跳至主要内容
临床试验/NCT07389109
NCT07389109进行中(未招募)3 期

A Long-term Safety and Efficacy Study of N-Acetyl-GED-0507-34-LEVO Gel 5%, in Subjects With Acne Vulgaris (GEDACNE-LT)

PPM Services S.A.62 个研究点 分布在 3 个国家目标入组 400 人开始时间: 2024年12月5日最近更新:
适应症
干预措施

试验速览

阶段
3 期
状态
进行中(未招募)
发起方
入组人数
400
试验地点
62
主要终点
Incidence of AEs, TEAEs, ADRs, SAEs

研究概览

简要总结

The clinical trial aims to test the long term safety of a new drug for acne vulgaris. The trial is performed to answer this question "Is it safe to apply the IMP daily for up to 52 weeks?". The trial aims to accurately measure the safety and the effects of the new treatment (N-Acetyl-GED-0507-34-LEVO gel 5%) and to achieve this, patients will be review the drug containing the active ingredient.

Participants will:

  • Take drug every day for up to 52 weeks
  • Visit the site once every 4 weeks for checkups and tests (where applicable) for the first 3 months of treatment, then visit the site every 13 weeks approximately for checkups and tests (where applicable).
  • Record on a diary the daily/weekly applications of the study drug at home, and record any adverse events

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
9 Years 至 50 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • Informed consent obtained* * Written informed consent, before any study-related procedure, personally signed and dated by the patient if the patient is ≥ 18 years old or signed and dated by the parents or the legal guardian(s) if the patient is ≥ 9 to < 18 years old. An additional informed assent form must be signed by patient if ≥ 9 to < 18 years old to confirm his willingness to participate in the study. If the patient becomes 18 years of age during the study, the patient must provide written informed consent at that time to continue study participation.
  • Sex and age: Male and female patients aged ≥ 9 and < 50 years. Patients who turn 50 during the pivotal study can roll over to the LT study.
  • Diagnosis at screening and baseline visits:
  • a. Patients affected by facial acne vulgaris with an Investigator's Global Assessment (IGA) score: =1 or 2 for pivotal-naïve* patients not included in pivotal 12 Week treatment studies ≥ 0 for patients completing the 12-Week treatment period according to protocol in the pivotal Phase 3 trials (NAC-GED-0507-ACN-01-23-A and NAC-GED-0507-ACN-01-23-B)
  • b. Patients affected by truncal acne (optional criteria) on areas of the trunk (shoulders, upper back and upper anterior chest) accessible for patient's self- application of study medication with a Physician Global Assessment (PGA) severity grade: =1 or 2 for pivotal-naïve* patients not included in the pivotal 12Week treatment studies ≥ 0 and < 4 for patients completing the 12-Week treatment period according to protocol in the pivotal Phase 3 trials (NAC-GED-0507-ACN-01-23-A and NAC-GED-0507-ACN-01-23-B)
  • Pivotal-naïve: Patients not rolling over from NAC-GED-0507-ACN-01-23-A and NAC-GED-0507-ACN-01-23-B. If the pivotal-naïve patient is ≥ 9 and ≤ 14 years old and declined participation to pivotal Phase 3 study, a 12-week period should run before inclusion in the present study. During the 12-week period the patients will be allowed to follow their doctor's instructions regarding treatment of acne.
  • Full comprehension Patients and their parents/legal guardian(s) (for < 18 years old patients) can comprehend the whole nature and purpose of the study, including possible risks and side effects, and are able to cooperate with the Investigator and to comply with the requirements of the entire study.
  • Contraception and fertility: Women of childbearing potential must be using an effective contraception method during the entire duration of the study. Effective contraception methods are those considered at least "acceptable" according to CTFG Recommendations. A prior stable treatment period is required for the following reliable methods of contraception:
  • Hormonal oral, implantable, transdermal, or injectable contraceptives must be stable for at least 6 months before the screening visit
  • A non-hormonal intrauterine device (IUD) must be started at least 2 months before the screening visit.

排除标准

  • Patients with generalized or localized acne forms other than acne vulgaris, e.g., acne conglobata, acne fulminans, acne rosacea, secondary acne (chloracne, drug-induced acne, etc), nodule-cystic acne
  • Patients with acne requiring systemic treatment.
  • Beard and facial/body hair, tattoos:
  • Patients with a beard or who intend to grow a beard and/or to perform a facial tattoo during the study
  • Patients with facial hair or facial tattoos that could interfere with study assessments in the investigator's opinion
  • For patients with truncal acne: body hair, tattoos (or who intend to perform them) on the shoulders, upper back or upper anterior chest accessible to self-application of study medication by the patient (evaluable area) that may interfere with the study assessments in the investigator's opinion.
  • Skin diseases: Patients with other active skin diseases (e.g., urticaria, atopic dermatitis, sunburn, seborrheic dermatitis, perioral dermatitis, rosacea, skin malignancies) or active skin infections in the facial or truncal region (bacterial, fungal, or viral) or any other facial or truncal disease or condition that might interfere with the evaluation of acne or place the patient at unacceptable risk.
  • Allergy: Known or suspected hypersensitivity to any active or inactive ingredient in the study medication. Patients with a history of an allergic reaction or significant sensitivity to the formulations' ingredients.
  • Topical therapies: Patients who are currently using, plan to use during the study, or discontinued less than 4 weeks before study baseline the use of prescribed or over-the-counter topical therapies for the treatment of acne, including but not limited to: corticosteroids, antibiotics, azelaic acid, benzoyl peroxide, salicylates, α-hydroxy/glycolic acid, any other topical cosmetic therapy for acne and retinoids on the face/trunk.
  • Topical skin care products and procedures: Patients who are currently using, plan to use during the study, or discontinued less than 4 weeks before study baseline the use of products for facial/truncal application containing glycolic or other acids, masks, washes or soaps containing benzoyl peroxide or salicylic acid, non-mild cleansers or moisturizers containing retinol, salicylic or alpha- or beta-hydroxy acids, facial/truncal procedures such as chemical peel, laser treatment, photodynamic therapy, acne surgery, cryodestruction or chemodestruction, x-ray therapy, intralesional steroids, dermabrasion;
  • Phototherapy: Patients who are currently using, plan to use during the study, or discontinued less than 4 weeks before study baseline phototherapy for the treatment of acne, including but not limited to: UV-A, UV-B, heliotherapy. Patients who have the need or plan to be exposed to artificial tanning devices or excessive sunlight during the study.
  • Systemic therapies: Patients who are currently using, plan to use during the study, or discontinued less than 12 weeks before study baseline the use of systemic therapies for the treatment of acne, including but not limited to: antibiotics, isotretinoin. Other systemic therapy that could affect the patient's acne (i.e., anabolics, lithium, EGRF inhibitors, iodides, systemic corticosteroids - except inhaled corticosteroids or intrathecal corticosteroids - or other immunosuppressants), in the opinion of the investigator.
  • Known systemic diseases that can lead to acneiform eruptions:
  • Increased androgen production.
  • Adrenal origin: e.g., Cushing's disease, 21-hydroxylase deficiency;
  • Ovarian origin: e.g., polycystic ovarian syndrome, ovarian hyperthecosis
  • Cryptococcosis disseminated
  • Dimorphic fungal infections
  • Behçet's disease
  • Systemic lupus erythematosus (SLE).
  • Investigative studies: Participation in the evaluation of any other investigational product or device within 24 weeks before study baseline.
  • Diseases: Patients with underlying uncontrolled or unstable conditions (including but not limited to metabolic, hematologic, renal, hepatic, pulmonary, neurologic, endocrine, cardiac, infectious or gastrointestinal), which, in the Investigator's opinion, could significantly compromise the patient's safety and/or place the patient at an unacceptable risk. Any condition that in the investigator's opinion would make it unsafe for the patient to participate in the study.
  • Alcohol and other substance abuse: History of alcohol or other substance abuse within one year before screening.
  • Communication: Patient(s) and parents/legal guardian(s) (if applicable) unable to communicate or cooperate with the investigator due to e.g., language problems, impaired cerebral function, impaired mental conditions.
  • Reliability: Patients who may be unreliable for the study including patients who are unable to return for the scheduled visits.
  • Pregnancy*: Pregnant or breastfeeding women or women of childbearing potential who are planning to become pregnant during the study. *For all female patients of childbearing potential, pregnancy test result must be negative at screening.

研究组 & 干预措施

N-Acetyl-GED-0507-34-Levo 5% gel

Experimental

干预措施: N-Acetyl-GED-0507-34-LEVO gel 5% (Drug)

结局指标

主要结局

Incidence of AEs, TEAEs, ADRs, SAEs

时间窗: From enrollment to the end of treatment at 52 weeks

Incidence of all Adverse Events (AEs), Treatment-Emergent Adverse Events (TEAEs), Adverse Drug Reactions (ADRs), Serious Adverse Events (SAEs) throughout the study; with special attention to local TEAEs concerning the treated facial area (local dermal safety), and systemic TEAEs

Frequency of discontinuation of treatment due to TEAEs

时间窗: From enrollment to the end of treatment at 52 weeks

Changes from baseline of systolic blood pressure during the study

时间窗: From enrollment to the end of treatment at 52 weeks

mmHg

Changes from baseline of diastolic blood pressure during the study

时间窗: From enrollment to the end of treatment at 52 weeks

mmHg

Changes from baseline of heart rate during the study

时间窗: From enrollment to the end of treatment at 52 weeks

bpm

Physical examination during the study (height)

时间窗: From enrollment to the end of treatment at 52 weeks

cm

Change from baseline of local tolerability- Application site signs/symptoms during the study

时间窗: From enrollment to the end of treatment at 52 weeks

Local tolerability will be evaluated based on the following signs and symptoms: application site non-lesional erythema, application site exfoliation, and application site dryness, stinging, burning, itching. For each sign/symptom, a severity score will be assigned using a 4-point scale from 0 = absent to 3 = severe. Of note, only a sign/symptom occurring after the first application of study medication that requires additional therapy or discontinuation of treatment or judged from the Investigator as clinically significant will be documented as a TEAE.

Assessment of overall application site irritation over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

Physical examination during the study (weight)

时间窗: From enrollment to the end of treatment at 52 weeks

kg

Physical examination during the study (BMI)

时间窗: From enrollment to the end of treatment at 52 weeks

weight (kg) / \[height (m)\]²

Changes from baseline of RBC over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement 10E12/L

Changes from baseline of WBC over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement 10E9/L

Changes from baseline of Haematocrit over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement %

Changes from baseline of Haemoglobin over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement g/dl

Changes from baseline of MCV over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement fL

Changes from baseline of MCH over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement pg

Changes from baseline of MCHC over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement g/dL

Changes from baseline of Platelets over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement 10E9/L

Changes from baseline of neutrophils over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement 10E0/L

Changes from baseline of Lymphocytes over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement 10E9/L

Changes from baseline of Monocytes over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement 10E9/L

Changes from baseline of Eosinophils over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement 10E9/L

Changes from baseline of Basophils over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement 10E9/L

Changes from baseline of Differential blood count over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement %

Changes from baseline in AST (GOT) over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement U/L

Changes from baseline in ALT (GPT) over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement U/L

Changes from baseline in Triglycerides over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement mg/dl

Changes from baseline in Total cholesterol over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement mg/dl

Changes from baseline in HDL-C (high-density lipoprotein cholesterol) over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement mg/dl

Changes from baseline in LDL-C (low-density lipoprotein cholesterol) over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement mg/dl

Changes from baseline in Plasma glucose over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement mmol/L

Changes from baseline in HbA1c (glycated haemoglobin) over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement %

Changes from baseline in Insulinemia over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

unit of measurement μU/mL

Changes from baseline in beta-HCG over the study duration

时间窗: From enrollment to the end of treatment at 52 weeks

postive or negative

次要结局

  • Percentage of patients who have improvement of IGA score at each time point (1, 2 points), vs baseline score (face)(From enrollment to the end of treatment at 52 weeks)
  • The percentage change from baseline in total lesion count (inflammatory plus non-inflammatory) at each time point (face)(From enrollment to the end of treatment at 52 weeks)
  • Absolute change from baseline in total lesion count at each time point (face)(From enrollment to the end of treatment at 52 weeks)
  • Change from baseline in inflammatory lesion count (percentage and absolute), at each time point (face)(From enrollment to the end of treatment at 52 weeks)
  • Change from baseline in non-inflammatory lesion count (percentage and absolute), at each time point. (face)(From enrollment to the end of treatment at 52 weeks)
  • Percentage of patients who have improvement of PGA score at each time point (1, 2 points), vs baseline score(From enrollment to the end of treatment at 52 weeks)
  • The percentage change from baseline in total lesion count (inflammatory plus non-inflammatory) at each time point (trunk)(From enrollment to the end of treatment at 52 weeks)
  • Absolute change from baseline in total lesion count at each time point (trunk)(From enrollment to the end of treatment at 52 weeks)
  • Change from baseline in inflammatory lesion count (percentage and absolute), at each time point (trunk)(From enrollment to the end of treatment at 52 weeks)
  • Change from baseline in non-inflammatory lesion count (percentage and absolute), at each time point. (trunk)(From enrollment to the end of treatment at 52 weeks)

研究者

发起方
PPM Services S.A.
申办方类型
Other
责任方
Sponsor

研究点 (62)

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