Skip to content

Efficacy of Topical Azelaic Acid 15% Gel Plus Anti-inflammatory Dose Doxycycline or Metronidazole Gel 1% Plus Anti-inflammatory Dose Doxycycline in Moderate Papulopustular Rosacea

An Exploratory, Multicenter, Investigator-blinded, Active-controlled Study to Investigate the Efficacy of Topical Azelaic Acid (AzA)15% Gel Twice Daily or Metronidazole Topical Gel 1% Once Daily, Plus Anti-inflammatory Dose Doxycycline (40mg) Once Daily in Subjects With Moderate Papulopustular Rosacea

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00855595
Enrollment
207
Registered
2009-03-04
Start date
2009-02-28
Completion date
2009-07-31
Last updated
2020-03-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Papulopustular Rosacea

Keywords

Rosacea

Brief summary

Subjects with moderate papulopustular rosacea will be treated either with azelaic acid 15% gel topically plus an anti-inflammatory dose of doxycyline (40mg) daily or with metronidazole 1% gel topically once daily plus an anti-inflammatory dose of doxycycline (40mg) over at total of twelve weeks to determine the rapidity of improvement, and the length of time to reach 25%, 50% and 75% clearing compared to baseline.

Detailed description

The change in inflammatory lesion count will be assessed at each post-baseline visit by an analysis of variance model (ANOVA) with factors treatment and center, but not including treatment-by-center interaction. Investigator's Global Assessment (IGA) of papulopustular rosacea (static score): 0 - Clear (Virtually no rosacea ie, no papules and/or pustules; no or residual erythema; no or mild to moderate degree of telangiectasia may be present); 1 - Minimal (Rare papules and/or pustules; residual to mild erythema; mild to moderate degree of telangiectasia may be present); 2 - Mild (Few papules and/or pustules; mild erythema; mild to moderate degree of telangiectasia may be present); 3 - Mild to moderate (Distinct number of papules and/or pustules; mild to moderate erythema; mild to moderate degree of telangiectasia may be present); 4 - Moderate (Pronounced number of papules and/or pustules; moderate erythema; mild to moderate degree of telangiectasia may be present); 5 - Moderate to severe (Many papules and/or pustules, occasionally with large inflamed lesions; moderate erythema; moderate degree of telangiectasia may be present); 6 - Severe (Numerous papules and/or pustules, occasionally with confluent areas of inflamed lesions; moderate or severe erythema; moderate or severe degree of telangiectasia may be present).

Interventions

DRUGAzelaic acid (Finacea, BAY39-6251)

Participants received topical azelaic acid gel 15% twice daily for 12 weeks

DRUGMetronidazole (Metrogel)

Participants received topical metronidazole 1% gel once daily for 12 weeks

DRUGDoxycycline (Oracea)

Participants received systemic doxycycline 40 mg once daily for 12 week

Sponsors

Bayer
CollaboratorINDUSTRY
LEO Pharma
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

\- Moderate papulopustular rosacea (IGA\>4) with a minimum of 10 and no more than 50 inflammatory lesions and persistent erythema with or without telangiectasia

Exclusion criteria

* Sensitivity to any of the treatments used * Co-existing conditions that would unfavorably influence the course of the disease * Pregnant or lactating women * Severe rosacea

Design outcomes

Primary

MeasureTime frameDescription
Nominal Change From Baseline in Inflammatory Lesion (IL) Count (Sum of Papules and Pustules) at Week 2 (LOCF: Last Observation Carried Forward)Baseline and Week 2NOTE: Negative mean values represent an improvement (decrease of inflammatory lesions)

Secondary

MeasureTime frameDescription
Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 2, 4, 6, 8 and 12
Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)Baseline and Week 4, 6, 8 and 12NOTE: Negative mean values represent an improvement (decrease of inflammatory lesions)
Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)Baseline and Week 2, 4, 6, 8 and 12NOTE: Negative mean values represent an improvement (decrease of inflammatory lesions)
Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Baseline and Weeks 2, 4, 6, 8 and 12
Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)Weeks 2, 4, 6, 8 and 12IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information) / Therapeutic success is defined as an IGA score of clear or minimal (0 or 1).
Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)Weeks 2, 4, 6, 8 and 12IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information) / Patient response is defined as an IGA score of clear, minimal, or mild (0, 1, or 2)
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 2At Week 2IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 6At Week 6IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 8At Week 8IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 12At Week 12IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).
Investigator Rating of Overall Improvement at End of Study (Week 12)Week 12
Patient Rating of Overall Improvement at End of Study (Week 12)Week 12
Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)Week 12
Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 4At Week 4IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).

Other

MeasureTime frame
Patient Opinion of Local TolerabilityWeek 12

Countries

United States

Participant flow

Participants by arm

ArmCount
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
Participants received topical azelaic acid gel 15% twice daily and doxycycline 40 mg once daily for 12 weeks
106
Metronidazole (Metrogel) Plus Doxycycline (Oracea)
Participants received topical metronidazole 1% gel once daily and doxycycline 40 mg once daily for 12 weeks
101
Total207

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event11
Overall StudyLost to Follow-up33
Overall Studypatient left country01
Overall Studypatient moved out of state10
Overall StudyWithdrawal by Subject12

Baseline characteristics

CharacteristicMetronidazole (Metrogel) Plus Doxycycline (Oracea)TotalAzelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)
Age, Continuous48.4 Years
STANDARD_DEVIATION 11.5
49.4 Years
STANDARD_DEVIATION 12.2
50.4 Years
STANDARD_DEVIATION 12.7
Investigator's Global Assessment (IGA) score at Baseline
IGA Score 4 - Moderate
76 Participants155 Participants79 Participants
Investigator's Global Assessment (IGA) score at Baseline
IGA Score 5 - Moderate to Severe
22 Participants48 Participants26 Participants
Investigator's Global Assessment (IGA) score at Baseline
IGA Score 6- Severe
3 Participants4 Participants1 Participants
Number of lesions at Baseline21.9 Lesions
STANDARD_DEVIATION 10.5
21.3 Lesions
STANDARD_DEVIATION 10.76
20.6 Lesions
STANDARD_DEVIATION 11.01
Previous duration of rosacea134.9 Months
STANDARD_DEVIATION 107.2
132.8 Months
STANDARD_DEVIATION 117
130.8 Months
STANDARD_DEVIATION 126.1
Sex: Female, Male
Female
69 Participants136 Participants67 Participants
Sex: Female, Male
Male
32 Participants71 Participants39 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
29 / 10633 / 101
serious
Total, serious adverse events
0 / 1061 / 101

Outcome results

Primary

Nominal Change From Baseline in Inflammatory Lesion (IL) Count (Sum of Papules and Pustules) at Week 2 (LOCF: Last Observation Carried Forward)

NOTE: Negative mean values represent an improvement (decrease of inflammatory lesions)

Time frame: Baseline and Week 2

Population: Full analysis set (FAS)

ArmMeasureValue (MEAN)Dispersion
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Nominal Change From Baseline in Inflammatory Lesion (IL) Count (Sum of Papules and Pustules) at Week 2 (LOCF: Last Observation Carried Forward)-10.5 Inflammatory lesionsStandard Deviation 9.14
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Nominal Change From Baseline in Inflammatory Lesion (IL) Count (Sum of Papules and Pustules) at Week 2 (LOCF: Last Observation Carried Forward)-9.4 Inflammatory lesionsStandard Deviation 9.38
p-value: 0.0903ANCOVA
Secondary

Investigator Rating of Overall Improvement at End of Study (Week 12)

Time frame: Week 12

Population: Participants in the FAS who took part in this evaluation.

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Investigator Rating of Overall Improvement at End of Study (Week 12)Marked Improvement35.9 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Investigator Rating of Overall Improvement at End of Study (Week 12)No change4.9 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Investigator Rating of Overall Improvement at End of Study (Week 12)Moderate Improvement12.6 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Investigator Rating of Overall Improvement at End of Study (Week 12)Deterioration0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Investigator Rating of Overall Improvement at End of Study (Week 12)Excellent Improvement46.6 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Investigator Rating of Overall Improvement at End of Study (Week 12)Deterioration0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Investigator Rating of Overall Improvement at End of Study (Week 12)Excellent Improvement42.3 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Investigator Rating of Overall Improvement at End of Study (Week 12)Marked Improvement34.0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Investigator Rating of Overall Improvement at End of Study (Week 12)Moderate Improvement17.5 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Investigator Rating of Overall Improvement at End of Study (Week 12)No change6.2 Percentage of participants
Secondary

Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)

NOTE: Negative mean values represent an improvement (decrease of inflammatory lesions)

Time frame: Baseline and Week 4, 6, 8 and 12

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)Week 4-13.2 Inflammatory lesionsStandard Deviation 9.03
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)Week 6-14.8 Inflammatory lesionsStandard Deviation 9.2
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)Week 8-15.5 Inflammatory lesionsStandard Deviation 9.69
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)Week 12-16.2 Inflammatory lesionsStandard Deviation 9.88
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)Week 12-16.2 Inflammatory lesionsStandard Deviation 10.01
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)Week 4-12.4 Inflammatory lesionsStandard Deviation 9.23
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)Week 8-15.6 Inflammatory lesionsStandard Deviation 9.82
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Nominal Change From Baseline in IL Count at Weeks 4, 6, 8 and 12 (LOCF)Week 6-14.1 Inflammatory lesionsStandard Deviation 9.32
Secondary

Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)

Time frame: Week 2, 4, 6, 8 and 12

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 47.4 Inflammatory lesionsStandard Deviation 7.29
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 85.1 Inflammatory lesionsStandard Deviation 6.28
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 65.9 Inflammatory lesionsStandard Deviation 6.28
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 124.4 Inflammatory lesionsStandard Deviation 6.51
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 210.1 Inflammatory lesionsStandard Deviation 8.7
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 125.7 Inflammatory lesionsStandard Deviation 7.22
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 212.5 Inflammatory lesionsStandard Deviation 9.86
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 49.5 Inflammatory lesionsStandard Deviation 8.09
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 67.8 Inflammatory lesionsStandard Deviation 7.18
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Number of Inflammatory Lesions at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 86.4 Inflammatory lesionsStandard Deviation 7.02
Secondary

Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)

Time frame: Week 12

Population: Participants in the FAS who took part in this evaluation.

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)Good34.3 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)Poor0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)Satisfactory4.9 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)No Opinion8.8 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)Very Good52.0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)No Opinion8.3 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)Very Good56.3 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)Good26.0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)Satisfactory8.3 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Opinion of Cosmetic Acceptability at End of Study (Week 12)Poor1.0 Percentage of participants
Secondary

Patient Rating of Overall Improvement at End of Study (Week 12)

Time frame: Week 12

Population: Participants in the FAS who took part in this evaluation.

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Rating of Overall Improvement at End of Study (Week 12)Excellent Improvement51.0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Rating of Overall Improvement at End of Study (Week 12)No Improvement2.0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Rating of Overall Improvement at End of Study (Week 12)Good Improvement39.2 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Rating of Overall Improvement at End of Study (Week 12)Worse0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Rating of Overall Improvement at End of Study (Week 12)Fair Improvement7.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Rating of Overall Improvement at End of Study (Week 12)Worse1.0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Rating of Overall Improvement at End of Study (Week 12)Excellent Improvement49.0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Rating of Overall Improvement at End of Study (Week 12)Fair Improvement15.6 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Rating of Overall Improvement at End of Study (Week 12)No Improvement1.0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Rating of Overall Improvement at End of Study (Week 12)Good Improvement33.3 Percentage of participants
Secondary

Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)

Time frame: Baseline and Weeks 2, 4, 6, 8 and 12

Population: FAS

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 4, ≥50% improvement75.5 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 6, ≥75% improvement54.7 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 2, ≥50% improvement61.3 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 8, ≥25% improvement95.3 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 4, ≥75% improvement44.3 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 8, ≥50% improvement88.7 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 4, ≥25% improvement90.6 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 8, ≥75% improvement67.0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 6, ≥25% improvement95.3 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 12, ≥25% improvement96.2 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 2, ≥75% improvement20.8 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 12, ≥50% improvement89.6 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 6, ≥50% improvement84.9 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 12, ≥75% improvement68.9 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 2, ≥25% improvement84.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 12, ≥75% improvement65.3 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 2, ≥25% improvement77.2 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 2, ≥50% improvement47.5 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 2, ≥75% improvement17.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 4, ≥25% improvement81.2 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 4, ≥50% improvement64.4 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 4, ≥75% improvement40.6 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 6, ≥25% improvement91.1 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 6, ≥50% improvement78.2 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 6, ≥75% improvement43.6 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 8, ≥25% improvement90.1 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 8, ≥50% improvement87.1 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 8, ≥75% improvement55.4 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 12, ≥25% improvement91.1 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With at Least a 25%, 50%, or 75% Improvement in Facial IL Counts From Baseline to Weeks 2, 4, 6, 8 and 12 (LOCF)Week 12, ≥50% improvement85.1 Percentage of participants
Secondary

Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information) / Patient response is defined as an IGA score of clear, minimal, or mild (0, 1, or 2)

Time frame: Weeks 2, 4, 6, 8 and 12

Population: FAS

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 455.7 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 872.6 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 660.4 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 1278.3 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 232.1 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 1272.3 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 227.7 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 444.6 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 653.5 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With IGA Based Patient Response at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 859.4 Percentage of participants
Secondary

Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information) / Therapeutic success is defined as an IGA score of clear or minimal (0 or 1).

Time frame: Weeks 2, 4, 6, 8 and 12

Population: FAS

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 432.1 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 850.9 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 645.3 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 1262.3 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 213.2 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 1252.5 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 27.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 426.7 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 627.7 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Investigator's Global Assessment (IGA) Based Therapeutic Success at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 839.6 Percentage of participants
Secondary

Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 12

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).

Time frame: At Week 12

Population: FAS

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 122 - Mild16.0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 124 - Moderate6.6 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 121 - Minimal32.1 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 125 - Moderate to severe1.9 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 123 - Mild to moderate12.3 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 126 - Severe0.9 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 120 - Clear30.2 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 126 - Severe0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 120 - Clear22.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 121 - Minimal29.7 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 122 - Mild19.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 123 - Mild to moderate13.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 124 - Moderate10.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 125 - Moderate to severe3.0 Percentage of participants
Secondary

Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 2

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).

Time frame: At Week 2

Population: FAS

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 22 - Mild18.9 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 24 - Moderate25.5 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 21 - Minimal12.3 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 25 - Moderate to severe9.4 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 23 - Mild to moderate33.0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 26 - Severe0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 20 - Clear0.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 26 - Severe2.0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 20 - Clear1.0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 21 - Minimal6.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 22 - Mild19.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 23 - Mild to moderate31.7 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 24 - Moderate27.7 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 25 - Moderate to severe10.9 Percentage of participants
Secondary

Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 4

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).

Time frame: At Week 4

Population: FAS

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 44 - Moderate15.1 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 40 - Clear7.5 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 41 - Minimal24.5 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 45 - Moderate to severe4.7 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 43 - Mild to moderate24.5 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 46 - Severe0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 42 - Mild23.6 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 46 - Severe1.0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 41 - Minimal19.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 42 - Mild17.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 43 - Mild to moderate23.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 44 - Moderate20.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 45 - Moderate to severe9.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 40 - Clear6.9 Percentage of participants
Secondary

Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 6

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).

Time frame: At Week 6

Population: FAS

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 62 - Mild15.1 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 64 - Moderate11.3 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 61 - Minimal26.4 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 65 - Moderate to severe3.8 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 63 - Mild to moderate24.5 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 66 - Severe0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 60 - Clear18.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 66 - Severe0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 60 - Clear9.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 61 - Minimal17.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 62 - Mild25.7 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 63 - Mild to moderate19.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 64 - Moderate19.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 65 - Moderate to severe6.9 Percentage of participants
Secondary

Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 8

IGA categories: 0 - Clear; 1 - Minimal; 2 - Mild; 3 - Mild to moderate; 4 - Moderate; 5 - Moderate to severe; 6 - Severe (refer to Detailed Description field in Protocol section for more information).

Time frame: At Week 8

Population: FAS

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 82 - Mild21.7 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 84 - Moderate10.4 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 81 - Minimal32.1 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 85 - Moderate to severe2.8 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 83 - Mild to moderate14.2 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 86 - Severe0 Percentage of participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 80 - Clear18.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 86 - Severe0 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 80 - Clear13.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 81 - Minimal25.7 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 82 - Mild19.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 83 - Mild to moderate23.8 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 84 - Moderate12.9 Percentage of participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percentage of Participants With Respective Disease Severity Measured by IGA Scores at Week 85 - Moderate to severe4.0 Percentage of participants
Secondary

Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)

NOTE: Negative mean values represent an improvement (decrease of inflammatory lesions)

Time frame: Baseline and Week 2, 4, 6, 8 and 12

Population: FAS

ArmMeasureGroupValue (MEAN)Dispersion
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 4-64.9 Percent of inflammatory lesionsStandard Deviation 28.93
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 8-76.4 Percent of inflammatory lesionsStandard Deviation 23.47
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 6-72.4 Percent of inflammatory lesionsStandard Deviation 24.67
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 12-80.2 Percent of inflammatory lesionsStandard Deviation 24.25
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 2-50.7 Percent of inflammatory lesionsStandard Deviation 29.39
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 12-75.1 Percent of inflammatory lesionsStandard Deviation 27.25
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 2-43.0 Percent of inflammatory lesionsStandard Deviation 35.68
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 4-56.9 Percent of inflammatory lesionsStandard Deviation 31.5
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 6-64.5 Percent of inflammatory lesionsStandard Deviation 29
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Percent Change From Baseline in IL Count at Weeks 2, 4, 6, 8 and 12 (LOCF)Week 8-71.6 Percent of inflammatory lesionsStandard Deviation 26.94
Other Pre-specified

Patient Opinion of Local Tolerability

Time frame: Week 12

Population: Participants in the FAS who took part in this evaluation.

ArmMeasureGroupValue (NUMBER)
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Opinion of Local TolerabilityGood34.3 Percentage of Participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Opinion of Local TolerabilityLess acceptable due to continuous irritation2.9 Percentage of Participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Opinion of Local TolerabilityAcceptable despite minor irritation7.8 Percentage of Participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Opinion of Local TolerabilityNo opinion1.0 Percentage of Participants
Azelaic Acid (Finacea, BAY39-6251) Plus Doxycycline (Oracea)Patient Opinion of Local TolerabilityExcellent53.9 Percentage of Participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Opinion of Local TolerabilityNo opinion0 Percentage of Participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Opinion of Local TolerabilityExcellent72.9 Percentage of Participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Opinion of Local TolerabilityGood15.6 Percentage of Participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Opinion of Local TolerabilityAcceptable despite minor irritation11.5 Percentage of Participants
Metronidazole (Metrogel) Plus Doxycycline (Oracea)Patient Opinion of Local TolerabilityLess acceptable due to continuous irritation0 Percentage of Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026