Trial Outcomes & Findings for A Study of S6G5T3 in the Treatment of Acne Vulgaris (NCT NCT03761810)

NCT ID: NCT03761810

Last Updated: 2021-12-16

Results Overview

Percentage of participants in each treatment group achieving an acne severity IGA score of "clear (score=0)" or "almost clear (score=1)" and achieving an acne severity IGA score of at least 2 grades less than Baseline.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

434 participants

Primary outcome timeframe

Baseline through Week 12

Results posted on

2021-12-16

Participant Flow

Participants were randomized to receive either S6G5T-3 (Encapsulated Benzoyl Peroxide \[E-BPO\] and Encapsulated Tretinoin \[E-ATRA\] Cream, 3%/0.1% \[E-BPO/E-ATRA Cream, 3%/0.1%\]) or vehicle in a 2:1 ratio.

Participant milestones

Participant milestones
Measure
S6G5T-3
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Overall Study
STARTED
290
144
Overall Study
Received at Least 1 Dose of Study Drug
281
138
Overall Study
COMPLETED
242
132
Overall Study
NOT COMPLETED
48
12

Reasons for withdrawal

Reasons for withdrawal
Measure
S6G5T-3
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Overall Study
Adverse Event
12
0
Overall Study
Lost to Follow-up
15
7
Overall Study
Pregnancy
1
0
Overall Study
Withdrawal by Subject
14
5
Overall Study
Physician Decision
1
0
Overall Study
Withdrawal by Parent/Guardian
4
0
Overall Study
Other Than Specified
1
0

Baseline Characteristics

A Study of S6G5T3 in the Treatment of Acne Vulgaris

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=144 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Total
n=434 Participants
Total of all reporting groups
Age, Continuous
20.1 Years
STANDARD_DEVIATION 6.96 • n=5 Participants
20.3 Years
STANDARD_DEVIATION 6.67 • n=7 Participants
20.1 Years
STANDARD_DEVIATION 6.86 • n=5 Participants
Sex: Female, Male
Female
173 Participants
n=5 Participants
77 Participants
n=7 Participants
250 Participants
n=5 Participants
Sex: Female, Male
Male
117 Participants
n=5 Participants
67 Participants
n=7 Participants
184 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
85 Participants
n=5 Participants
56 Participants
n=7 Participants
141 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
204 Participants
n=5 Participants
87 Participants
n=7 Participants
291 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Asian
12 Participants
n=5 Participants
6 Participants
n=7 Participants
18 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
52 Participants
n=5 Participants
18 Participants
n=7 Participants
70 Participants
n=5 Participants
Race (NIH/OMB)
White
212 Participants
n=5 Participants
110 Participants
n=7 Participants
322 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
11 Participants
n=5 Participants
7 Participants
n=7 Participants
18 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Baseline Acne Lesion Count on the Face
Inflammatory Lesions
28.2 Lesions
STANDARD_DEVIATION 8.70 • n=5 Participants
27.5 Lesions
STANDARD_DEVIATION 8.52 • n=7 Participants
28.0 Lesions
STANDARD_DEVIATION 8.64 • n=5 Participants
Baseline Acne Lesion Count on the Face
Non-Inflammatory Lesions
44.6 Lesions
STANDARD_DEVIATION 18.03 • n=5 Participants
44.9 Lesions
STANDARD_DEVIATION 18.82 • n=7 Participants
44.7 Lesions
STANDARD_DEVIATION 18.27 • n=5 Participants
Baseline Investigator's Global Assessment (IGA)
0 - Clean
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Baseline Investigator's Global Assessment (IGA)
1 - Almost Clear
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Baseline Investigator's Global Assessment (IGA)
2 - Mild
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Baseline Investigator's Global Assessment (IGA)
3 - Moderate
262 Participants
n=5 Participants
133 Participants
n=7 Participants
395 Participants
n=5 Participants
Baseline Investigator's Global Assessment (IGA)
4 - Severe
28 Participants
n=5 Participants
10 Participants
n=7 Participants
38 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline through Week 12

Population: The ITT population consisted of all randomized participants who were dispensed study drug. MCMC was used to impute missing values. Here, 'Overall Number of Participants Analyzed' (N) signifies number of participants evaluable for this outcome measure.

Percentage of participants in each treatment group achieving an acne severity IGA score of "clear (score=0)" or "almost clear (score=1)" and achieving an acne severity IGA score of at least 2 grades less than Baseline.

Outcome measures

Outcome measures
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=143 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Percentage of Participants Achieving an IGA Score of Clear or Almost Clear and a Score ≥2 Grades Less Than Baseline
25.4 percentage of participants
14.7 percentage of participants

PRIMARY outcome

Timeframe: Baseline, Week 12

Population: The ITT population consisted of all randomized participants who were dispensed study drug. Multiple imputation (MCMC) was used to impute missing values.

Inflammatory lesions were characterized by papules, pustules, nodules, and cysts. Least squares means and standard deviations from an analysis of covariance (ANCOVA) with factors of treatment group and analysis center and the respective Baseline lesion count as a covariate. Negative least squares means values represent decrease from Baseline.

Outcome measures

Outcome measures
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=144 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Change From Baseline in Inflammatory Lesion Counts on the Face at Week 12
-16.2 Inflammatory Lesions
Standard Deviation 9.07
-14.1 Inflammatory Lesions
Standard Deviation 8.68

PRIMARY outcome

Timeframe: Baseline, Week 12

Population: The ITT population consisted of all randomized participants who were dispensed study drug. MCMC was used to impute missing values.

Non-inflammatory lesions were characterized by open comedones (blackheads) and closed comedones (whiteheads). Least squares means and standard deviations from an ANCOVA with factors of treatment group and analysis center and the respective Baseline lesion count as a covariate. Negative least squares means values represent decrease from Baseline.

Outcome measures

Outcome measures
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=144 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Change From Baseline in Non-Inflammatory Lesion Counts on the Face at Week 12
-24.2 Non-Inflammatory Lesions
Standard Deviation 15.82
-17.4 Non-Inflammatory Lesions
Standard Deviation 15.82

SECONDARY outcome

Timeframe: Baseline, Week 12

Population: The ITT population consisted of all randomized participants who were dispensed study drug. MCMC was used to impute missing values.

Non-inflammatory lesions were characterized by open comedones (blackheads) and closed comedones (whiteheads). Least squares means and standard deviations from an ANCOVA with factors of treatment group and analysis center and the respective Baseline lesion count as a covariate. Negative least squares means values represent decrease from Baseline.

Outcome measures

Outcome measures
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=144 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Percent Change From Baseline in Non-Inflammatory Lesion Counts on the Face at Week 12
-54.4 Percent Change
Standard Deviation 32.28
-41.5 Percent Change
Standard Deviation 33.44

SECONDARY outcome

Timeframe: Baseline, Week 12

Population: The ITT population consisted of all randomized participants who were dispensed study drug. MCMC was used to impute missing values.

Inflammatory lesions were characterized by papules, pustules, nodules, and cysts. Least squares means and standard deviations from an ANCOVA with factors of treatment group and analysis center and the respective Baseline lesion count as a covariate. Negative least squares means values represent decrease from Baseline.

Outcome measures

Outcome measures
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=144 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Percent Change From Baseline in Inflammatory Lesion Counts on the Face at Week 12
-57.6 Percent Change
Standard Deviation 32.41
-50.8 Percent Change
Standard Deviation 31.17

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: The ITT population consisted of all randomized participants who were dispensed study drug. MCMC was used to impute missing values.

Percent of participants in each treatment group achieving at least a 4 point reduction on Item 1 (Pimple) of the patient- reported evaluation of facial acne compared to Baseline. The Pre-Face is a 7-item questionnaire that assesses acne vulgaris-related signs, symptoms, and impacts. Item 1 of the questionnaire was to assess the pimples on the participant's face at their worst in the 24 hours prior to administration on an 11-point numeric rating scale (NRS) ranging from 0 ("no pimples at all") to 10 ("pimples as bad as you can imagine").

Outcome measures

Outcome measures
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=144 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Percentage of Participants Achieving at Least a 4-Point Reduction on Item 1 (Pimple) of the Patient-Reported Evaluation of Facial Acne (Pre-Face)
35.1 Percentage of Participants
27.2 Percentage of Participants

SECONDARY outcome

Timeframe: Baseline and Week 12

Population: The ITT population consisted of all randomized participants who were dispensed study drug. MCMC was used to impute missing values.

Percent of participants in each treatment group achieving at least a 4 point reduction on Item 5 (Embarrassment) of the patient reported evaluation of facial acne compared to Baseline. The Pre-Face is a 7-item questionnaire that assesses acne vulgaris-related signs, symptoms, and impacts. Item 5 of the questionnaire was to assess how embarrassed the participant felt because of the acne at their worst, in the 24 hours prior to administration on an 11-point NRS ranging from 0 ("not embarrassed at all") to 10 ("extremely embarrassed").

Outcome measures

Outcome measures
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=144 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Percentage of Participants Achieving at Least a 4-Point Reduction on Item 5 (Embarrassment) of the Pre-Face
33.9 Percentage of Participants
37.1 Percentage of Participants

SECONDARY outcome

Timeframe: Baseline, Week 8

Population: The ITT population consisted of all randomized participants who were dispensed study drug. MCMC was used to impute missing values.

Non-inflammatory lesions were characterized by open comedones (blackheads) and closed comedones (whiteheads). Least squares means and standard deviations from an ANCOVA with factors of treatment group and analysis center and the respective Baseline lesion count as a covariate. Negative least squares means values represent decrease from Baseline.

Outcome measures

Outcome measures
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=144 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Change From Baseline in Non-Inflammatory Lesion Counts on the Face at Week 8
-20.0 Non-Inflammatory Lesions
Standard Deviation 16.43
-12.8 Non-Inflammatory Lesions
Standard Deviation 16.21

SECONDARY outcome

Timeframe: Baseline, Week 8

Population: The ITT population consisted of all randomized participants who were dispensed study drug. MCMC was used to impute missing values.

Inflammatory lesions were characterized by papules, pustules, nodules, and cysts. Least squares means and standard deviations from an ANCOVA with factors of treatment group and analysis center and the respective Baseline lesion count as a covariate. Negative least squares means values represent decrease from Baseline.

Outcome measures

Outcome measures
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=144 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Change From Baseline in Inflammatory Lesion Counts on the Face at Week 8
-14.0 Inflammatory Lesions
Standard Deviation 8.57
-12.5 Inflammatory Lesions
Standard Deviation 8.57

SECONDARY outcome

Timeframe: Baseline, Week 4

Population: The ITT population consisted of all randomized participants who were dispensed study drug. MCMC was used to impute missing values.

Non-inflammatory lesions were characterized by open comedones (blackheads) and closed comedones (whiteheads). Least squares means and standard deviations from an ANCOVA with factors of treatment group and analysis center and the respective Baseline lesion count as a covariate. Negative least squares means values represent decrease from Baseline.

Outcome measures

Outcome measures
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=144 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Change From Baseline in Non-Inflammatory Lesion Counts on the Face at Week 4
-14.6 Non-Inflammatory Lesions
Standard Deviation 14.51
-10.8 Non-Inflammatory Lesions
Standard Deviation 14.88

SECONDARY outcome

Timeframe: Baseline, Week 4

Population: The ITT population consisted of all randomized participants who were dispensed study drug. MCMC was used to impute missing values.

Inflammatory lesions were characterized by papules, pustules, nodules, and cysts. Least squares means and standard deviations from an ANCOVA with factors of treatment group and analysis center and the respective Baseline lesion count as a covariate. Negative least squares means values represent decrease from Baseline.

Outcome measures

Outcome measures
Measure
S6G5T-3
n=290 Participants
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=144 Participants
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Change From Baseline in Inflammatory Lesion Counts on the Face at Week 4
-10.7 Inflammatory Lesions
Standard Deviation 7.94
-10.1 Inflammatory Lesions
Standard Deviation 7.81

Adverse Events

S6G5T-3

Serious events: 1 serious events
Other events: 68 other events
Deaths: 0 deaths

S6G5T-8 Vehicle Cream

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
S6G5T-3
n=281 participants at risk
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=138 participants at risk
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
Psychiatric disorders
Depression
0.36%
1/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
0.72%
1/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
Psychiatric disorders
Bipolar II disorder
0.00%
0/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
0.72%
1/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
Psychiatric disorders
Conduct disorder
0.00%
0/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
0.72%
1/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.

Other adverse events

Other adverse events
Measure
S6G5T-3
n=281 participants at risk
Participants topically applied S6G5T-3, once daily to face for 12 weeks.
S6G5T-8 Vehicle Cream
n=138 participants at risk
Participants topically applied S6G5T-8 vehicle cream, once daily to face for 12 weeks.
General disorders
Application site pain
9.6%
27/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
0.72%
1/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
General disorders
Application site dryness
3.6%
10/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
0.00%
0/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
Gastrointestinal disorders
Application site exfoliation
3.2%
9/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
0.00%
0/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
General disorders
Application site erythema
2.8%
8/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
0.00%
0/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
General disorders
Application site dermatitis
1.8%
5/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
0.00%
0/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
General disorders
Application site pruritus
1.8%
5/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
0.00%
0/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
General disorders
Application site photosensitivity
1.1%
3/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
0.72%
1/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
Infections and infestations
Nasopharyngitis
1.4%
4/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
0.00%
0/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
Infections and infestations
Viral upper respiratory tract infection
0.36%
1/281 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.
1.4%
2/138 • Baseline (Day 0) through end of study (Week 12)
Safety population included randomized participants who were presumed to have used the study drug at least once and who provided at least 1 post-baseline safety evaluation.

Additional Information

Sol-Gel

Sol-Gel Technologies, Ltd.

Phone: 972-8-9313433

Results disclosure agreements

  • Principal investigator is a sponsor employee Generally, the Principal Investigator is not permitted to discuss or publish trial results without Sponsor approval.
  • Publication restrictions are in place

Restriction type: OTHER