Adapalene-Benzoy Peroxide (BPO) Gel in the Treatment of Acne Vulgaris as a 6-month Maintenance (ACCESS II)
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Purpose
The purpose of this study is to demonstrate the efficacy of Adapalene 0.1% /Benzoyl Peroxide 2.5% Gel compared to its Vehicle Gel as an acne maintenance treatment in Subjects previously treated with Adapalene-BPO Gel or Adapalene-BPO Vehicle Gel both associated with Doxycycline Hyclate 100 mg. The safety of the two investigational treatments will also be assessed.
| Condition | Intervention | Phase |
|---|---|---|
|
Acne |
Drug: Adapalene 0.1% / Benzoyl Peroxide 2.5% Gel Drug: Vehicle Gel |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Efficacy and Safety Comparison of Adapalene 0.1% / Benzoyl Peroxide 2.5% Gel Versus Adapalene 0.1% / Benzoyl Peroxide 2.5% Gel Vehicle Gel as a 6-month Acne Maintenance Treatment |
- Maintenance Success for Total Lesions at Week 24 [ Time Frame: Week 24 ] [ Designated as safety issue: No ]Maintenance success for total lesions at Week 24 is defined as the percentage of subjects maintaining at least 50 percent of the improvement obtained with prior combination therapy, in terms of total lesion counts.
- Maintenance Success for Inflamatory Lesions at Week 24 [ Time Frame: Week 24 ] [ Designated as safety issue: No ]Maintenance success for inflamatory lesions at Week 24 is defined as the percentage of subjects maintaining at least 50 percent of the improvement obtained with prior combination therapy, in terms of inflamatory lesion counts.
- Maintenance Success for Non-inflammatory Lesions at Week 24 [ Time Frame: Week 24 ] [ Designated as safety issue: No ]Maintenance success for non-inflamatory lesions at Week 24 is defined as the percentage of subjects maintaining at least 50 percent of the improvement obtained with prior combination therapy, in terms of non-inflamatory lesion counts.
- Investigator Global Assessment (IGA) Maintenance Success at Week 24 [ Time Frame: Baseline, Week 24 ] [ Designated as safety issue: No ]
IGA maintenance success is defined as the percentage of subjects with IGA grade inferior or equal to Baseline IGA grade.
IGA grade:
0 Clear:Residual hyperpigmentation & erythema may be present
- Almost Clear:A few scattered comedones & a few small papules.
- Mild:Some comedones & some papules and pustules. No nodules present
- Moderate:Many comedones, papules & pustules. One nodule may be present
- Severe:Covered with comedones, numerous papules & pustules & few nodules & cysts may be present
- Very severe:Highly inflammatory acne covering the face; with nodules & cysts present
- Percent of Subjects With Adverse Events [ Time Frame: Up to 24 weeks ] [ Designated as safety issue: Yes ]All participants with events were measured for that particular Outcome Measure and not only the events with a frequency threshold above 2 percent
| Enrollment: | 243 |
| Study Start Date: | November 2008 |
| Study Completion Date: | July 2009 |
| Primary Completion Date: | July 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Adapalene 0.1% / Benzoyl Peroxide 2.5% Gel once daily
|
Drug: Adapalene 0.1% / Benzoyl Peroxide 2.5% Gel
Topical Gel to the face, once daily in the evening for 24 weeks.
Other Name: Adapalene-BPO gel
|
|
Placebo Comparator: 2
Vehicle Gel once daily
|
Drug: Vehicle Gel
Topical Gel to the face, once daily in the evening for 24 weeks.
Other Name: Vehicle gel
|
Detailed Description:
This study is a follow-up to RD.03.SPR.29074 - ACCESS I / NCT00688064 - "Adapalene-BPO Gel Associated With Doxycycline 100 mg in the Treatment of Severe Acne Vulgaris"
Eligibility| Ages Eligible for Study: | 12 Years to 35 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subjects who completed the previous study (RD.03.SPR29074 - NCT00688064)and had obtained at least a good Improvement (Grade, 0, 1, 2 or 3)
Exclusion Criteria:
- Female Subjects who are pregnant, nursing or planning a pregnancy during the study
- Subjects who foresee intensive UV exposure during the study (mountain sports, UV radiation, sunbathing, etc).
Contacts and Locations
Show 33 Study Locations| Principal Investigator: | Diane Thiboutot, MD | Penn State College of Medicine, Hershey, PA |
More Information
Additional Information:
No publications provided
| Responsible Party: | Jean-Charles DHUIN Clinical Trial Manager, Galderma |
| ClinicalTrials.gov Identifier: | NCT00687908 History of Changes |
| Other Study ID Numbers: | RD.03.SPR.29075 |
| Study First Received: | May 28, 2008 |
| Results First Received: | July 16, 2010 |
| Last Updated: | September 30, 2010 |
| Health Authority: | United States: Food and Drug Administration United States: Institutional Review Board Canada: Health Canada Canada: Ethics Review Committee |
Keywords provided by Galderma:
|
Acne |
Additional relevant MeSH terms:
|
Acne Vulgaris Acneiform Eruptions Skin Diseases Facial Dermatoses Sebaceous Gland Diseases Adapalene Benzoyl Peroxide Dermatologic Agents Therapeutic Uses Pharmacologic Actions |
Anti-Inflammatory Agents, Non-Steroidal Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Anti-Inflammatory Agents Antirheumatic Agents Central Nervous System Agents |
ClinicalTrials.gov processed this record on May 19, 2013