Trial Outcomes & Findings for The Use of Oracea and Epiduo Forte in Severe Acne Patients (NCT NCT03457636)

NCT ID: NCT03457636

Last Updated: 2019-04-03

Results Overview

The IGA is an assessment by the Investigator to assess the severity of the subject's disease wherein 0=Clear Skin, 1=Almost Clear, 2=Mild Severity, 3=Moderate, 4=Severe, 5=Very Severe. Lower score indicate less severe disease.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

22 participants

Primary outcome timeframe

Baseline, Week 4, Week 8, Week 12

Results posted on

2019-04-03

Participant Flow

Participant milestones

Participant milestones
Measure
Doxycycline Anhydrous 40 mg Once Daily and Adapalene/Benzoyl p
All subjects will receive at Baseline doxycycline anhydrous 40 mg and Adapalene-Benzoyl Peroxide Gel .3-2.5% (Epiduo) to be applied once daily Doxycycline Anhydrous 40 MG: One Oracea Capsule (40 mg) should be taken once daily in the morning on an empty stomach, preferably at least one hour prior to or two hours after meals Adapalene-Benzoyl Peroxide Gel 0.3-2.5%: Epiduo Forte should be applied in a thin layer to affected areas of the face and/or trunk once daily after washing, with care taken to avoid the eyes, lips, and mucous membranes
Overall Study
STARTED
22
Overall Study
COMPLETED
20
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Doxycycline Anhydrous 40 mg Once Daily and Adapalene/Benzoyl p
All subjects will receive at Baseline doxycycline anhydrous 40 mg and Adapalene-Benzoyl Peroxide Gel .3-2.5% (Epiduo) to be applied once daily Doxycycline Anhydrous 40 MG: One Oracea Capsule (40 mg) should be taken once daily in the morning on an empty stomach, preferably at least one hour prior to or two hours after meals Adapalene-Benzoyl Peroxide Gel 0.3-2.5%: Epiduo Forte should be applied in a thin layer to affected areas of the face and/or trunk once daily after washing, with care taken to avoid the eyes, lips, and mucous membranes
Overall Study
Lost to Follow-up
2

Baseline Characteristics

The Use of Oracea and Epiduo Forte in Severe Acne Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Doxycycline Anhydrous and Adapalene/Benzoyl Peroxide
n=20 Participants
All subjects will receive at Baseline doxycycline anhydrous 40 mg (Oracea) to be taken once daily and Adapalene-Benzoyl Peroxide Gel .3-2.5% (Epiduo) to be applied once daily for 12 weeks Doxycycline Anhydrous 40 MG: One Oracea Capsule (40 mg) should be taken once daily in the morning on an empty stomach, preferably at least one hour prior to or two hours after meals Adapalene/Benzoyl Peroxide Gel 0.3-2.5%: Epiduo Forte should be applied in a thin layer to affected areas of the face and/or trunk once daily after washing, with care taken to avoid the eyes, lips, and mucous membranes
Age, Continuous
19 years
STANDARD_DEVIATION 8 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 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
5 Participants
n=5 Participants
Race (NIH/OMB)
White
15 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
20 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Week 4, Week 8, Week 12

The IGA is an assessment by the Investigator to assess the severity of the subject's disease wherein 0=Clear Skin, 1=Almost Clear, 2=Mild Severity, 3=Moderate, 4=Severe, 5=Very Severe. Lower score indicate less severe disease.

Outcome measures

Outcome measures
Measure
Doxycycline Anhydrous and Adapalene/Benzoyl Peroxide
n=20 Participants
All subjects will receive at Baseline doxycycline anhydrous 40 mg (Oracea) to be taken once daily and Adapalene-Benzoyl Peroxide Gel .3-2.5% (Epiduo) to be applied once daily for 12 weeks Doxycycline Anhydrous 40 MG: One Oracea Capsule (40 mg) should be taken once daily in the morning on an empty stomach, preferably at least one hour prior to or two hours after meals Adapalene/Benzoyl Peroxide Gel 0.3-2.5%: Epiduo Forte should be applied in a thin layer to affected areas of the face and/or trunk once daily after washing, with care taken to avoid the eyes, lips, and mucous membranes
Investigator Global Assessment (IGA) Score
Baseline · Almost Clear
0 Participants
Investigator Global Assessment (IGA) Score
Baseline · Clear
0 Participants
Investigator Global Assessment (IGA) Score
Baseline · Severe
20 Participants
Investigator Global Assessment (IGA) Score
Baseline · Moderate
0 Participants
Investigator Global Assessment (IGA) Score
Baseline · Mild
0 Participants
Investigator Global Assessment (IGA) Score
Week 4 · Almost Clear
0 Participants
Investigator Global Assessment (IGA) Score
Week 4 · Clear
0 Participants
Investigator Global Assessment (IGA) Score
Week 4 · Severe
5 Participants
Investigator Global Assessment (IGA) Score
Week 4 · Moderate
15 Participants
Investigator Global Assessment (IGA) Score
Week 4 · Mild
0 Participants
Investigator Global Assessment (IGA) Score
Week 8 · Almost Clear
2 Participants
Investigator Global Assessment (IGA) Score
Week 8 · Clear
0 Participants
Investigator Global Assessment (IGA) Score
Week 8 · Severe
0 Participants
Investigator Global Assessment (IGA) Score
Week 8 · Moderate
10 Participants
Investigator Global Assessment (IGA) Score
Week 8 · Mild
8 Participants
Investigator Global Assessment (IGA) Score
Week 12 · Almost Clear
6 Participants
Investigator Global Assessment (IGA) Score
Week 12 · Clear
0 Participants
Investigator Global Assessment (IGA) Score
Week 12 · Severe
0 Participants
Investigator Global Assessment (IGA) Score
Week 12 · Moderate
1 Participants
Investigator Global Assessment (IGA) Score
Week 12 · Mild
13 Participants

SECONDARY outcome

Timeframe: 12 weeks

The percent of subjects who have at least a 2 grade improvement on IGA score

Outcome measures

Outcome measures
Measure
Doxycycline Anhydrous and Adapalene/Benzoyl Peroxide
n=20 Participants
All subjects will receive at Baseline doxycycline anhydrous 40 mg (Oracea) to be taken once daily and Adapalene-Benzoyl Peroxide Gel .3-2.5% (Epiduo) to be applied once daily for 12 weeks Doxycycline Anhydrous 40 MG: One Oracea Capsule (40 mg) should be taken once daily in the morning on an empty stomach, preferably at least one hour prior to or two hours after meals Adapalene/Benzoyl Peroxide Gel 0.3-2.5%: Epiduo Forte should be applied in a thin layer to affected areas of the face and/or trunk once daily after washing, with care taken to avoid the eyes, lips, and mucous membranes
IGA Score
19 Participants

SECONDARY outcome

Timeframe: Baseline, Week 4, Week 8, Week 12

Inflammatory lesions here include papules and pustules on the face from edge of hairline to mandibular line as counted by the Investigator. Lower counts indicate less severe disease.

Outcome measures

Outcome measures
Measure
Doxycycline Anhydrous and Adapalene/Benzoyl Peroxide
n=20 Participants
All subjects will receive at Baseline doxycycline anhydrous 40 mg (Oracea) to be taken once daily and Adapalene-Benzoyl Peroxide Gel .3-2.5% (Epiduo) to be applied once daily for 12 weeks Doxycycline Anhydrous 40 MG: One Oracea Capsule (40 mg) should be taken once daily in the morning on an empty stomach, preferably at least one hour prior to or two hours after meals Adapalene/Benzoyl Peroxide Gel 0.3-2.5%: Epiduo Forte should be applied in a thin layer to affected areas of the face and/or trunk once daily after washing, with care taken to avoid the eyes, lips, and mucous membranes
Inflammatory Lesion Count
Baseline
33 count of lesions
Standard Deviation 7
Inflammatory Lesion Count
Week 4
21 count of lesions
Standard Deviation 6
Inflammatory Lesion Count
Week 8
12 count of lesions
Standard Deviation 5
Inflammatory Lesion Count
Week 12
6 count of lesions
Standard Deviation 4

SECONDARY outcome

Timeframe: Baseline, Week 4, Week 8, Week 12

Non-inflammatory lesions here include open and closed comedones. These are counted on the face by the investigator from edge of hairline to mandibular line and lower count indicates less severe disease.

Outcome measures

Outcome measures
Measure
Doxycycline Anhydrous and Adapalene/Benzoyl Peroxide
n=20 Participants
All subjects will receive at Baseline doxycycline anhydrous 40 mg (Oracea) to be taken once daily and Adapalene-Benzoyl Peroxide Gel .3-2.5% (Epiduo) to be applied once daily for 12 weeks Doxycycline Anhydrous 40 MG: One Oracea Capsule (40 mg) should be taken once daily in the morning on an empty stomach, preferably at least one hour prior to or two hours after meals Adapalene/Benzoyl Peroxide Gel 0.3-2.5%: Epiduo Forte should be applied in a thin layer to affected areas of the face and/or trunk once daily after washing, with care taken to avoid the eyes, lips, and mucous membranes
Non-inflammatory Lesion Count
Week 4
27 lesion count
Standard Deviation 7
Non-inflammatory Lesion Count
Baseline
33 lesion count
Standard Deviation 7
Non-inflammatory Lesion Count
Week 8
17 lesion count
Standard Deviation 7
Non-inflammatory Lesion Count
Week 12
9 lesion count
Standard Deviation 6

Adverse Events

Doxycycline Anhydrous and Adapalene/Benzoyl Peroxide

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Doxycycline Anhydrous and Adapalene/Benzoyl Peroxide
n=20 participants at risk
All subjects will receive at Baseline doxycycline anhydrous 40 mg (Oracea) to be taken once daily and Adapalene-Benzoyl Peroxide Gel .3-2.5% (Epiduo) to be applied once daily for 12 weeks Doxycycline Anhydrous 40 MG: One Oracea Capsule (40 mg) should be taken once daily in the morning on an empty stomach, preferably at least one hour prior to or two hours after meals Adapalene/Benzoyl Peroxide Gel 0.3-2.5%: Epiduo Forte should be applied in a thin layer to affected areas of the face and/or trunk once daily after washing, with care taken to avoid the eyes, lips, and mucous membranes
Skin and subcutaneous tissue disorders
generalized sunburn
5.0%
1/20 • Number of events 1 • 12 weeks
Musculoskeletal and connective tissue disorders
fracture right foot
5.0%
1/20 • Number of events 1 • 12 weeks
Infections and infestations
sinus infection
5.0%
1/20 • Number of events 1 • 12 weeks
Gastrointestinal disorders
nausea
5.0%
1/20 • Number of events 1 • 12 weeks
Skin and subcutaneous tissue disorders
rash between and under breasts
5.0%
1/20 • Number of events 1 • 12 weeks
Skin and subcutaneous tissue disorders
sunburn on face
5.0%
1/20 • Number of events 1 • 12 weeks

Additional Information

M. McAllister

Skin Sciences, PLLC

Phone: 5024519000

Results disclosure agreements

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