A Study of Equivalence of Generic Ingenol Mebutate Gel 0.05% and Picato Gel 0.05% in Subjects With Actinic Keratosis

NCT ID: NCT02654769

Last Updated: 2020-05-12

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE3
• Total Enrollment: 441 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-02-28
• Study Completion Date: 2015-09-30

Brief Summary

The objective of this study was to evaluate the safety and therapeutic equivalence of generic ingenol mebutate gel, 0.05% to Picato gel, 0.05% and to establish the superiority of the efficacy of these two products over the vehicle gel in the treatment of Actinic Keratosis (AK) on the trunk or extremities.

Detailed Description

Picato® (ingenol mebutate) gel is the first and only ingenol mebutate product approved by the FDA in 2012 for the topical treatment of AK(s) on the face and scalp (0.015% formulation) and on the trunk and extremities (0.05% formulation). A generic ingenol mebutate gel, 0.05% has been developed for the topical treatment of clinically typical, visible, and discrete non-hyperkeratotic, non-hypertrophic AK lesions of the trunk or extremities.

Conditions

Actinic Keratosis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: QUADRUPLE

Study Groups

Active Comparator Picato®

Picato® (ingenol mebutate) gel, 0.05% (Leo Pharma Inc.) \[Reference Listed Drug (RLD)\]

Group Type: ACTIVE_COMPARATOR

Ingenol Mebutate (Picato®)

Intervention Type: DRUG

Brand product

Generic Ingenol Mebutate

Generic ingenol mebutate gel, 0.05% \[Test\]

Group Type: EXPERIMENTAL

Generic Ingenol Mebutate

Intervention Type: DRUG

Generic formulated to have the same therapeutic effect of the brand

Vehicle Foam

Vehicle gel of the test product

Group Type: PLACEBO_COMPARATOR

Vehicle Foam

Intervention Type: DRUG

It does not contain active ingredient. A placebo to test the sensitivity of the active treatments.

Interventions

Ingenol Mebutate (Picato®)

Brand product

Intervention Type: DRUG

Generic Ingenol Mebutate

Generic formulated to have the same therapeutic effect of the brand

Intervention Type: DRUG

Vehicle Foam

It does not contain active ingredient. A placebo to test the sensitivity of the active treatments.

Intervention Type: DRUG

Other Intervention Names

Picato; Placebo

Eligibility Criteria

Inclusion Criteria

• Subject was a male or non-pregnant female 18 years of age or older
• Subject provided written informed consent.
• Subject was willing and able to apply the test article as directed, comply with study instructions, and commit to all follow-up visits for the duration of the study.
• Subject had a clinical diagnosis of AK at Baseline with at least four (4), but no more than eight (8), visible and discrete non-hyperkeratotic, non-hypertrophic AK lesions, each at least 4 mm in diameter, within a contiguous 25 cm2 treatment area ("the Treatment Area") on the trunk or extremities.
• Subject was in good general health and free of any disease state or physical condition that might have impaired evaluation of AK lesions or which, in the investigator's opinion, exposed the subject to an unacceptable risk by study participation.
• Females must have been post-menopausal , surgically sterile , or have used an effective method of birth control , with a negative urine pregnancy test (UPT) at the Baseline Visit.

Exclusion Criteria

• Subject was pregnant, lactating, or was planning to become pregnant during the study.
• Subject was currently enrolled in an investigational drug or device study.
• Subject used an investigational drug or investigational device treatment within 30 days prior to the Baseline Visit.
• Subject had hyperkeratotic, hypertrophic, or large mat-like AKs (e.g., AK >1 cm2 in size) within the contiguous 25 cm2 Treatment Area.
• Subject had more than eight (8) AKs, independent of size, within the contiguous 25 cm2 Treatment Area.
• Subject had the need or planned to be exposed to artificial tanning devices or excessive sunlight during the trial.
• Subject was immunosuppressed (e.g., HIV, systemic malignancy, graft host disease, etc.)
• Subject had experienced an unsuccessful outcome from previous ingenol mebutate therapy (an unsuccessful outcome was defined as after a reasonable therapeutic trial with no compliance issues and the topical drug did not work).
• Subject had a history of sensitivity to any of the ingredients in the test articles (see Section 9.4.2).
• Subject used topical creams, lotions, or gels of any kind within the selected Treatment Area within one (1) day prior to entry into the study.
• Subject used topical medications; corticosteroids, alpha hydroxy acids (e.g., glycolic acid, lactic acid etc. >5%), beta hydroxy acid (salicylic acid >2%), urea >5%, 5-fluorouracil, diclofenac, imiquimod, ingenol mebutate, or prescription retinoids (e.g., tazarotene, adapalene, tretinoin) within the selected Treatment Area (trunk or extremities) within one (1) month prior to the Baseline Visit.
• Subject had cryodestruction, curettage, photodynamic therapy, surgical excision, or other treatments for AK within the selected Treatment Area (trunk or extremities) within one (1) month prior to the Baseline Visit.
• Subject used oral corticosteroid therapy, interferon, cytotoxic drugs, immunomodulators, immunosuppressive therapies, or retinoids within one (1) month prior to the Baseline Visit.
• Subject had dermatologic procedures or surgeries such as laser resurfacing, Psoralen + ultraviolet A (PUVA) therapy, ultraviolet B (UVB) therapy, chemical peels, or dermabrasion on the selected Treatment area (trunk or extremities) within six (6) months prior to the Baseline Visit.
• Subject had lesions suspicious for skin cancer (skin cancer not ruled out by biopsy) or untreated skin cancers within the selected Treatment Area (trunk or extremities).
• Subject had any skin pathology or condition that, in the investigator's opinion, could interfere with the evaluation of the test article or required the use of interfering topical, systemic, or surgical therapy.
• Subject had any condition which, in the investigator's opinion, would have made it unsafe or precluded the subject's ability to fully participate in this research study.
• Subject was unable to communicate or cooperate with the investigator due to language problems, poor mental development, impaired cerebral function, or physical limitations.
• Subject was known to be noncompliant or was unlikely to comply with the requirements of the study protocol (e.g., due to alcoholism, drug dependency, mental incapacity) in the opinion of the investigator.
• Subject had been previously enrolled in the same study.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 95 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Actavis Inc.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Oleg Khatsenko, Ph.D

Role: STUDY_DIRECTOR

Actavis Inc.

Locations

Center for Dermatology Clinical Research, Inc

Fremont, California, United States

SD Sports Medicine & Family Health Center

San Diego, California, United States

The Center for Clinical and Cosmetic Research

Aventura, Florida, United States

Savin Medical Group Research Center

Miami Lakes, Florida, United States

Tory P. Sullivan, M.D., P.A.

North Miami Beach, Florida, United States

Moore Clinical Research, Inc.

Tampa, Florida, United States

Northwest Clinical Trials, Inc.

Boise, Idaho, United States

Altman Dermatology Associates

Arlington Heights, Illinois, United States

Christie Clinic, LLC

Champaign, Illinois, United States

Shideler Clinical Research Center

Carmel, Indiana, United States

Dawes Fretzin Clinical Research Group, LLC

Indianapolis, Indiana, United States

The Indiana Clinical Trials Center

Plainfield, Indiana, United States

Bettencourt Skin Center

Henderson, Nevada, United States

Union Square Dermatology

New York, New York, United States

Dermatology Consulting Services

High Point, North Carolina, United States

PMG Research of Winston-Salem, LLC

Winston-Salem, North Carolina, United States

Omega Medical Research, 400 Bald Hill Road, Warwick, RI 02886

Warwick, Rhode Island, United States

Greenville Dermatology, LLC

Greenville, South Carolina, United States

Dermatology Associates of Knoxville, PC

Knoxville, Tennessee, United States

DermResearch, Inc.Austin

Austin, Texas, United States

The Center for Skin Research

Houston, Texas, United States

Virginia Clinical Research

Norfolk, Virginia, United States

Countries

United States

Other Identifiers

094-8151-301

Identifier Type: -

Identifier Source: org_study_id