release capsules
DFD-29DFD-29DFD-29 (40 mg) extended release capsules
PlaceboPlaceboPlacebo capsules matching DFD-29
Primary Outcome Measures
NameTimeMethod
Investigator's Global Assessment (IGA) Treatment Success Compared to Placebo.Baseline to Week 16.

Proportion of subjects with IGA (modified scale without erythema) 'treatment success' - Grade 0 or 1 at Week 16 with at least 2 grade reduction from Baseline to Week 16, in the DFD-29 group compared to Placebo.

The modified IGA scale is a 5-point scale from Grade 0 to Grade 4, wherein Grade 0 is Clear, Grade 1 is Near Clear, Grade 2 is Mild, Grade 3 is Moderate and Grade 4 is Severe Rosacea. A lowering of the score with treatment indicates an improvement in the disease condition and a beneficial outcome.

Change in Total Inflammatory Lesion Count Compared to Placebo.Baseline to Week 16.

Total inflammatory lesion count (sum of papules, pustules, and nodules) change from Baseline to Week 16, in the DFD-29 group compared to Placebo.

Secondary Outcome Measures
NameTimeMethod
IGA Treatment Success Compared to Doxycycline.Baseline to Week 16.

Proportion of subjects with IGA treatment success at week 16 in the DFD-29 group compared to Doxycycline capsules 40 mg.

Change in Total Inflammatory Lesion Count Compared to Doxycycline.Baseline to Week 16.

Total inflammatory lesion count change from Baseline to week 16 in the DFD-29 group compared to Doxycycline capsules 40 mg.

Clinician's Erythema Assessment (CEA) Compared to Placebo.Baseline to Week 16.

Proportion of subjects with at least 2-grade reduction in CEA score from Baseline to Week 16 in the DFD-29 group compared to Placebo.

Trial Locations

Locations (27)

Clinical Trial Site 25

🇺🇸

San Diego, California, United States

Clinical Trial Site 13

🇺🇸

Houston, Texas, United States

Clinical Trial Site 02

🇺🇸

Indianapolis, Indiana, United States

Clinical Trial Site 15

🇺🇸

Las Vegas, Nevada, United States

Clinical Trial Site 01

🇺🇸

Sugarloaf, Pennsylvania, United States

Clinical Trial Site 27

🇺🇸

Overland Park, Kansas, United States

Clinical Trial Site 23

🇺🇸

Nashville, Tennessee, United States

Clinical Trial Site 26

🇺🇸

San Antonio, Texas, United States

Clinical Trial Site 12

🇺🇸

San Antonio, Texas, United States

Clinical Trial Site 10

🇺🇸

Cerritos, California, United States

Clinical Trial Site 05

🇺🇸

Rogers, Arkansas, United States

Clinical Trial Site 29

🇺🇸

San Diego, California, United States

Clinical Trial Site 03

🇺🇸

Fremont, California, United States

Clinical Trial Site 11

🇺🇸

Clearwater, Florida, United States

Clinical Trial Site 08

🇺🇸

Coral Gables, Florida, United States

Clinical Trial Site 22

🇺🇸

Coral Gables, Florida, United States

Clinical Trial Site 09

🇺🇸

Brighton, Massachusetts, United States

Clinical Trial Site 28

🇺🇸

Warren, Michigan, United States

Clinical Trial Site 21

🇺🇸

New Brighton, Minnesota, United States

Clinical Trial Site 24

🇺🇸

New York, New York, United States

Clinical Trial Site 17

🇺🇸

High Point, North Carolina, United States

Clinical Trial Site 06

🇺🇸

Beachwood, Ohio, United States

Clinical Trial Site 04

🇺🇸

Wilmington, North Carolina, United States

Clinical Trial Site 19

🇺🇸

East Greenwich, Rhode Island, United States

Clinical Trial Site 20

🇺🇸

College Station, Texas, United States

Clinical Trial Site 07

🇺🇸

Plano, Texas, United States

Clinical Trial Site 18

🇺🇸

Ann Arbor, Michigan, United States

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