AzTrials
AzTrials

RosaceaPhase 3NCT03287791

A Study to Evaluate Safety and Equivalence of Generic Azelaic Acid Foam and Finacea® Foam in Participants With Rosacea

A Phase 3 study testing Generic Azelaic Acid Foam, Finacea® (Azelaic Acid) Foam and Cleanser in people with Rosacea, run by Actavis Inc. at 26 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The objectives of this study were to compare the safety and efficacy profiles of a generic Azelaic Acid Foam, 15% to the reference listed Finacea® (azelaic acid) Foam, 15% and to demonstrate therapeutic equivalence and safety of the two active foams in the treatment of moderate facial rosacea, and to demonstrate… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Rosacea
What is being tested?
Generic Azelaic Acid Foam, Finacea® (Azelaic Acid) Foam and Cleanser
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
924 participants
Where
26 sitesUnited States
Study dates
19 Jul 2016to 22 Jun 2017
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants had to be willing and able to provide written informed consent for the study
  • Healthy males or non-pregnant females ≥18 years-of-age with a clinical diagnosis of moderate facial rosacea
  • Participants had to have at least 8 and not more than 50 inflammatory facial lesions (that is, papules/pustules) and ≤2 nodules on the face. For the purposes of study treatment and evaluation, these lesions were limited to the facial treatment area including those present on the nose. Lesions involving the eyes and scalp were excluded from the count.
  • Participants had to have persistent erythema on the face with moderate (3) score
  • Participants had to have a mild (1) to moderate (2) score for telangiectasia on the face
  • Participants had to have a definite clinical diagnosis of moderate facial rosacea (severity score 3)
Show all 12Show fewer
  • Participants had to be willing to minimize external factors that might trigger rosacea flare-ups (for example, spicy foods, thermally hot foods and drinks, hot environments, prolonged sun exposure, strong winds, and alcoholic beverages) during the course of the study
  • Participants had to be in general good health and free from any clinically significant disease other than rosacea on the face, that could have interfered with the study evaluations
  • Participants had to be willing and able to understand and comply with the requirements of the study, apply the medication as instructed, return for the required treatment period visits, comply with therapy prohibitions, and able to complete the study
  • Male participants and female participants of childbearing potential had to use accepted methods of birth control or had to agree to practice abstinence, from study start to 30 days after the last administration of study drug. All female participants were considered to be of childbearing potential unless they had been surgically sterilized (hysterectomy, bilateral oophorectomy, or tubal ligation) or had been postmenopausal for at least a year. Any of the following methods of birth control were acceptable: oral contraceptives, contraceptive patches/implants (for example, Norplant®), vaginal ring (NuvaRing®), Depo-Provera® (Medroxy progesterone acetate), double barrier methods (for example, condom and spermicide), or intrauterine device
  • Female participants of child bearing potential had to have a negative urine pregnancy test at baseline
  • Participants who used make-up had to have used the same brands/types of make-up for a minimum period of 14 days prior to study entry and had to agree to use the same make-up, brand/type, or frequency of use, throughout the study

Who cannot join

  • Pregnant or lactating or planning to become pregnant during the study period
  • Presence of any skin condition on the face that could have interfered with the diagnosis or assessment of rosacea
  • Excessive facial hair (for example, beards, sideburns, moustaches) that would interfere could have interfered with diagnosis or assessment of rosacea
  • History of hypersensitivity or allergy to azelaic acid, propylene glycol, or any other component of the formulation
  • The use within 6 months prior to baseline of oral retinoids (for example, Accutane®) or therapeutic Vitamin A supplements of greater than 10,000 units/day (multivitamins were allowed)
  • The use of estrogens or oral contraceptives for less than 3 months prior to baseline
Show all 29Show fewer
  • The use within 1 month prior to baseline of the following:
  • topical retinoids to the face
  • systemic antibiotics known to have an impact on the severity of facial rosacea (for example, containing tetracycline and its derivatives, erythromycin and its derivatives, sulfamethoxazole, or trimethoprim)
  • systemic corticosteroids
  • Use within two weeks prior to baseline of the following:
  • topical corticosteroids
  • topical antibiotics
  • topical medications for rosacea (for example, metronidazole, azelaic acid)
  • Antipruritics, including antihistamines, within 24 hours of any study visit
  • Participants with moderate or severe rhinophyma, dense telangiectasia (score 3, severe), or plaque-like facial edema
  • Participants with a severe irritation grade for erythema, dryness, scaling, pruritus, stinging/burning, and edema
  • Ocular rosacea (for example, conjunctivitis, blepharitis, or keratitis) of sufficient severity to require topical or systemic antibiotics
  • A participant who had used a sauna during the 2 weeks prior to study entry and during the study
  • Participants who had performed wax epilation of the face within 14 days prior to baseline
  • A participant who had a history of being unresponsive to topical azelaic acid therapy
  • A participant who had any clinically significant condition or situation, other than the condition being studied that, in the opinion of the Investigator, could have interfered with the study evaluations or optimal participation in the study
  • A participant who had used any topical azelaic acid therapy within 30 days of baseline visit
  • Participants who had participated in an investigational drug study (for example, participants had been treated with an investigational drug) within 30 days prior to baseline were excluded from study participation. Participants who were participating in non-treatment studies such as observational studies or registry studies could be considered for inclusion
  • Participants who had been previously randomized in this study
  • Participants who had laser therapy (for telangiectasia or other conditions) and phototherapy to the facial area within 180 days prior to study entry
  • Participants who had cosmetic procedures (for example, facials), which could affect the efficacy and safety profile of the investigational product within 14 days prior to study entry
  • Employees or staff of the research site were excluded from participation in the study
  • No more than 1 participant from the same household was allowed to participate in the study

Trial locations and contacts

26 sites in 1 country.

26 sites in 1 country

United States26 sites
  • Investigative Site 19

    Brandon, Florida

  • Investigative Site 3

    Cincinnati, Ohio

  • Investigative Site 4

    Dallas, Texas

  • Investigative Site 26

    El Paso, Texas

  • Investigative Site 2

    Encino, California

  • Investigative Site 1

    Hialeah, Florida

  • Investigative Site 9

    Hialeah, Florida

  • Investigative Site 8

    High Point, North Carolina

  • Investigative Site 10

    La Mesa, California

  • Investigative Site 23

    Lauderdale Lakes, Florida

  • Investigative Site 11

    Miami, Florida

  • Investigative Site 15

    Miami, Florida

  • Investigative Site 20

    Miami, Florida

  • Investigative Site 12

    Miramar, Florida

  • Investigative Site 7

    New Braunfels, Texas

  • Investigative Site 6

    New Orleans, Louisiana

  • Investigative Site 5

    Norfolk, Virginia

  • Investigative Site 25

    Ocala, Florida

  • Investigative Site 17

    Omaha, Nebraska

  • Investigative Site 22

    Pembroke Pines, Florida

  • Investigative Site 21

    Philadelphia, Pennsylvania

  • Investigative Site 14

    Plainfield, Indiana

  • Investigative Site 16

    Savannah, Georgia

  • Investigative Site 24

    Spokane, Washington

  • Investigative Site 18

    Tampa, Florida

  • Investigative Site 13

    Wichita, Kansas

Other trials in United States

About this study

Official title: A Multicenter, Double-Blind, Randomized, Parallel-Group, Vehicle-Controlled Study to Evaluate Safety and Clinical Equivalence of a Generic Azelaic Acid Foam, 15% and the Reference Listed Finacea® (Azelaic Acid) Foam,15% in Patients With Moderate Facial Rosacea

The objectives of this study were to compare the safety and efficacy profiles of a generic Azelaic Acid Foam, 15% to the reference listed Finacea® (azelaic acid) Foam, 15% and to demonstrate therapeutic equivalence and safety of the two active foams in the treatment of moderate facial rosacea, and to demonstrate superiority of the Reference and Test products over the Vehicle.

Read the detailed description

Topical azelaic acid is used to treat inflammatory papules and pustules of mild to moderate rosacea. Other topical therapies and oral antibiotics are also used to treat rosacea symptoms. Finacea® (azelaic acid) Foam, 15% contains azelaic acid, a naturally occurring saturated dicarboxylic acid that has proven anti-inflammatory effects, as well as anti-keratinizing and antimicrobial actions.

Conditions
Rosacea
Being tested
Generic Azelaic Acid Foam, Finacea® (Azelaic Acid) Foam, Vehicle Foam, Cleanser, Sunscreen
Medical subject headings
Rosacea

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Generic Azelaic Acid FoamDrug

    Topical foam, generic formulation of the brand product.

  • Finacea® (Azelaic Acid) FoamDrug

    Topical foam, brand product.

  • Vehicle FoamDrug

    Topical foam, placebo. Has no active ingredient.

  • CleanserOther

    A mild cleanser provided to participants, so they can wash their face prior to applying the study drug.

  • SunscreenOther

    Sunscreen provided to participants, so they can apply it to their face when outdoors.

  • TowelOther

    A soft towel provided to participants, so they can pat their face dry after washing and prior to applying the study drug.

  • Moisturizing LotionOther

    Moisturizing lotion provided to participants, so they can apply it to their face, as needed.

Study groups in NCT03287791
Study groupRoleWhat they receive
Generic Azelaic Acid FoamExperimentalA thin layer of generic azelaic acid, 15% topical foam was to be gently massaged into the entire facial area twice daily, once in the morning and once in the evening, for 12 weeks. Contact with the mouth, eyes, and other mucous membranes was to be avoided. Hands were to be washed following application of study drug. Participants were instructed not to bathe, shower, wash, or swim for at least 4 hours after application of study drug. Participants were provided with mild cleanser, a towel, sunscreen, and moisturizing lotion to be used on treated areas while participating in the study.
Receives: Drug: Generic Azelaic Acid Foam; Other: Cleanser; Other: Sunscreen; Other: Towel; Other: Moisturizing Lotion
Finacea® (Azelaic Acid) FoamActive comparatorA thin layer of Finacea (azelaic acid), 15% topical foam was to be gently massaged into the entire facial area twice daily, once in the morning and once in the evening, for 12 weeks. Contact with the mouth, eyes, and other mucous membranes was to be avoided. Hands were to be washed following application of study drug. Participants were instructed not to bathe, shower, wash, or swim for at least 4 hours after application of study drug. Participants were provided with mild cleanser, a towel, sunscreen, and moisturizing lotion to be used on treated areas while participating in the study.
Receives: Drug: Finacea® (Azelaic Acid) Foam; Other: Cleanser; Other: Sunscreen; Other: Towel; Other: Moisturizing Lotion
Vehicle FoamPlacebo comparatorA thin layer of the vehicle topical foam was to be gently massaged into the entire facial area twice daily, once in the morning and once in the evening, for 12 weeks. Contact with the mouth, eyes, and other mucous membranes was to be avoided. Hands were to be washed following application of study drug. Participants were instructed not to bathe, shower, wash, or swim for at least 4 hours after application of study drug. Participants were provided with mild cleanser, a towel, sunscreen, and moisturizing lotion to be used on treated areas while participating in the study.
Receives: Drug: Vehicle Foam; Other: Cleanser; Other: Sunscreen; Other: Towel; Other: Moisturizing Lotion

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From Baseline in the Inflammatory Lesions (Papules and Pustules) Counts at Week 12

    All facial papules, pustules, and nodules, located above the jaw line and extending to the hairline, were counted. When counting facial lesions, lesions present on the nose were included. The total count for each lesion type was recorded and the total number of inflammatory lesions (papules and pustules) were calculated. A papule with a pustule on its apex was counted as a pustule. Counts of nodules and cysts were reported separately and not included in the inflammatory counts. Papule defined as inflammatory lesion; small (≤5 mm in diameter), solid palpable lesion, usually with inflamed elevation of the skin that does not contain pus. Pustule defined as inflammatory lesion; small (≤5 mm in diameter), inflamed skin swelling that is filled with pus. Cyst and nodule defined as palpable solid or soft lesion >5 mm in diameter.

    Measured: Baseline, 12 weeks

Secondary outcomes (1)
  1. Percentage of Participants With Treatment Success Based on IGE Score

    Treatment success defined as an Investigator's Global Evaluation (IGE) score at Week 12 of 0 (clear) or 1 (almost clear). Any other outcome was considered a failure. Participants who were discontinued prematurely from the study due to lack of treatment effect after at least 8 weeks of compliant treatment were considered as treatment failures. The IGE score was based on a 5-point scale ranging from 0 to 4 (0=clear, 1=almost clear, 2=mild, 3=moderate, and 4=severe).

    Measured: Baseline and 12 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Sep 2017
  2. Study start19 Jul 2016
  3. Primary completion22 Jun 2017
  4. Study completion22 Jun 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
924 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03287791
Sponsor's protocol ID
ACTA/AZEL/2015
Status last verified
Jul 2019
First submitted
14 Sep 2017
Last updated
31 Jul 2019
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Generic Azelaic Acid Foam, Finacea® (Azelaic Acid) Foam and Cleanser in people with Rosacea, run by Actavis Inc. at 26 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 17 Jul 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change From Baseline in the Inflammatory Lesions (Papules and Pustules) Counts at Week 12 (time frame: Baseline, 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2019.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in