Trial Outcomes & Findings for Efficacy and Safety Study Comparing CD07805/47 Gel 0.5% to Azelaic Acid Gel 15% in Subjects With Erythema of Rosacea (NCT NCT01659853)

NCT ID: NCT01659853

Last Updated: 2022-08-25

Results Overview

Composite Success, defined as a 2-grade improvement at 6 hours on both the clinician's and subject's erythema assessments at the end of each treatment period

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

70 participants

Primary outcome timeframe

Hour 6 on Day 15

Results posted on

2022-08-25

Participant Flow

Participant milestones

Participant milestones
Measure
CD07805/47 Gel 0.5% and Vehicle, Then Azelaic Acid Gel 15%
Subjects were randomly assigned to treatment sequence. Subjects who received CD07805/47 gel 0.5% and CD07805/47 gel vehicle during Period 1 (baseline to Day 15) will switch to azelaic acid gel in Period 2. Subjects who received azelaic acid gel 15% during Period 1 (baseline to Day 15) switched to CD07805/47 gel 0.5% and CD07805/47 gel vehicle in period 2. Subjects assigned to brimonidine tartrate gel 0.5% applied it once daily in the morning and applied brimonidine tartrate gel vehicle once daily in the evening. Subjects assigned to azelaic acid gel 15% applied it twice daily according to FDA approved prescribing information.
Azelaic Acid Gel 15%, Then CD07805/47 Gel 0.5% and Vehicle
Subjects were randomly assigned to treatment sequence. Subjects who received CD07805/47 gel 0.5% and CD07805/47 gel vehicle during Period 1 (baseline to Day 15) will switch to azelaic acid gel in Period 2. Subjects who received azelaic acid gel 15% during Period 1 (baseline to Day 15) switched to CD07805/47 gel 0.5% and CD07805/47 gel vehicle in period 2. Subjects assigned to brimonidine tartrate gel 0.5% applied it once daily in the morning and applied brimonidine tartrate gel vehicle once daily in the evening. Subjects assigned to azelaic acid gel 15% applied it twice daily according to FDA approved prescribing information.
Treatment Period 1
STARTED
35
35
Treatment Period 1
COMPLETED
35
35
Treatment Period 1
NOT COMPLETED
0
0
Washout , 3 to 7 Days
STARTED
35
35
Washout , 3 to 7 Days
COMPLETED
33
35
Washout , 3 to 7 Days
NOT COMPLETED
2
0
Treatment Period 2
STARTED
33
35
Treatment Period 2
COMPLETED
33
35
Treatment Period 2
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
CD07805/47 Gel 0.5% and Vehicle, Then Azelaic Acid Gel 15%
Subjects were randomly assigned to treatment sequence. Subjects who received CD07805/47 gel 0.5% and CD07805/47 gel vehicle during Period 1 (baseline to Day 15) will switch to azelaic acid gel in Period 2. Subjects who received azelaic acid gel 15% during Period 1 (baseline to Day 15) switched to CD07805/47 gel 0.5% and CD07805/47 gel vehicle in period 2. Subjects assigned to brimonidine tartrate gel 0.5% applied it once daily in the morning and applied brimonidine tartrate gel vehicle once daily in the evening. Subjects assigned to azelaic acid gel 15% applied it twice daily according to FDA approved prescribing information.
Azelaic Acid Gel 15%, Then CD07805/47 Gel 0.5% and Vehicle
Subjects were randomly assigned to treatment sequence. Subjects who received CD07805/47 gel 0.5% and CD07805/47 gel vehicle during Period 1 (baseline to Day 15) will switch to azelaic acid gel in Period 2. Subjects who received azelaic acid gel 15% during Period 1 (baseline to Day 15) switched to CD07805/47 gel 0.5% and CD07805/47 gel vehicle in period 2. Subjects assigned to brimonidine tartrate gel 0.5% applied it once daily in the morning and applied brimonidine tartrate gel vehicle once daily in the evening. Subjects assigned to azelaic acid gel 15% applied it twice daily according to FDA approved prescribing information.
Washout , 3 to 7 Days
Adverse Event
1
0
Washout , 3 to 7 Days
Protocol Violation
1
0

Baseline Characteristics

Efficacy and Safety Study Comparing CD07805/47 Gel 0.5% to Azelaic Acid Gel 15% in Subjects With Erythema of Rosacea

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=70 Participants
Participants were randomly assigned to treatment sequence. Subjects who received CD07805/47 gel 0.5% and CD07805/47 gel vehicle during Period 1 (baseline to Day 15) switched to azelaic acid gel in Period 2. Subjects who received azelaic acid gel 15% during Period 1 (baseline to Day 15) switched to CD07805/47 gel 0.5% and CD07805/47 gel vehicle in Period 2. Subjects assigned to brimonidine tartrate gel 0.5% applied it once daily in the morning and applied brimonidine tartrate gel vehicle once daily in the evening. Subjects assigned to azelaic acid gel 15% applied it twice daily according to FDA approved prescribing information.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
62 Participants
n=5 Participants
Age, Categorical
>=65 years
8 Participants
n=5 Participants
Age, Continuous
52.4 years
STANDARD_DEVIATION 10.9 • n=5 Participants
Sex: Female, Male
Female
52 Participants
n=5 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
69 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
70 participants
n=5 Participants
Fitzpatrick skin type
I
6 participants
n=5 Participants
Fitzpatrick skin type
II
35 participants
n=5 Participants
Fitzpatrick skin type
III
24 participants
n=5 Participants
Fitzpatrick skin type
IV
4 participants
n=5 Participants
Fitzpatrick skin type
V
1 participants
n=5 Participants
Fitzpatrick skin type
VI
0 participants
n=5 Participants
Skin type
Dry
14 participants
n=5 Participants
Skin type
Normal
33 participants
n=5 Participants
Skin type
Oily
6 participants
n=5 Participants
Skin type
Combination
17 participants
n=5 Participants

PRIMARY outcome

Timeframe: Hour 6 on Day 15

Population: A carryover effect was observed from Period 1 to Period 2. Therefore, as specified in the protocol, only the Period 1 results were analyzed.

Composite Success, defined as a 2-grade improvement at 6 hours on both the clinician's and subject's erythema assessments at the end of each treatment period

Outcome measures

Outcome measures
Measure
CD07805/47 Gel 0.5% and Vehicle
n=35 Participants
Participants were randomly assigned to treatment sequence. Thirty-five subjects received CD07805/47 gel 0.5% and 35 received azelaic acid gel in Period 1. A carryover effect was observed from Period 1 to Period 2. Therefore, as specified in the protocol, only the Period 1 results were analyzed.
Azelaic Acid Gel 15%
n=35 Participants
Participants were randomly assigned to treatment sequence. Thirty-five subjects received CD07805/47 gel 0.5% and 35 received azelaic acid gel in Period 1. A carryover effect was observed from Period 1 to Period 2. Therefore, as specified in the protocol, only the Period 1 results were analyzed.
Composite Success
14.3 percentage of subjects
5.7 percentage of subjects

SECONDARY outcome

Timeframe: 30 minutes after baseline treatment application on Day 15

Population: A carryover effect was observed from Period 1 to Period 2. Therefore, as specified in the protocol, only the Period 1 results were analyzed. All 70 enrolled subjects were analyzed for efficacy.

Onset of action, defined as an improvement on both the clinician's and subject's erythema assessments at 30 minutes post baseline application

Outcome measures

Outcome measures
Measure
CD07805/47 Gel 0.5% and Vehicle
n=35 Participants
Participants were randomly assigned to treatment sequence. Thirty-five subjects received CD07805/47 gel 0.5% and 35 received azelaic acid gel in Period 1. A carryover effect was observed from Period 1 to Period 2. Therefore, as specified in the protocol, only the Period 1 results were analyzed.
Azelaic Acid Gel 15%
n=35 Participants
Participants were randomly assigned to treatment sequence. Thirty-five subjects received CD07805/47 gel 0.5% and 35 received azelaic acid gel in Period 1. A carryover effect was observed from Period 1 to Period 2. Therefore, as specified in the protocol, only the Period 1 results were analyzed.
Onset of Action
31.4 percentage of subjects
29.4 percentage of subjects

Adverse Events

CD07805/47 Gel 0.5 and Vehicle

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Azelaic Acid 15%

Serious events: 0 serious events
Other events: 27 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
CD07805/47 Gel 0.5 and Vehicle
n=70 participants at risk
Participants were randomly assigned to treatment sequence. Subjects who received CD07805/47 gel 0.5% and CD07805/47 gel vehicle during Period 1 (baseline to Day 15) switched to azelaic acid gel in Period 2. Subjects who received azelaic acid gel 15% during Period 1 (baseline to Day 15) switched to CD07805/47 gel 0.5% and CD07805/47 gel vehicle in Period 2. Subjects assigned to brimonidine tartrate gel 0.5% applied it once daily in the morning and applied brimonidine tartrate gel vehicle once daily in the evening. Subjects assigned to azelaic acid gel 15% applied it twice daily according to FDA approved prescribing information.
Azelaic Acid 15%
n=68 participants at risk
Participants were randomly assigned to treatment sequence. Subjects who received CD07805/47 gel 0.5% and CD07805/47 gel vehicle during Period 1 (baseline to Day 15) switched to azelaic acid gel in Period 2. Subjects who received azelaic acid gel 15% during Period 1 (baseline to Day 15) switched to CD07805/47 gel 0.5% and CD07805/47 gel vehicle in Period 2. Subjects assigned to brimonidine tartrate gel 0.5% applied it once daily in the morning and applied brimonidine tartrate gel vehicle once daily in the evening. Subjects assigned to azelaic acid gel 15% applied it twice daily according to FDA approved prescribing information.
General disorders
Medication residue
0.00%
0/70 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
13.2%
9/68 • Number of events 9 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
Infections and infestations
Upper respiratory infection
2.9%
2/70 • Number of events 2 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
2.9%
2/68 • Number of events 2 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
Skin and subcutaneous tissue disorders
Erythema
21.4%
15/70 • Number of events 20 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
2.9%
2/68 • Number of events 2 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
Skin and subcutaneous tissue disorders
Pain of skin
0.00%
0/70 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
8.8%
6/68 • Number of events 6 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
Skin and subcutaneous tissue disorders
Pruritus
1.4%
1/70 • Number of events 1 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
14.7%
10/68 • Number of events 11 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
Skin and subcutaneous tissue disorders
Skin burning sensation
1.4%
1/70 • Number of events 1 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
8.8%
6/68 • Number of events 6 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
Skin and subcutaneous tissue disorders
Skin discomfort
0.00%
0/70 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.
2.9%
2/68 • Number of events 2 • 15 days
Two subjects in the CD07805/47 group in period 1 did not enter period 2 (1 AE and 1 protocol violation). Therefore, 70 subjects received CD07805/47 and 68 received azelaic acid.

Additional Information

Dr. Warren Winkelman

Galerma Laboratories

Phone: 817-961-5494

Results disclosure agreements

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

Restriction type: GT60