Single-blind, Multicenter, Parallel, Comparative, Randomized, Phase 4 Clinical Trial for the Evaluation of the Quality of Life, Efficacy and Tolerance of Duac® Gel Against Differin® Gel in the Topical Treatment of Mild to Moderate Acne Vulgaris.
Overview
- Phase
- Phase 4
- Intervention
- Duac Gel
- Conditions
- Acne Vulgaris
- Sponsor
- Stiefel, a GSK Company
- Enrollment
- 169
- Locations
- 8
- Primary Endpoint
- Mean Change From Baseline to Week 2 in the Global Score of the Participant-completed Skindex-29 Quality of Life (QoL) Questionnaire
- Status
- Completed
- Last Updated
- 14 years ago
Overview
Brief Summary
The objectives of this clinical trial are to compare the quality of life of the subjects, the efficacy and the tolerance of Duac® Gel (gel formulation with a combination of clindamycin phosphate [equivalent to 1% clindamycin] and 5% benzoyl peroxide), applied once daily, against Differin® Gel (gel with 0.1% adapalene), used once daily, in the treatment of mild to moderate acne vulgaris.
Detailed Description
Acne vulgaris is a chronic inflammatory disease of the pilosebaceous unit. It is characterized by the formation of comedones, papules, pustules, nodules, cysts, maculae and scars, generally located on the face, chest and back. Acne pathogenesis is recognized as multifactorial. Acne vulgaris is the most common dermatological disorder. It affects approximately 85% individuals at some point in their lives, generally between 12 and 24 years of age. Although acne is prevalent within this age range, it can persist for many years and its long-term physical and psychological implications can be significant. There are several medicinal products used to treat acne. However, the therapeutic challenge remains, therefore it is essential to continue investigating effective strategies for the treatment of this disease.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subjects with mild to moderate acne vulgaris on the face,.
- •Subjects of either sex aged between 12 and 39 years, inclusive.
- •Subjects agreeing not to use sun-beds or undergo any UV light treatment for 4 weeks prior to entering the study and to minimize the amount of exposure to direct sunlight for the duration of the study.
Exclusion Criteria
- •Women who are pregnant, breast-feeding, or sexually active with the potential to have children, and not using a contraception method that is safe from a medical point of view
- •Subjects using anti-androgen containing contraceptives.
- •Subjects who, during the past month, have received oral or topical steroids or antibiotics, or acne treatment of any type, including natural or artificial UV therapy.
- •Subjects who have a history of hypersensitivity or idiosyncratic reaction to clindamycin phosphate, benzoyl peroxide, adapalene or any components of the medicinal products which will be used during the study.
- •Subjects using, or having used in the past month, any significant concomitant medicinal product which might affect their acne, as judged by the Investigator.
- •Subjects with a history of regional enteritis or ulcerative colitis, or a history of antibiotic-associated colitis.
- •Subjects with a history of photosensitivity.
Arms & Interventions
Duac Gel
Duac Gel
Intervention: Duac Gel
Differin gel
Differin gel
Intervention: Differin gel
Outcomes
Primary Outcomes
Mean Change From Baseline to Week 2 in the Global Score of the Participant-completed Skindex-29 Quality of Life (QoL) Questionnaire
Time Frame: Baseline (Week 0) and Week 2
Skindex-29 is a self-administered QoL questionnaire comprised of 29 items scored on a 5-point scale (0=never, 1=rarely, 2=sometimes, 3=often, 4=all the time) covering 3 domains: emotional (10 items), symptomatic (7 items), and functional (12 items), with domain scores ranging from 0 to 40, 28, and 48, respectively. Lower scores = better QoL. A Global Score (range 0-100) was derived by multiplying the sum of the points for all 29 items by a constant (0.862). Change from Baseline was calculated as the value at Week 2 minus the value at Baseline (Week 0).
Secondary Outcomes
- Mean Change From Baseline to Week 12 for the Indicated Domain Scores and the Global Score of the Participant-completed Skindex-29 QoL Questionnaire(Baseline (Week 0) and Week 12)
- Mean Change From Baseline to Weeks 1, 2, 4, 8, and 12 in Inflammatory, Non-inflammatory, and Total Lesion Counts(Baseline (Week 0) and Weeks 1, 2, 4, 8, and 12)
- Mean Percent Change From Baseline to Weeks 1, 2, 4, 8, and 12 in Inflammatory, Non-inflammatory, and Total Lesion Counts(Baseline (Week 0) and Weeks 1, 2, 4, 8, and 12)
- Correlation Between Skindex-29 Questionnaire Scores and Total Lesion Counts From Baseline to Week 2(Baseline (Week 0) and Week 2)
- Mean Scores for Global Change in Acne Improvement at Weeks 1, 2, 4, 8, and 12 Compared to the Start of Treatment (Prior to Week 1)(Start of treatment and Weeks 1, 2, 4, 8, and 12)
- Mean Scores for Self-evaluation of Acne Improvement at Weeks 1, 2, 4, 8, and 12 Compared to the Start of Treatment (Prior to Week 1)(Start of treatment and Weeks 1, 2, 4, 8, and 12)
- Mean Acne Grades at Baseline and Weeks 1, 2, 4, 8, and 12 Assessed by the Leeds Revised Acne Grading System(Baseline (Week 0); Weeks 1, 2, 4, 8, and 12)
- Mean Change From Baseline to Weeks 1, 2, 4, 8, and 12 in Tolerance Symptoms of Peeling, Erythema, and Dryness(Baseline (Week 0); Weeks 1, 2, 4, 8, and 12)
- Mean Change From Baseline to Weeks 1, 2, 4, 8, and 12 in Tolerance Symptoms of Itching and Burning(Baseline (Week 0); Weeks 1, 2, 4, 8, and 12)
- Number of Participants in the Indicated Categories for Overall Tolerance at Week 12/Early Termination(Week 12 or Early Termination)