Trial Outcomes & Findings for A Study to Demonstrate the Efficacy and Safety of Adapalene/Benzoyl Peroxide Topical Gel in Subjects With Acne Vulgaris (NCT NCT00421993)

NCT ID: NCT00421993

Last Updated: 2021-02-18

Results Overview

Percentage of subjects rated "Clear" and "Almost Clear" on 5-point scale (0=clear; 4=severe)

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1670 participants

Primary outcome timeframe

at week 12

Results posted on

2021-02-18

Participant Flow

Recruitment period: First Subject Enrolled October 2006, Last Subject Enrolled July 2007. Types of locations: Dermatology Clinics, Dermatology Research Centers.

The specified washout period up to Baseline for TOPICAL facial treatments was 1 week (light therapy/exfoliation/blackhead removal) or 2 weeks (anti-inflammatory drugs/salicylic acid/steroids/antibiotics/laser) and for SYSTEMIC medications was 2 weeks (anti-inflammatory drugs), 4 Weeks (steroids/antibiotics), or 6 months (anti-acne/contraceptives).

Participant milestones

Participant milestones
Measure
Adapalene/Benzoyl Peroxide Gel
Adapalene/Benzoyl Peroxide Topical Gel
Adapalene Gel
Adapalene Topical Gel
Benzoyl Peroxide Gel
Benzoyl Peroxide Topical Gel
Gel Vehicle
Topical Gel Vehicle
Overall Study
STARTED
419
418
415
418
Overall Study
COMPLETED
366
369
363
361
Overall Study
NOT COMPLETED
53
49
52
57

Reasons for withdrawal

Reasons for withdrawal
Measure
Adapalene/Benzoyl Peroxide Gel
Adapalene/Benzoyl Peroxide Topical Gel
Adapalene Gel
Adapalene Topical Gel
Benzoyl Peroxide Gel
Benzoyl Peroxide Topical Gel
Gel Vehicle
Topical Gel Vehicle
Overall Study
Withdrawal by Subject
22
23
23
24
Overall Study
Lost to Follow-up
18
19
22
20
Overall Study
Adverse Event
11
1
6
4
Overall Study
Protocol Violation
2
2
0
1
Overall Study
Lack of Efficacy
0
3
0
5
Overall Study
Pregnancy
0
1
1
2
Overall Study
Subject transportation issues
0
0
0
1

Baseline Characteristics

A Study to Demonstrate the Efficacy and Safety of Adapalene/Benzoyl Peroxide Topical Gel in Subjects With Acne Vulgaris

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Adapalene/Benzoyl Peroxide Gel
n=419 Participants
Adapalene/Benzoyl Peroxide Topical Gel
Adapalene Gel
n=418 Participants
Adapalene Topical Gel
Benzoyl Peroxide Gel
n=415 Participants
Benzoyl Peroxide Topical Gel
Gel Vehicle
n=418 Participants
Topical Gel Vehicle
Total
n=1670 Participants
Total of all reporting groups
Age, Continuous
19.5 years
STANDARD_DEVIATION 6.7 • n=5 Participants
18.5 years
STANDARD_DEVIATION 6.3 • n=7 Participants
18.9 years
STANDARD_DEVIATION 6.96 • n=5 Participants
19.2 years
STANDARD_DEVIATION 7.23 • n=4 Participants
19 years
STANDARD_DEVIATION 6.81 • n=21 Participants
Age, Customized
12-17 years
233 participants
n=5 Participants
241 participants
n=7 Participants
244 participants
n=5 Participants
243 participants
n=4 Participants
961 participants
n=21 Participants
Age, Customized
Between 18 and 64 years
186 participants
n=5 Participants
177 participants
n=7 Participants
171 participants
n=5 Participants
175 participants
n=4 Participants
709 participants
n=21 Participants
Age, Customized
>=65 years
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
Sex: Female, Male
Female
236 Participants
n=5 Participants
229 Participants
n=7 Participants
230 Participants
n=5 Participants
244 Participants
n=4 Participants
939 Participants
n=21 Participants
Sex: Female, Male
Male
183 Participants
n=5 Participants
189 Participants
n=7 Participants
185 Participants
n=5 Participants
174 Participants
n=4 Participants
731 Participants
n=21 Participants
Region of Enrollment
United States
185 participants
n=5 Participants
185 participants
n=7 Participants
179 participants
n=5 Participants
185 participants
n=4 Participants
734 participants
n=21 Participants
Region of Enrollment
Canada
102 participants
n=5 Participants
100 participants
n=7 Participants
100 participants
n=5 Participants
101 participants
n=4 Participants
403 participants
n=21 Participants
Region of Enrollment
Europe
132 participants
n=5 Participants
133 participants
n=7 Participants
136 participants
n=5 Participants
132 participants
n=4 Participants
533 participants
n=21 Participants

PRIMARY outcome

Timeframe: at week 12

Population: Intention to treat (ITT), last observation carried forward (LOCF).

Percentage of subjects rated "Clear" and "Almost Clear" on 5-point scale (0=clear; 4=severe)

Outcome measures

Outcome measures
Measure
Adapalene/Benzoyl Peroxide Gel
n=419 Participants
Adapalene/Benzoyl Peroxide Topical Gel
Adapalene Gel
n=418 Participants
Adapalene Topical Gel
Benzoyl Peroxide Gel
n=415 Participants
Benzoyl Peroxide Topical Gel
Gel Vehicle
n=418 Participants
Topical Gel Vehicle
Success Rate on the Investigator's Global Assessment
37.9 Percentage of participants
21.8 Percentage of participants
26.7 Percentage of participants
17.9 Percentage of participants

PRIMARY outcome

Timeframe: from Baseline to week 12

Population: ITT, LOCF

Changes in Inflammatory Lesion Counts equals Week 12 Inflammatory Lesion Counts minus Baseline Inflammatory Lesion Counts

Outcome measures

Outcome measures
Measure
Adapalene/Benzoyl Peroxide Gel
n=419 Participants
Adapalene/Benzoyl Peroxide Topical Gel
Adapalene Gel
n=418 Participants
Adapalene Topical Gel
Benzoyl Peroxide Gel
n=415 Participants
Benzoyl Peroxide Topical Gel
Gel Vehicle
n=418 Participants
Topical Gel Vehicle
Changes in Inflammatory Lesion Counts
-18 Lesion count
Interval -49.0 to 50.0
-15 Lesion count
Interval -49.0 to 50.0
-16 Lesion count
Interval -63.0 to 38.0
-12 Lesion count
Interval -47.0 to 95.0

PRIMARY outcome

Timeframe: from Baseline to week 12

Population: ITT, LOCF

Change in Noninflammatory Lesion Counts equals Week 12 Noninflammatory Lesion Count minus Baseline Noninflammatory Lesion Count

Outcome measures

Outcome measures
Measure
Adapalene/Benzoyl Peroxide Gel
n=419 Participants
Adapalene/Benzoyl Peroxide Topical Gel
Adapalene Gel
n=418 Participants
Adapalene Topical Gel
Benzoyl Peroxide Gel
n=415 Participants
Benzoyl Peroxide Topical Gel
Gel Vehicle
n=418 Participants
Topical Gel Vehicle
Changes in Noninflammatory Lesion Counts
-28 Lesion count
Interval -93.0 to 108.0
-24 Lesion count
Interval -96.0 to 44.0
-23 Lesion count
Interval -87.0 to 61.0
-18 Lesion count
Interval -82.0 to 69.0

SECONDARY outcome

Timeframe: at week 12

Population: ITT, LOCF

Percent Changes in Inflammatory Lesion Counts equals (Week 12 count minus Baseline count) divided by Baseline count multiplied by 100

Outcome measures

Outcome measures
Measure
Adapalene/Benzoyl Peroxide Gel
n=419 Participants
Adapalene/Benzoyl Peroxide Topical Gel
Adapalene Gel
n=418 Participants
Adapalene Topical Gel
Benzoyl Peroxide Gel
n=415 Participants
Benzoyl Peroxide Topical Gel
Gel Vehicle
n=418 Participants
Topical Gel Vehicle
Percent Change in Inflammatory Lesion Counts
-61.7 Percent change
Standard Deviation 33.9
-50.1 Percent change
Standard Deviation 39.4
-52.2 Percent change
Standard Deviation 39.4
-40.8 Percent change
Standard Deviation 41.1

SECONDARY outcome

Timeframe: at week 12

Population: ITT, LOCF

Percent Changes in Noninflammatory Lesion Counts equals (Week 12 count minus Baseline count) divided by Baseline count multiplied by 100

Outcome measures

Outcome measures
Measure
Adapalene/Benzoyl Peroxide Gel
n=419 Participants
Adapalene/Benzoyl Peroxide Topical Gel
Adapalene Gel
n=418 Participants
Adapalene Topical Gel
Benzoyl Peroxide Gel
n=415 Participants
Benzoyl Peroxide Topical Gel
Gel Vehicle
n=418 Participants
Topical Gel Vehicle
Percent Change in Noniflammatory Lesion Counts
-55.6 Percent change
Standard Deviation 35.3
-46.0 Percent change
Standard Deviation 33.7
-44.1 Percent change
Standard Deviation 37.3
-32.3 Percent change
Standard Deviation 39.5

SECONDARY outcome

Timeframe: at week 12

Population: ITT, LOCF

Percent Changes in Total Lesion Counts equals (Week 12 count minus Baseline count) divided by Baseline count multiplied by 100

Outcome measures

Outcome measures
Measure
Adapalene/Benzoyl Peroxide Gel
n=419 Participants
Adapalene/Benzoyl Peroxide Topical Gel
Adapalene Gel
n=418 Participants
Adapalene Topical Gel
Benzoyl Peroxide Gel
n=415 Participants
Benzoyl Peroxide Topical Gel
Gel Vehicle
n=418 Participants
Topical Gel Vehicle
Percent Change in Total Lesion Counts
-57.7 Percent change
Standard Deviation 31.9
-47.5 Percent change
Standard Deviation 31.3
-47.2 Percent change
Standard Deviation 32.7
-35.2 Percent change
Standard Deviation 36

Adverse Events

Adapalene/Benzoyl Peroxide Gel

Serious events: 3 serious events
Other events: 90 other events
Deaths: 0 deaths

Adapalene Gel

Serious events: 1 serious events
Other events: 60 other events
Deaths: 0 deaths

Benzoyl Peroxide Gel

Serious events: 1 serious events
Other events: 35 other events
Deaths: 0 deaths

Gel Vehicle

Serious events: 2 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Adapalene/Benzoyl Peroxide Gel
n=419 participants at risk
Adapalene/Benzoyl Peroxide Topical Gel
Adapalene Gel
n=418 participants at risk
Adapalene Topical Gel
Benzoyl Peroxide Gel
n=415 participants at risk
Benzoyl Peroxide Topical Gel
Gel Vehicle
n=418 participants at risk
Topical Gel Vehicle
Infections and infestations
Furuncle
0.24%
1/419 • Number of events 1
0.00%
0/418
0.00%
0/415
0.00%
0/418
Infections and infestations
Appendicitis
0.24%
1/419 • Number of events 1
0.00%
0/418
0.00%
0/415
0.00%
0/418
Infections and infestations
Abscess limb
0.00%
0/419
0.00%
0/418
0.00%
0/415
0.24%
1/418 • Number of events 1
Musculoskeletal and connective tissue disorders
Scoliosis
0.24%
1/419 • Number of events 1
0.00%
0/418
0.00%
0/415
0.00%
0/418
Injury, poisoning and procedural complications
Cervical vertebral fracture
0.00%
0/419
0.00%
0/418
0.00%
0/415
0.24%
1/418 • Number of events 1
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous
0.00%
0/419
0.00%
0/418
0.24%
1/415 • Number of events 1
0.00%
0/418
Psychiatric disorders
Schizoaffective disorder
0.00%
0/419
0.24%
1/418 • Number of events 1
0.00%
0/415
0.00%
0/418

Other adverse events

Other adverse events
Measure
Adapalene/Benzoyl Peroxide Gel
n=419 participants at risk
Adapalene/Benzoyl Peroxide Topical Gel
Adapalene Gel
n=418 participants at risk
Adapalene Topical Gel
Benzoyl Peroxide Gel
n=415 participants at risk
Benzoyl Peroxide Topical Gel
Gel Vehicle
n=418 participants at risk
Topical Gel Vehicle
Skin and subcutaneous tissue disorders
Dry Skin
21.5%
90/419 • Number of events 93
14.4%
60/418 • Number of events 61
8.4%
35/415 • Number of events 37
5.3%
22/418 • Number of events 22

Additional Information

Michael Graeber, MD

Galderma

Phone: 609-860-8201

Results disclosure agreements

  • Principal investigator is a sponsor employee Following the expiration of twenty-four (24) months after the completion of the Study, Investigator shall have the right to publish the results of the Study; provided, however that Sponsor shall have the right to review any proposed publication generated from the Study prior to publication or presentation. The Sponsor shall have the absolute right to refuse the publication altogether, to delay it or to amend its contents as it deems fit.
  • Publication restrictions are in place

Restriction type: OTHER