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Clinical Trial in Subjects With Mild to Moderate Acne Vulgaris

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ClinicalTrials.gov Identifier: NCT02832063
Recruitment Status : Completed
First Posted : July 13, 2016
Last Update Posted : July 21, 2017
Sponsor:
Information provided by (Responsible Party):
AOBiome LLC

Brief Summary:
The purpose of this study is to demonstrate the safety, tolerability and efficacy of B244 administered over 12 weeks to participants with mild to moderate acne vulgaris relative to placebo.

Condition or disease Intervention/treatment Phase
Acne Vulgaris Biological: B244 Biological: Placebo Phase 2 Phase 3

Detailed Description:

This is a Phase IIb/III, randomized, double blinded, decentralized clinical trial evaluating the safety, tolerability, and efficacy of B244 compared to placebo in the treatment of acne vulgaris

1.1. Primary Objectives

  1. To evaluate the safety and tolerability of B244 in participants with acne vulgaris
  2. To assess the efficacy of B244 in participants with mild to moderate acne vulgaris from baseline to week 12 (end of treatment) by:

    i) Reduction in inflammatory and non-inflammatory lesion count ii) IGA success

  3. Improvement in patient reported quality of life score using the Skindex-16 questionnaire in participants with acne vulgaris from baseline to week 12

1.2. Secondary Objectives 1. To evaluate the efficacy of B244 in participants with mild to moderate acne vulgaris from baseline to weeks 2, 4, 8, and 16: i) Reduction in inflammatory and non-inflammatory lesion count ii) IGA success iii) Improvement in patient reported quality of life score using the Skindex-16 questionnaire

1.3. Exploratory Objective

1. To evaluate facial skin microbiota in participants with acne vulgaris at baseline, week 4, week 8, week 12, and week 16 in B244-treated participants compared to placebo from: i) Skin swabs will be taken from forehead, nose, both cheeks and chin All participants (placebo and B244) will undergo skin swabs and testing.


Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 372 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized, Double Blinded, Phase IIb/III, Decentralized Study of B244 Delivered as a Topical Spray to Determine Safety and Efficacy in Participants With Mild to Moderate Acne Vulgaris
Actual Study Start Date : August 2016
Actual Primary Completion Date : July 19, 2017
Actual Study Completion Date : July 19, 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Acne

Arm Intervention/treatment
Active Comparator: B244 arm
B244 dose administered in a 1:1 (active vs placebo) ratio
Biological: B244
4 pumps of spray to saturate the entire face applied BID. Applications should occur in the morning and at night for 12 weeks.

Placebo Comparator: Placebo arm
Placebo dose administered in a 1:1 (active vs placebo) ratio
Biological: Placebo
4 pumps of spray to saturate the entire face applied BID. Applications should occur in the morning and at night for 12 weeks.




Primary Outcome Measures :
  1. with treatment related adverse events as assessed by local skin responses as reported by subjects [ Time Frame: 16 weeks ]
    endpoints will consist of all adverse events reporting during the study duration.

  2. number of participants demonstrating efficacy measured by Investigator Global Assessment [ Time Frame: 12 weeks ]
    efficacy of B244 in participants with mild to moderate acne vulgaris from baseline to week 12 (end of treatment)

  3. number of participants demonstrating efficacy measured by reduction in inflammatory and non-inflammatory lesion count [ Time Frame: 12 weeks ]
    efficacy of B244 in participants with mild to moderate acne vulgaris from baseline to week 12 (end of treatment)


Secondary Outcome Measures :
  1. number of participants demonstrating efficacy measured by reduction in inflammatory and non-inflammatory lesion count [ Time Frame: baseline to weeks 2, 4, 8, and 16 ]
  2. number of participants demonstrating efficacy measured Investigator Global Assessment Score [ Time Frame: baseline to weeks 2, 4, 8, and 16 ]
  3. number of participants demonstrating efficacy measured by improvement in patient reported quality of life score using the Skindex-16 questionnaire [ Time Frame: baseline to weeks 2, 4, 8, and 16 ]

Other Outcome Measures:
  1. To evaluate facial skin microbiota [ Time Frame: baseline, week 4, week 8, week 12, and week 16 ]


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Participants eligible for enrollment in the study must meet all the following criteria:

  1. Male and females age 18 or older
  2. Clinical diagnosis of mild to moderate facial acne vulgaris defined as:

    1. ≥5 inflammatory lesions, and;
    2. ≥10 non-inflammatory lesions, and;
    3. IGA 2-3
  3. Willing to refrain from using any treatments, other than the investigational product, for acne present on the face. This includes the use of antibiotics for the treatment of acne. Topical acne treatments that do not have significant or measurable systemic absorption (e.g., benzoyl peroxide, salicylic acid) are allowed for treatment of non-facial acne.
  4. Willing and able to provide informed consent and to comply with the study protocol.

Exclusion Criteria:

  1. Pregnant and/or lactating females
  2. Continuous or planned use of tanning booths or excessive sun exposure, in the opinion of the Investigator.
  3. Active cystic acne or acne conglobata, acne fulminans, and secondary acne
  4. Two or more active nodular lesions
  5. Treatment with over-the-counter topical medications for the treatment of acne vulgaris including benzoyl peroxide, topical anti-inflammatory medications, corticosteroids, α-hydroxy/glycolic acid, or topical probiotics including commercially available product AO+Mist on the face within 7 days prior to baseline.
  6. Treatment with systemic corticosteroids within 28 days prior to baseline.
  7. Treatment with systemic antibiotics or systemic anti-acne drugs within 7 days prior to baseline.
  8. Prescription topical retinoid use on the face within 7 days of baseline (e.g., tretinoin, tazarotene, adapalene).
  9. Commencement of new hormonal therapy or dose change to hormonal therapy within 90 days prior to baseline. Dose and frequency of use of any hormonal therapy started more than 90 days prior to baseline must remain unchanged throughout the study. Hormonal therapies include, but are not limited to, estrogenic and progestational agents such as birth control pills.
  10. Use of androgen receptor blockers (such as spironolactone or flutamide) in the 7 days prior to randomization.
  11. Oral retinoid use (e.g., isotretinoin) within 180 days prior to baseline or vitamin A supplements greater than 10,000 units/day within 180 days of baseline.
  12. Cosmetic facial procedures (chemical or laser peel, microdermabrasion, etc.) within the 28 days of the first dose or during the study.
  13. History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the Investigator or Medical Monitor, contraindicates their participation.
  14. Any condition that the study Investigator feels would indicate that participation would not be in the best interest of the participant.
  15. The participant has been previously randomized in this study.
  16. The participant has received an investigational product within 30 days or 5 half-lives, whichever is longer prior to randomization.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02832063


Locations
United States, California
Science37
Culver City, California, United States, 90230
Sponsors and Collaborators
AOBiome LLC
Investigators
Principal Investigator: Noah Craft, MD Science 37

Responsible Party: AOBiome LLC
ClinicalTrials.gov Identifier: NCT02832063     History of Changes
Other Study ID Numbers: AVB244-002
First Posted: July 13, 2016    Key Record Dates
Last Update Posted: July 21, 2017
Last Verified: July 2017

Additional relevant MeSH terms:
Acne Vulgaris
Acneiform Eruptions
Skin Diseases
Sebaceous Gland Diseases