Trial Outcomes & Findings for Internet Surveys and Their Impact on Adherence for Rosacea (NCT NCT03048058)

NCT ID: NCT03048058

Last Updated: 2018-10-10

Results Overview

To assess adherence to topical brimonidine for the treatment of rosacea as measured by MEMS caps. The result will be the % of prescribed doses that were actually taken by the subject

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

20 participants

Primary outcome timeframe

6 months

Results posted on

2018-10-10

Participant Flow

20 subjects male/female aged 18 years and older with the diagnosis of persistent erythema associated with mild to moderate rosacea as defined by an Investigator Global Assessment rating between 2 and 5. Patients were recruited from Wake Forest University Department of Dermatology Clinics and via Institutional Review Board approved advertising.

Participant milestones

Participant milestones
Measure
Brimonidine Topical Gel 0.33% & Survey
The internet survey will ask them how often they have used their medication that week, as well as giving them treatment tips and reminders about rosacea triggers. They will be asked a variety of questions during the weekly internet survey- such as the amount of erythema they currently have (measured by VAS scale), how much burning and stinging they have, how often they have used the medication and where did they apply the medication, as well as any additional side effects they may be having from the medication. brimonidine topical gel 0.33% \& survey: The internet survey will ask them how often they have used their medication that week, as well as giving them treatment tips and reminders about rosacea triggers. They will be asked a variety of questions during the weekly internet survey- such as the amount of erythema they currently have (measured by VAS scale), how much burning and stinging they have, how often they have used the medication and where did they apply the medication,
Brimonidine Topical Gel 0.33% & SOC
Topical drug and standard of care follow-up, no weekly survey; only survey during 3 month and 6 month visits brimonidine topical gel 0.33% \& SOC: All subjects will receive standard-of-care brimonidine topical gel 0.33%
Overall Study
STARTED
10
10
Overall Study
COMPLETED
6
6
Overall Study
NOT COMPLETED
4
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Brimonidine Topical Gel 0.33% & Survey
The internet survey will ask them how often they have used their medication that week, as well as giving them treatment tips and reminders about rosacea triggers. They will be asked a variety of questions during the weekly internet survey- such as the amount of erythema they currently have (measured by VAS scale), how much burning and stinging they have, how often they have used the medication and where did they apply the medication, as well as any additional side effects they may be having from the medication. brimonidine topical gel 0.33% \& survey: The internet survey will ask them how often they have used their medication that week, as well as giving them treatment tips and reminders about rosacea triggers. They will be asked a variety of questions during the weekly internet survey- such as the amount of erythema they currently have (measured by VAS scale), how much burning and stinging they have, how often they have used the medication and where did they apply the medication,
Brimonidine Topical Gel 0.33% & SOC
Topical drug and standard of care follow-up, no weekly survey; only survey during 3 month and 6 month visits brimonidine topical gel 0.33% \& SOC: All subjects will receive standard-of-care brimonidine topical gel 0.33%
Overall Study
Lost to Follow-up
4
0
Overall Study
Withdrawal by Subject
0
4

Baseline Characteristics

Gender not collected for all participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Brimonidine Topical Gel 0.33% & Survey
n=10 Participants
The internet survey will ask them how often they have used their medication that week, as well as giving them treatment tips and reminders about rosacea triggers. They will be asked a variety of questions during the weekly internet survey- such as the amount of erythema they currently have (measured by VAS scale), how much burning and stinging they have, how often they have used the medication and where did they apply the medication, as well as any additional side effects they may be having from the medication. brimonidine topical gel 0.33% \& survey: The internet survey will ask them how often they have used their medication that week, as well as giving them treatment tips and reminders about rosacea triggers. They will be asked a variety of questions during the weekly internet survey- such as the amount of erythema they currently have (measured by VAS scale), how much burning and stinging they have, how often they have used the medication and where did they apply the medication,
Brimonidine Topical Gel 0.33% & SOC
n=10 Participants
Topical drug and standard of care follow-up, no weekly survey; only survey during 3 month and 6 month visits brimonidine topical gel 0.33% \& SOC: All subjects will receive standard-of-care brimonidine topical gel 0.33%
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=10 Participants
8 Participants
n=10 Participants
18 Participants
n=20 Participants
Age, Categorical
>=65 years
0 Participants
n=10 Participants
2 Participants
n=10 Participants
2 Participants
n=20 Participants
Sex: Female, Male
Female
6 Participants
n=6 Participants • Gender not collected for all participants
6 Participants
n=6 Participants • Gender not collected for all participants
12 Participants
n=12 Participants • Gender not collected for all participants
Sex: Female, Male
Male
0 Participants
n=6 Participants • Gender not collected for all participants
0 Participants
n=6 Participants • Gender not collected for all participants
0 Participants
n=12 Participants • Gender not collected for all participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
Race (NIH/OMB)
Asian
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
Race (NIH/OMB)
White
10 Participants
n=10 Participants
10 Participants
n=10 Participants
20 Participants
n=20 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
Region of Enrollment
United States
10 Participants
n=10 Participants
10 Participants
n=10 Participants
20 Participants
n=20 Participants

PRIMARY outcome

Timeframe: 6 months

To assess adherence to topical brimonidine for the treatment of rosacea as measured by MEMS caps. The result will be the % of prescribed doses that were actually taken by the subject

Outcome measures

Outcome measures
Measure
Brimonidine Topical Gel 0.33% & Survey
n=10 Participants
Topical drug and standard of care follow-up,with weekly survey.
Brimonidine Topical Gel 0.33% & SOC
n=10 Participants
Topical drug and standard of care follow-up, no weekly survey; only survey during 3 month and 6 month visits brimonidine topical gel 0.33% \& SOC: All subjects will receive standard-of-care brimonidine topical gel 0.33%
Adherence (% of Prescribed Doses That Were Actually Taken by the Subject)
8.2 percentage of medication use
Standard Deviation 5.3
6.9 percentage of medication use
Standard Deviation 4.2

SECONDARY outcome

Timeframe: Baseline and 6 months

Population: Only 7 participants in the gel and survey group and 6 in the control group reported data at 6 months

Change in total Lesion count

Outcome measures

Outcome measures
Measure
Brimonidine Topical Gel 0.33% & Survey
n=10 Participants
Topical drug and standard of care follow-up,with weekly survey.
Brimonidine Topical Gel 0.33% & SOC
n=10 Participants
Topical drug and standard of care follow-up, no weekly survey; only survey during 3 month and 6 month visits brimonidine topical gel 0.33% \& SOC: All subjects will receive standard-of-care brimonidine topical gel 0.33%
Lesion Count
Baseline
4 count of lesions
Standard Deviation 9.6
10.4 count of lesions
Standard Deviation 17.6
Lesion Count
6 Months
2.7 count of lesions
Standard Deviation 2.9
6.2 count of lesions
Standard Deviation 6.7

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Only 7 participants in the gel and survey group and 6 in the control group reported data at 6 months

Clinician Erythema Assessment scale based on scale of 0-4 with 0 being no erythema and 4 being severe erythema with greater scores denoting a worse outcome.

Outcome measures

Outcome measures
Measure
Brimonidine Topical Gel 0.33% & Survey
n=10 Participants
Topical drug and standard of care follow-up,with weekly survey.
Brimonidine Topical Gel 0.33% & SOC
n=10 Participants
Topical drug and standard of care follow-up, no weekly survey; only survey during 3 month and 6 month visits brimonidine topical gel 0.33% \& SOC: All subjects will receive standard-of-care brimonidine topical gel 0.33%
Clinician Erythema Assessment Scale
Baseline
2.4 units on a scale
Standard Deviation 0.5
2.5 units on a scale
Standard Deviation .53
Clinician Erythema Assessment Scale
6 Months
2.7 units on a scale
Standard Deviation 2.8
2.3 units on a scale
Standard Deviation .52

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Only 7 participants in the gel and survey group and 6 in the control group reported data at 6 months

Change in overall Quality of Life as measured by the The Life Impact Survey. This measures the impact of rosacea and its treatment on life. The score range is 0-54 with higher scores denoting worse outcomes.

Outcome measures

Outcome measures
Measure
Brimonidine Topical Gel 0.33% & Survey
n=10 Participants
Topical drug and standard of care follow-up,with weekly survey.
Brimonidine Topical Gel 0.33% & SOC
n=10 Participants
Topical drug and standard of care follow-up, no weekly survey; only survey during 3 month and 6 month visits brimonidine topical gel 0.33% \& SOC: All subjects will receive standard-of-care brimonidine topical gel 0.33%
Quality of Life (Measured by General Survey of Impact of Rosacea on Everyday Activities)
Baseline
2.4 units on a scale
Standard Deviation 2.12
6.2 units on a scale
Standard Deviation 8.66
Quality of Life (Measured by General Survey of Impact of Rosacea on Everyday Activities)
6 Months
1.43 units on a scale
Standard Deviation 1.72
1.5 units on a scale
Standard Deviation 1.05

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Only 7 participants in the gel and survey group and 6 in the control group reported data at 6 months

Patient Severity Assessment: Subject ratings of erythema with scale 0 - 4. 0 = face free of rosacea; 4 = My face has severe medium to large sized red inflamed bumps or pustules, My face has severe redness. Higher scores denotes worse outcomes.

Outcome measures

Outcome measures
Measure
Brimonidine Topical Gel 0.33% & Survey
n=9 Participants
Topical drug and standard of care follow-up,with weekly survey.
Brimonidine Topical Gel 0.33% & SOC
n=10 Participants
Topical drug and standard of care follow-up, no weekly survey; only survey during 3 month and 6 month visits brimonidine topical gel 0.33% \& SOC: All subjects will receive standard-of-care brimonidine topical gel 0.33%
Patient Severity Assessment (PSA)
Baseline
1.6 units on a scale
Standard Deviation 0.7
2.4 units on a scale
Standard Deviation 1.26
Patient Severity Assessment (PSA)
6 Months
1.14 units on a scale
Standard Deviation .9
1.17 units on a scale
Standard Deviation .98

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Only 7 participants in the gel and survey group and 6 in the control group reported data at 6 months

Quality of life for rosacea was reported. The score range is 4-40 with higher scores denoting worse outcomes.

Outcome measures

Outcome measures
Measure
Brimonidine Topical Gel 0.33% & Survey
n=10 Participants
Topical drug and standard of care follow-up,with weekly survey.
Brimonidine Topical Gel 0.33% & SOC
n=10 Participants
Topical drug and standard of care follow-up, no weekly survey; only survey during 3 month and 6 month visits brimonidine topical gel 0.33% \& SOC: All subjects will receive standard-of-care brimonidine topical gel 0.33%
Quality of Life With Rosacea
Baseline
17.5 units on a scale
Standard Deviation 4.25
13.7 units on a scale
Standard Deviation 4.79
Quality of Life With Rosacea
6 Months
15.57 units on a scale
Standard Deviation 4.35
13 units on a scale
Standard Deviation 4.1

SECONDARY outcome

Timeframe: baseline and 6 months

Population: No data was collected

Dermatology Life Quality Index (DLQI) for the impact of rosacea on everyday activities. The score range is 0-30 with higher scores having a larger effect on patient's life.

Outcome measures

Outcome data not reported

Adverse Events

Brimonidine Topical Gel 0.33% & Survey

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

Brimonidine Topical Gel 0.33% & SOC

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Irma M. RIchardson, MHA;

Wake Forest University Health Sciences

Phone: 336-716-2903

Results disclosure agreements

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