Trial Outcomes & Findings for A Study of the Safety, Engraftment, and Action of Multi-Dosed NB01 in Adults With Moderate Acne (NCT NCT03709654)

NCT ID: NCT03709654

Last Updated: 2020-08-03

Results Overview

Local Skin Reactions (LSRs) including Erythema, edema, erosion/ulceration, scaling/dryness, and scabbing/crusting scored at Baseline (day of first application) and Week 12 (end of treatment) and reported for each visit as: Absent, Mild, Moderate, or Severe. The number of participants (and %) with no change or improvement from Baseline to week 12 visit are reported. The number of participants (and %) whose score worsened from Baseline to week 12 visit are reported.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

36 participants

Primary outcome timeframe

Day 0 through day 80

Results posted on

2020-08-03

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment Arm
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Overall Study
STARTED
23
13
Overall Study
COMPLETED
20
11
Overall Study
NOT COMPLETED
3
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment Arm
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Overall Study
Lost to Follow-up
1
1
Overall Study
Withdrawal by Subject
1
1
Overall Study
Adverse Event
1
0

Baseline Characteristics

A Study of the Safety, Engraftment, and Action of Multi-Dosed NB01 in Adults With Moderate Acne

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment Arm
n=23 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=13 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
24.3 years
STANDARD_DEVIATION 6.19 • n=93 Participants
24.6 years
STANDARD_DEVIATION 4.7 • n=4 Participants
24.4 years
STANDARD_DEVIATION 5.63 • n=27 Participants
Sex: Female, Male
Female
16 Participants
n=93 Participants
8 Participants
n=4 Participants
24 Participants
n=27 Participants
Sex: Female, Male
Male
7 Participants
n=93 Participants
5 Participants
n=4 Participants
12 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
10 Participants
n=93 Participants
7 Participants
n=4 Participants
17 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=93 Participants
6 Participants
n=4 Participants
19 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=93 Participants
0 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=93 Participants
0 Participants
n=4 Participants
3 Participants
n=27 Participants
Race (NIH/OMB)
White
17 Participants
n=93 Participants
12 Participants
n=4 Participants
29 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
23 participants
n=93 Participants
13 participants
n=4 Participants
36 participants
n=27 Participants
Investigator's Global Assessment (IGA) Score - Face
IGA at Screening
3 Score on scale
STANDARD_DEVIATION 0 • n=93 Participants
3 Score on scale
STANDARD_DEVIATION 0 • n=4 Participants
3 Score on scale
STANDARD_DEVIATION 0 • n=27 Participants
Investigator's Global Assessment (IGA) Score - Face
IGA at Baseline
3 Score on scale
STANDARD_DEVIATION 0 • n=93 Participants
3 Score on scale
STANDARD_DEVIATION 0 • n=4 Participants
3 Score on scale
STANDARD_DEVIATION 0 • n=27 Participants
Skin bacterial genotype
deoR/Panbac
21.8 percentage of genotype
STANDARD_DEVIATION 24.2 • n=93 Participants
26.0 percentage of genotype
STANDARD_DEVIATION 27.4 • n=4 Participants
23.3 percentage of genotype
STANDARD_DEVIATION 25.4 • n=27 Participants
Skin bacterial genotype
Cas5/Panbac
7.3 percentage of genotype
STANDARD_DEVIATION 12.8 • n=93 Participants
7.8 percentage of genotype
STANDARD_DEVIATION 13.0 • n=4 Participants
7.5 percentage of genotype
STANDARD_DEVIATION 12.9 • n=27 Participants
Lesion Count
Inflammatory lesions
29.1 number of lesions
STANDARD_DEVIATION 7.3 • n=93 Participants
30.5 number of lesions
STANDARD_DEVIATION 5.6 • n=4 Participants
29.6 number of lesions
STANDARD_DEVIATION 6.7 • n=27 Participants
Lesion Count
Non-Inflammatory lesions
35.9 number of lesions
STANDARD_DEVIATION 13.5 • n=93 Participants
37.4 number of lesions
STANDARD_DEVIATION 12.8 • n=4 Participants
36.4 number of lesions
STANDARD_DEVIATION 13.2 • n=27 Participants

PRIMARY outcome

Timeframe: Day 0 through day 80

Population: The Safety population included all randomized subjects who received and applied study drug.

Local Skin Reactions (LSRs) including Erythema, edema, erosion/ulceration, scaling/dryness, and scabbing/crusting scored at Baseline (day of first application) and Week 12 (end of treatment) and reported for each visit as: Absent, Mild, Moderate, or Severe. The number of participants (and %) with no change or improvement from Baseline to week 12 visit are reported. The number of participants (and %) whose score worsened from Baseline to week 12 visit are reported.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=21 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=12 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Number of Participants With Changes in Local Skin Reactions
Erythema: No Change / Improved
19 Participants
11 Participants
Number of Participants With Changes in Local Skin Reactions
Erythema: Worsened
2 Participants
1 Participants
Number of Participants With Changes in Local Skin Reactions
Edema: No Change / Improved
19 Participants
9 Participants
Number of Participants With Changes in Local Skin Reactions
Edema: Worsened
2 Participants
3 Participants
Number of Participants With Changes in Local Skin Reactions
Erosion/Ulceration: No Change / Improved
20 Participants
12 Participants
Number of Participants With Changes in Local Skin Reactions
Erosion/Ulceration: Worsened
1 Participants
0 Participants
Number of Participants With Changes in Local Skin Reactions
Scaling/Dryness: No Change / Improved
16 Participants
11 Participants
Number of Participants With Changes in Local Skin Reactions
Scaling/Dryness: Worsened
5 Participants
1 Participants
Number of Participants With Changes in Local Skin Reactions
Scabbing/Crusting: No Change / Improved
19 Participants
12 Participants
Number of Participants With Changes in Local Skin Reactions
Scabbing/Crusting: Worsened
2 Participants
0 Participants
Number of Participants With Changes in Local Skin Reactions
Itching: No Change / Improved
15 Participants
11 Participants
Number of Participants With Changes in Local Skin Reactions
Itching: Worsened
6 Participants
1 Participants
Number of Participants With Changes in Local Skin Reactions
Pain: No Change / Improved
20 Participants
12 Participants
Number of Participants With Changes in Local Skin Reactions
Pain: Worsened
1 Participants
0 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: The modified intent-to-treat (mITT) population included all randomized subjects who were dispensed the study drug and had at least 1 post-baseline assessment. Subjects were included in the treatment group to which they were randomized, regardless of the treatment received. All randomized subjects (N=36) were included in the mITT population.

Follicular engraftment sampling used Biore® Strips at Screening and day 80 (several days after end of treatment). The number of subjects with "success" at EOT where "success" is defined as a Follicular Biore® sample with "yes" outcome based on recovery of live NB01at day 80.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=23 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=13 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Number of Participants With Successful Follicular Engraftment of NB01
1 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 0 through day 80

Population: modified intent-to-treat (mITT)

Skin surface engraftment "success" endpoint is defined by a change in genotype (TaqMan) markers compared to Screening; value is percentage of bacterial population containing health-associated genotype. Result is absolute change from screening value.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=23 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=13 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Absolute Change in Genotype Markers: Skin Surface Engraftment "Success"
Genotype 1 (deoR), 2 weeks
6.9 percentage of bacterial population
Standard Deviation 20.32
2.5 percentage of bacterial population
Standard Deviation 14.17
Absolute Change in Genotype Markers: Skin Surface Engraftment "Success"
Genotype 1 (deoR), 7 weeks
5.5 percentage of bacterial population
Standard Deviation 17.63
2.9 percentage of bacterial population
Standard Deviation 16.96
Absolute Change in Genotype Markers: Skin Surface Engraftment "Success"
Genotype 1 (deoR), 12 weeks
3.9 percentage of bacterial population
Standard Deviation 25.27
14.9 percentage of bacterial population
Standard Deviation 36.76
Absolute Change in Genotype Markers: Skin Surface Engraftment "Success"
Genotype 2 (Cas 5), 2 weeks
3.7 percentage of bacterial population
Standard Deviation 8.16
4.8 percentage of bacterial population
Standard Deviation 12.56
Absolute Change in Genotype Markers: Skin Surface Engraftment "Success"
Genotype 2 (Cas 5), 7 weeks
6.6 percentage of bacterial population
Standard Deviation 17.84
3.9 percentage of bacterial population
Standard Deviation 10.42
Absolute Change in Genotype Markers: Skin Surface Engraftment "Success"
Genotype 2 (Cas 5), 12 weeks
4.0 percentage of bacterial population
Standard Deviation 10.32
19.6 percentage of bacterial population
Standard Deviation 38.69

PRIMARY outcome

Timeframe: Day 0 through day 80

Population: modified intent-to-treat (mITT) population

Reporting absolute change in counts.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=23 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=13 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Absolute Change From Screening in Acne Lesion Counts
Inflammatory Lesion Count: week 2
-4.3 lesion count
Standard Deviation 4.77
-4.7 lesion count
Standard Deviation 6.8
Absolute Change From Screening in Acne Lesion Counts
Inflammatory Lesion Count: week 7
-8.4 lesion count
Standard Deviation 6.64
-6.7 lesion count
Standard Deviation 7.32
Absolute Change From Screening in Acne Lesion Counts
Inflammatory Lesion Count: week 12
-15.5 lesion count
Standard Deviation 7.84
-14.5 lesion count
Standard Deviation 9.56
Absolute Change From Screening in Acne Lesion Counts
Non-Inflammatory Lesion Count: week 2
-1.9 lesion count
Standard Deviation 8.89
-3.0 lesion count
Standard Deviation 6.30
Absolute Change From Screening in Acne Lesion Counts
Non-Inflammatory Lesion Count: week 7
-8.6 lesion count
Standard Deviation 8.58
-9.2 lesion count
Standard Deviation 8.52
Absolute Change From Screening in Acne Lesion Counts
Non-Inflammatory Lesion Count: week 12
-15 lesion count
Standard Deviation 16.93
-17.6 lesion count
Standard Deviation 10.66

PRIMARY outcome

Timeframe: Day 0 through day 80

Population: modified intent-to-treat (mITT) population

Efficacy endpoint: Percent change from Screening lesion counts at Day 80 (end of treatment)

Outcome measures

Outcome measures
Measure
Treatment Arm
n=23 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=13 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Percent Change From Screening in Acne Lesion Counts
Inflammatory Lesion Count: week 2
-15.8 percent change from Baseline
Standard Deviation 18.72
-14.8 percent change from Baseline
Standard Deviation 20.1
Percent Change From Screening in Acne Lesion Counts
Inflammatory Lesion Count: week 7
-28.9 percent change from Baseline
Standard Deviation 20.72
-20.0 percent change from Baseline
Standard Deviation 22.41
Percent Change From Screening in Acne Lesion Counts
Inflammatory Lesion Count: week 12
-54.8 percent change from Baseline
Standard Deviation 26.29
-49.2 percent change from Baseline
Standard Deviation 27.19
Percent Change From Screening in Acne Lesion Counts
Non-Inflammatory Lesion Count: week 2
-5.8 percent change from Baseline
Standard Deviation 23.99
-6.2 percent change from Baseline
Standard Deviation 16.09
Percent Change From Screening in Acne Lesion Counts
Non-Inflammatory Lesion Count: week 7
-25.0 percent change from Baseline
Standard Deviation 23.55
-21.5 percent change from Baseline
Standard Deviation 17.93
Percent Change From Screening in Acne Lesion Counts
Non-Inflammatory Lesion Count: week 12
-43.5 percent change from Baseline
Standard Deviation 44.96
-49 percent change from Baseline
Standard Deviation 23.84

PRIMARY outcome

Timeframe: Day 0 through day 80

Population: modified intent-to-treat (mITT) population

The investigator assessed the participant's inflammatory lesions on the face using the Investigator Global Assessment (IGA) 5-point scale. The scale ranges from 0 (best): clear, no evidence of papules or pustules to 4 (worst): severe, inflammatory lesions are more apparent, many papules/pustules. The outcome is the number of subjects in each treatment group achieving "success" at Week 12; "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
Treatment Arm
n=23 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=13 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Number of Participants Achieving "Success" on Investigator Global Assessment (IGA)
Success at 7 weeks
1 Participants
0 Participants
Number of Participants Achieving "Success" on Investigator Global Assessment (IGA)
Success at 12 weeks
6 Participants
1 Participants
Number of Participants Achieving "Success" on Investigator Global Assessment (IGA)
Success at 2 weeks
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Day 0 through day 80

Population: modified intent-to-treat (mITT) population

At each visit, subjects were asked to complete the Acne Quality of Life \[QoL\] Questionnaire to assess subjective improvement of acne with 7 response choices ranging from extremely to not at all. The total score ranges from 19 to 114; higher scores reflect improved QoL. Outcome measure is absolute change in Acne QoL (Total Score) from Baseline to Day 80.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=23 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=13 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Change in Acne QoL Questionnaire Score
9.7 score on a scale
Standard Deviation 16.2
33.2 score on a scale
Standard Deviation 23.65

PRIMARY outcome

Timeframe: Day 0 through day 80

Population: Ad Hoc Subject 02-005 (outlier) Censored mITT Population

After reviewing the data, one Treatment Arm subject was found to be an extreme outlier and was censored from this ad-hoc analysis. Reporting absolute change in counts.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=22 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=13 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Absolute Change From Screening in Acne Lesion Counts: Outlier Censored
Inflammatory Lesion Count: week 2
-4.2 lesion count
Standard Deviation 4.82
-4.7 lesion count
Standard Deviation 6.8
Absolute Change From Screening in Acne Lesion Counts: Outlier Censored
Inflammatory Lesion Count: week 7
-8.5 lesion count
Standard Deviation 6.81
-6.7 lesion count
Standard Deviation 7.32
Absolute Change From Screening in Acne Lesion Counts: Outlier Censored
Inflammatory Lesion Count: week 12
-15.1 lesion count
Standard Deviation 7.79
-14.5 lesion count
Standard Deviation 9.56
Absolute Change From Screening in Acne Lesion Counts: Outlier Censored
Non-Inflammatory Lesion Count: week 2
-3.6 lesion count
Standard Deviation 2.77
-3.0 lesion count
Standard Deviation 6.30
Absolute Change From Screening in Acne Lesion Counts: Outlier Censored
Non-Inflammatory Lesion Count: week 7
-9.7 lesion count
Standard Deviation 7.35
-9.2 lesion count
Standard Deviation 8.52
Absolute Change From Screening in Acne Lesion Counts: Outlier Censored
Non-Inflammatory Lesion Count: week 12
-18 lesion count
Standard Deviation 10.31
-17.6 lesion count
Standard Deviation 10.66

PRIMARY outcome

Timeframe: Day 0 through day 80

Population: Ad Hoc Subject 02-005 Censored mITT Population

Efficacy endpoint: Percent change from Screening lesion counts at Day 80 (end of treatment)

Outcome measures

Outcome measures
Measure
Treatment Arm
n=22 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=13 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Percent Change From Screening in Acne Lesion Counts: Outlier Censored
Inflammatory Lesion Count: week 2
-15.2 percent change from Baseline
Standard Deviation 18.91
-14.8 percent change from Baseline
Standard Deviation 20.10
Percent Change From Screening in Acne Lesion Counts: Outlier Censored
Inflammatory Lesion Count: week 7
-29.0 percent change from Baseline
Standard Deviation 21.25
-20.0 percent change from Baseline
Standard Deviation 22.41
Percent Change From Screening in Acne Lesion Counts: Outlier Censored
Inflammatory Lesion Count: week 12
-53.0 percent change from Baseline
Standard Deviation 25.72
-49.2 percent change from Baseline
Standard Deviation 27.19
Percent Change From Screening in Acne Lesion Counts: Outlier Censored
Non-Inflammatory Lesion Count: week 2
-10.5 percent change from Baseline
Standard Deviation 8.55
-6.2 percent change from Baseline
Standard Deviation 16.09
Percent Change From Screening in Acne Lesion Counts: Outlier Censored
Non-Inflammatory Lesion Count: week 7
-27.8 percent change from Baseline
Standard Deviation 20.18
-21.5 percent change from Baseline
Standard Deviation 17.93
Percent Change From Screening in Acne Lesion Counts: Outlier Censored
Non-Inflammatory Lesion Count: week 12
-51.8 percent change from Baseline
Standard Deviation 26.42
-49.0 percent change from Baseline
Standard Deviation 23.84

PRIMARY outcome

Timeframe: 12 weeks

Population: modified intent-to-treat (mITT) population

Follicular communities were genotyped for health-associated loci at both Screening and 12-week visits. The percent increase of Cas5 in multiple communities from each subject is reported.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=20 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=11 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Follicular Engraftment
6518.9 Percent increase Cas5
Standard Deviation 6711.94
492 Percent increase Cas5
Standard Deviation 939.20

SECONDARY outcome

Timeframe: Day 0 through day 80

Population: modified intent-to-treat subpopulation visiting a subset of sites with a Sebumeter.

Exploratory Endpoint: Absolute change from Baseline to week 12 in sebum production measured at the mid-glabellar region of the forehead using a Sebumeter.

Outcome measures

Outcome measures
Measure
Treatment Arm
n=19 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=9 Participants
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
Absolute Change in Sebum Production.
26.2 μg/cm^2
Standard Deviation 52.48
-22.9 μg/cm^2
Standard Deviation 34.47

Adverse Events

Treatment Arm

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Vehicle Control

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment Arm
n=23 participants at risk
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of NB01 probiotic applied topically. NB01: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of NB01
Vehicle Control
n=13 participants at risk
Subjects will undergo 1 week lead-in with BPO followed by 11 weeks of vehicle applied topically. Vehicle Control: 5-7 day pretreatment of gold standard benzoyl peroxide therapy to kill resident facial bacterial followed by 11 weeks of daily topical application of vehicle control
General disorders
Application site dryness
8.7%
2/23 • Number of events 2 • 12 weeks
0.00%
0/13 • 12 weeks
General disorders
Application site irritation
4.3%
1/23 • Number of events 1 • 12 weeks
0.00%
0/13 • 12 weeks
General disorders
Influenza like illness
4.3%
1/23 • Number of events 1 • 12 weeks
0.00%
0/13 • 12 weeks
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/23 • 12 weeks
7.7%
1/13 • Number of events 1 • 12 weeks
Skin and subcutaneous tissue disorders
Acne
4.3%
1/23 • Number of events 1 • 12 weeks
0.00%
0/13 • 12 weeks

Additional Information

Emma Taylor, MD CEO

Naked Biome

Phone: 626-260-1230

Results disclosure agreements

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