A Phase 3 Randomized, Double Blind, 12 Week Vehicle Controlled, Parallel Group Study Assessing the Efficacy and Safety of CD5024 1 % Cream Versus Vehicle Cream in Subjects With Papulopustular Rosacea, Followed by a 40 Week Investigator Blinded Extension Comparing the Long Term Safety of CD5024 1% Cream Versus Azelaic Acid 15 % Gel.
| Registry | NCT01493687 |
| Status | Completed |
| Phase | Phase 3 |
| Study type | Interventional; randomized, parallel, masking: triple, treatment |
| Enrollment | 683 (Actual) |
| Sponsor | Galderma R&D (Industry) |
| Conditions | Papulopustular Rosacea (PPR) |
| Interventions | CD5024, Azelaic acid 15% Gel (Drug) |
| Dates | start 2011-12-01, primary completion 2013-07-01, completion 2013-08-01, first posted 2011-12-16, last updated 2021-02-18 |
| Locations | 50 sites in United States, Canada |
Related Papers Related Patents Related Grants Related Experts
All trials for Papulopustular Rosacea (PPR) All trials of CD5024 All trials of Azelaic acid 15% Gel
-Summary
The purpose of this study is to demonstrate that CD5024 1% cream is more effective than its vehicle when applied once daily, at bed time, during a 12 week period in subjects with Papulopustular Rosacea (PPR) and continues to be safe up to 12 months.
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+Arms and interventions
| Arm | Type | Interventions | Description |
|---|
| CD5024 | Experimental | Drug: CD5024 | CD5024 1% Cream |
| CD5024 Vehicle | Placebo comparator | Drug: Azelaic acid 15% Gel | CD5024 Vehicle Cream |
- CD5024 (Drug): CD5024 1% Cream, once daily
- Azelaic acid 15% Gel (Drug): Topical Gel applied twice daily
+Outcome measures
Primary outcomes
- Success Rate [Week 12]: Percentage of subjects who achieve "Clear" (Score 0) or "Almost Clear" (Score 1) at Week 12 (ITT-LOCF) based on the Investigator Global Assessment (IGA) Score.
Evaluation of papulopustular rosacea will be performed by the investigator based on the following 5 point scale:
Clear = 0 (No inflammatory lesions present, no erythema); Almost Clear = 1 (Very few small papules/pustules, very mild erythema present); Mild = 2 (Few small papules/pustules, mild erythema); Moderate = 3 (Several small or large papules/pustules, moderate erythema); Severe = 4 (Numerous small and/or large papules/pustules, severe erythema)
- Absolute Change in Inflammatory Lesion Count [Baseline to Week 12]: Inflammatory lesion counts were conducted at each visit by the Investigator or study coordinator. Papules and pustules were counted separately on each of the five facial regions (forehead, chin, nose, right cheek, left cheek).
Secondary outcomes
- Percent Change in Inflammatory Lesion Count From Baseline to Week 12 (ITT-LOCF) [Baseline to Week 12]: Inflammatory lesion counts were conducted at each visit by the Investigator or study coordinator. Papules and pustules were counted separately on each of the five facial regions (forehead, chin, nose, right cheek, left cheek).
+Eligibility
Sex: All, ages: 18 Years to any
Inclusion Criteria:
1. The subject has papulopustular rosacea with an Investigator Global Assessment (IGA) score rated 3 (moderate) or 4 (severe),
2. The subject has at least 15 but not more than 70 inflammatory lesions (papules and pustules) on the face.
Exclusion Criteria:
1. The subject has particular forms of rosacea (rosacea conglobata, rosacea fulminans, isolated rhinophyma, isolated pustulosis of the chin) or other facial dermatoses that may be confounded with papulopustular rosacea, such as peri oral dermatitis, facial keratosis pilaris, seborrheic dermatitis, and acne,
2. The subject has rosacea with more than two nodules on the face.
+Posted results
Participant flow
| Milestone | CD5024 1% Cream | CD5024 Vehicle Cream/Azelaic Acid 15% Gel |
|---|
| Started | 451 | 232 |
| Completed | 414 | 210 |
| Not completed | 37 | 22 |
Outcome results
- Success Rate (Primary), Number, Percentage of participants: CD5024 1% Cream 38.4; CD5024 Vehicle Cream 11.6 (p <0.001)
- Absolute Change in Inflammatory Lesion Count (Primary), Mean, Lesion count change: CD5024 1% Cream -20.5 +/- 15.95; CD5024 Vehicle Cream -12.0 +/- 13.55 (p <0.001)
- Percent Change in Inflammatory Lesion Count From Baseline to Week 12 (ITT-LOCF) (Secondary), Mean, Percentage of change in lesion counts: CD5024 1% Cream -64.9 +/- 39.91; CD5024 Vehicle Cream -41.6 +/- 38.83 (p <0.001)
Adverse events
Time frame: Time of signed informed consent to study end (~ 58 wks). Treatment emergent adverse events - occurred on date of 1st use of medication or after, except those reported from Day 1 lab data as blood sample was to be drawn before the time of 1st dose.
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|
| CD5024 1% Cream - Part A | 0 | 3/452 (0.7%) | 30/452 (6.6%) |
| CD5024 Vehicle Cream - Part A | 0 | 1/231 (0.4%) | 10/231 (4.3%) |
| CD5024 1% Cream - Part B | 0 | 7/412 (1.7%) | 93/412 (22.6%) |
| Azelaic Acid 15% Gel - Part B | 0 | 8/210 (3.8%) | 47/210 (22.4%) |
| CD5024 1% Cream - Part C | 0 | 0/350 (0.0%) | 4/350 (1.1%) |
| CD5024 Vehicle Cream/Azelaic Acid 15% Gel - Part C | 0 | 1/175 (0.6%) | 0/175 (0.0%) |
| CD5024 1% Cream - Overall | 0 | 10/452 (2.2%) | 110/452 (24.3%) |
| CD5024 Vehicle Cream/Azelaic Acid 15% Gel - Overall | 0 | 9/232 (3.9%) | 52/232 (22.4%) |
Serious adverse events by term
| Term | Organ system | CD5024 1% Cream - Part A | CD5024 Vehicle Cream - Part A | CD5024 1% Cream - Part B | Azelaic Acid 15% Gel - Part B | CD5024 1% Cream - Part C | CD5024 Vehicle Cream/Azelaic Acid 15% Gel - Part C | CD5024 1% Cream - Overall | CD5024 Vehicle Cream/Azelaic Acid 15% Gel - Overall |
|---|
| Cholelithiasis | Hepatobiliary disorders | 0/452 | 0/231 | 1/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Cholecystitis | Hepatobiliary disorders | 1/452 | 0/231 | 0/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Transitional cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/452 | 0/231 | 1/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/452 | 0/231 | 1/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Squamous cell carcinoma of skin | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/452 | 0/231 | 1/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Pancreatic carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/452 | 0/231 | 0/412 | 0/210 | 0/350 | 1/175 | 0/452 | 1/232 |
| Uterine leiomyoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/452 | 0/231 | 0/412 | 1/210 | 0/350 | 0/175 | 0/452 | 1/232 |
| Colon cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/452 | 0/231 | 0/412 | 1/210 | 0/350 | 0/175 | 0/452 | 1/232 |
| Coronary artery disease | Cardiac disorders | 0/452 | 0/231 | 1/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Acute myocardial infarction | Cardiac disorders | 0/452 | 0/231 | 1/412 | 1/210 | 0/350 | 0/175 | 1/452 | 1/232 |
| Atrioventricular block complete | Cardiac disorders | 0/452 | 0/231 | 1/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Atrial fibrillation | Cardiac disorders | 0/452 | 0/231 | 0/412 | 2/210 | 0/350 | 0/175 | 0/452 | 2/232 |
| Oesophageal ulcer perforation | Gastrointestinal disorders | 0/452 | 0/231 | 1/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Ascites | Gastrointestinal disorders | 0/452 | 0/231 | 0/412 | 0/210 | 0/350 | 1/175 | 0/452 | 1/232 |
| Gastroenteritis viral | Infections and infestations | 0/452 | 0/231 | 1/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Lobar pneumonia | Infections and infestations | 0/452 | 0/231 | 0/412 | 1/210 | 0/350 | 0/175 | 0/452 | 1/232 |
| Transient ischaemic attack | Nervous system disorders | 0/452 | 0/231 | 1/412 | 2/210 | 0/350 | 0/175 | 1/452 | 2/232 |
| Intra-uterine death | Pregnancy, puerperium and perinatal conditions | 1/452 | 0/231 | 0/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Nephrolithiasis | Renal and urinary disorders | 0/452 | 0/231 | 1/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Renal failure acute | Renal and urinary disorders | 0/452 | 0/231 | 0/412 | 2/210 | 0/350 | 0/175 | 0/452 | 2/232 |
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | 1/452 | 0/231 | 0/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Femoral arterial stenosis | Vascular disorders | 0/452 | 0/231 | 1/412 | 0/210 | 0/350 | 0/175 | 1/452 | 0/232 |
| Shock | Vascular disorders | 0/452 | 0/231 | 0/412 | 1/210 | 0/350 | 0/175 | 0/452 | 1/232 |
| Hypotension | Vascular disorders | 0/452 | 1/231 | 0/412 | 0/210 | 0/350 | 0/175 | 0/452 | 1/232 |
| Haemorrhagic anaemia | Vascular disorders | 0/452 | 1/231 | 0/412 | 0/210 | 0/350 | 0/175 | 0/452 | 1/232 |
| Femoral neck fracture | Injury, poisoning and procedural complications | 0/452 | 0/231 | 0/412 | 1/210 | 0/350 | 0/175 | 0/452 | 1/232 |
| Cardiogenic shock | Cardiac disorders | 0/452 | 0/231 | 0/412 | 1/210 | 0/350 | 0/175 | 0/452 | 1/232 |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | 0/452 | 0/231 | 0/412 | 1/210 | 0/350 | 0/175 | 0/452 | 1/232 |
Other adverse events by term
| Term | Organ system | CD5024 1% Cream - Part A | CD5024 Vehicle Cream - Part A | CD5024 1% Cream - Part B | Azelaic Acid 15% Gel - Part B | CD5024 1% Cream - Part C | CD5024 Vehicle Cream/Azelaic Acid 15% Gel - Part C | CD5024 1% Cream - Overall | CD5024 Vehicle Cream/Azelaic Acid 15% Gel - Overall |
|---|
| Nasopharyngitis | Infections and infestations | 12/452 | 6/231 | 54/412 | 31/210 | 1/350 | 0/175 | 63/452 | 34/232 |
| Upper respiratory tract infection | Infections and infestations | 6/452 | 2/231 | 31/412 | 14/210 | 2/350 | 0/175 | 37/452 | 16/232 |
| Headache | Nervous system disorders | 13/452 | 4/231 | 17/412 | 8/210 | 1/350 | 0/175 | 26/452 | 10/232 |
+Locations (50)
| Facility | City | Country | Status |
|---|
| UAB Dermatology Clinical Research | Birmingham, Alabama | United States | |
| Northwest AR Clinical Trials Center | Rogers, Arkansas | United States | |
| Dermatology Research Associates | Los Angeles, California | United States | |
| University Clinical Trials | San Diego, California | United States | |
| Research Across America | Santa Ana, California | United States | |
| Cherry Creek Research, Inc. | Denver, Colorado | United States | |
| The Center for Clinical & Cosmetic Research | Aventura, Florida | United States | |
| The Dermatology and Aesthetic Center | Boca Raton, Florida | United States | |
| North Florida Dermatology Associates | Jacksonville, Florida | United States | |
| FXM Research Miramar | Miramar, Florida | United States | |
| MedaPhase, Inc. | Newnan, Georgia | United States | |
| Laser & Skin Surgery Center of Indiana | Carmel, Indiana | United States | |
| The Indiana Clinical Trials Center | Plainfield, Indiana | United States | |
| The South Bend Clinic, LLP | South Bend, Indiana | United States | |
| Derm Research, PLLC | Louisville, Kentucky | United States | |
| Lawrence Green, MD, LLC | Rockville, Maryland | United States | |
| Henry Ford Health Systems Department of Dermatology | Detroit, Michigan | United States | |
| Grekin Skin Institute | Warren, Michigan | United States | |
| Central Dermatology PC | St Louis, Missouri | United States | |
| Skin Specialists, PC | Omaha, Nebraska | United States | |
| Anderson & Collins Clinical Research, | Edison, New Jersey | United States | |
| PMG Research of Charlotte | Charlotte, North Carolina | United States | |
| Wake Research Associates | Raleigh, North Carolina | United States | |
| Department of Dermatology - Wake Forest University Health Sciences | Winston-Salem, North Carolina | United States | |
| Dermatology Research Center of Cincinnati | Cincinnati, Ohio | United States | |
| Haber Dermatology Clinical Research Center | South Euclid, Ohio | United States | |
| Central Sooner Research | Norman, Oklahoma | United States | |
| Baker Allergy, Asthma and Dermatology Research Center | Lake Oswego, Oregon | United States | |
| PMG Research of Charleston | Mt. Pleasant, South Carolina | United States | |
| Palmetto Clinical Trial Services, LLC | Simpsonville, South Carolina | United States | |
| TriCities Skin and Cancer | Johnson City, Tennessee | United States | |
| Dermatology Associates of Kingsport, PC | Kingsport, Tennessee | United States | |
| DermResearch, Inc. | Austin, Texas | United States | |
| Modern Research Associates | Dallas, Texas | United States | |
| Center for Clinical Studies | Houston, Texas | United States | |
| Progressive Clinical Research | San Antonio, Texas | United States | |
| Dermatology Research Center, Inc. | Salt Lake City, Utah | United States | |
| The Education & Research Foundation, Inc. | Lynchburg, Virginia | United States | |
| PLLC dba Dermatology Associates | Seattle, Washington | United States | |
| The Polyclinic | Seattle, Washington | United States | |
| Stratica Medical Inc | Edmonton, Alberta | Canada | |
| Derm Research@888 Inc. | Vancouver, British Columbia | Canada | |
| Dermadvances Research | Winnepeg, Manitoba | Canada | |
| Nexus Clinical Research | St. John's, Newfoundland and Labrador | Canada | |
| Eastern Canada Cutaneous Research Associates | Halifax, Nova Scotia | Canada | |
| Skin Centre for Dermatology | Peterborough, Ontario | Canada | |
| Toronto Research Centre, Inc. | Toronto, Ontario | Canada | |
| Windsor Clinical Research, Inc. | Windsor, Ontario | Canada | |
| Innovaderm Research. Inc | Montreal, Quebec | Canada | |
| Siena Medical | Montreal, Quebec | Canada | |
+Investigators