Perimenstrual Acne With Clindamycin Phosphate and Benzoyl Peroxide

Phase 2

Completed

• Conditions: Actinic Keratosis
• Interventions: Drug: lidamycin phosphate and benzoyl peroxide 1.2%/3.75% combination

• Registration Number: NCT03122457
• Lead Sponsor: Icahn School of Medicine at Mount Sinai

Brief Summary

The study team plans to enroll a total of 40 subjects with self-reported perimenstrual acne. Eligible women will be over the age of 18 and not on any current therapy. The patients will first arrive for a screening visit, where they will be given questionnaires on acne quality of life (acne QOL) and subjective assessments as well as flare ups (as used in the study by Geller et al). The patients' skin will be assessed for inflammatory and non-inflammatory acne vulgaris. The baseline visit (day 1) will be scheduled for one week prior to the first day of menses (as studies indicate that most women have their acne flare during this time). The study team will perform a zit count (counting papules, pustules, and comedones) and global assessment, and the patient will be instructed to record their menses (which they will do for the duration of the study). The patients will then return in 2 weeks, at day 15, and they will be re-assessed. The patients will be dispensed the investigational product and instructed on its daily use. The patients will continue to return every 14 days to have their skin assessed until their final visit on day 99, one week after their 3rd menses on treatment (4th menses on study). The duration of the study per patient is approximately 4 months, and the study team anticipates an enrollment period of 12 months.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2017-01-01
• Study First Submitted: 2017-04-17
• Study First Submitted QC: 2017-04-17
• Study First Posted: 2017-04-20
• Primary Completion: 2018-07-19
• Study Completion: 2018-07-19
• Status Verified: 2020-08
• Results First Submitted: 2020-08-18
• Results First Submitted QC: 2020-08-18
• Last Update Submitted: 2020-08-18
• Results First Posted: 2020-09-04
• Last Update Posted: 2020-09-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 22

Inclusion Criteria

• Women 18 years or older
• Women who have had their first menses at least 12 months ago, and who currently have regular menses.
• Subjects must be able to read and understand English, and be able and willing to complete the survey.
• Subjects must have a self-reported complaint of peri-menstrual acne which has occurred monthly for the last 6 months.
• Subjects must be willing to forego any other therapy to the treatment area for the duration of the study.
• Subject is willing and able to participate in the study as an outpatient, making frequent visits to the study center during the treatment and follow-up periods and to comply with all study requirements including concomitant medication and other treatment restrictions.
• Subjects must have a negative urine pregnancy test result prior to study treatment initiation and must agree to use an approved method of birth control while enrolled in the study.
• Subjects must be willing to use a form of birth control during the study. For the purpose of this study, the following are considered acceptable methods of birth control: oral contraceptives, Norplant, Depo-Provera, double barrier methods (e.g., condom and spermicide) and abstinence.

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Exclusion Criteria

• Male subjects.
• Post-menopausal women.
• Women who do not suffer from acne.
• Subjects who are allergic to clindamycin, benzoyl peroxide, lidocaine or any other ingredients listed in the study medication.
• Subjects with an unstable medical condition as deemed by the clinical investigator.
• Subjects with ulcerative colitis or Crohn's disease.
• Subjects with any dermatologic disease in the treatment area that may be exacerbated by the treatment proposed or that might impair the evaluation of acne.
• Women who are pregnant, lactating, or planning to become pregnant during the study period.
• Subjects who have used any topical prescription medications on the study area within 30 days prior to Visit 2 / Baseline.
• Subjects on a stable dose of oral contraceptives for less than 6 months.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
lidamycin phosphate and benzoyl peroxide 1.2%/3.75% combo	lidamycin phosphate and benzoyl peroxide 1.2%/3.75% combination	lidamycin phosphate and benzoyl peroxide 1.2%/3.75% combination gel; daily use for 99 days

Primary Outcome Measures

Name	Time	Method
PGA Score	Day 99	Treatment Success defined as a score of 0 (clear) to 1 (almost clear) at day 99 (final study visit) by acne PGA scoring system. Full PGA scale from 0-5, with lower score indicating better drug efficacy

Secondary Outcome Measures

Name	Time	Method
Adverse Event Severity	Day 99	Safety/drug-tolerance evaluated by subject-reported adverse events as well as physician evaluated erythema, scaling, drying, and stinging/burning on a 0-3 point scale, where 0=none and 3=severe.

Trial Locations

Locations (1)

Icahn School of Medicine at Mount Sinai; 🇺🇸 New York, New York, United States