A Multi-Center, Double-Blind, Randomized, Vehicle-Controlled, Dose-Range Study of DER 45 EV Gel, 1% and 5%, and Vehicle Gel in the Treatment of Rosacea
| Registry | NCT00940992, acronym SGTDER45EV |
| Status | Completed |
| Phase | Phase 2 |
| Study type | Interventional; randomized, parallel, masking: triple, treatment |
| Enrollment | 92 (Actual) |
| Sponsor | Sol-Gel Technologies, Ltd. (Industry) |
| Conditions | Rosacea |
| Interventions | DER 45 EV, Vehicle (Drug) |
| Dates | start 2012-01-01, primary completion 2012-09-01, completion 2013-01-01, first posted 2009-07-17, last updated 2015-01-09 |
| Locations | 10 sites in United States |
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-Summary
To identify lowest efficacious dose of DER 45 EV Gel, 1% and 5% verses vehicle in patients with rosacea.
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+Arms and interventions
| Arm | Type | Interventions | Description |
|---|
| DER 45 EV Gel, 1% | Experimental | Drug: DER 45 EV | DER 45 EV Gel, 1% topically applied once daily to face for 12 weeks |
| Vehicle | Placebo comparator | Drug: Vehicle | Placebo Gel applied topically once a day for 12 weeks |
| DER 45 EV Gel, 5% | Experimental | Drug: DER 45 EV | DER 45 EV Gel, 5% applied topically once a day for 12 weeks |
- DER 45 EV (Drug): Topical application to face for 12 weeks
- Vehicle (Drug): Topical application to face for 12 weeks
+Outcome measures
Primary outcomes
- Investigator Global Assessment (IGA) Improvement From Baseline [Baseline to Week 12 / end of treatment]: The proportions of subjects with the primary measure of success at week 12 /end of study ,defined as a 2-grade improvement in the IGA (Investigator Global Assessment) relative to Baseline. The Investigator Global Assessment grades are: Grade 0 (Clear), Grade 1 (Almost Clear), Grade 2 (Mild), Grade 3 (Moderate) and Grade 4 (Severe).
- Change in Inflammatory Lesion Counts From Baseline [Baseline to Week 12 / end of treatment]: The LS mean changes from Baseline in inflammatory lesion count at Week 12.
+Eligibility
Sex: All, ages: 18 Years to any
Inclusion Criteria:
* Males and females, 18 years of age or older
* Facial rosacea, with 12 or more inflammatory lesions (with no more than 2 nodules)
* Mild, Moderate or Severe (2, 3 or 4) rating of rosacea on the IGA
* Females of child-bearing potential must have negative urine pregnancy test result at baseline and must be willing to use an effective form of contraception throughout the study
Exclusion Criteria:
* Subjects who are pregnant, breast feeding, or planning a pregnancy during the study
* Allergy or sensitivity to ingredients in test product
* Any dermatological conditions of the face that may interfere with study evaluations
* Subjects unable to avoid or minimize exposure to factors that may exacerbate or trigger rosacea
+Posted results
Participant flow
| Milestone | DER 45 EV Gel, 1% | Vehicle | DER 45 EV Gel, 5% |
|---|
| Started | 32 | 30 | 30 |
| Completed | 28 | 28 | 28 |
| Not completed | 4 | 2 | 2 |
Outcome results
- Investigator Global Assessment (IGA) Improvement From Baseline (Primary), Number, percentage of subjects: DER 45 EV Gel, 1% 37.5; Vehicle 20.0; DER 45 EV Gel, 5% 53.3
- Change in Inflammatory Lesion Counts From Baseline (Primary), Least squares mean, Inflammatory lesions: DER 45 EV Gel, 1% -21.5 (-27.5 to -15.4); Vehicle -8.8 (-15.1 to -2.5); DER 45 EV Gel, 5% -14.7 (-21.0 to -8.4)
Adverse events
Time frame: 12 weeks
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|
| DER 45 EV Gel, 1% | 0 | 0/32 (0.0%) | 7/32 (21.9%) |
| Vehicle | 0 | 0/30 (0.0%) | 11/30 (36.7%) |
| DER 45 EV Gel, 5% | 0 | 0/30 (0.0%) | 7/30 (23.3%) |
Other adverse events by term
| Term | Organ system | DER 45 EV Gel, 1% | Vehicle | DER 45 EV Gel, 5% |
|---|
| Application site dermatitis | General disorders | 1/32 | 0/30 | 0/30 |
| Application site erythema | General disorders | 0/32 | 1/30 | 0/30 |
| Application site pain | General disorders | 0/32 | 1/30 | 0/30 |
| Application site pruritus | General disorders | 0/32 | 1/30 | 0/30 |
| Application site reaction | General disorders | 0/32 | 1/30 | 1/30 |
| Diarrhoea | Gastrointestinal disorders | 0/32 | 1/30 | 0/30 |
| Nausea | Gastrointestinal disorders | 1/32 | 0/30 | 0/30 |
| Vomiting | Gastrointestinal disorders | 0/32 | 1/30 | 0/30 |
| Cyst | General disorders | 1/32 | 0/30 | 0/30 |
| Bronchitis | Infections and infestations | 0/32 | 1/30 | 0/30 |
| Cystitis | Infections and infestations | 0/32 | 0/30 | 1/30 |
| Fungal infection | Infections and infestations | 0/32 | 1/30 | 0/30 |
| Gastroenteritis | Infections and infestations | 0/32 | 1/30 | 0/30 |
| Influenza | Infections and infestations | 0/32 | 1/30 | 0/30 |
| Nasopharyngitis | Infections and infestations | 2/32 | 1/30 | 3/30 |
| Post procedural infection | Infections and infestations | 0/32 | 1/30 | 0/30 |
| Sinusitis | Infections and infestations | 0/32 | 1/30 | 0/30 |
| Upper respiratory tract infection | Infections and infestations | 0/32 | 1/30 | 0/30 |
| Muscle strain | Injury, poisoning and procedural complications | 0/32 | 1/30 | 0/30 |
| Type 2 diabetes mellitus | Metabolism and nutrition disorders | 0/32 | 1/30 | 0/30 |
| Back pain | Musculoskeletal and connective tissue disorders | 1/32 | 0/30 | 0/30 |
| Headache | Nervous system disorders | 1/32 | 0/30 | 1/30 |
| Migraine | Nervous system disorders | 1/32 | 0/30 | 0/30 |
| Insomnia | Psychiatric disorders | 0/32 | 1/30 | 0/30 |
| Panic attack | Psychiatric disorders | 1/32 | 0/30 | 0/30 |
| Dysmenorrhoea | Reproductive system and breast disorders | 1/32 | 0/30 | 0/30 |
| Cough | Respiratory, thoracic and mediastinal disorders | 0/32 | 0/30 | 1/30 |
+Locations (10)
| Facility | City | Country | Status |
|---|
| Baumann Cosmetic & Research Institute | Miami, Florida | United States | |
| FXM Research Corp | Miami, Florida | United States | |
| Augusta Centre for Dermatology and Skin | Augusta, Georgia | United States | |
| Minnesota Clinical Study Center | Fridley, Minnesota | United States | |
| Skin Search of Rochester, Inc | Rochester, New York | United States | |
| Tennessee Clinical Research Center | Nashville, Tennessee | United States | |
| DermResearch, Inc | Austin, Texas | United States | |
| J & S Studies, Inc | College Station, Texas | United States | |
| Premier Clinical Research | Spokane, Washington | United States | |
| Madison Skin and Research, Inc | Madison, Wisconsin | United States | |
+Investigators