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A clinical study comparing the efficacy and safety of a new cream containing ivermectin with the efficacy and safety of the originator product Soolantra® Cream and a cream without ivermectin in patients with rosacea in the face with papules and pustules.

Phase 3
Recruiting
Conditions
Papulopustular Rosacea
Registration Number
2023-505897-13-00
Lead Sponsor
Dermapharm AG
Brief Summary

To compare the efficacy of Ivermectin cream (10 mg/g) vs. Soolantra® 10 mg/g cream vs. vehicle in reducing inflammatory lesions at Day 84± 4

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing, recruiting
Sex
Not specified
Target Recruitment
726
Inclusion Criteria

Women and men ≥ 18 years of age

Written consent to study participation after patient information by the investigator

Diagnosis of papulopustular rosacea according to generally accepted criteria

On the face, ≥ 15 and not more than 50 inflammatory lesions (e.g. papules and pustules), thereof ≤ 2 nodular lesions

Investigator`s Global Assessment (IGA) of rosacea severity grade 3 (moderate) or 4 (severe)

For all female patients of childbearing potential: Application of an established highly efficient contraceptive method during the whole study

For all female patients of childbearing potential: Urine pregnancy test with negative result prior to study start. The urine pregnancy test used must have a sensitivity down to at least 25 mIU/ml for human chorionic gonadotrophin (hCG) (High sensitivity pregnancy test)

Exclusion Criteria

Presence of other forms of rosacea (rosacea conglobata, rosacea fulminans, isolated rhinophyma, isolated pustulosis of the chin) or other dermatoses that may be confounded with papulopustular rosacea, such as perioral dermatitis, facial keratosis pilaris, seborrheic dermatitis and acne

Other severe acute or chronic concomitant disease with severe impairment of the general condition

Other concomitant medication which may - taking the present knowledge into account - influence the methods of measurement used in this study or the resulting data

Reasonable doubt concerning the co-operation of the patient

Participation in another clinical study within the last 30 days prior to inclusion in this study

Participation in this study at an earlier date

Women with existing or intended pregnancy or during lactation

Other concomitant diseases which may - taking the present knowledge into account - influence the parameters evaluated in the study in a way that an objective evaluation would be impossible

Excessive facial hair (e.g. beards, sideburns, moustaches, etc.) that would interfere with diagnosis or assessment of rosacea

Known intolerance or hypersensitivity against ivermectin or any of the other ingredients in the study medication

Use within 6 months prior to baseline of oral retinoids (e.g. isotretinoine) or therapeutic vitamin A supplements of greater than 10,000 units/day (multivitamins are allowed)

Use within 30 days prior baseline or during the study of topical facial treatment with retinoids, benzoyl peroxide, antibiotics, corticosteroids, immunomodulators (like e.g. tacrolimus), or other topical rosacea treatment (e.g. azelaic acid, metronidazole, brimonidine, oxymetazoline)

Use within 30 days prior to baseline of systemic antibiotics known to have an impact on the severity of facial rosacea (like e.g. tetracycline and its derivatives doxycyclin or minocyclin, macrolides (like erythromycine, clarithromycine, azithromycine), or systemic corticosteroids

Exposure to excessive UV radiation within two weeks prior baseline, or the subject is planning exposure during the study (e.g. occupational exposure to the sun, planned holidays in the sun during the study, phototherapy, tanning salon)

Subjects with moderate or severe rhinophyma, dense telangiectases, or plaque-like facial edema, or ocular rosacea (e.g., conjunctivitis, blepharitis, or keratitis) of sufficient severity to require topical or systemic treatment

Study & Design

Study Type
Not specified
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Percent change from baseline (Visit 1) to Visit 8 (EoT) assessed by the inflammatory lesion (papules and pustules) count

Percent change from baseline (Visit 1) to Visit 8 (EoT) assessed by the inflammatory lesion (papules and pustules) count

Secondary Outcome Measures
NameTimeMethod
Evaluation of tolerability by the investigator and by the patient from Visit 2 to Visit 8 (EOT)

Evaluation of tolerability by the investigator and by the patient from Visit 2 to Visit 8 (EOT)

Proportion of subjects with a clinical response of “success”, i.e. the percentage of subjects with an IGA score of “0 = Clear” or “1 = Almost Clear”, at Day 84 ± 4.

Proportion of subjects with a clinical response of “success”, i.e. the percentage of subjects with an IGA score of “0 = Clear” or “1 = Almost Clear”, at Day 84 ± 4.

Percent change and absolute change in inflammatory lesion (papules and pustules) count between baseline (Visit 1) and Visit 2, Visit 3, Visit 4, Visit 5, Visit 6, Visit 7, respectively.

Percent change and absolute change in inflammatory lesion (papules and pustules) count between baseline (Visit 1) and Visit 2, Visit 3, Visit 4, Visit 5, Visit 6, Visit 7, respectively.

Change in the assessment of facial erythema between baseline (Visit 1) and Visit 2, Visit 3, Visit 4, Visit 5, Visit 6, Visit 7, and Visit 8, respectively.

Change in the assessment of facial erythema between baseline (Visit 1) and Visit 2, Visit 3, Visit 4, Visit 5, Visit 6, Visit 7, and Visit 8, respectively.

Change of the Investigator`s Global Assessment (IGA) between baseline (Visit 1) and Visit 2, Visit 3, Visit 4, Visit 5, Visit 6, Visit 7 and Visit 8, respectively. Changes will be calculated as baseline- follow-up.

Change of the Investigator`s Global Assessment (IGA) between baseline (Visit 1) and Visit 2, Visit 3, Visit 4, Visit 5, Visit 6, Visit 7 and Visit 8, respectively. Changes will be calculated as baseline- follow-up.

Evaluation of the overall therapeutic success by the investigator and patient at day 84 ± 4 (EOT).

Evaluation of the overall therapeutic success by the investigator and patient at day 84 ± 4 (EOT).

Incidence of adverse events (AEs) during the course of the study

Incidence of adverse events (AEs) during the course of the study

Trial Locations

Locations (14)

Hautarztpraxis Kock

🇩🇪

Vechta, Germany

Studienzentrum Dr. med. Beate Schwarz Dermatologie und Allergologie

🇩🇪

Langenau, Germany

Derma Science GmbH

🇩🇪

Hamburg, Germany

Praxis Dr. med. Abdou Zarzour

🇩🇪

Halle, Germany

Haut-und Lasercentrum Potsdam - Dr. med. Tanja Fischer

🇩🇪

Potsdam, Germany

Pro Derma

🇩🇪

Duelmen, Germany

Gemeinschaftspraxis Weber & Crainic

🇩🇪

Augsburg, Germany

Magdeburger Company For Medical Studies & Services GmbH

🇩🇪

Magdeburg, Germany

Gemeinschaftspraxis Drs. Grosskopf

🇩🇪

Wallerfing, Germany

Praxis Dr. Julia Reichle

🇩🇪

Berlin, Germany

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Hautarztpraxis Kock
🇩🇪Vechta, Germany
Christian Kock
Site contact
+494441999310
info@praxiskock.de

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