Trial Outcomes & Findings for Efficacy & Safety Comparison of Epiduo With Doxycycline Versus Vehicle With Isotretinoin in the Treatment of Severe Acne (NCT NCT01474590)

NCT ID: NCT01474590

Last Updated: 2021-02-18

Results Overview

Overall success is reached when the 2 following criteria are fulfilled : 1. Overall efficacy: reduction of at least 75% of number of nodules at the end of treatment 2. Safe treatment: Absence of any listed safety issues

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

266 participants

Primary outcome timeframe

20 weeks

Results posted on

2021-02-18

Participant Flow

Participant milestones

Participant milestones
Measure
Epiduo/Tactuo + Doxycycline 200mg
Epiduo/Tactuo + doxycycline 200mg: Epiduo gel: topical to the face, once daily in the evening Doxycycline: oral, 2 capsules a day. The capsules should be taken with a glass of water and with food either as a single dose or in two divided doses during the day.
Isotretinoin + Vehicle Gel
Isotretinoin + vehicle gel: Vehicle gel: topical to the face, once daily in the evening Isotretinoin: oral, 0.5mg/kg/day for a period of four weeks, adjusted to 1 mg/kg/day for the four following months.
Overall Study
STARTED
133
133
Overall Study
COMPLETED
105
116
Overall Study
NOT COMPLETED
28
17

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Epiduo/Tactuo + Doxycycline 200mg
n=133 Participants
Epiduo/Tactuo + doxycycline 200mg: Epiduo gel: topical to the face, once daily in the evening Doxycycline: oral, 2 capsules a day. The capsules should be taken with a glass of water and with food either as a single dose or in two divided doses during the day.
Isotretinoin + Vehicle Gel
n=133 Participants
Isotretinoin + vehicle gel: Vehicle gel: topical to the face, once daily in the evening Isotretinoin: oral, 0.5mg/kg/day for a period of four weeks, adjusted to 1 mg/kg/day for the four following months.
Total
n=266 Participants
Total of all reporting groups
Age, Continuous
19.5 years
STANDARD_DEVIATION 5.0 • n=93 Participants
19.3 years
STANDARD_DEVIATION 4.5 • n=4 Participants
19.4 years
STANDARD_DEVIATION 4.8 • n=27 Participants
Sex: Female, Male
Female
18 Participants
n=93 Participants
21 Participants
n=4 Participants
39 Participants
n=27 Participants
Sex: Female, Male
Male
115 Participants
n=93 Participants
112 Participants
n=4 Participants
227 Participants
n=27 Participants
Region of Enrollment
Canada
133 count of participants
n=93 Participants
133 count of participants
n=4 Participants
266 count of participants
n=27 Participants
IGA
4
118 count of participants
n=93 Participants
115 count of participants
n=4 Participants
233 count of participants
n=27 Participants
IGA
5
15 count of participants
n=93 Participants
18 count of participants
n=4 Participants
33 count of participants
n=27 Participants
nodule counts
8.0 nodules
STANDARD_DEVIATION 3.6 • n=93 Participants
7.6 nodules
STANDARD_DEVIATION 2.5 • n=4 Participants
7.8 nodules
STANDARD_DEVIATION 3.1 • n=27 Participants

PRIMARY outcome

Timeframe: 20 weeks

Overall success is reached when the 2 following criteria are fulfilled : 1. Overall efficacy: reduction of at least 75% of number of nodules at the end of treatment 2. Safe treatment: Absence of any listed safety issues

Outcome measures

Outcome measures
Measure
Epiduo/Tactuo + Doxycycline 200mg
n=133 Participants
Epiduo/Tactuo + doxycycline 200mg: Epiduo gel: topical to the face, once daily in the evening Doxycycline: oral, 2 capsules a day. The capsules should be taken with a glass of water and with food either as a single dose or in two divided doses during the day.
Isotretinoin + Vehicle Gel
n=133 Participants
Isotretinoin + vehicle gel: Vehicle gel: topical to the face, once daily in the evening Isotretinoin: oral, 0.5mg/kg/day for a period of four weeks, adjusted to 1 mg/kg/day for the four following months.
The Primary Outcome is Overall Success, a Composite Endpoint Including Efficacy and Safety Measurements
85 count of participants
73 count of participants

Adverse Events

Epiduo/Tactuo + Doxycycline 200mg

Serious events: 0 serious events
Other events: 25 other events
Deaths: 0 deaths

Isotretinoin + Vehicle Gel

Serious events: 1 serious events
Other events: 66 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Epiduo/Tactuo + Doxycycline 200mg
n=133 participants at risk
Epiduo/Tactuo + doxycycline 200mg: Epiduo gel: topical to the face, once daily in the evening Doxycycline: oral, 2 capsules a day. The capsules should be taken with a glass of water and with food either as a single dose or in two divided doses during the day.
Isotretinoin + Vehicle Gel
n=133 participants at risk
Isotretinoin + vehicle gel: Vehicle gel: topical to the face, once daily in the evening Isotretinoin: oral, 0.5mg/kg/day for a period of four weeks, adjusted to 1 mg/kg/day for the four following months.
Skin and subcutaneous tissue disorders
Stevens-Johnson syndrome
0.00%
0/133 • 20 weeks
0.75%
1/133 • Number of events 1 • 20 weeks

Other adverse events

Other adverse events
Measure
Epiduo/Tactuo + Doxycycline 200mg
n=133 participants at risk
Epiduo/Tactuo + doxycycline 200mg: Epiduo gel: topical to the face, once daily in the evening Doxycycline: oral, 2 capsules a day. The capsules should be taken with a glass of water and with food either as a single dose or in two divided doses during the day.
Isotretinoin + Vehicle Gel
n=133 participants at risk
Isotretinoin + vehicle gel: Vehicle gel: topical to the face, once daily in the evening Isotretinoin: oral, 0.5mg/kg/day for a period of four weeks, adjusted to 1 mg/kg/day for the four following months.
Skin and subcutaneous tissue disorders
dry skin
18.8%
25/133 • Number of events 31 • 20 weeks
32.3%
43/133 • Number of events 56 • 20 weeks
Skin and subcutaneous tissue disorders
skin irritation
10.5%
14/133 • Number of events 17 • 20 weeks
5.3%
7/133 • Number of events 8 • 20 weeks
Nervous system disorders
headache
9.0%
12/133 • Number of events 14 • 20 weeks
8.3%
11/133 • Number of events 12 • 20 weeks
Gastrointestinal disorders
lip dry
6.8%
9/133 • Number of events 9 • 20 weeks
49.6%
66/133 • Number of events 72 • 20 weeks
Gastrointestinal disorders
nausea
10.5%
14/133 • Number of events 14 • 20 weeks
3.8%
5/133 • Number of events 5 • 20 weeks
Gastrointestinal disorders
vomiting
9.0%
12/133 • Number of events 14 • 20 weeks
1.5%
2/133 • Number of events 2 • 20 weeks
Infections and infestations
naospharyngitis
11.3%
15/133 • Number of events 17 • 20 weeks
10.5%
14/133 • Number of events 17 • 20 weeks
Infections and infestations
UPTRI (Upper Tract Respiratory Infection)
6.8%
9/133 • Number of events 10 • 20 weeks
9.8%
13/133 • Number of events 16 • 20 weeks
Gastrointestinal disorders
cheilitis
1.5%
2/133 • Number of events 2 • 20 weeks
24.1%
32/133 • Number of events 33 • 20 weeks

Additional Information

Dr. Jerry Tan

University of Western Ontario and Windsor Clinical Research Inc., 2224 Walker Rd. Suite 300, Windsor, ON, Canada

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER