Phase 3 Papulopustular Rosacea Study

NCT01493687 — Phase 3, Completed, 683 participants, Galderma R&D

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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.

RegistryNCT01493687
StatusCompleted
PhasePhase 3
Study typeInterventional; randomized, parallel, masking: triple, treatment
Enrollment683 (Actual)
SponsorGalderma R&D (Industry)
ConditionsPapulopustular Rosacea (PPR)
InterventionsCD5024, Azelaic acid 15% Gel (Drug)
Datesstart 2011-12-01, primary completion 2013-07-01, completion 2013-08-01, first posted 2011-12-16, last updated 2021-02-18
Locations50 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

ArmTypeInterventionsDescription
CD5024ExperimentalDrug: CD5024CD5024 1% Cream
CD5024 VehiclePlacebo comparatorDrug: Azelaic acid 15% GelCD5024 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

MilestoneCD5024 1% CreamCD5024 Vehicle Cream/Azelaic Acid 15% Gel
Started451232
Completed414210
Not completed3722

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.

ArmDeathsSerious adverse eventsOther adverse events
CD5024 1% Cream - Part A03/452 (0.7%)30/452 (6.6%)
CD5024 Vehicle Cream - Part A01/231 (0.4%)10/231 (4.3%)
CD5024 1% Cream - Part B07/412 (1.7%)93/412 (22.6%)
Azelaic Acid 15% Gel - Part B08/210 (3.8%)47/210 (22.4%)
CD5024 1% Cream - Part C00/350 (0.0%)4/350 (1.1%)
CD5024 Vehicle Cream/Azelaic Acid 15% Gel - Part C01/175 (0.6%)0/175 (0.0%)
CD5024 1% Cream - Overall010/452 (2.2%)110/452 (24.3%)
CD5024 Vehicle Cream/Azelaic Acid 15% Gel - Overall09/232 (3.9%)52/232 (22.4%)

Serious adverse events by term

TermOrgan systemCD5024 1% Cream - Part ACD5024 Vehicle Cream - Part ACD5024 1% Cream - Part BAzelaic Acid 15% Gel - Part BCD5024 1% Cream - Part CCD5024 Vehicle Cream/Azelaic Acid 15% Gel - Part CCD5024 1% Cream - OverallCD5024 Vehicle Cream/Azelaic Acid 15% Gel - Overall
CholelithiasisHepatobiliary disorders0/4520/2311/4120/2100/3500/1751/4520/232
CholecystitisHepatobiliary disorders1/4520/2310/4120/2100/3500/1751/4520/232
Transitional cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/4520/2311/4120/2100/3500/1751/4520/232
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/4520/2311/4120/2100/3500/1751/4520/232
Squamous cell carcinoma of skinNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/4520/2311/4120/2100/3500/1751/4520/232
Pancreatic carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/4520/2310/4120/2100/3501/1750/4521/232
Uterine leiomyomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/4520/2310/4121/2100/3500/1750/4521/232
Colon cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/4520/2310/4121/2100/3500/1750/4521/232
Coronary artery diseaseCardiac disorders0/4520/2311/4120/2100/3500/1751/4520/232
Acute myocardial infarctionCardiac disorders0/4520/2311/4121/2100/3500/1751/4521/232
Atrioventricular block completeCardiac disorders0/4520/2311/4120/2100/3500/1751/4520/232
Atrial fibrillationCardiac disorders0/4520/2310/4122/2100/3500/1750/4522/232
Oesophageal ulcer perforationGastrointestinal disorders0/4520/2311/4120/2100/3500/1751/4520/232
AscitesGastrointestinal disorders0/4520/2310/4120/2100/3501/1750/4521/232
Gastroenteritis viralInfections and infestations0/4520/2311/4120/2100/3500/1751/4520/232
Lobar pneumoniaInfections and infestations0/4520/2310/4121/2100/3500/1750/4521/232
Transient ischaemic attackNervous system disorders0/4520/2311/4122/2100/3500/1751/4522/232
Intra-uterine deathPregnancy, puerperium and perinatal conditions1/4520/2310/4120/2100/3500/1751/4520/232
NephrolithiasisRenal and urinary disorders0/4520/2311/4120/2100/3500/1751/4520/232
Renal failure acuteRenal and urinary disorders0/4520/2310/4122/2100/3500/1750/4522/232
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders1/4520/2310/4120/2100/3500/1751/4520/232
Femoral arterial stenosisVascular disorders0/4520/2311/4120/2100/3500/1751/4520/232
ShockVascular disorders0/4520/2310/4121/2100/3500/1750/4521/232
HypotensionVascular disorders0/4521/2310/4120/2100/3500/1750/4521/232
Haemorrhagic anaemiaVascular disorders0/4521/2310/4120/2100/3500/1750/4521/232
Femoral neck fractureInjury, poisoning and procedural complications0/4520/2310/4121/2100/3500/1750/4521/232
Cardiogenic shockCardiac disorders0/4520/2310/4121/2100/3500/1750/4521/232
Gastrointestinal haemorrhageGastrointestinal disorders0/4520/2310/4121/2100/3500/1750/4521/232

Other adverse events by term

TermOrgan systemCD5024 1% Cream - Part ACD5024 Vehicle Cream - Part ACD5024 1% Cream - Part BAzelaic Acid 15% Gel - Part BCD5024 1% Cream - Part CCD5024 Vehicle Cream/Azelaic Acid 15% Gel - Part CCD5024 1% Cream - OverallCD5024 Vehicle Cream/Azelaic Acid 15% Gel - Overall
NasopharyngitisInfections and infestations12/4526/23154/41231/2101/3500/17563/45234/232
Upper respiratory tract infectionInfections and infestations6/4522/23131/41214/2102/3500/17537/45216/232
HeadacheNervous system disorders13/4524/23117/4128/2101/3500/17526/45210/232

+Locations (50)

FacilityCityCountryStatus
UAB Dermatology Clinical ResearchBirmingham, AlabamaUnited States
Northwest AR Clinical Trials CenterRogers, ArkansasUnited States
Dermatology Research AssociatesLos Angeles, CaliforniaUnited States
University Clinical TrialsSan Diego, CaliforniaUnited States
Research Across AmericaSanta Ana, CaliforniaUnited States
Cherry Creek Research, Inc.Denver, ColoradoUnited States
The Center for Clinical & Cosmetic ResearchAventura, FloridaUnited States
The Dermatology and Aesthetic CenterBoca Raton, FloridaUnited States
North Florida Dermatology AssociatesJacksonville, FloridaUnited States
FXM Research MiramarMiramar, FloridaUnited States
MedaPhase, Inc.Newnan, GeorgiaUnited States
Laser & Skin Surgery Center of IndianaCarmel, IndianaUnited States
The Indiana Clinical Trials CenterPlainfield, IndianaUnited States
The South Bend Clinic, LLPSouth Bend, IndianaUnited States
Derm Research, PLLCLouisville, KentuckyUnited States
Lawrence Green, MD, LLCRockville, MarylandUnited States
Henry Ford Health Systems Department of DermatologyDetroit, MichiganUnited States
Grekin Skin InstituteWarren, MichiganUnited States
Central Dermatology PCSt Louis, MissouriUnited States
Skin Specialists, PCOmaha, NebraskaUnited States
Anderson & Collins Clinical Research,Edison, New JerseyUnited States
PMG Research of CharlotteCharlotte, North CarolinaUnited States
Wake Research AssociatesRaleigh, North CarolinaUnited States
Department of Dermatology - Wake Forest University Health SciencesWinston-Salem, North CarolinaUnited States
Dermatology Research Center of CincinnatiCincinnati, OhioUnited States
Haber Dermatology Clinical Research CenterSouth Euclid, OhioUnited States
Central Sooner ResearchNorman, OklahomaUnited States
Baker Allergy, Asthma and Dermatology Research CenterLake Oswego, OregonUnited States
PMG Research of CharlestonMt. Pleasant, South CarolinaUnited States
Palmetto Clinical Trial Services, LLCSimpsonville, South CarolinaUnited States
TriCities Skin and CancerJohnson City, TennesseeUnited States
Dermatology Associates of Kingsport, PCKingsport, TennesseeUnited States
DermResearch, Inc.Austin, TexasUnited States
Modern Research AssociatesDallas, TexasUnited States
Center for Clinical StudiesHouston, TexasUnited States
Progressive Clinical ResearchSan Antonio, TexasUnited States
Dermatology Research Center, Inc.Salt Lake City, UtahUnited States
The Education & Research Foundation, Inc.Lynchburg, VirginiaUnited States
PLLC dba Dermatology AssociatesSeattle, WashingtonUnited States
The PolyclinicSeattle, WashingtonUnited States
Stratica Medical IncEdmonton, AlbertaCanada
Derm Research@888 Inc.Vancouver, British ColumbiaCanada
Dermadvances ResearchWinnepeg, ManitobaCanada
Nexus Clinical ResearchSt. John's, Newfoundland and LabradorCanada
Eastern Canada Cutaneous Research AssociatesHalifax, Nova ScotiaCanada
Skin Centre for DermatologyPeterborough, OntarioCanada
Toronto Research Centre, Inc.Toronto, OntarioCanada
Windsor Clinical Research, Inc.Windsor, OntarioCanada
Innovaderm Research. IncMontreal, QuebecCanada
Siena MedicalMontreal, QuebecCanada

+Investigators