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Safety and Efficacy Study of Clindamycin/Benzoyl Peroxide/Tazarotene Cream in Subjects With Acne

Phase 2
Completed
Conditions
Acne Vulgaris
Interventions
Drug: Benzoyl peroxide gel
Drug: Vehicle gel
Drug: Vehicle cream
Registration Number
NCT00713609
Lead Sponsor
Stiefel, a GSK Company
Brief Summary

Benzoyl peroxide, clindamycin and tazarotene are known to be effective treatment alternative for acne vulgaris. The purpose of this study is to assess the safety and efficacy of a combination product including these actives for the treatment of acne vulgaris.

You may be suitable to take part in this study because you have acne vulgaris on your face. Acne vulgaris usually affects the face, but it can also affect the skin on the chest, arms, legs, and back.

Detailed Description

The study subjects must have acne vulgaris and will apply study drug to their face for 12 weeks.

Study visits will occur at baseline (day 1) and at weeks 2, 4, 8, and 12. Subjects will be assessed at every visit to determine how the study drug is working. Safety will be assessed by evaluation of adverse events (AEs), vital signs, physical examinations, and withdrawals from the study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
591
Inclusion Criteria
  • Inclusion Criteria: Subjects must be males or females 12 to 45 years of age.
  • Subjects must have acne on their face.
  • Female subjects of childbearing potential must have a negative pregnancy test. If sexually active, one medically acceptable forms of contraception must be practiced from baseline to the last study visit.
  • Subjects must have the ability and willingness to follow all study procedures, attend all scheduled visits, and successfully complete the study.
  • Subjects must be capable of understanding and willing to provide signed and dated written voluntary informed consent (and any local or national authorization requirements).
  • Subjects must be able to complete the study and to comply with study instructions.
Exclusion Criteria
  • Subjects who are pregnant, trying to become pregnant, or breast-feeding.
  • Subjects with conditions that may influence the safety and or efficacy assessments of the study including, but not limited to: regional enteritis or inflammatory bowel disease, lupus, dermatomyositis, rosacea, seborrheic dermatitis, beard folliculitis, or perioral dermatitis, subject who are immunocompromised or have had any major illness within 30 days before the screening examination
  • History of known or suspected intolerance including any known hypersensitivity or previous allergic reaction to any of the ingredients of the study products
  • Subjects who have used topical antibiotics or topical steroids on the face, facial procedures, or any investigational therapy within the past 4 weeks or systemic retinoids within the past 6 months.
  • Subjects who have any other disease or condition, or are using any medication, that in the judgment of the investigator would put the subject at unacceptable risk for participation in the study.
  • Other exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Clindamycin gelBenzoyl peroxide/clindamycin gel + tazarotene cream
1Tazarotene creamBenzoyl peroxide/clindamycin gel + tazarotene cream
2Benzoyl peroxide gelBenzoyl peroxide/clindamycin gel + vehicle cream
1Benzoyl peroxide gelBenzoyl peroxide/clindamycin gel + tazarotene cream
2Vehicle creamBenzoyl peroxide/clindamycin gel + vehicle cream
3Benzoyl peroxide gelBenzoyl peroxide gel + tazarotene cream
3Tazarotene creamBenzoyl peroxide gel + tazarotene cream
4Clindamycin gelClindamycin gel + tazarotene cream
5Vehicle gelVehicle gel+ tazarotene cream
6Vehicle gelVehicle gel + vehicle cream
6Vehicle creamVehicle gel + vehicle cream
2Clindamycin gelBenzoyl peroxide/clindamycin gel + vehicle cream
4Tazarotene creamClindamycin gel + tazarotene cream
5Tazarotene creamVehicle gel+ tazarotene cream
Primary Outcome Measures
NameTimeMethod
Absolute Change in Lesion Counts (Total, Inflammatory, and Non-inflammatory) From Baseline to Week 12Baseline and up to Week 12

The investigator or designee took count of inflammatory lesions (papules, pustules, nodules and cysts \[only post-Baseline\]) (ILC), noninflammatory lesions (open and closed comedones) (NILC) and total lesions (TLC) at Baseline, Weeks 2, 4, 8, and 12. Lesion counts were confined to the face. Each of 3 lesion counts (total, inflammatory and non-inflammatory) was analyzed using an analysis of covariance (ANCOVA) model with terms for treatment, center, Baseline value and treatment-by-center interaction. If the interaction was not significant at 0.1 level, this interaction was excluded in ANCOVA model. Day 1 (Visit 1) was defined as Baseline. Only participants available at specified timepoints were analyzed (represented by n=X in the category titles).

Proportion of Participants With a Minimum 2-grade Improvement in the Investigator's Static Global Assessment (ISGA) Score From Baseline to Week 12Baseline and up to Week 12

An ISGA was obtained at Baseline and at Weeks 2, 4, 8, and 12. The scores range from 0-5 (0=clear skin with no inflammatory or non-inflammatory lesions; 5=very severe with many non-inflammatory and inflammatory lesions and more than a few nodular lesions (may have cystic lesions). The higher score indicates more severe. The area considered for the ISGA was confined to the face. When possible, the same efficacy assessor performed all ISGA assessments on the same participant at all visits. Day 1 (Visit 1) was defined as Baseline. Only participants available at specified time points were analyzed.

Secondary Outcome Measures
NameTimeMethod
Percent Change From Baseline to Week 12 in Each of 3 Lesion Counts (Total, Inflammatory, and Non-inflammatory)Baseline and up to Week 12

The investigator or designee took count of inflammatory lesions (papules, pustules, nodules and cysts) (ILC), noninflammatory lesions (open and closed comedones) (NILC) and total lesions (TLC) at Baseline, Weeks 2, 4, 8, and 12. Lesion counts were confined to the face. Each of 3 lesion counts (total, inflammatory and non-inflammatory) was analyzed using an analysis of covariance (ANCOVA) model with terms for treatment, center, Baseline value and treatment-by-center interaction. If the interaction was not significant at 0.1 level, this interaction was excluded in ANCOVA model. Day 1 (Visit 1) was defined as Baseline. Only participants available at specified timepoints were analyzed (represented by n=X in the category titles).

Proportion of Participants With an ISGA Score of 0 or 1 at Week 12Week 12

An ISGA was obtained at Baseline and at Weeks 2, 4, 8, and 12. The scores range from 0-5 (0=clear skin with no inflammatory or non-inflammatory lesions; 5=very severe with many non-inflammatory and inflammatory lesions and more than a few nodular lesions (may have cystic lesions). The higher score indicates more severe. The area considered for the ISGA was confined to the face. When possible, the same efficacy assessor performed all ISGA assessments on the same participant at all visits. Day 1 (Visit 1) was defined as Baseline. Only participants available at specified time points were analyzed.

Trial Locations

Locations (16)

MS Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Rivergate Dermatology & Skin Care Center

🇺🇸

Goodlettsville, Tennessee, United States

Dermatology Research of Arkansas

🇺🇸

Little Rock, Arkansas, United States

Grekin Skin Institute

🇺🇸

Warren, Michigan, United States

MedaPhase, Inc.

🇺🇸

Newnan, Georgia, United States

Dermatology Associates Research

🇺🇸

Coral Gables, Florida, United States

Callender Center for Clinical Research

🇺🇸

Mitchellville, Maryland, United States

Boulder Medical Center, P.C.

🇺🇸

Boulder, Colorado, United States

Center for Dermatology Cosmetic and Laser Surgery

🇺🇸

Fremont, California, United States

Dermatology Consulting Services

🇺🇸

High Point, North Carolina, United States

The Skin Wellness Center, PC

🇺🇸

Knoxville, Tennessee, United States

University of North Carolina Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

Dermatology Treatment & Research Center

🇺🇸

Dallas, Texas, United States

Suzanne Bruce and Associates, PA

🇺🇸

Houston, Texas, United States

Dermatology Clinical Research Center of San Antonio

🇺🇸

San Antonio, Texas, United States

Center for Dermatology and Laser Surgery

🇺🇸

Sacramento, California, United States

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