Trial Outcomes & Findings for A Study to Evaluate the Safety and Efficacy of CB-03-01 Cream, 1% in Subjects With Facial Acne Vulgaris (25) (NCT NCT02608450)

NCT ID: NCT02608450

Last Updated: 2020-11-20

Results Overview

Percentage of subjects in each treatment group achieving "success" at Week 12, with "success" defined as an IGA score of "clear (score=0)" or "almost clear (score=1)" and at least a two-point reduction in IGA compared to Baseline.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

708 participants

Primary outcome timeframe

Week 12

Results posted on

2020-11-20

Participant Flow

Participant milestones

Participant milestones
Measure
CB-03-01 Cream
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Overall Study
STARTED
353
355
Overall Study
COMPLETED
287
290
Overall Study
NOT COMPLETED
66
65

Reasons for withdrawal

Reasons for withdrawal
Measure
CB-03-01 Cream
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Overall Study
Lost to Follow-up
39
32
Overall Study
Withdrawal by Subject
21
15
Overall Study
Adverse Event
3
6
Overall Study
Withdrawal by parent
2
3
Overall Study
Lack of Efficacy
0
3
Overall Study
Noncompliance with study drug
0
2
Overall Study
Physician Decision
0
1
Overall Study
Pregnancy
0
1
Overall Study
Progressive disease
1
0
Overall Study
Multiple reasons
0
2

Baseline Characteristics

A Study to Evaluate the Safety and Efficacy of CB-03-01 Cream, 1% in Subjects With Facial Acne Vulgaris (25)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CB-03-01 Cream
n=353 Participants
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
n=355 Participants
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Total
n=708 Participants
Total of all reporting groups
Baseline IGA
3 - Moderate
292 Participants
n=5 Participants
291 Participants
n=7 Participants
583 Participants
n=5 Participants
Baseline IGA
4 - Severe
61 Participants
n=5 Participants
64 Participants
n=7 Participants
125 Participants
n=5 Participants
Baseline Acne Lesion Counts
Non-inflammatory lesions
59.1 Lesions
STANDARD_DEVIATION 22.2 • n=5 Participants
60.7 Lesions
STANDARD_DEVIATION 22.1 • n=7 Participants
59.9 Lesions
STANDARD_DEVIATION 22.1 • n=5 Participants
Baseline Acne Lesion Counts
Inflammatory lesions
42.4 Lesions
STANDARD_DEVIATION 11.8 • n=5 Participants
42.9 Lesions
STANDARD_DEVIATION 12.3 • n=7 Participants
42.7 Lesions
STANDARD_DEVIATION 12.1 • n=5 Participants
Baseline Acne Lesion Counts
Total Lesion Count
101.5 Lesions
STANDARD_DEVIATION 25.1 • n=5 Participants
103.6 Lesions
STANDARD_DEVIATION 26.1 • n=7 Participants
102.6 Lesions
STANDARD_DEVIATION 25.6 • n=5 Participants
Age, Continuous
20.0 years
STANDARD_DEVIATION 6.7 • n=5 Participants
19.9 years
STANDARD_DEVIATION 6.8 • n=7 Participants
19.9 years
STANDARD_DEVIATION 6.7 • n=5 Participants
Sex: Female, Male
Female
221 Participants
n=5 Participants
215 Participants
n=7 Participants
436 Participants
n=5 Participants
Sex: Female, Male
Male
132 Participants
n=5 Participants
140 Participants
n=7 Participants
272 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
94 Participants
n=5 Participants
80 Participants
n=7 Participants
174 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
259 Participants
n=5 Participants
275 Participants
n=7 Participants
534 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
9 Participants
n=5 Participants
10 Participants
n=7 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
31 Participants
n=5 Participants
38 Participants
n=7 Participants
69 Participants
n=5 Participants
Race (NIH/OMB)
White
298 Participants
n=5 Participants
297 Participants
n=7 Participants
595 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Baseline IGA
0 - Clear
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Baseline IGA
1 - Almost Clear
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Baseline IGA
2- Mild
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 12

Population: Intent-to-treat (ITT) population included all randomized subjects.

Percentage of subjects in each treatment group achieving "success" at Week 12, with "success" defined as an IGA score of "clear (score=0)" or "almost clear (score=1)" and at least a two-point reduction in IGA compared to Baseline.

Outcome measures

Outcome measures
Measure
CB-03-01 Cream
n=353 Participants
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
n=355 Participants
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Percentage of Participants Achieving Success in Investigator's Global Assessment (IGA)
18.4 Percentage of participants
9.0 Percentage of participants

PRIMARY outcome

Timeframe: Baseline and Week 12

Population: ITT population.

Absolute change from Baseline in non-inflammatory lesion counts in each treatment group at Week 12.

Outcome measures

Outcome measures
Measure
CB-03-01 Cream
n=353 Participants
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
n=355 Participants
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Change From Baseline in Non-inflammatory Lesion Counts
-19.4 Non-inflammatory Lesions
Interval -22.6 to -16.7
-13.0 Non-inflammatory Lesions
Interval -15.7 to -10.3

PRIMARY outcome

Timeframe: Baseline and Week 12

Population: ITT population.

Absolute change from Baseline in inflammatory lesion counts in each treatment group at Week 12.

Outcome measures

Outcome measures
Measure
CB-03-01 Cream
n=353 Participants
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
n=355 Participants
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Change From Baseline in Inflammatory Lesion Counts
-19.3 Inflammatory Lesions
Interval -21.1 to -17.5
-15.5 Inflammatory Lesions
Interval -17.3 to -13.6

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: ITT population

Absolute change from Baseline in total lesions counts in each treatment group at Week 12.

Outcome measures

Outcome measures
Measure
CB-03-01 Cream
n=353 Participants
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
n=355 Participants
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Change From Baseline in Total Lesion Counts
-39.1 Total lesions
Interval -43.0 to -35.1
-28.8 Total lesions
Interval -32.6 to -24.9

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: ITT population

Percent change from Baseline in total lesions counts in each treatment group at Week 12.

Outcome measures

Outcome measures
Measure
CB-03-01 Cream
n=353 Participants
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
n=355 Participants
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Percent Change From Baseline in Total Lesion Counts
-37.0 percent change
Interval -40.9 to -33.2
-28.4 percent change
Interval -32.3 to -24.6

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: ITT population.

Percent change from Baseline in non-inflammatory lesions count in each treatment group at Week 12.

Outcome measures

Outcome measures
Measure
CB-03-01 Cream
n=353 Participants
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
n=355 Participants
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Percent Change From Baseline in Non-inflammatory Lesion (NIL) Counts
-30.6 percent change
Interval -35.6 to -25.7
-21.6 percent change
Interval -26.4 to -16.8

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: ITT population.

Percent change from Baseline in inflammatory lesions count in each treatment group at Week 12.

Outcome measures

Outcome measures
Measure
CB-03-01 Cream
n=353 Participants
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
n=355 Participants
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Percent Change From Baseline in Inflammatory Lesion (IL) Counts
-44.8 percent change
Interval -49.0 to -40.5
-36.5 percent change
Interval -40.8 to -32.2

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Weeks 4, 8, and 12

Local Site Reactions (LSRs) including telangiectasia, skin atrophy, striae rubrae, erythema, edema, scaling/dryness, stinging/burning, and pruritus scored by frequency and severity at every visit (Baseline, Weeks 4, 8, and 12).

Outcome measures

Outcome data not reported

Adverse Events

CB-03-01 Cream

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Vehicle Cream

Serious events: 1 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
CB-03-01 Cream
n=353 participants at risk
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
n=355 participants at risk
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Infections and infestations
Pneumonia
0.00%
0/353 • Adverse events (AEs) and serious adverse events (SAEs) were collected from screening visit, Baseline (Day 1) and up to Week 12/early termination.
The Safety population was used for all analyses which comprised of all participants enrolled in the study and applied at least on dose of the test article.
0.28%
1/355 • Number of events 1 • Adverse events (AEs) and serious adverse events (SAEs) were collected from screening visit, Baseline (Day 1) and up to Week 12/early termination.
The Safety population was used for all analyses which comprised of all participants enrolled in the study and applied at least on dose of the test article.

Other adverse events

Other adverse events
Measure
CB-03-01 Cream
n=353 participants at risk
CB-03-01 cream, 1% applied twice daily for 12 weeks Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris.
Vehicle Cream
n=355 participants at risk
Vehicle cream applied twice daily for 12 weeks Vehicle cream: Vehicle cream manufactured to mimic look and feel of CB-03-01 but without the active ingredient cortexolone 17α-propionate.
Infections and infestations
Nasopharyngitis
1.7%
6/353 • Number of events 7 • Adverse events (AEs) and serious adverse events (SAEs) were collected from screening visit, Baseline (Day 1) and up to Week 12/early termination.
The Safety population was used for all analyses which comprised of all participants enrolled in the study and applied at least on dose of the test article.
3.4%
12/355 • Number of events 12 • Adverse events (AEs) and serious adverse events (SAEs) were collected from screening visit, Baseline (Day 1) and up to Week 12/early termination.
The Safety population was used for all analyses which comprised of all participants enrolled in the study and applied at least on dose of the test article.
General disorders
Application pain
0.28%
1/353 • Number of events 1 • Adverse events (AEs) and serious adverse events (SAEs) were collected from screening visit, Baseline (Day 1) and up to Week 12/early termination.
The Safety population was used for all analyses which comprised of all participants enrolled in the study and applied at least on dose of the test article.
0.85%
3/355 • Number of events 4 • Adverse events (AEs) and serious adverse events (SAEs) were collected from screening visit, Baseline (Day 1) and up to Week 12/early termination.
The Safety population was used for all analyses which comprised of all participants enrolled in the study and applied at least on dose of the test article.
Injury, poisoning and procedural complications
Application site pruritus
0.57%
2/353 • Number of events 2 • Adverse events (AEs) and serious adverse events (SAEs) were collected from screening visit, Baseline (Day 1) and up to Week 12/early termination.
The Safety population was used for all analyses which comprised of all participants enrolled in the study and applied at least on dose of the test article.
0.85%
3/355 • Number of events 3 • Adverse events (AEs) and serious adverse events (SAEs) were collected from screening visit, Baseline (Day 1) and up to Week 12/early termination.
The Safety population was used for all analyses which comprised of all participants enrolled in the study and applied at least on dose of the test article.

Additional Information

Cassiopea R&D

Cassiopea SPA

Phone: +39 02 868 911 24

Results disclosure agreements

  • Principal investigator is a sponsor employee The Sponsor has first right to publish pooled study data. In the event that such manuscript has not been submitted for publication within 18 months from study completion/termination at all participating sites, the PI shall have the right to single center publications provided they submit any data for presentation, oral or written, to the Sponsor for review 60 days prior to public disclosure. The PI may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER