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RosaceaPhase 3NCT01125930

Atralin Gel for the Treatment of Rosacea

A Phase 3 study testing Atralin gel in people with Rosacea, run by Lisa E. Maier at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Erythematotelangiectatic rosacea is a type of rosacea that causes a red face often with frequent flushing, topical sensitivity and prominent blood vessels. We think that long term damage to skin from the sun (photodamage) may play a role in causing this type of rosacea. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Rosacea
What is being tested?
Atralin gel
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
68 participants
Where
1 siteUnited States
Study dates
May 2010to Jan 2013
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects 18 years of age and older of any race.
  • Clinical diagnosis of mild to moderate erythematotelangiectatic facial rosacea based on physician evaluation.
  • Willing and able to understand and sign informed consent.
  • Able to complete study and comply with study procedures.

Who cannot join

  • Severe self reported facial sensitivity
  • History of allergy to fish
  • Severe sun sensitivity
  • Severe erythematotelangiectatic rosacea requiring systemic treatment
  • Papulopustular, Ocular-only, Phymatous rosacea, Steroid rosacea, pyoderma faciale
  • Unwilling to undergo facial biopsies
Show all 21Show fewer
  • Concomitant use of medications that are reported to exacerbate rosacea, such as topical and systemic steroids
  • Use of topical rosacea treatments in the past 2 weeks.
  • Use of systemic antibiotics in the past 4 weeks.
  • Use of systemic retinoids within the past 6 months.
  • Use of topical retinoids within the past 3 months
  • Use of laser or light based rosacea treatments within the past 2 months.
  • Cosmetic procedures (e.g., superficial chemical peels, exfoliation or microdermabrasion of the face) within the past two months
  • Use of topical anti-aging medications including alpha hydroxy acids, salicylic acid, beta-hydroxy acid, vitamin A, vitamin E, ascorbic acid
  • Other dermatologic conditions that require the use of interfering topical or systemic therapy or that might interfere with study assessments.
  • Clinically significant abnormal findings or conditions (other than rosacea), which might, in the opinion of the Investigator, interfere with study evaluations or pose a risk to subject safety during the study.
  • If female, Subjects who are either of non-child bearing potential (defined as postmenopausal -absence of menstrual bleeding for 1 year - or as having undergone bilateral tubal ligation, hysterectomy or bilateral ovariectomy) or, if of childbearing potential, Subjects who have had a negative urine pregnancy test at the beginning of the study, and have agreed to practice appropriate birth-control to prevent pregnancy during the study.(The type and dose of birth control must have been stable for at least 2 months prior to study entry and not be expected to change during the study).
  • Subjects who are lactating.
  • Use of any investigational therapy within the past 4 weeks.
  • Known hypersensitivity or previous allergic reaction to retinoids
  • Carcinoid, Pheochromocytoma or other systemic flushing causes

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Michigan Department of Dermatology

    Ann Arbor, Michigan, 48109

Other trials in United States

About this study

Official title: Investigation of the Topical Retinoid, Atralin Gel 0.05% for the Treatment of Erythematotelangiectatic Rosacea

Erythematotelangiectatic rosacea is a type of rosacea that causes a red face often with frequent flushing, topical sensitivity and prominent blood vessels. We think that long term damage to skin from the sun (photodamage) may play a role in causing this type of rosacea. Tretinoin is a topical medication that is known to improve photodamage. We want to find out if Atralin (tretinoin 0.05%) Gel used for up to 46 weeks will improve erythematotelangiectatic rosacea (ETR).

Conditions
Rosacea
Being tested
vehicle gel, Atralin gel
Keywords
rosacea, tretinoin, atralin
Medical subject headings
Rosacea

What participants receive

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

  • vehicle gelDrug

    Topical gel that does not contain active drug. The gel will be applied initially 3 times per week to the face. If no irritation seen at follow up visit, the investigator will consider increasing the frequency of use. This topical medication will not be applied more than once daily. If there is irritation, the subject will be asked to decrease frequency of use.

  • Atralin gelDrug

    Topical Atralin gel will be applied initially 3 times per week to the face. If no irritation seen at follow up visit, the investigator will consider increasing the frequency of use. This topical medication will not be applied more than once daily. If there is irritation, the subject will be asked to decrease frequency of use. This drug will be used for the duration of the study.

Study groups in NCT01125930
Study groupRoleWhat they receive
Vehicle gelPlacebo comparatorTopical gel that does not contain active drug. The gel will be applied initially 3 times per week to the face. If no irritation seen at follow up visit, the investigator will consider increasing the frequency of use. This topical medication will not be applied more than once daily. If there is irritation, the subject will be asked to decrease frequency of use.
Receives: Drug: vehicle gel
Atralin gelActive comparatorTopical Atralin gel will be applied initially 3 times per week to the face. If no irritation seen at follow up visit, the investigator will consider increasing the frequency of use. This topical medication will not be applied more than once daily. If there is irritation, the subject will be asked to decrease frequency of use. This drug will be used for the duration of the study.
Receives: Drug: Atralin gel

What is being measured

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

  1. Severity of Erythematotelangiectatic Rosacea Signs: Redness (Non Transient Erythema)

    Severity of erythematotelangiectatic rosacea signs will be measured by taking into account the following: redness, telangiectasia, facial edema, dry skin

    Measured: 24 weeks

  2. Severity of Erythematotelangiectatic Rosacea Signs: Telangiectasia

    Severity of erythematotelangiectatic rosacea signs will be measured by taking into account the following: redness, telangiectasia, facial edema, dry skin

    Measured: 24 weeks

  3. Severity of Erythematotelangiectatic Rosacea Signs: Facial Edema

    Severity of erythematotelangiectatic rosacea signs will be measured by taking into account the following: redness, telangiectasia, facial edema, dry skin

    Measured: 24 weeks

  4. Severity of Erythematotelangiectatic Rosacea Signs: Dry Skin

    Severity of erythematotelangiectatic rosacea signs will be measured by taking into account the following: redness, telangiectasia, facial edema, dry skin

    Measured: 24 weeks

  5. Severity of Erythematotelangiectatic Rosacea Symptoms: Self-Reported Presence of Flushing

    Flushing is defined as a temporary redness of the face, neck and chest. Subjects were asked to choose the best answer that applied to them in response to the questions "Do you have flushing?".

    Measured: 24 weeks

  6. Severity of Erythematotelangiectatic Rosacea Symptoms: Self-Reported Facial Burning

    Severity of erythematotelangiectatic rosacea symptoms was assessed by asking subjects to rate the facial burning feature of their rosacea.

    Measured: 24 weeks

  7. Severity of Erythematotelangiectatic Rosacea Symptoms: Self-Reported Facial Stinging

    Severity of erythematotelangiectatic rosacea symptoms was assessed by asking subjects to rate the Facial Stinging feature of their rosacea.

    Measured: 24 weeks

  8. Severity of Erythematotelangiectatic Rosacea Symptoms: Self-Reported Assessment of Product

    Severity of erythematotelangiectatic rosacea symptoms was assessed by asking subjects to give an overall self-assessment of product tolerance.

    Measured: 24 weeks

Secondary outcomes (18)
  1. Quality of Life

    The Dermatology Life Quality Index (DLQI) questionnaire was given at each visit. It involves 10 questions that relate to symptoms and feelings, daily activities, leisure, work and school, personal relationships and treatment. The total DLQI score is calculated by summing the score of each question resulting in a maximum of 30 and a minimum of 0. The higher the score, the more quality of life is impaired.

    Measured: 2, 6, 12, 18, 24 weeks

  2. Photodamage

    Photodamage was measured at baseline and Week 24 visits using the nine point Hamilton-Griffiths Photoaging Score categories. The categories were developed using photographs of subject representing grades of photodamge from none (0) to severe (8). A direct comparison is made between the subject and the photographic standards. If an exact match cannot be made, the interstandard scores (1, 3, 5, 7) are used.

    Measured: 24 weeks

  3. Signs of Other Rosacea Subtypes: Ocular Manifestations of Rosacea

    Signs of other rosacea subtypes using rosacea clinical scores: ocular manifestations of rosacea

    Measured: 2, 6, 12, 18 and 24 weeks

  4. Signs of Other Rosacea Subtypes: Phymatous Changes of Rosacea

    Signs of other rosacea subtypes using rosacea clinical scores: phymatous changes of rosacea

    Measured: 2, 6, 12, 18 and 24 weeks

  5. Signs of Other Rosacea Subtypes: Papulopustular

    Signs of other rosacea subtypes includes papulopustular, inflammatory papule count

    Measured: 2, 6, 12, 18, 24 weeks

  6. Molecular Markers of Inflammation

    These will be evaluated from skin biopsies from some subjects at baseline and final evaluation at 24 weeks. Gene expression data were normalized and presented as fold change from baseline to week 24 visit. Markers of inflammation include Tachykinin 1 (TAC1), CXC Motif Receptor 4 (CXCR4), CXC Motif Ligand 12 (CXCL12), and Tumor Necrosis Factor Alpha (TNFa).

    Measured: 24 weeks

  7. Molecular Evidence of Photodamage

    These will be evaluated from skin biopsies from some subjects at baseline and final evaluation at 24 weeks. Gene expression data were normalized and presented as fold change from baseline to week 24 visit. Markers of photodamage include Collagen 1 (COL-1), Collagen 3 (COL-3), Matrix Metalloproteinase 1 (MMP1), Matrix Metalloproteinase 3 (MMP3), and Matrix Metalloproteinase 9 (MMP9).

    Measured: 24 weeks

  8. Severity of Erythematotelangiectatic Signs: Non-Transient Erythema (Redness)

    Severity of erythematotelangiectatic signs include redness (non-transient erythema), telangiectasia, facial edema, and dry skin.

    Measured: 2, 6, 12, 18 weeks

  9. Severity of Erythematotelangiectatic Signs: Telangiectasia

    Severity of erythematotelangiectatic signs include redness (non-transient erythema), telangiectasia, facial edema, and dry skin.

    Measured: 2, 6, 12, 18 weeks

  10. Severity of Erythematotelangiectatic Signs: Facial Edema

    Severity of erythematotelangiectatic signs include redness (non-transient erythema), telangiectasia, facial edema, and dry skin.

    Measured: 2, 6, 12, 18 weeks

  11. Severity of Erythematotelangiectatic Signs: Dryness/Irritation

    Severity of erythematotelangiectatic signs include redness (non-transient erythema), telangiectasia, facial edema, and dry skin.

    Measured: 2, 6, 12, 18 weeks

  12. Severity of Erythematotelangiectatic Rosacea Symptoms: Self-Reported Presence of Flushing

    Evaluation of erythematotelangiectatic rosacea symptoms includes subject reporting of flushing, burning, stinging, topical product intolerance

    Measured: 2, 6, 12, 18 weeks

  13. Severity of Erythematotelangiectatic Rosacea Symptoms: Self-Reported Facial Burning

    Evaluation of erythematotelangiectatic rosacea symptoms includes subject reporting of flushing, burning, stinging, topical product intolerance

    Measured: 2, 6, 12, 18 weeks

  14. Severity of Erythematotelangiectatic Rosacea Symptoms: Self-Reported Facial Stinging

    Evaluation of erythematotelangiectatic rosacea symptoms includes subject reporting of flushing, burning, stinging, topical product intolerance

    Measured: 2, 6, 12, 18 weeks

  15. Severity of Erythematotelangiectatic Rosacea Symptoms: Self-Reported Product Assessment

    Evaluation of erythematotelangiectatic rosacea symptoms includes subject reporting of flushing, burning, stinging, topical product intolerance

    Measured: 2, 6, 12, 18 weeks

  16. Skin Irritation Assessed by Facial Stinging Upon Product Application

    Measured: 2, 6, 12, 18 weeks

  17. Skin Irritation Assessed by Facial Itching Upon Product Application

    Measured: 2, 6, 12, 18 weeks

  18. Skin Irritation Assessed by Facial Burning Upon Product Application

    Measured: 2, 6, 12, 18 weeks

Timeline

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

  1. First posted19 May 2010 (estimated)
  2. Study startMay 2010
  3. Primary completionJan 2013
  4. Study completionJan 2013

Why it stopped: Due to slow recruitment and sponsor request study ended early

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01125930
Sponsor's protocol ID
Derm 616
Status last verified
Jul 2014
First submitted
13 May 2010
Last updated
16 Jul 2014
Data monitoring committee
No

Publications

  • Pelle MT, Crawford GH, James WD. Rosacea: II. Therapy. J Am Acad Dermatol. 2004 Oct;51(4):499-512; quiz 513-4. doi: 10.1016/j.jaad.2004.03.033.

    PubMed 15389184
  • Ertl GA, Levine N, Kligman AM. A comparison of the efficacy of topical tretinoin and low-dose oral isotretinoin in rosacea. Arch Dermatol. 1994 Mar;130(3):319-24.

    PubMed 8129410
  • Vienne MP, Ochando N, Borrel MT, Gall Y, Lauze C, Dupuy P. Retinaldehyde alleviates rosacea. Dermatology. 1999;199 Suppl 1:53-6. doi: 10.1159/000051380.

    PubMed 10473962

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Atralin gel in people with Rosacea, run by Lisa E. Maier at 1 site in United States.

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 4 inclusion and 21 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: stopped early, as of the sponsor's last update on 16 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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 16 Jul 2014). 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?

Severity of Erythematotelangiectatic Rosacea Signs: Redness (Non Transient Erythema) (time frame: 24 weeks). The study lists 8 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 NCT01125930, which also lists 3 linked publications.

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 16 Jul 2014.

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