Trial Outcomes & Findings for Clinical Endpoint Study of Ivermectin 1% Cream (NCT NCT02840461)

NCT ID: NCT02840461

Last Updated: 2020-06-02

Results Overview

Bioequivalence of the test to reference was considered to have been demonstrated if the 90% confidence interval for the test to reference ratio for the percent change from baseline to Week 12 in the number of inflamed lesion counts was within \[80%, 125%\].

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

630 participants

Primary outcome timeframe

Baseline and 12 Weeks

Results posted on

2020-06-02

Participant Flow

Participant milestones

Participant milestones
Measure
Ivermectin Cream, 1%
Test product, manufactured by Actavis Laboratories UT, Inc. Ivermectin Cream, 1%
SoolantraTM (Ivermectin) Cream, 1%
Reference product, manufactured by Galderma Laboratories, L.P. Ivermectin Cream, 1%
Placebo/Vehicle Cream
Placebo, manufactured by Actavis Laboratories UT, Inc. Placebo/Vehicle cream
Overall Study
STARTED
259
257
114
Overall Study
COMPLETED
236
235
100
Overall Study
NOT COMPLETED
23
22
14

Reasons for withdrawal

Reasons for withdrawal
Measure
Ivermectin Cream, 1%
Test product, manufactured by Actavis Laboratories UT, Inc. Ivermectin Cream, 1%
SoolantraTM (Ivermectin) Cream, 1%
Reference product, manufactured by Galderma Laboratories, L.P. Ivermectin Cream, 1%
Placebo/Vehicle Cream
Placebo, manufactured by Actavis Laboratories UT, Inc. Placebo/Vehicle cream
Overall Study
Adverse Event
1
5
3
Overall Study
Lost to Follow-up
10
7
6
Overall Study
Non-Comliance with Dosing Requirements
0
1
0
Overall Study
Protocol Violation
2
3
1
Overall Study
Withdrawal by Subject
10
6
2
Overall Study
Worsening of Symptom & Kit Error
0
0
2

Baseline Characteristics

Clinical Endpoint Study of Ivermectin 1% Cream

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ivermectin Cream, 1%
n=259 Participants
Test product, manufactured by Actavis Laboratories UT, Inc. Ivermectin Cream, 1%
SoolantraTM (Ivermectin) Cream, 1%
n=257 Participants
Reference product, manufactured by Galderma Laboratories, L.P. Ivermectin Cream, 1%
Placebo/Vehicle Cream
n=114 Participants
Placebo, manufactured by Actavis Laboratories UT, Inc. Placebo/Vehicle cream
Total
n=630 Participants
Total of all reporting groups
Age, Continuous
51.8 years
STANDARD_DEVIATION 15.4 • n=5 Participants
50.3 years
STANDARD_DEVIATION 15.0 • n=7 Participants
51.1 years
STANDARD_DEVIATION 14.1 • n=5 Participants
51.1 years
STANDARD_DEVIATION 14.8 • n=4 Participants
Sex: Female, Male
Female
182 Participants
n=5 Participants
182 Participants
n=7 Participants
85 Participants
n=5 Participants
449 Participants
n=4 Participants
Sex: Female, Male
Male
77 Participants
n=5 Participants
75 Participants
n=7 Participants
29 Participants
n=5 Participants
181 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
136 Participants
n=5 Participants
133 Participants
n=7 Participants
65 Participants
n=5 Participants
334 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
123 Participants
n=5 Participants
124 Participants
n=7 Participants
49 Participants
n=5 Participants
296 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
4 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
White
253 Participants
n=5 Participants
253 Participants
n=7 Participants
114 Participants
n=5 Participants
620 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline and 12 Weeks

Population: Modified Intent-to-Treat Population

Bioequivalence of the test to reference was considered to have been demonstrated if the 90% confidence interval for the test to reference ratio for the percent change from baseline to Week 12 in the number of inflamed lesion counts was within \[80%, 125%\].

Outcome measures

Outcome measures
Measure
Ivermectin Cream, 1%
n=251 Participants
Test product, manufactured by Actavis Laboratories UT, Inc. Ivermectin Cream, 1%
SoolantraTM (Ivermectin) Cream, 1%
n=248 Participants
Reference product, manufactured by Galderma Laboratories, L.P. Ivermectin Cream, 1%
Vehicle Cream
n=111 Participants
Placebo cream (manufactured by Actavis Laboratories UT, Inc.)
Percent Change From Baseline to Week 12 in the Number of Inflamed (Papules/Pustules) Lesions of Rosacea.
-64.87 percentage of change from baseline
Standard Error 2.03
-64.87 percentage of change from baseline
Standard Error 2.03
-55.04 percentage of change from baseline
Standard Error 2.92

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: Modified Intent-To-Treat Population

The secondary endpoint was the percentage of patients with a clinical response of "success" using the IGE at Week 12. At Visit 1, the IGE had to be 3 or 4 for the patient to be eligible for inclusion.

Outcome measures

Outcome measures
Measure
Ivermectin Cream, 1%
n=251 Participants
Test product, manufactured by Actavis Laboratories UT, Inc. Ivermectin Cream, 1%
SoolantraTM (Ivermectin) Cream, 1%
n=248 Participants
Reference product, manufactured by Galderma Laboratories, L.P. Ivermectin Cream, 1%
Vehicle Cream
n=111 Participants
Placebo cream (manufactured by Actavis Laboratories UT, Inc.)
The Percentage of Patients With a Clinical Response of "Success".
117 Participants
108 Participants
45 Participants

Adverse Events

Ivermectin Cream, 1%

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

SoolantraTM (Ivermectin) Cream, 1%

Serious events: 0 serious events
Other events: 24 other events
Deaths: 0 deaths

Placebo/Vehicle Cream

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ivermectin Cream, 1%
n=259 participants at risk
Test product, manufactured by Actavis Laboratories UT, Inc. Ivermectin Cream, 1%
SoolantraTM (Ivermectin) Cream, 1%
n=257 participants at risk
Reference product, manufactured by Galderma Laboratories, L.P. Ivermectin Cream, 1%
Placebo/Vehicle Cream
n=114 participants at risk
Placebo, manufactured by Actavis Laboratories UT, Inc. Placebo/Vehicle cream
Eye disorders
Dry eye
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Eye disorders
Eye irritation
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Eye disorders
Vision blurred
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Gastrointestinal disorders
Diarrhoea
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Gastrointestinal disorders
Nausea
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Gastrointestinal disorders
Toothache
0.39%
1/259 • Number of events 1 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
General disorders
Application site eczema
0.00%
0/259 • 6 months
0.00%
0/257 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
General disorders
Application site erythema
0.00%
0/259 • 6 months
0.00%
0/257 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
General disorders
Application site pain
0.77%
2/259 • Number of events 3 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
General disorders
Pyrexia
0.39%
1/259 • Number of events 1 • 6 months
0.00%
0/257 • 6 months
0.00%
0/114 • 6 months
Infections and infestations
Abscess limb
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Infections and infestations
Acute sinusitis
0.00%
0/259 • 6 months
0.00%
0/257 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
Infections and infestations
Bronchitis
0.39%
1/259 • Number of events 1 • 6 months
0.00%
0/257 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
Infections and infestations
Conjunctivitis
0.39%
1/259 • Number of events 1 • 6 months
0.00%
0/257 • 6 months
0.00%
0/114 • 6 months
Infections and infestations
Hordeolum
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Infections and infestations
Influenza
0.39%
1/259 • Number of events 1 • 6 months
0.00%
0/257 • 6 months
0.00%
0/114 • 6 months
Infections and infestations
Nasopharyngitis
1.2%
3/259 • Number of events 3 • 6 months
0.00%
0/257 • 6 months
0.00%
0/114 • 6 months
Infections and infestations
Oral herpes
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Infections and infestations
Pharyngitis
0.39%
1/259 • Number of events 1 • 6 months
0.00%
0/257 • 6 months
0.00%
0/114 • 6 months
Infections and infestations
Pnuemonia
0.00%
0/259 • 6 months
0.00%
0/257 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
Infections and infestations
Sinusitis
0.39%
1/259 • Number of events 1 • 6 months
0.00%
0/257 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
Infections and infestations
Staphylococcal infection
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Infections and infestations
Upper respiratory tract infection
0.00%
0/259 • 6 months
0.00%
0/257 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
Injury, poisoning and procedural complications
Animal bite
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Injury, poisoning and procedural complications
Laceration
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
Injury, poisoning and procedural complications
Muscle strain
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Injury, poisoning and procedural complications
Procedural pain
0.39%
1/259 • Number of events 1 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Metabolism and nutrition disorders
Diabetes mellitus
0.00%
0/259 • 6 months
0.00%
0/257 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
Metabolism and nutrition disorders
Fluid retention
0.00%
0/259 • 6 months
0.00%
0/257 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
Back pain
0.39%
1/259 • Number of events 1 • 6 months
0.78%
2/257 • Number of events 2 • 6 months
0.00%
0/114 • 6 months
Musculoskeletal and connective tissue disorders
Myalgia
0.77%
2/259 • Number of events 2 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
Pain in extremity
0.39%
1/259 • Number of events 1 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Musculoskeletal and connective tissue disorders
Sjogren's syndrome
0.00%
0/259 • 6 months
0.00%
0/257 • 6 months
0.88%
1/114 • Number of events 1 • 6 months
Nervous system disorders
Dizziness
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 2 • 6 months
0.00%
0/114 • 6 months
Nervous system disorders
Headache
0.77%
2/259 • Number of events 2 • 6 months
1.2%
3/257 • Number of events 6 • 6 months
1.8%
2/114 • Number of events 2 • 6 months
Psychiatric disorders
Anxiety
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.39%
1/259 • Number of events 1 • 6 months
0.00%
0/257 • 6 months
0.00%
0/114 • 6 months
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Skin and subcutaneous tissue disorders
Acne
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Skin and subcutaneous tissue disorders
Dermatitis contact
0.00%
0/259 • 6 months
0.78%
2/257 • Number of events 2 • 6 months
1.8%
2/114 • Number of events 2 • 6 months
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 3 • 6 months
0.00%
0/114 • 6 months
Skin and subcutaneous tissue disorders
Rash papular
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Skin and subcutaneous tissue disorders
Rosacea
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months
Vascular disorders
Hypertension
0.00%
0/259 • 6 months
0.39%
1/257 • Number of events 1 • 6 months
0.00%
0/114 • 6 months

Additional Information

Senior Director, CE Studies

Teva Pharmaceuticals Inc. USA

Phone: 1-888-483-8279

Results disclosure agreements

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