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Acne VulgarisPhase 3NCT00776919

Trial of Clindamycin / Benzoyl Peroxide Gel in Subjects With Acne

A Phase 3 study testing clindamycin / benzoyl peroxide gel, clindamycin gel and BPO gel in people with Acne Vulgaris, run by Stiefel, a GSK Company at 24 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a Randomized, Double-Blind, Controlled Study to evaluate the Safety and Efficacy of a clindamycin / benzoyl peroxide gel in Subjects with Acne Vulgaris Read more about this study

Who is it for?
Ages 12 to 45 years
Conditions the study is for
Acne Vulgaris
What is being tested?
clindamycin / benzoyl peroxide gel, clindamycin gel and BPO gel
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,315 participants
Where
24 sitesin 3 countries
Study dates
Oct 2008to Sep 2009
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 45 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Be 12 to 45 years of age, inclusive, and in good general health.
  • Clinical diagnosis of acne vulgaris
  • Females of childbearing potential participating in the study must agree to use a medically acceptable method of contraception while receiving protocol-assigned product.
  • Have the ability and willingness to follow all study procedures, attend all scheduled visits, and successfully complete the study.
  • Have the ability to understand and sign a written informed consent form, which must be completed prior to study specific tasks being performed. Subjects under the legal age of consent in the state/province/country where the study is conducted must provide assent and have the written informed consent of a parent or guardian.

Who cannot join

  • Are pregnant or breast-feeding.
  • Have a history or presence of other conditions that may increase the risk of the subject participating in the study and/or affect the evaluated outcomes.
  • Used topical antibiotics on the face or used systemic antibiotics within the past 2 weeks.
  • Used topical corticosteroids on the face or systemic corticosteroids within the past 4 weeks. Use of inhaled, intra-articular, or intra-lesional steroids other than for facial acne is acceptable.
  • Used systemic retinoids within the past 6 months or topical retinoids within the past 6 weeks.
  • Received treatment with estrogens (including oral, implanted, injected and topical contraceptives), androgens, or anti-androgenic agents for 12 weeks or less immediately prior to starting study product. Subjects who have been treated with estrogens, as described above, androgens, or anti-androgenic agents for more than 12 consecutive weeks prior to start of study product are allowed to enroll as long as they do not expect to change dose, drug, or discontinue use during the study.
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  • Used topical anti-acne medications (eg, BPO, azelaic acid, resorcinol, salicylates, etc.) within the past 2 weeks.
  • Used abradents or facial procedures, within the past 2 weeks.
  • Use medications that may exacerbate acne.
  • Have a known hypersensitivity or have had previous allergic reaction to any of the active components, lincomycin, or excipients of the study product.
  • Used any investigational therapy within the past 4 weeks, or currently participating in another clinical study.

Trial locations and contacts

24 sites in 3 countries.

24 sites in 3 countries

United States16 sites
  • Atlanta Dermatology & Vein Research Center, LLC

    Alpharetta, Georgia, 30022

  • Arlington Center for Dermatology

    Arlington, Texas, 76011

  • Skin Care Research, Inc.

    Boca Raton, Florida, 33486

  • Cherry Creek Research, Inc.

    Denver, Colorado, 80209

  • Dawes Fretzin Clinical Research Group

    Indianapolis, Indiana, 46260

  • The Skin Wellness Center, PC

    Knoxville, Tennessee, 37922

  • SKINQRI

    Lincolnshire, Illinois, 60069

  • DermResearch, PLLC

    Louisville, Kentucky, 40217

  • FXM Research

    Miami, Florida, 33175

  • University of Miami Cosmetic Medicine and Research Institute

    Miami Beach, Florida, 33140

  • Dermatology Associates of Rochester, PC

    Rochester, New York, 14623

  • Progressive Clinical Research

    San Antonio, Texas, 78229

  • Rady Children's Hospital San Diego, Div. of Pediatric & Adolescents Dermatology

    San Diego, California, 92123

  • The Laser Institute for Dermatology

    Santa Monica, California, 90404

  • DermResearch Center of New York

    Stony Brook, New York, 11790

  • Somerset Skin Centre

    Troy, Michigan, 48084

Other trials in United States

Canada6 sites
  • Dermatrial Research

    Hamilton, Ontario, L8N 1V6

  • Lynderm Research, Inc.

    Markham, Ontario, L3P 1A8

  • North Bay Dermatology Centre

    North Bay, Ontario, P1B3Z7

  • CRDQ Centre de Recherche Dermatologique du Quebec

    Québec, Quebec, G1V 4X7

  • Nexus Clinical Research

    St. John's, NL A1B 3E1

  • Guildford Dermatology Specialist

    Surrey, British Columbia, V3R6A7

Other trials in Canada

Belize2 sites
  • Dermatology and Skin Care Center FXM Research International

    Belize City

  • Dr. Moguel's Clinic/FXM Research International

    Belize City

About this study

Official title: A Phase 3 Multicenter, Randomized, Double-Blind, Active And Vehicle-Controlled Study Of The Safety And Efficacy Of A Clindamycin / Benzoyl Peroxide Gel Versus Clindamycin Gel Versus Benzoyl Peroxide Gel Versus Vehicle Gel In Subjects With Acne Vulgaris

This is a Randomized, Double-Blind, Controlled Study to evaluate the Safety and Efficacy of a clindamycin / benzoyl peroxide gel in Subjects with Acne Vulgaris

Read the detailed description

A multicenter, randomized, double-blind, comparator and vehicle-controlled study in subjects with acne vulgaris. Approximately 1320 subjects will be enrolled. Subjects will be randomized to 1 of 4 parallel study groups in a 1:1:1:1 ratio (clindamycin / benzoyl peroxide gel:clindamycin gel:BPO gel:vehicle gel).

Conditions
Acne Vulgaris
Being tested
clindamycin / benzoyl peroxide gel, clindamycin gel, BPO gel, vehicle gel
Keywords
Acne Vulgaris, Acne
Medical subject headings
Acne Vulgaris

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • clindamycin / benzoyl peroxide gelDrug

    Once a day application to the face

  • clindamycin gelDrug

    Once a day application to the face

  • BPO gelDrug

    Once a day application to the face

  • vehicle gelDrug

    Once a day application to the face

Study groups in NCT00776919
Study groupRoleWhat they receive
1Experimentalclindamycin / benzoyl peroxide gel
Receives: Drug: clindamycin / benzoyl peroxide gel
2Active comparatorClindamycin gel
Receives: Drug: clindamycin gel
3Active comparatorBPO gel
Receives: Drug: BPO gel
4Placebo comparatorvehicle gel
Receives: Drug: vehicle gel

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Improvement of at Least 2 Grades in the Investigator's Static Global Assessment (ISGA) Score From Baseline to Week 12

    During each study visit, investigators/assessors evaluated acne severity of the participants' faces using the ISGA scale: 0=clear skin with no lesions (L); 1=almost clear, rare non-inflammatory L; 2=mild, some non-inflammatory L with no more than a few inflammatory L, no nodular L; 3=moderate, many non-inflammatory L, may have some inflammatory L, but no more than 1 small nodular L; 4=severe, many non-inflammatory and inflammatory L, but no more than a few nodular L; 5=very severe, many non-inflammatory and inflammatory L, and more than a few nodular L.

    Measured: Baseline (Day 1) and Week 12

  2. Mean Change From Baseline (BL) to Week 12 in Inflammatory Lesion Counts

    During each study visit, trained study personnel at every investigational center assessed the inflammatory (pustules [small inflamed elevation of the skin that is filled with pus], papules [solid elevation of skin with no visible fluid], nodules [larger than papules with significant depth]) lesion counts for each participant. Each type of lesion was counted separately, and counts were taken from the face (including forehead, nose, cheeks, and chin). Missing values were imputed using the last observation carried forward (LOCF) method.

    Measured: Baseline (Day 1) and Week 12

  3. Mean Change From Baseline to Week 12 in Non-inflammatory Lesion Counts

    During each study visit, trained study personnel at every investigational center assessed the non-inflammatory (open comedones [blackheads] and closed comedones [whiteheads]) lesion counts for each participant. Each type of lesion was counted separately, and counts were taken from the face (including forehead, nose, cheeks, and chin).

    Measured: Baseline (Day 1) and Week 12

  4. Mean Change From Baseline to Week 12 in Total Lesion Counts

    During each study visit, trained study personnel at every investigational center assessed the inflammatory (pustules, papules, nodules) and non-inflammatory (open and closed comedones) lesion counts for each participant. Each type of lesion was counted separately; the lesion counts were taken from the face (including forehead, nose, cheeks, and chin). Total lesion counts were calculated as the sum of the inflammatory and non-inflammatory lesion counts.

    Measured: Baseline (Day 1) and Week 12

Secondary outcomes (10)
  1. Mean Percent Change From Baseline to Week 12 in Lesion Counts (Total, Inflammatory, and Non-inflammatory)

    During each study visit, trained study personnel at every investigational center assessed the inflammatory (pustules, papules, nodules) and non-inflammatory (open and closed comedones) lesion counts for each participant. Each type of lesion was counted separately; the lesion counts were taken from the face (including forehead, nose, cheeks, and chin). Total lesion counts were calculated as the sum of the inflammatory and non-inflammatory lesion counts. Percent change from Baseline to Week 12 was calculated as the value at Week 12 minus the value at Baseline divided by the Baseline value * 100.

    Measured: Baseline (Day 1) and Week 12

  2. Number of Participants Who Had a Subject Global Assessment (SGA) Score of 0 or 1 at Week 12

    During each study visit, participants evaluated their facial acne (excluding the scalp) using the SGA scale: 0=free of acne, with only an occasional blackhead/whitehead; 1=several blackheads/whiteheads and small pimples, no tender deep-seated bumps/cysts; 2=several to many blackheads/whiteheads and small to medium-sized pimples, one deep-seated bump/cyst; 3=many blackheads/whiteheads, many medium- to large-sized pimples, few deep-seated bumps/cysts; 4=presence of blackheads/whiteheads, several to many medium- to large-sized pimples, deep-seated bumps/cysts dominate.

    Measured: Week 12

  3. Number of Participants Who Had an ISGA Score of 0 or 1 at Week 12

    During each study visit, investigators/assessors evaluated the acne severity of participants' faces using the ISGA scal: 0=clear skin with no lesions (L); 1=almost clear, rare non-inflammatory L; 2=mild, some non-inflammatory L with no more than a few inflammatory L, no nodular L; 3=moderate, many non-inflammatory L, may have some inflammatory L, but no more than 1 small nodular L; 4=severe, many non-inflammatory and inflammatory L, but no more than a few nodular L; 5=very severe, many non-inflammatory and inflammatory L, and more than a few nodular L.

    Measured: Week 12

  4. Mean Change From Baseline to Week 12 in Systolic and Diastolic Blood Pressure

    Systolic and diastolic blood pressure were measured at Baseline and Week 12 (end of study). Mean change from Baseline was calculated as the mean value at Week 12 minus the mean value at Baseline.

    Measured: Baseline (Day 1) and Week 12

  5. Mean Change From Baseline to Week 12 in Temperature

    Temperature was measured at Baseline and Week 12 (end of study). Mean change from Baseline was calculated as the mean value at Week 12 minus the mean value at Baseline.

    Measured: Baseline (Day 1) and Week 12

  6. Mean Change From Baseline to Week 12 in Pulse Rate

    Pulse rate was measured at Baseline and Week 12 (end of study). Mean change from Baseline was calculated as the mean value at Week 12 minus the mean value at Baseline.

    Measured: Baseline (Day 1) and Week 12

  7. Mean Change From Baseline to Weeks 2, 4, 8, and 12 in Erythema, Dryness, and Peeling

    Erythema (Er, redness), dryness (Dr), and peeling (Pn), were evaluated independently by the investigator as: 0 (absent)=no Er, Dr, or Pn; 1 (slight)=faint red/pink coloration (col.), barely perceptible Dr with no flakes or fissure, mild localized Pn; 2 (mild)=light red/pink col., perceptible Dr with no flakes/fissure, mild and diffuse Pn; 3 (moderate)=medium red col., easily noted Dr and flakes but no fissure; 4 (severe)=beet red col., Dr with flakes and fissure, prominent dense Pn. Change from Baseline was calculated as the value at Weeks 2, 4, 8, and 12 minus the the value at Baseline.

    Measured: Baseline; Weeks 2, 4, 8, and 12

  8. Mean Change From Baseline to Weeks 2, 4, 8, and 12 in Itching and Burning/Stinging

    Itching and burning/stinging (piercing pain) were evaluated independently by the investigator as: 0 (none)=normal, no discomfort; 1 (slight)=noticeable discomfort that caused intermittent awareness; 2 (moderate)=noticeable discomfort that caused intermittent awareness and interfered occasionally with normal daily activities; 3 (strong)=definite continuous discomfort that interfered with normal daily activities. Change from Baseline was calculated as the value at Weeks 2, 4, 8, and 12 minus the value at Baseline.

    Measured: Baseline; Weeks 2, 4, 8, and 12

  9. Mean Duration of Study Product Use

    Mean duration of study product use was calculated as the average total duration inclusive of missed applications of the study product.

    Measured: Baseline (Day 1) through Week 12

  10. Number of Participants Reporting the Indicated Treatment-emergent Adverse Events (AEs) Resulting in Study Product Discontinuation

    An AE included, but was not limited to, any clinically significant worsening of a pre-existing condition; an event occurring from overdose (i.e., a dose higher than that indicated in the protocol) of the study product, whether accidental or intentional; an event occurring from abuse (e.g., use for nonstudy reasons) of the study product; or an event that was associated with the discontinuation of the use of the study product.

    Measured: Baseline (Day 1) through Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Oct 2008 (estimated)
  2. Study startOct 2008
  3. Primary completionSep 2009
  4. Study completionSep 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,315 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00776919
Sponsor's protocol ID
114677
Status last verified
Oct 2016
First submitted
21 Oct 2008
Last updated
23 Nov 2016
Data monitoring committee
No
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Eichenfield LF, Alio Saenz AB. Safety and efficacy of clindamycin phosphate 1.2%-benzoyl peroxide 3% fixed-dose combination gel for the treatment of acne vulgaris: a phase 3, multicenter, randomized, double-blind, active- and vehicle-controlled study. J Drugs Dermatol. 2011 Dec;10(12):1382-96.

    PubMed 22134562

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing clindamycin / benzoyl peroxide gel, clindamycin gel and BPO gel in people with Acne Vulgaris, run by Stiefel, a GSK Company at 24 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in United States, Canada, Belize. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Jan 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Improvement of at Least 2 Grades in the Investigator's Static Global Assessment (ISGA) Score From Baseline to Week 12 (time frame: Baseline (Day 1) and Week 12). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00776919, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Nov 2016.

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