AzTrials
AzTrials

Acne VulgarisPhase 3NCT02005666

To Compare the Efficacy and Safety of Clindamycin Phosphate 1.2% / Benzoyl Peroxide 5% Gel of CHL Versus DUAC® Gel

A Phase 3 study testing Clindamycin Phosphate 1.2% / Benzoyl Peroxide 5% Gel and DUAC® Gel in people with Acne Vulgaris, run by Zydus Lifesciences Limited at 36 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

This is an Randomized, Double-blind, Multicentric, Parallel-group, Active and Placebo Controlled, Three Arm Clinical Study. The main objective is to evaluate bioequivalence of Test formulation (Clindamycin Phosphate 1.2%/Benzoyl peroxide 5% gel) of Cadila Healthcare with Reference formulation (DUAC® Gel of Stiefel… Read more about this study

Who is it for?
Ages 12 to 40 years
Conditions the study is for
Acne Vulgaris
What is being tested?
Clindamycin Phosphate 1.2% / Benzoyl Peroxide 5% Gel and DUAC® Gel
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
850 participants
Where
36 sitesin 2 countries
Study dates
Nov 2013to 28 Sep 2016
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 40 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Healthy male or non pregnant female aged ≥ 12 and ≤ 40 years with a clinical diagnosis of Acne vulgaris
  • On the face, ≥ 25 non-inflammatory lesions (i.e., open and closed comedones) AND ≥ 20 inflammatory lesions (i.e., papules and pustules) AND ≤ 2 nodulocystic lesions (i.e., nodules and cysts).
  • Investigator's Global Assessment (IGA) of acne severity grade 2, 3 OR 4
  • Willing to refrain from use of all other topical acne medications or antibiotics during the 11 week treatment period.
  • If female of childbearing potential, willing to use an acceptable form of birth control during the study.
  • Have used the same brand of make-up for a minimum period of 2 weeks prior to randomization, for subjects who use make-up, and agree to not change make-up brands or types during the study.
  • Willing to provide written informed consent or assent (HIPAA consent/authorization, as applicable)

Who cannot join

  • Presence of any skin condition that would interfere with the diagnosis or assessment of acne vulgaris (e.g., on the face: rosacea, dermatitis, psoriasis, squamous cell carcinoma, eczema, acneform eruptions caused by medications, steroid acne, steroid folliculitis, or bacterial folliculitis).
  • Patients who have acne conglobata, acne fulminans and secondary acne (e.g.: chloracne and drug induced acne).
  • Excessive facial hair (e.g. beards, sideburns, moustaches, etc.) that would interfere with diagnosis or assessment of acne vulgaris. Well trimmed moustaches are allowed.
  • History of hypersensitivity or allergy to benzoyl peroxide or clindamycin and/or any of the study medication ingredients.
  • Patients who have a severe or intense irritation on the Face.
  • Use within 6 months prior to baseline (Randomization) of oral retinoids (e.g. Accutane®) or therapeutic vitamin A supplements of greater than 10,000 units/day (multivitamins are allowed).
Show all 23Show fewer
  • Use for less than 3 months prior to baseline (Randomization) of estrogens or oral contraceptives; use of such therapy is allowed if it will remain constant throughout the study.
  • Use on the face within 1 month prior to baseline (Randomization) or during the study of: 1) cryodestruction or chemodestruction, 2) dermabrasion, 3) photodynamic therapy, 4) acne surgery, 5) intralesional steroids, or 6) x-ray therapy.
  • Use within 1 month prior to baseline (Randomization) of: 1) spironolactone, 2) systemic steroids, 3) systemic antibiotics, 4) systemic treatment for acne vulgaris (other than oral retinoids, which require a 6-month washout), or 5) systemic anti-inflammatory agents.
  • Use within 2 weeks prior to baseline (Randomization) of: 1) topical steroids, 2) topical retinoids, 3) topical acne treatments including over-the-counter preparations, 4) topical anti-inflammatory agents, 5) medicated cleansers or 6) topical antibiotics.
  • Patients who have had general anesthesia for any reason and patients who have received neuromuscular blocking agents within 14 days prior to study entry (Randomization).
  • Concomitant use of facial product containing glycolic or other acids, masks, washes or soaps containing benzoyl peroxide or salicylic acid, non mild cleansers or moisturizers containing retinol, salicylic or α- or β-hydroxy acids.
  • Concomitant use of mega-doses of certain vitamins (such as vitamin D and vitamin B12), haloperidol, halogens such as iodide and bromide, lithium, hydantoin and phenobarbital.
  • Facial procedures (chemical or laser peel, microdermabrasion, etc.) within the past 2 weeks or during the study.
  • Concomitant use of tanning booths or sunbathing.
  • A significant medical history of or are currently immunocompromised
  • Have any systemic or dermatologic disease that may affect the evaluation of study results.
  • Have a history of regional enteritis, ulcerative colitis, pseudomembranous colitis or antibiotic-associated colitis.
  • Subjects with clinically significant unstable medical disorders, life-threatening disease, or current malignancies.
  • Subjects who engage in activities that involve excessive or prolonged exposure to sunlight.
  • Subjects with History of Alcohol abuse or other drugs of abuse within 2 years prior to Randomization.
  • Female subjects who are breast-feeding or planning to become pregnant.
  • Subjects who have been treated with an investigational drug or investigational device within a period of 30 days prior to study enrollment.

Trial locations and contacts

36 sites in 2 countries.

36 sites in 2 countries

India24 sites
  • NHL Medical College and VS Hospital

    Ahmedabad, Gujarat, 380006

  • AMC-MET Medical College, Sheth LG General Hospital,

    Ahmedabad, Gujarat, 380008

  • Sanjeevani Hospital,

    Ahmedabad, Gujarat, 380015

  • Dept of Dermatology, Leprosy and STI, Civil Hospital and BJ Medical College,

    Ahmedabad, Gujarat, 380016

  • Dept of Dermatology, Bhagawan Mahaveer Jain Hospital Millers Road,Vasanthnagar -

    Bangalore, Karnataka, 560 052

  • Dept of Dermatology, Kempegowda Institute of Medical Sciences

    Bangalore, Karnataka, 560004

  • Sapthagiri Hospital,

    Bangalore, Karnataka, 560073

  • Postgraduate Institute of Medical Education & Research (PGIMER)

    Chandigarh, Punjab, 160012

  • Ganga Ram Hospital,

    Delhi, 110 060

  • Osmania General Hospital

    Hyderabad, Andhra Pradesh, 500012

  • Gandhi Hospital,

    Hyderabad, Andhra Pradesh, 500048

  • Institute of Post graduate medical and Research

    Kolkata, West Bengal, 700020

  • M.V. Hospital and research Center

    Lucknow, Uttar Pradesh, 226003

  • Dept of Dermatology, BYL Nair Hospital and TN medical college, Dr ALNair Road, Mumbai Central,

    Mumbai, Gujarat, 400 008

  • Dept of Skin & STD, JSS Hospital Ramanuja Road, -

    Mysore, Karnataka, 570004

  • Government Medical Collge

    Nagpur, Maharashtra, 440003

  • NKP Salve Institute of Medical Siences and Lata Mangeshkar Hospital,

    Nagpur, Maharashtra, 440019

  • Dr. D Y Patil Hospital and Research Center

    Navi Mumbai, Maharashtra, 400706

  • Maulana Azad Medical College

    New Delhi, National Capital Territory of Delhi, 110002

  • Jehangir Clinical Development Center

    Pune, Maharashtra, 411001

  • Medipoint Hosp

    Pune, Maharashtra, 411007.

  • Department of Dermatology, New Civil Hospital and Government Medical College

    Surat, Gujarat, 395001

  • Baroda Medical College

    Vadodara, Gujarat, 390001

  • King George Hospital

    Visakhapatnam, Andrapradesh, 530002

Other trials in India

United States12 sites
  • Academic Dermatology Associates

    Albuquerque, New Mexico, 87106

  • Visions Clinical Research

    Boynton Beach, Florida, 33472

  • Discover Research

    Bryan, Texas, 77802

  • Dermatology Research Instititue

    Coral Gables, Florida, 33146

  • Universal BioPharma Research

    Dinuba, California, 93618

  • Minnesota Clinical Study Center

    Fridley, Minnesota, 55432

  • Dermatology Specialists

    Louisville, Kentucky, 40202

  • International Dermatology Research, Inc.

    Miami, Florida, 33144

  • Skin Specialists, PC

    Omaha, Nebraska, 68144

  • The Indiana Clinical Trials Center

    Plainfield, Indiana, 46168

  • Research Across America

    Santa Ana, California, 92705

  • Yardley Dermatology Associates

    Yardley, Pennsylvania, 19067

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Multicentric, Parallel-group, Active and Placebo Controlled, Three Arm Clinical Study to Compare the Efficacy and Safety of Clindamycin Phosphate 1.2% / Benzoyl Peroxide 5% Gel (of Cadila Healthcare Limited, India) Versus DUAC® Gel (of Stiefel Laboratories, USA) Versus Placebo (Vehicle Gel) in the Ratio of 2:2:1 Respectively, in Patients With Acne Vulgaris

This is an Randomized, Double-blind, Multicentric, Parallel-group, Active and Placebo Controlled, Three Arm Clinical Study.

The main objective is to evaluate bioequivalence of Test formulation (Clindamycin Phosphate 1.2%/Benzoyl peroxide 5% gel) of Cadila Healthcare with Reference formulation (DUAC® Gel of Stiefel Laboratories)in the ratio of 2:2:1 of Test drug, Reference drug and Placebo respectively.

Total study duration will be for a period of 78 days which includes treatment duration of 77 days.

850 subjects will be enrolled (randomized)as per the inclusion and exclusion criteria mentioned in the protocol.

Conditions
Acne Vulgaris
Being tested
Clindamycin Phosphate 1.2% / Benzoyl Peroxide 5% Gel, DUAC® Gel, Placebo
Keywords
Acne Vulgaris, DUAC, CADILA, CLIANTHA
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 Phosphate 1.2% / Benzoyl Peroxide 5% GelDrug

    Also called 1.2% Clindamycin Phosphate/ 5% Benzoyl Peroxide Gel of CHL

    Drug:-1.2% Clindamycin Phosphate/ 5% Benzoyl Peroxide Gel of Cadila healthcare limited Dosage Form:-Gel Dosage:-Thin Layer/Pea sized Frequency:-Once a day ,every evening Duration:-77 consecutive days

  • DUAC® GelDrug

    Also called DUAC® Gel (of Stiefel Laboratories

    Drug:-DUAC® Gel Dosage Form:-Gel Dosage:-Thin Layer/Pea sized Frequency:-Once a day ,every evening Duration:-77 consecutive days

  • PlaceboDrug

    Also called Placebo (Vehicle Gel)

    Drug:-Placebo, Dosage Form:-Gel Dosage:-Thin Layer/Pea sized Frequency:-Once a day ,every evening Duration:-77 consecutive days

Study groups in NCT02005666
Study groupRoleWhat they receive
Test-Cadila healthcare limitedExperimentalDrug:-Clindamycin Phosphate 1.2% / Benzoyl Peroxide 5% Gel Dosage Form:-Gel Dosage:-Thin Layer/Pea sized Frequency:-Once a day ,every evening Duration:-77 consecutive days
Receives: Drug: Clindamycin Phosphate 1.2% / Benzoyl Peroxide 5% Gel
ReferenceActive comparatorDrug:-DUAC® Gel (of Stiefel Laboratories, USA) Dosage Form:-Gel Dosage:-Thin Layer/Pea sized Frequency:-Once a day ,every evening Duration:-77 consecutive days
Receives: Drug: DUAC® Gel
PlaceboPlacebo comparatorDrug:-Placebo (Vehicle Gel) Dosage Form:-Gel Dosage:-Thin Layer/Pea sized Frequency:-Once a day ,every evening Duration:-77 consecutive days
Receives: Drug: Placebo

What is being measured

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

  1. Mean Percent Change From Baseline to Week 11 (Study Day 77) for Inflammatory (Papules and Pustules) Lesions.

    Mean percent change from baseline to week 11 (study Day 77) for inflammatory (papules and pustules) lesions in PP populations. The primary endpoint of the study is mean percent change from baseline to week 11 (study Day 77) in the inflammatory (papules and pustules) lesion count.

    Papule was Inflammatory lesion; small (< 5mm in diameter), solid palpable lesion, usually with inflamed elevation of the skin that does not contain pus. Pustule was Inflammatory lesion; small (< 5mm in diameter), inflamed skin swelling that is filled with pus. The test product was judged therapeutically equivalent to the reference product in the reduction of inflammatory lesions if the 90% confidence interval was contained within the interval (0.80, 1.25)

    Measured: week 11

Secondary outcomes (2)
  1. Mean Percent Change From Baseline to Week 11 in the Non-inflammatory Lesion Count

    Mean percent change from baseline to week 11 in the non-inflammatory lesion count. The mean percent change from baseline to week 11 in the non-inflammatory (open and closed comedones) lesion count in per protocol population . The analysis was same as the analysis performed for the mean percent reduction from baseline to Day 77 in the number of inflammatory lesion count.

    Closed Comedone was Non-inflammatory lesion; whitehead, skin-colored or slightly inflamed "bump" in the skin. Open Comedone was Non-inflammatory lesion; blackhead, surface of the plugged sebaceous follicle has a blackish appearance. The test product was judged therapeutically equivalent to the reference product in the reduction of Non inflammatory lesions if the 90% confidence interval was contained within the interval (0.80, 1.25)

    Measured: week 11

  2. Proportion of Subjects With a Clinical Response of "Success" at Week 11

    Success was defined as an Investigator Global Assessment (IGA) score that is at least 2 grades less than the baseline assessment.

    Percentage of subjects with at least 2 grades improvement in IGA scoring from baseline to week 11 for test, reference and placebo in Per protocol population.

    IGA is evaluated in the range of 0 to 4. Grade 0=Clear skin with no inflammatory or non-inflammatory lesions;Grade 1=Almost clear;rare non-inflammatory lesions with no more than one small inflammatory lesion; Grade 2 = Mild severity; greater than grade 1;some non-inflammatory lesions with no more than a few inflammatory lesions (papules/pustules only, no nodular lesions);Grade 3 = Moderate severity; greater than Grade 2; up to many non-inflammatory lesions and may have some inflammatory lesions, but no more than one small nodular lesion;Grade 4= Severe; greater than Grade 3;up to many non-inflammatory lesions and may have some inflammatory lesions,but no more than a few nodular lesions

    Measured: Week 11

Timeline

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

  1. First posted9 Dec 2013 (estimated)
  2. Study startNov 2013
  3. Primary completion28 Sep 2016
  4. Study completion28 Sep 2016

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
850 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02005666
Sponsor's protocol ID
CRL/CT/09/11-12
Status last verified
Feb 2017
First submitted
28 Nov 2013
Last updated
14 Oct 2020
Data monitoring committee
Yes

Publications

  • Eller MG, Smith RB, Phillips JP. Absorption kinetics of topical clindamycin preparations. Biopharm Drug Dispos. 1989 Sep-Oct;10(5):505-12. doi: 10.1002/bdd.2510100508.

    PubMed 2804254
  • Zouboulis CC, Fischer TC, Wohlrab J, Barnard J, Alio AB. Study of the efficacy, tolerability, and safety of 2 fixed-dose combination gels in the management of acne vulgaris. Cutis. 2009 Oct;84(4):223-9.

    PubMed 19911678

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Clindamycin Phosphate 1.2% / Benzoyl Peroxide 5% Gel and DUAC® Gel in people with Acne Vulgaris, run by Zydus Lifesciences Limited at 36 sites in 2 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 7 inclusion and 23 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 14 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in India, 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 14 Sep 2020). 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?

Mean Percent Change From Baseline to Week 11 (Study Day 77) for Inflammatory (Papules and Pustules) Lesions. (time frame: week 11). 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 NCT02005666, which also lists 2 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 14 Oct 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in