Trial Outcomes & Findings for Efficacy of Topical Azelaic Acid 15% Gel Plus Anti-inflammatory Dose Doxycycline or Metronidazole Gel 1% Plus Anti-inflammatory Dose Doxycycline in Moderate Papulopustular Rosacea (NCT NCT00855595)

NCT ID: NCT00855595

Last Updated: 2020-03-31

Results Overview

NOTE: Negative mean values represent an improvement (decrease of inflammatory lesions)

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

207 participants

Primary outcome timeframe

Baseline and Week 2

Results posted on

2020-03-31

Participant Flow

Participant milestones

Participant milestones
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Overall Study
STARTED
106
101
Overall Study
COMPLETED
100
94
Overall Study
NOT COMPLETED
6
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Overall Study
Withdrawal by Subject
1
2
Overall Study
Lost to Follow-up
3
3
Overall Study
Adverse Event
1
1
Overall Study
patient moved out of state
1
0
Overall Study
patient left country
0
1

Baseline Characteristics

Efficacy of Topical Azelaic Acid 15% Gel Plus Anti-inflammatory Dose Doxycycline or Metronidazole Gel 1% Plus Anti-inflammatory Dose Doxycycline in Moderate Papulopustular Rosacea

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Total
n=207 Participants
Total of all reporting groups
Age, Continuous
50.4 Years
STANDARD_DEVIATION 12.7 • n=5 Participants
48.4 Years
STANDARD_DEVIATION 11.5 • n=7 Participants
49.4 Years
STANDARD_DEVIATION 12.2 • n=5 Participants
Sex: Female, Male
Female
67 Participants
n=5 Participants
69 Participants
n=7 Participants
136 Participants
n=5 Participants
Sex: Female, Male
Male
39 Participants
n=5 Participants
32 Participants
n=7 Participants
71 Participants
n=5 Participants
Investigator's Global Assessment (IGA) score at Baseline
IGA Score 4 - Moderate
79 Participants
n=5 Participants
76 Participants
n=7 Participants
155 Participants
n=5 Participants
Investigator's Global Assessment (IGA) score at Baseline
IGA Score 5 - Moderate to Severe
26 Participants
n=5 Participants
22 Participants
n=7 Participants
48 Participants
n=5 Participants
Investigator's Global Assessment (IGA) score at Baseline
IGA Score 6- Severe
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Number of lesions at Baseline
20.6 Lesions
STANDARD_DEVIATION 11.01 • n=5 Participants
21.9 Lesions
STANDARD_DEVIATION 10.50 • n=7 Participants
21.3 Lesions
STANDARD_DEVIATION 10.76 • n=5 Participants
Previous duration of rosacea
130.8 Months
STANDARD_DEVIATION 126.1 • n=5 Participants
134.9 Months
STANDARD_DEVIATION 107.2 • n=7 Participants
132.8 Months
STANDARD_DEVIATION 117.0 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Week 2

Population: Full analysis set (FAS)

NOTE: Negative mean values represent an improvement (decrease of inflammatory lesions)

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Nominal Change From Baseline in Inflammatory Lesion (IL) Count (Sum of Papules and Pustules) at Week 2 (LOCF: Last Observation Carried Forward)
-10.5 Inflammatory lesions
Standard Deviation 9.14
-9.4 Inflammatory lesions
Standard Deviation 9.38

SECONDARY outcome

Timeframe: Week 2, 4, 6, 8 and 12

Population: FAS

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 2
10.1 Inflammatory lesions
Standard Deviation 8.70
12.5 Inflammatory lesions
Standard Deviation 9.86
Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 4
7.4 Inflammatory lesions
Standard Deviation 7.29
9.5 Inflammatory lesions
Standard Deviation 8.09
Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 6
5.9 Inflammatory lesions
Standard Deviation 6.28
7.8 Inflammatory lesions
Standard Deviation 7.18
Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 8
5.1 Inflammatory lesions
Standard Deviation 6.28
6.4 Inflammatory lesions
Standard Deviation 7.02
Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 12
4.4 Inflammatory lesions
Standard Deviation 6.51
5.7 Inflammatory lesions
Standard Deviation 7.22

SECONDARY outcome

Timeframe: Baseline and Week 4, 6, 8 and 12

Population: FAS

NOTE: Negative mean values represent an improvement (decrease of inflammatory lesions)

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)
Week 4
-13.2 Inflammatory lesions
Standard Deviation 9.03
-12.4 Inflammatory lesions
Standard Deviation 9.23
Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)
Week 6
-14.8 Inflammatory lesions
Standard Deviation 9.20
-14.1 Inflammatory lesions
Standard Deviation 9.32
Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)
Week 8
-15.5 Inflammatory lesions
Standard Deviation 9.69
-15.6 Inflammatory lesions
Standard Deviation 9.82
Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)
Week 12
-16.2 Inflammatory lesions
Standard Deviation 9.88
-16.2 Inflammatory lesions
Standard Deviation 10.01

SECONDARY outcome

Timeframe: Baseline and Week 2, 4, 6, 8 and 12

Population: FAS

NOTE: Negative mean values represent an improvement (decrease of inflammatory lesions)

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 2
-50.7 Percent of inflammatory lesions
Standard Deviation 29.39
-43.0 Percent of inflammatory lesions
Standard Deviation 35.68
Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 4
-64.9 Percent of inflammatory lesions
Standard Deviation 28.93
-56.9 Percent of inflammatory lesions
Standard Deviation 31.50
Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 6
-72.4 Percent of inflammatory lesions
Standard Deviation 24.67
-64.5 Percent of inflammatory lesions
Standard Deviation 29.00
Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 8
-76.4 Percent of inflammatory lesions
Standard Deviation 23.47
-71.6 Percent of inflammatory lesions
Standard Deviation 26.94
Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 12
-80.2 Percent of inflammatory lesions
Standard Deviation 24.25
-75.1 Percent of inflammatory lesions
Standard Deviation 27.25

SECONDARY outcome

Timeframe: Baseline and Weeks 2, 4, 6, 8 and 12

Population: FAS

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 2, ≥25% improvement
84.9 Percentage of participants
77.2 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 2, ≥50% improvement
61.3 Percentage of participants
47.5 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 2, ≥75% improvement
20.8 Percentage of participants
17.8 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 4, ≥25% improvement
90.6 Percentage of participants
81.2 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 4, ≥50% improvement
75.5 Percentage of participants
64.4 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 4, ≥75% improvement
44.3 Percentage of participants
40.6 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 6, ≥25% improvement
95.3 Percentage of participants
91.1 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 6, ≥50% improvement
84.9 Percentage of participants
78.2 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 6, ≥75% improvement
54.7 Percentage of participants
43.6 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 8, ≥25% improvement
95.3 Percentage of participants
90.1 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 8, ≥50% improvement
88.7 Percentage of participants
87.1 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 8, ≥75% improvement
67.0 Percentage of participants
55.4 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 12, ≥25% improvement
96.2 Percentage of participants
91.1 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 12, ≥50% improvement
89.6 Percentage of participants
85.1 Percentage of participants
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 12, ≥75% improvement
68.9 Percentage of participants
65.3 Percentage of participants

SECONDARY outcome

Timeframe: Weeks 2, 4, 6, 8 and 12

Population: FAS

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information) / Therapeutic success is defined as an IGA score of clear or minimal (0 or 1).

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 2
13.2 Percentage of participants
7.9 Percentage of participants
Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 4
32.1 Percentage of participants
26.7 Percentage of participants
Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 6
45.3 Percentage of participants
27.7 Percentage of participants
Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 8
50.9 Percentage of participants
39.6 Percentage of participants
Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 12
62.3 Percentage of participants
52.5 Percentage of participants

SECONDARY outcome

Timeframe: Weeks 2, 4, 6, 8 and 12

Population: FAS

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information) / Patient response is defined as an IGA score of clear, minimal, or mild (0, 1, or 2)

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 2
32.1 Percentage of participants
27.7 Percentage of participants
Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 4
55.7 Percentage of participants
44.6 Percentage of participants
Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 6
60.4 Percentage of participants
53.5 Percentage of participants
Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 8
72.6 Percentage of participants
59.4 Percentage of participants
Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)
Week 12
78.3 Percentage of participants
72.3 Percentage of participants

SECONDARY outcome

Timeframe: At Week 2

Population: FAS

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 2
6 - Severe
0 Percentage of participants
2.0 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 2
0 - Clear
0.9 Percentage of participants
1.0 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 2
1 - Minimal
12.3 Percentage of participants
6.9 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 2
3 - Mild to moderate
33.0 Percentage of participants
31.7 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 2
4 - Moderate
25.5 Percentage of participants
27.7 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 2
5 - Moderate to severe
9.4 Percentage of participants
10.9 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 2
2 - Mild
18.9 Percentage of participants
19.8 Percentage of participants

SECONDARY outcome

Timeframe: At Week 4

Population: FAS

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 4
0 - Clear
7.5 Percentage of participants
6.9 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 4
1 - Minimal
24.5 Percentage of participants
19.8 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 4
2 - Mild
23.6 Percentage of participants
17.8 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 4
3 - Mild to moderate
24.5 Percentage of participants
23.8 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 4
4 - Moderate
15.1 Percentage of participants
20.8 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 4
5 - Moderate to severe
4.7 Percentage of participants
9.9 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 4
6 - Severe
0 Percentage of participants
1.0 Percentage of participants

SECONDARY outcome

Timeframe: At Week 6

Population: FAS

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 6
0 - Clear
18.9 Percentage of participants
9.9 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 6
1 - Minimal
26.4 Percentage of participants
17.8 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 6
2 - Mild
15.1 Percentage of participants
25.7 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 6
3 - Mild to moderate
24.5 Percentage of participants
19.8 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 6
4 - Moderate
11.3 Percentage of participants
19.8 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 6
5 - Moderate to severe
3.8 Percentage of participants
6.9 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 6
6 - Severe
0 Percentage of participants
0 Percentage of participants

SECONDARY outcome

Timeframe: At Week 8

Population: FAS

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 8
0 - Clear
18.9 Percentage of participants
13.9 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 8
1 - Minimal
32.1 Percentage of participants
25.7 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 8
2 - Mild
21.7 Percentage of participants
19.8 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 8
3 - Mild to moderate
14.2 Percentage of participants
23.8 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 8
4 - Moderate
10.4 Percentage of participants
12.9 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 8
5 - Moderate to severe
2.8 Percentage of participants
4.0 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 8
6 - Severe
0 Percentage of participants
0 Percentage of participants

SECONDARY outcome

Timeframe: At Week 12

Population: FAS

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 12
0 - Clear
30.2 Percentage of participants
22.8 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 12
1 - Minimal
32.1 Percentage of participants
29.7 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 12
2 - Mild
16.0 Percentage of participants
19.8 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 12
3 - Mild to moderate
12.3 Percentage of participants
13.9 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 12
4 - Moderate
6.6 Percentage of participants
10.9 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 12
5 - Moderate to severe
1.9 Percentage of participants
3.0 Percentage of participants
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 12
6 - Severe
0.9 Percentage of participants
0 Percentage of participants

SECONDARY outcome

Timeframe: Week 12

Population: Participants in the FAS who took part in this evaluation.

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=103 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=97 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Investigator Rating of Overall Improvement at End of Study (Week 12)
Excellent Improvement
46.6 Percentage of participants
42.3 Percentage of participants
Investigator Rating of Overall Improvement at End of Study (Week 12)
Marked Improvement
35.9 Percentage of participants
34.0 Percentage of participants
Investigator Rating of Overall Improvement at End of Study (Week 12)
Moderate Improvement
12.6 Percentage of participants
17.5 Percentage of participants
Investigator Rating of Overall Improvement at End of Study (Week 12)
No change
4.9 Percentage of participants
6.2 Percentage of participants
Investigator Rating of Overall Improvement at End of Study (Week 12)
Deterioration
0 Percentage of participants
0 Percentage of participants

SECONDARY outcome

Timeframe: Week 12

Population: Participants in the FAS who took part in this evaluation.

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=102 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=96 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Patient Rating of Overall Improvement at End of Study (Week 12)
Excellent Improvement
51.0 Percentage of participants
49.0 Percentage of participants
Patient Rating of Overall Improvement at End of Study (Week 12)
Good Improvement
39.2 Percentage of participants
33.3 Percentage of participants
Patient Rating of Overall Improvement at End of Study (Week 12)
Fair Improvement
7.8 Percentage of participants
15.6 Percentage of participants
Patient Rating of Overall Improvement at End of Study (Week 12)
No Improvement
2.0 Percentage of participants
1.0 Percentage of participants
Patient Rating of Overall Improvement at End of Study (Week 12)
Worse
0 Percentage of participants
1.0 Percentage of participants

SECONDARY outcome

Timeframe: Week 12

Population: Participants in the FAS who took part in this evaluation.

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=102 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=96 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)
Very Good
52.0 Percentage of participants
56.3 Percentage of participants
Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)
Good
34.3 Percentage of participants
26.0 Percentage of participants
Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)
Satisfactory
4.9 Percentage of participants
8.3 Percentage of participants
Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)
Poor
0 Percentage of participants
1.0 Percentage of participants
Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)
No Opinion
8.8 Percentage of participants
8.3 Percentage of participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Week 12

Population: Participants in the FAS who took part in this evaluation.

Outcome measures

Outcome measures
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=102 Participants
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=96 Participants
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
Patient Opinion of Local Tolerability
Excellent
53.9 Percentage of Participants
72.9 Percentage of Participants
Patient Opinion of Local Tolerability
Good
34.3 Percentage of Participants
15.6 Percentage of Participants
Patient Opinion of Local Tolerability
Acceptable despite minor irritation
7.8 Percentage of Participants
11.5 Percentage of Participants
Patient Opinion of Local Tolerability
Less acceptable due to continuous irritation
2.9 Percentage of Participants
0 Percentage of Participants
Patient Opinion of Local Tolerability
No opinion
1.0 Percentage of Participants
0 Percentage of Participants

Adverse Events

Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)

Serious events: 0 serious events
Other events: 29 other events
Deaths: 0 deaths

Metronidazole (Metrogel) Plus Doxycycline (Oracea)

Serious events: 1 serious events
Other events: 33 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 participants at risk
Participants received topical azelaic acid gel 15% twice daily and systemic doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 participants at risk
Participants received topical metronidazole 1% gel once daily and systemic doxycycline 40 mg once daily for 12 weeks
Gastrointestinal disorders
Abdominal pain
0.00%
0/106
0.99%
1/101 • Number of events 1

Other adverse events

Other adverse events
Measure
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
n=106 participants at risk
Participants received topical azelaic acid gel 15% twice daily and systemic doxycycline 40 mg once daily for 12 weeks
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
n=101 participants at risk
Participants received topical metronidazole 1% gel once daily and systemic doxycycline 40 mg once daily for 12 weeks
Ear and labyrinth disorders
Ear congestion
0.94%
1/106 • Number of events 1
0.00%
0/101
Ear and labyrinth disorders
Ear discomfort
0.94%
1/106 • Number of events 1
0.00%
0/101
Endocrine disorders
Diabetes mellitus
0.94%
1/106 • Number of events 1
0.00%
0/101
Endocrine disorders
Hypothyroidism
0.00%
0/106
0.99%
1/101 • Number of events 1
Eye disorders
Conjunctivitis
0.94%
1/106 • Number of events 1
0.00%
0/101
Gastrointestinal disorders
Abdominal discomfort
0.94%
1/106 • Number of events 1
0.99%
1/101 • Number of events 1
Gastrointestinal disorders
Abdominal pain
0.94%
1/106 • Number of events 1
2.0%
2/101 • Number of events 2
Gastrointestinal disorders
Constipation
0.00%
0/106
0.99%
1/101 • Number of events 1
Gastrointestinal disorders
Diarrhoea
2.8%
3/106 • Number of events 3
2.0%
2/101 • Number of events 3
Gastrointestinal disorders
Gastrointestinal pain
0.94%
1/106 • Number of events 1
0.00%
0/101
Gastrointestinal disorders
Nausea
1.9%
2/106 • Number of events 2
0.00%
0/101
Gastrointestinal disorders
Toothache
0.94%
1/106 • Number of events 1
0.00%
0/101
General disorders
Application site oedema
0.00%
0/106
0.99%
1/101 • Number of events 1
General disorders
Application site pruritus
0.00%
0/106
0.99%
1/101 • Number of events 1
General disorders
Chills
0.00%
0/106
0.99%
1/101 • Number of events 1
General disorders
Fatigue
0.00%
0/106
0.99%
1/101 • Number of events 1
General disorders
Pyrexia
0.00%
0/106
2.0%
2/101 • Number of events 2
General disorders
Application site urticaria
0.00%
0/106
0.99%
1/101 • Number of events 1
General disorders
Application site exfoliation
0.00%
0/106
3.0%
3/101 • Number of events 7
General disorders
Application site burn
0.94%
1/106 • Number of events 2
0.00%
0/101
Immune system disorders
Hypersensitivity
0.00%
0/106
0.99%
1/101 • Number of events 1
Immune system disorders
Seasonal allergy
0.94%
1/106 • Number of events 1
0.99%
1/101 • Number of events 1
Infections and infestations
Cystitis
0.00%
0/106
0.99%
1/101 • Number of events 1
Infections and infestations
Gastroenteritis viral
0.94%
1/106 • Number of events 1
0.00%
0/101
Infections and infestations
Herpes zoster
0.94%
1/106 • Number of events 1
0.00%
0/101
Infections and infestations
Influenza
0.94%
1/106 • Number of events 1
2.0%
2/101 • Number of events 2
Infections and infestations
Nasopharyngitis
3.8%
4/106 • Number of events 4
4.0%
4/101 • Number of events 4
Infections and infestations
Pneumonia
0.94%
1/106 • Number of events 1
0.00%
0/101
Infections and infestations
Sinusitis
1.9%
2/106 • Number of events 2
2.0%
2/101 • Number of events 2
Infections and infestations
Tooth abscess
0.94%
1/106 • Number of events 1
0.00%
0/101
Infections and infestations
Upper respiratory tract infection
0.94%
1/106 • Number of events 1
2.0%
2/101 • Number of events 2
Infections and infestations
Vulvovaginal mycotic infection
0.94%
1/106 • Number of events 1
0.00%
0/101
Injury, poisoning and procedural complications
Food poisoning
0.00%
0/106
0.99%
1/101 • Number of events 1
Injury, poisoning and procedural complications
Joint sprain
0.94%
1/106 • Number of events 1
0.00%
0/101
Injury, poisoning and procedural complications
Exposure to toxic agent
0.00%
0/106
0.99%
1/101 • Number of events 1
Injury, poisoning and procedural complications
Limb injury
0.00%
0/106
0.99%
1/101 • Number of events 1
Injury, poisoning and procedural complications
Procedural pain
0.94%
1/106 • Number of events 1
0.99%
1/101 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/106
0.99%
1/101 • Number of events 1
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/106
0.99%
1/101 • Number of events 2
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/106
0.99%
1/101 • Number of events 1
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.00%
0/106
0.99%
1/101 • Number of events 1
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/106
0.99%
1/101 • Number of events 1
Nervous system disorders
Headache
2.8%
3/106 • Number of events 3
5.0%
5/101 • Number of events 8
Nervous system disorders
Nerve compression
0.94%
1/106 • Number of events 1
0.00%
0/101
Psychiatric disorders
Anxiety
0.94%
1/106 • Number of events 1
0.00%
0/101
Reproductive system and breast disorders
Dysmenorrhoea
0.94%
1/106 • Number of events 1
0.00%
0/101
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/106
0.99%
1/101 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hiccups
0.00%
0/106
0.99%
1/101 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.94%
1/106 • Number of events 1
0.99%
1/101 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Postnasal drip
0.94%
1/106 • Number of events 1
0.00%
0/101
Respiratory, thoracic and mediastinal disorders
Sinus congestion
0.94%
1/106 • Number of events 1
0.00%
0/101
Respiratory, thoracic and mediastinal disorders
Nasal discomfort
0.00%
0/106
0.99%
1/101 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Paranasal sinus hypersecretion
0.94%
1/106 • Number of events 1
0.00%
0/101
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/106
2.0%
2/101 • Number of events 2
Skin and subcutaneous tissue disorders
Dermatitis contact
0.94%
1/106 • Number of events 1
0.00%
0/101
Skin and subcutaneous tissue disorders
Rash
0.00%
0/106
0.99%
1/101 • Number of events 1
Skin and subcutaneous tissue disorders
Seborrhoeic dermatitis
0.94%
1/106 • Number of events 1
0.00%
0/101
Surgical and medical procedures
Elective surgery
0.00%
0/106
0.99%
1/101 • Number of events 2

Additional Information

Therapeutic Area Head

Intendis GmbH

Results disclosure agreements

  • Principal investigator is a sponsor employee A) Investigator shall provide Sponsor with intended publication 60 days upfront publication date, Sponsor has 30 d to comment, recommended changes shall not be unreasonably refused B) Sponsor has the right to ask Investigator to delay publication for a maximum of 90 days C) Investigative data will be pooled and published by Sponsor - no other publication without the consent of all parties prior to publication of the pooled data, or within 12 months after LPLV, whatever comes first
  • Publication restrictions are in place

Restriction type: OTHER