Efficacy & Safety Comparison of Epiduo With Doxycycline Versus Vehicle With Isotretinoin in the Treatment of Severe Acne

NCT ID: NCT01474590

Last Updated: 2021-02-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

266 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2013-08-31

Brief Summary

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Non-inferiority, randomized, controlled, multi-center, investigator-blind, parallel-group comparison study in subjects with severe acne vulgaris on the face.

Detailed Description

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Conditions

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Acne

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Epiduo/Tactuo + doxycycline 200mg

Group Type EXPERIMENTAL

Epiduo/Tactuo

Intervention Type DRUG

topical to the face, once daily in the evening

doxycycline 200mg

Intervention Type DRUG

oral, 2 capsules once daily in the morning with aglass of water and with food

Isotretinoin + vehicle gel

Group Type ACTIVE_COMPARATOR

vehicle gel

Intervention Type OTHER

topical to the face, once daily in the evening

Isotretinoin

Intervention Type DRUG

oral, 0.5mg/kg/day for a period of four weeks, adjusted to 1 mg/kg/day for the four following months.

Interventions

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Epiduo/Tactuo

topical to the face, once daily in the evening

Intervention Type DRUG

vehicle gel

topical to the face, once daily in the evening

Intervention Type OTHER

doxycycline 200mg

oral, 2 capsules once daily in the morning with aglass of water and with food

Intervention Type DRUG

Isotretinoin

oral, 0.5mg/kg/day for a period of four weeks, adjusted to 1 mg/kg/day for the four following months.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female subject of any race, aged 12 to 35 years inclusive
2. Subject weighing between 50 and 110 kg
3. Subject with severe acne (IGA at least 4), which in the opinion of the investigator is appropriate for treatment with oral isotretinoin (severe nodular acne, severe inflammatory acne, recalcitrant acne; all unresponsive to conventional first line therapies)
4. Subject with at least 5 nodules on the face

Exclusion Criteria

1. Subject with clinically abnormal results to blood testings performed at screening
2. Subject with acne conglobata, acne fulminans, secondary acne (chloracne, drug-induced acne, etc.), pyoderma faciale, sinus tracks
3. Female subject who is pregnant, nursing or planning a pregnancy during the study
4. Subject with known history of hepatic and/or renal insufficiency, to be confirmed by blood testings
5. Subject with known metabolic or structural bone disease (for 12-17 years old population)
6. Subject with bowel disease and/or with hypervitaminosis A
7. Subject who presents with treated or untreated depression or has a history of depression including a family history of major depression
8. Subject with a wash-out period from baseline for topical treatment on the face less than : Corticosteroids, antibiotics, antibacterials, antiseptics, retinoids, other anti-inflammatory drugs or other acne treatments (2 weeks); Cosmetic procedures (1 week); Photodynamic therapy and laser therapy for acne (3 months)
9. Subject with a wash-out period from baseline for systemic treatment less than: Corticosteroids, antibiotics (4 weeks),Progesterone for contraception (3 months); Spironolactone(3 months); Other acne treatments (6 months);Cyproterone acetate(6 months)
Minimum Eligible Age

12 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Galderma R&D

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jerry Tan

Role: PRINCIPAL_INVESTIGATOR

Windsor Clinical Research Inc.

Locations

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Galderma investigational site

Ajax, , Canada

Site Status

Galderma investigational site

Barrie, , Canada

Site Status

Galderma investigational site

Calgary, , Canada

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Galderma investigational site

Edmonton, , Canada

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Galderma investigational site

Greater Sudbury, , Canada

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Galderma investigational site

Halifax, , Canada

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Galderma investigational site

Hamilton, , Canada

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Galderma investigational site

Markham, , Canada

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Galderma investigational site

Montreal, , Canada

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Galderma investigational site

Newmarket, , Canada

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Galderma investigational site

Oakville, , Canada

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Galderma investigational site

Oshawa, , Canada

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Galderma investigational site

Peterborough, , Canada

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Galderma investigational site

Québec, , Canada

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Galderma investigational site

Richmond Hill, , Canada

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Galderma investigational site

Saint-Hyacinthe, , Canada

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Galderma investigational site

Saskatoon, , Canada

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Galderma investigational site

St. John's, , Canada

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Galderma investigational site

Surrey, , Canada

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Galderma investigational site

Toronto, , Canada

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Galderma investigational site

Vancouver, , Canada

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Galderma investigational site

Waterloo, , Canada

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Galderma investigational site

Windsor, , Canada

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Galderma investigational site

Winnipeg, , Canada

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Galderma investigational site

Woodbridge, , Canada

Site Status

Countries

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Canada

References

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Tan J, Humphrey S, Vender R, Barankin B, Gooderham M, Kerrouche N, Audibert F, Lynde C; POWER study group. A treatment for severe nodular acne: a randomized investigator-blinded, controlled, noninferiority trial comparing fixed-dose adapalene/benzoyl peroxide plus doxycycline vs. oral isotretinoin. Br J Dermatol. 2014 Dec;171(6):1508-16. doi: 10.1111/bjd.13191. Epub 2014 Oct 28.

Reference Type DERIVED
PMID: 24934963 (View on PubMed)

Other Identifiers

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RD.03.SPR.29099

Identifier Type: -

Identifier Source: org_study_id

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