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Two-week Study to Compare the Tolerance and Irritation Potential of Two Combination Topical Gel Acne Medications

Two-week Study to Determine and Compare the Tolerance and Irritation Potential of Topical Antibiotic and Benzoyl Peroxide to Benzoyl Peroxide and Adapalene Topical Gel Acne Medications

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00926367
Enrollment
52
Registered
2009-06-23
Start date
2009-05-31
Completion date
2009-07-31
Last updated
2015-05-20

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

Conditions

Acne Vulgaris

Keywords

Acne

Brief summary

This is a single-blind (blinded expert grader), randomized, half-face study being conducted at one clinical site. On 1 side of the face, the subject will apply 1 of the 2 test products, antibiotic and benzoyl peroxide or benzoyl peroxide and adapalene gel and the contra lateral side of the face will remain non-treated to serve as a control. Approximately 25-30 male and female healthy subjects will be randomly assigned to each product

Detailed description

This is a single-blind (blinded expert grader), parallel group, randomized, half-face study being conducted at one clinical site. On 1 side of the face, the subject will apply 1 of the 2 test products, a topical antibiotic and benzoyl peroxide or benzoyl peroxide and adapalene and the contra lateral side of the face will remain non-treated to serve as a control. Approximately 25-30 male and female healthy subjects will be randomly assigned to each product. The subjects will be entered into a 2-week treatment phase. The once-daily applications for the study medication will be supervised at the site, Monday through Friday of each week. Subjects will apply the study product at home on Saturdays and Sundays. A blinded expert grader will rate comparative product tolerance on each week day (excluding Saturdays and Sundays) during the study before study product is applied. Subject questionnaires will be completed along with collection of all adverse events.

Interventions

Once-daily applications, to the randomized side of the face either left or right, of a topical antibiotic and benzoyl peroxide gel. This contains a topical antibiotic and benzoyl peroxide gel.

DRUGbenzoyl peroxide 2.5% and adapalene 0.1% gel

Once-daily applications, to the randomized side of the face either left or right,benzoyl peroxide and adapalene gel

Sponsors

GlaxoSmithKline
CollaboratorINDUSTRY
Stiefel, a GSK Company
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No

Inclusion criteria

* Subjects 18 to 45 years of age or older, able to complete the study and comply with study instructions. * Female subjects of childbearing potential must have a negative pregnancy test. Sexually active women of childbearing potential participating in the study must have been using a medically acceptable form of contraception * Capable of understanding and willing to provide signed and dated written voluntary informed consent (and any local or national authorization requirements) before any protocol specific procedures are performed. * Is willing to discontinue use of all facial products (other than the cleanser provided and makeup or razor and facial shave product) on the face for the 3 days before their baseline/day 0 visit and use only the provided facial products and their normal makeup or razor and facial shaving product for the duration of the study. * Is willing to avoid sunburn, tanning, tanning beds or other excessive sun exposure. Understands that if their skin tone changes significantly during the study it will be necessary to discontinue their participation.

Exclusion criteria

* Male subjects that have facial beards (mustache and/or goatee is acceptable). * Is a Type I diabetic. * Has active or chronic skin allergies. * Has a history of acute or chronic disease that might interfere with, or increase the risk of study participation. * Has participated in other facial studies in the preceding 30 days or other clinical studies in preceding 14 days. * Had skin cancer treatment in preceding 12 months. * Has damaged skin on facial areas (eg, from sunburn, tattoos, scars). * Had any medical procedure (eg, laser resurfacing, chemical peels, plastic surgery) to facial areas in preceding 12 months. * Had any cosmetic procedure (eg, microdermabrasion, etc.) to facial areas within 8 weeks of the baseline visit. * Live in the same household as currently enrolled subjects. * Any other condition or factor the investigator or his duly assigned representative believes may affect the skin response or the interpretation of the test results.

Design outcomes

Primary

MeasureTime frameDescription
Skin Erythema (Redness)Baseline, Day 1 through Day 14Assessment of erythema as part of an evaluation of tolerance of two treatments: clindamycin and benzoyl peroxide or dapsone gel. This was done by visual assessment by an independent blinded grader using the grading scale shown below. Grade Description 0 None 2 Mild erythema 4 Moderate confluent erythema 6 Marked erythema with some edema 8 Marked erythema, edema, possible erosion
Skin DrynessBaseline, Day 1 through Day 14The amount of dryness on the left and right cheek of each panelist. The scale used to evaluate skin dryness is: Grade Description 0 None 2 Slight flaking 4 Moderate flaking/scaling 6 Marked scaling / slight fissuring 8 Severe scaling, fissuring Expert Grader assessments of dryness were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.

Secondary

MeasureTime frameDescription
Self Assessment of BurningBaseline, Day 1 through Day 14The amount of burning on the left and right cheek of each panelist. The scale used to evaluate burning is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.
Self Assessment of StingingBaseline, Day 1 through Day 14The amount of stinging on the left and right cheek of each panelist. The scale used to evaluate stinging is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of stinging were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.
Self Assessment of DrynessBaseline, Day 1 through Day 14The amount of dryness on the left and right cheek of each panelist. The scale used to evaluate dryness is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.
Self Assessment of Texture (Roughness)Baseline, Day 1 through Day 14The amount of roughness on the left and right cheek of each panelist. The scale used to evaluate roughness is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.
Self Assessment of PainBaseline, Day 1 through Day 14The amount of pain on the left and right cheek of each panelist. The scale used to evaluate pain is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.
Self Assessment of CrustingBaseline, Day 1 through Day 14The amount of crusting on the left and right cheek of each panelist. The scale used to evaluate crusting is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.
Self Assessment of BlisteringBaseline, Day 1 through Day 14The amount of blistering on the left and right cheek of each panelist. The scale used to evaluate blistering is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.
Skin Moisture and HydrationBaseline, Days 3, 7, and 14To assess skin moisture and hydration using transepidermal water loss (TEWL). Results are measured on a continuous scale. Higher values indicate greater water loss/ lower skin moisture levels. Evaporative water loss measurements provide an instrumental assessment of skin barrier function(one of the layers of the skin. Damage leads to a disruption of the barrier that is accompanied by elevated water loss rates and affects skin moisture and hydration. Higher values indicate greater water loss.
Product Acceptability and Preference Questionnaire - How do You Rate the Comfort of the Skin Where You Are Currently Treating With the Study Product?Day 14The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: How do you rate the comfort of the skin where you are currently treating with the study product? The subject replied using the following scale: 1. \- Very Comfortable 2. \- Comfortable 3. \- Somewhat Comfortable 4. \- Somewhat Uncomfortable 5. \- Uncomfortable
Product Acceptability and Preference Questionnaire - How Compliant Were You With Applying the Study Product Each and Every Day?Day 14The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: How compliant were you with applying the study product each and every day? The subject replied using the following scale: 0 - Not Compliant at all (\<50%) 1. \- Mostly Compliant (50%-79%) 2. \- Very Compliant (80%-100%)
Product Acceptability and Preference Questionnaire - Did You Feel That Your Skin Was Hydrated and Moisturized While You Were on Your Study Product?Day 14The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: Did you feel that your skin was hydrated and moisturized while you were on your study product? The subject replied using the following scale: 1 - Yes 0 - No
Product Acceptability and Preference Questionnaire - Was the Study Product Easy to Use With Make-up?Day 14The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: Was the study product easy to use with make-up? The subject replied using the following scale: 0 - Not Applicable 1. \- Very Easy 2. \- Easy 3. \- Neutral 4. \- Difficult 5. \- Very Difficult
Product Acceptability and Preference Questionnaire - What Was Your Overall Satisfaction of the Study Product?Day 14The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: What was your overall satisfaction of the study product? The subject replied using the following scale: 1. \- Very Satisfied 2. \- Satisfied 3. \- Neutral 4. \- Unsatisfied 5. \- Very Unsatisfied
Product Acceptability and Preference Questionnaire - How do You Rate the Ease of Application of the Study Product?Day 14The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: Was the study product easy to use with make-up? The subject replied using the following scale: 0 - Not Applicable 1. \- Very Easy 2. \- Easy 3. \- Neutral 4. \- Difficult 5. \- Very Difficult
Self Assessment of OilinessBaseline, Day 1 through Day 14The amount of oiliness on the left and right cheek of each panelist. The scale used to evaluate oiliness is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.
Skin HydrationBaseline, 4 hrs. post 1st Treatment, Days 3, 7, and 14The ability of an alternating current to flow through the stratum corneum is an indirect measure of its water content. The value recorded is expressed in microsiemens. Higher values indicate greater levels of skin hydration. Test results were compared to measurements from the other side of the face, which was not treated instead of referring to a normal range. A normal range does not exist for this measurement. Instead, the non-treated side of the face was used as a control to determine the normal level of skin hydration.

Countries

United States

Participant flow

Recruitment details

Clinical research center.

Pre-assignment details

Panelists who met the eligibility criteria and were willing to participate in the study were required to undergo a 3-day pre-trial conditioning period where they had to stop the use of all facial products. Panelists were required to use the provided Soap Free Cleanser (SFC) for washing their face and were allowed to apply their normal makeup.

Participants by arm

ArmCount
Duac
Once-daily applications, to the randomized side of the face either left or right, of a topical antibiotic and benzoyl peroxide
25
Epiduo
Once-daily applications, to the randomized side of the face either left or right, of benzoyl peroxide and adapalene
27
Total52

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up10
Overall StudySkin Irritation12
Overall StudyWithdrawal by Subject01

Baseline characteristics

CharacteristicDuacEpiduoTotal
Age, Categorical
<=18 years
1 Participants1 Participants2 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
24 Participants26 Participants50 Participants
Region of Enrollment
United States
25 participants27 participants52 participants
Sex: Female, Male
Female
23 Participants26 Participants49 Participants
Sex: Female, Male
Male
2 Participants1 Participants3 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
13 / 2513 / 27
serious
Total, serious adverse events
0 / 250 / 27

Outcome results

Primary

Skin Dryness

The amount of dryness on the left and right cheek of each panelist. The scale used to evaluate skin dryness is: Grade Description 0 None 2 Slight flaking 4 Moderate flaking/scaling 6 Marked scaling / slight fissuring 8 Severe scaling, fissuring Expert Grader assessments of dryness were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.

Time frame: Baseline, Day 1 through Day 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSkin DrynessDay 30.46 units on a scaleStandard Deviation 0.91
DuacSkin DrynessDay 80.60 units on a scaleStandard Deviation 1.13
DuacSkin DrynessDay 20.32 units on a scaleStandard Deviation 0.83
DuacSkin DrynessDay 90.73 units on a scaleStandard Deviation 1.28
DuacSkin DrynessDay 60.61 units on a scaleStandard Deviation 1.02
DuacSkin DrynessDay 100.56 units on a scaleStandard Deviation 1.04
DuacSkin DrynessDay 10.41 units on a scaleStandard Deviation 0.85
DuacSkin DrynessDay 130.80 units on a scaleStandard Deviation 1.33
DuacSkin DrynessDay 70.69 units on a scaleStandard Deviation 1.16
DuacSkin DrynessDay 140.79 units on a scaleStandard Deviation 1.04
DuacSkin DrynessBaseline0.12 units on a scaleStandard Deviation 0.44
EpiduoSkin DrynessDay 141.33 units on a scaleStandard Deviation 1.75
EpiduoSkin DrynessBaseline0.07 units on a scaleStandard Deviation 0.27
EpiduoSkin DrynessDay 10.25 units on a scaleStandard Deviation 0.57
EpiduoSkin DrynessDay 20.34 units on a scaleStandard Deviation 0.59
EpiduoSkin DrynessDay 30.55 units on a scaleStandard Deviation 1.15
EpiduoSkin DrynessDay 61.73 units on a scaleStandard Deviation 1.76
EpiduoSkin DrynessDay 71.85 units on a scaleStandard Deviation 2.01
EpiduoSkin DrynessDay 81.87 units on a scaleStandard Deviation 2.04
EpiduoSkin DrynessDay 92.29 units on a scaleStandard Deviation 1.99
EpiduoSkin DrynessDay 101.49 units on a scaleStandard Deviation 1.77
EpiduoSkin DrynessDay 131.26 units on a scaleStandard Deviation 1.85
p-value: >0.05Dunn's Multiple Comparisons Test
Primary

Skin Erythema (Redness)

Assessment of erythema as part of an evaluation of tolerance of two treatments: clindamycin and benzoyl peroxide or dapsone gel. This was done by visual assessment by an independent blinded grader using the grading scale shown below. Grade Description 0 None 2 Mild erythema 4 Moderate confluent erythema 6 Marked erythema with some edema 8 Marked erythema, edema, possible erosion

Time frame: Baseline, Day 1 through Day 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSkin Erythema (Redness)Day 33.08 Units on a scaleStandard Deviation 1.23
DuacSkin Erythema (Redness)Day 82.87 Units on a scaleStandard Deviation 1.24
DuacSkin Erythema (Redness)Day 22.90 Units on a scaleStandard Deviation 1.23
DuacSkin Erythema (Redness)Day 92.78 Units on a scaleStandard Deviation 1.36
DuacSkin Erythema (Redness)Day 63.17 Units on a scaleStandard Deviation 1.33
DuacSkin Erythema (Redness)Day 102.89 Units on a scaleStandard Deviation 1.22
DuacSkin Erythema (Redness)Day 12.62 Units on a scaleStandard Deviation 1.32
DuacSkin Erythema (Redness)Day 132.85 Units on a scaleStandard Deviation 1.2
DuacSkin Erythema (Redness)Day 73.07 Units on a scaleStandard Deviation 1.3
DuacSkin Erythema (Redness)Day 142.73 Units on a scaleStandard Deviation 1.2
DuacSkin Erythema (Redness)Baseline1.56 Units on a scaleStandard Deviation 0.92
EpiduoSkin Erythema (Redness)Day 142.56 Units on a scaleStandard Deviation 1.03
EpiduoSkin Erythema (Redness)Baseline1.89 Units on a scaleStandard Deviation 1.01
EpiduoSkin Erythema (Redness)Day 12.65 Units on a scaleStandard Deviation 0.94
EpiduoSkin Erythema (Redness)Day 22.52 Units on a scaleStandard Deviation 1.03
EpiduoSkin Erythema (Redness)Day 32.81 Units on a scaleStandard Deviation 1.02
EpiduoSkin Erythema (Redness)Day 63.13 Units on a scaleStandard Deviation 0.89
EpiduoSkin Erythema (Redness)Day 73.08 Units on a scaleStandard Deviation 1.01
EpiduoSkin Erythema (Redness)Day 82.98 Units on a scaleStandard Deviation 1.08
EpiduoSkin Erythema (Redness)Day 93.03 Units on a scaleStandard Deviation 0.99
EpiduoSkin Erythema (Redness)Day 102.94 Units on a scaleStandard Deviation 1.02
EpiduoSkin Erythema (Redness)Day 132.83 Units on a scaleStandard Deviation 1.21
p-value: >0.05Dunn's Multiple Comparisons Test
Secondary

Product Acceptability and Preference Questionnaire - Did You Feel That Your Skin Was Hydrated and Moisturized While You Were on Your Study Product?

The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: Did you feel that your skin was hydrated and moisturized while you were on your study product? The subject replied using the following scale: 1 - Yes 0 - No

Time frame: Day 14

ArmMeasureValue (MEAN)Dispersion
DuacProduct Acceptability and Preference Questionnaire - Did You Feel That Your Skin Was Hydrated and Moisturized While You Were on Your Study Product?0.58 units on a scaleStandard Deviation 0.5
EpiduoProduct Acceptability and Preference Questionnaire - Did You Feel That Your Skin Was Hydrated and Moisturized While You Were on Your Study Product?0.54 units on a scaleStandard Deviation 0.51
Secondary

Product Acceptability and Preference Questionnaire - How Compliant Were You With Applying the Study Product Each and Every Day?

The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: How compliant were you with applying the study product each and every day? The subject replied using the following scale: 0 - Not Compliant at all (\<50%) 1. \- Mostly Compliant (50%-79%) 2. \- Very Compliant (80%-100%)

Time frame: Day 14

ArmMeasureValue (MEAN)Dispersion
DuacProduct Acceptability and Preference Questionnaire - How Compliant Were You With Applying the Study Product Each and Every Day?2.00 units on a scaleStandard Deviation 0
EpiduoProduct Acceptability and Preference Questionnaire - How Compliant Were You With Applying the Study Product Each and Every Day?2.00 units on a scaleStandard Deviation 0
Secondary

Product Acceptability and Preference Questionnaire - How do You Rate the Comfort of the Skin Where You Are Currently Treating With the Study Product?

The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: How do you rate the comfort of the skin where you are currently treating with the study product? The subject replied using the following scale: 1. \- Very Comfortable 2. \- Comfortable 3. \- Somewhat Comfortable 4. \- Somewhat Uncomfortable 5. \- Uncomfortable

Time frame: Day 14

ArmMeasureValue (MEAN)Dispersion
DuacProduct Acceptability and Preference Questionnaire - How do You Rate the Comfort of the Skin Where You Are Currently Treating With the Study Product?2.38 units on a scaleStandard Deviation 1.13
EpiduoProduct Acceptability and Preference Questionnaire - How do You Rate the Comfort of the Skin Where You Are Currently Treating With the Study Product?2.23 units on a scaleStandard Deviation 1.24
Secondary

Product Acceptability and Preference Questionnaire - How do You Rate the Ease of Application of the Study Product?

The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: Was the study product easy to use with make-up? The subject replied using the following scale: 0 - Not Applicable 1. \- Very Easy 2. \- Easy 3. \- Neutral 4. \- Difficult 5. \- Very Difficult

Time frame: Day 14

ArmMeasureValue (MEAN)Dispersion
DuacProduct Acceptability and Preference Questionnaire - How do You Rate the Ease of Application of the Study Product?1.17 units on a scaleStandard Deviation 0.38
EpiduoProduct Acceptability and Preference Questionnaire - How do You Rate the Ease of Application of the Study Product?1.00 units on a scaleStandard Deviation 0
Secondary

Product Acceptability and Preference Questionnaire - Was the Study Product Easy to Use With Make-up?

The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: Was the study product easy to use with make-up? The subject replied using the following scale: 0 - Not Applicable 1. \- Very Easy 2. \- Easy 3. \- Neutral 4. \- Difficult 5. \- Very Difficult

Time frame: Day 14

ArmMeasureValue (MEAN)Dispersion
DuacProduct Acceptability and Preference Questionnaire - Was the Study Product Easy to Use With Make-up?1.04 units on a scaleStandard Deviation 1.12
EpiduoProduct Acceptability and Preference Questionnaire - Was the Study Product Easy to Use With Make-up?1.46 units on a scaleStandard Deviation 1.14
Secondary

Product Acceptability and Preference Questionnaire - What Was Your Overall Satisfaction of the Study Product?

The subject were presented with a questionnaire at day 14 (end of study) and was asked the following question: What was your overall satisfaction of the study product? The subject replied using the following scale: 1. \- Very Satisfied 2. \- Satisfied 3. \- Neutral 4. \- Unsatisfied 5. \- Very Unsatisfied

Time frame: Day 14

ArmMeasureValue (MEAN)Dispersion
DuacProduct Acceptability and Preference Questionnaire - What Was Your Overall Satisfaction of the Study Product?2.29 units on a scaleStandard Deviation 1.04
EpiduoProduct Acceptability and Preference Questionnaire - What Was Your Overall Satisfaction of the Study Product?2.46 units on a scaleStandard Deviation 1.03
Secondary

Self Assessment of Blistering

The amount of blistering on the left and right cheek of each panelist. The scale used to evaluate blistering is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.

Time frame: Baseline, Day 1 through Day 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSelf Assessment of BlisteringDay 20.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of BlisteringDay 80.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of BlisteringDay 10.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of BlisteringDay 90.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of BlisteringDay 30.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of BlisteringDay 100.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of BlisteringDay 60.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of BlisteringDay 130.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of BlisteringBaseline0.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of BlisteringDay 140.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of BlisteringDay 70.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of BlisteringDay 140.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of BlisteringBaseline0.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of BlisteringDay 10.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of BlisteringDay 20.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of BlisteringDay 60.07 units on a scaleStandard Deviation 0.38
EpiduoSelf Assessment of BlisteringDay 70.04 units on a scaleStandard Deviation 0.19
EpiduoSelf Assessment of BlisteringDay 80.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of BlisteringDay 90.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of BlisteringDay 100.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of BlisteringDay 130.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of BlisteringDay 30.00 units on a scaleStandard Deviation 0
Secondary

Self Assessment of Burning

The amount of burning on the left and right cheek of each panelist. The scale used to evaluate burning is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.

Time frame: Baseline, Day 1 through Day 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSelf Assessment of BurningDay 30.12 units on a scaleStandard Deviation 0.33
DuacSelf Assessment of BurningDay 80.17 units on a scaleStandard Deviation 0.48
DuacSelf Assessment of BurningDay 20.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of BurningDay 90.13 units on a scaleStandard Deviation 0.45
DuacSelf Assessment of BurningDay 60.12 units on a scaleStandard Deviation 0.33
DuacSelf Assessment of BurningDay 100.13 units on a scaleStandard Deviation 0.45
DuacSelf Assessment of BurningDay 10.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of BurningDay 130.08 units on a scaleStandard Deviation 0.28
DuacSelf Assessment of BurningDay 70.17 units on a scaleStandard Deviation 0.48
DuacSelf Assessment of BurningDay 140.08 units on a scaleStandard Deviation 0.28
DuacSelf Assessment of BurningBaseline0.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of BurningDay 140.19 units on a scaleStandard Deviation 0.57
EpiduoSelf Assessment of BurningBaseline0.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of BurningDay 10.04 units on a scaleStandard Deviation 0.19
EpiduoSelf Assessment of BurningDay 20.04 units on a scaleStandard Deviation 0.19
EpiduoSelf Assessment of BurningDay 30.15 units on a scaleStandard Deviation 0.36
EpiduoSelf Assessment of BurningDay 60.56 units on a scaleStandard Deviation 0.85
EpiduoSelf Assessment of BurningDay 70.70 units on a scaleStandard Deviation 0.87
EpiduoSelf Assessment of BurningDay 80.50 units on a scaleStandard Deviation 0.81
EpiduoSelf Assessment of BurningDay 90.27 units on a scaleStandard Deviation 0.67
EpiduoSelf Assessment of BurningDay 100.31 units on a scaleStandard Deviation 0.68
EpiduoSelf Assessment of BurningDay 130.35 units on a scaleStandard Deviation 0.75
Secondary

Self Assessment of Crusting

The amount of crusting on the left and right cheek of each panelist. The scale used to evaluate crusting is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.

Time frame: Baseline, Day 1 through Day 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSelf Assessment of CrustingDay 70.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of CrustingDay 10.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of CrustingDay 80.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of CrustingDay 90.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of CrustingDay 30.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of CrustingDay 100.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of CrustingBaseline0.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of CrustingDay 130.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of CrustingDay 60.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of CrustingDay 140.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of CrustingDay 20.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of CrustingDay 140.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of CrustingBaseline0.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of CrustingDay 10.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of CrustingDay 20.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of CrustingDay 30.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of CrustingDay 60.07 units on a scaleStandard Deviation 0.38
EpiduoSelf Assessment of CrustingDay 70.04 units on a scaleStandard Deviation 0.19
EpiduoSelf Assessment of CrustingDay 90.04 units on a scaleStandard Deviation 0.2
EpiduoSelf Assessment of CrustingDay 100.04 units on a scaleStandard Deviation 0.2
EpiduoSelf Assessment of CrustingDay 130.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of CrustingDay 80.04 units on a scaleStandard Deviation 0.2
Secondary

Self Assessment of Dryness

The amount of dryness on the left and right cheek of each panelist. The scale used to evaluate dryness is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.

Time frame: Baseline, Day 1 through Day 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSelf Assessment of DrynessDay 30.24 units on a scaleStandard Deviation 0.44
DuacSelf Assessment of DrynessDay 80.54 units on a scaleStandard Deviation 0.78
DuacSelf Assessment of DrynessDay 20.16 units on a scaleStandard Deviation 0.37
DuacSelf Assessment of DrynessDay 90.54 units on a scaleStandard Deviation 0.78
DuacSelf Assessment of DrynessDay 60.48 units on a scaleStandard Deviation 0.77
DuacSelf Assessment of DrynessDay 100.50 units on a scaleStandard Deviation 0.78
DuacSelf Assessment of DrynessDay 10.2 units on a scaleStandard Deviation 0.4
DuacSelf Assessment of DrynessDay 130.50 units on a scaleStandard Deviation 0.78
DuacSelf Assessment of DrynessDay 70.54 units on a scaleStandard Deviation 0.72
DuacSelf Assessment of DrynessDay 140.46 units on a scaleStandard Deviation 0.72
DuacSelf Assessment of DrynessBaseline0.24 units on a scaleStandard Deviation 0.44
EpiduoSelf Assessment of DrynessDay 140.69 units on a scaleStandard Deviation 1.05
EpiduoSelf Assessment of DrynessBaseline0.30 units on a scaleStandard Deviation 0.54
EpiduoSelf Assessment of DrynessDay 10.19 units on a scaleStandard Deviation 0.4
EpiduoSelf Assessment of DrynessDay 20.15 units on a scaleStandard Deviation 0.36
EpiduoSelf Assessment of DrynessDay 30.2 units on a scaleStandard Deviation 0.4
EpiduoSelf Assessment of DrynessDay 60.67 units on a scaleStandard Deviation 0.96
EpiduoSelf Assessment of DrynessDay 70.70 units on a scaleStandard Deviation 0.91
EpiduoSelf Assessment of DrynessDay 80.81 units on a scaleStandard Deviation 1.02
EpiduoSelf Assessment of DrynessDay 90.85 units on a scaleStandard Deviation 1.01
EpiduoSelf Assessment of DrynessDay 100.69 units on a scaleStandard Deviation 0.88
EpiduoSelf Assessment of DrynessDay 130.73 units on a scaleStandard Deviation 0.96
Secondary

Self Assessment of Oiliness

The amount of oiliness on the left and right cheek of each panelist. The scale used to evaluate oiliness is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.

Time frame: Baseline, Day 1 through Day 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSelf Assessment of OilinessDay 140.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of OilinessBaseline0.12 units on a scaleStandard Deviation 0.33
DuacSelf Assessment of OilinessDay 10.08 units on a scaleStandard Deviation 0.28
DuacSelf Assessment of OilinessDay 20.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of OilinessDay 30.08 units on a scaleStandard Deviation 0.28
DuacSelf Assessment of OilinessDay 60.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of OilinessDay 70.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of OilinessDay 80.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of OilinessDay 90.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of OilinessDay 100.00 units on a scaleStandard Deviation 0
DuacSelf Assessment of OilinessDay 130.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of OilinessDay 130.12 units on a scaleStandard Deviation 0.43
EpiduoSelf Assessment of OilinessDay 70.07 units on a scaleStandard Deviation 0.27
EpiduoSelf Assessment of OilinessBaseline0.19 units on a scaleStandard Deviation 0.4
EpiduoSelf Assessment of OilinessDay 100.0 units on a scaleStandard Deviation 0.2
EpiduoSelf Assessment of OilinessDay 10.11 units on a scaleStandard Deviation 0.42
EpiduoSelf Assessment of OilinessDay 80.04 units on a scaleStandard Deviation 0.2
EpiduoSelf Assessment of OilinessDay 20.04 units on a scaleStandard Deviation 0.19
EpiduoSelf Assessment of OilinessDay 140.08 units on a scaleStandard Deviation 0.27
EpiduoSelf Assessment of OilinessDay 30.11 units on a scaleStandard Deviation 0.42
EpiduoSelf Assessment of OilinessDay 90.08 units on a scaleStandard Deviation 0.27
EpiduoSelf Assessment of OilinessDay 60.04 units on a scaleStandard Deviation 0.19
Secondary

Self Assessment of Pain

The amount of pain on the left and right cheek of each panelist. The scale used to evaluate pain is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.

Time frame: Baseline, Day 1 through Day 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSelf Assessment of PainDay 30.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of PainDay 80.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of PainDay 20.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of PainDay 90.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of PainDay 60.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of PainDay 100.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of PainDay 10.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of PainDay 130.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of PainDay 70.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of PainDay 140.04 units on a scaleStandard Deviation 0.2
DuacSelf Assessment of PainBaseline0.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of PainDay 140.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of PainBaseline0.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of PainDay 10.04 units on a scaleStandard Deviation 0.19
EpiduoSelf Assessment of PainDay 20.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of PainDay 30.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of PainDay 60.1 units on a scaleStandard Deviation 0.4
EpiduoSelf Assessment of PainDay 70.04 units on a scaleStandard Deviation 0.19
EpiduoSelf Assessment of PainDay 80.04 units on a scaleStandard Deviation 0.2
EpiduoSelf Assessment of PainDay 90.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of PainDay 100.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of PainDay 130.00 units on a scaleStandard Deviation 0
Secondary

Self Assessment of Stinging

The amount of stinging on the left and right cheek of each panelist. The scale used to evaluate stinging is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of stinging were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.

Time frame: Baseline, Day 1 through Day 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSelf Assessment of StingingDay 30.12 units on a scaleStandard Deviation 0.44
DuacSelf Assessment of StingingDay 80.17 units on a scaleStandard Deviation 0.48
DuacSelf Assessment of StingingDay 20.08 units on a scaleStandard Deviation 0.28
DuacSelf Assessment of StingingDay 90.13 units on a scaleStandard Deviation 0.45
DuacSelf Assessment of StingingDay 60.1 units on a scaleStandard Deviation 0.4
DuacSelf Assessment of StingingDay 100.13 units on a scaleStandard Deviation 0.45
DuacSelf Assessment of StingingDay 10.08 units on a scaleStandard Deviation 0.28
DuacSelf Assessment of StingingDay 130.13 units on a scaleStandard Deviation 0.34
DuacSelf Assessment of StingingDay 70.17 units on a scaleStandard Deviation 0.48
DuacSelf Assessment of StingingDay 140.08 units on a scaleStandard Deviation 0.28
DuacSelf Assessment of StingingBaseline0.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of StingingDay 140.12 units on a scaleStandard Deviation 0.43
EpiduoSelf Assessment of StingingBaseline0.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of StingingDay 10.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of StingingDay 20.00 units on a scaleStandard Deviation 0
EpiduoSelf Assessment of StingingDay 30.04 units on a scaleStandard Deviation 0.19
EpiduoSelf Assessment of StingingDay 60.4 units on a scaleStandard Deviation 0.8
EpiduoSelf Assessment of StingingDay 70.30 units on a scaleStandard Deviation 0.67
EpiduoSelf Assessment of StingingDay 80.35 units on a scaleStandard Deviation 0.69
EpiduoSelf Assessment of StingingDay 90.15 units on a scaleStandard Deviation 0.54
EpiduoSelf Assessment of StingingDay 100.12 units on a scaleStandard Deviation 0.43
EpiduoSelf Assessment of StingingDay 130.19 units on a scaleStandard Deviation 0.57
Secondary

Self Assessment of Texture (Roughness)

The amount of roughness on the left and right cheek of each panelist. The scale used to evaluate roughness is: Scale Description: (scale: 0 = none to 3 = severe) Subject Self Assessments of burning were taken prior to product application on Days 0, 1, 2, 3, 6, 7, 8, 9, 10, 13 and 14.

Time frame: Baseline, Day 1 through Day 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSelf Assessment of Texture (Roughness)Day 30.32 units on a scaleStandard Deviation 0.69
DuacSelf Assessment of Texture (Roughness)Day 80.25 units on a scaleStandard Deviation 0.61
DuacSelf Assessment of Texture (Roughness)Day 20.16 units on a scaleStandard Deviation 0.47
DuacSelf Assessment of Texture (Roughness)Day 90.29 units on a scaleStandard Deviation 0.69
DuacSelf Assessment of Texture (Roughness)Day 60.28 units on a scaleStandard Deviation 0.68
DuacSelf Assessment of Texture (Roughness)Day 100.29 units on a scaleStandard Deviation 0.69
DuacSelf Assessment of Texture (Roughness)Day 10.20 units on a scaleStandard Deviation 0.5
DuacSelf Assessment of Texture (Roughness)Day 130.33 units on a scaleStandard Deviation 0.7
DuacSelf Assessment of Texture (Roughness)Day 70.33 units on a scaleStandard Deviation 0.76
DuacSelf Assessment of Texture (Roughness)Day 140.29 units on a scaleStandard Deviation 0.69
DuacSelf Assessment of Texture (Roughness)Baseline0.28 units on a scaleStandard Deviation 0.54
EpiduoSelf Assessment of Texture (Roughness)Day 140.15 units on a scaleStandard Deviation 0.46
EpiduoSelf Assessment of Texture (Roughness)Baseline0.15 units on a scaleStandard Deviation 0.36
EpiduoSelf Assessment of Texture (Roughness)Day 10.07 units on a scaleStandard Deviation 0.27
EpiduoSelf Assessment of Texture (Roughness)Day 20.07 units on a scaleStandard Deviation 0.27
EpiduoSelf Assessment of Texture (Roughness)Day 30.07 units on a scaleStandard Deviation 0.27
EpiduoSelf Assessment of Texture (Roughness)Day 60.33 units on a scaleStandard Deviation 0.78
EpiduoSelf Assessment of Texture (Roughness)Day 70.19 units on a scaleStandard Deviation 0.56
EpiduoSelf Assessment of Texture (Roughness)Day 80.3 units on a scaleStandard Deviation 0.7
EpiduoSelf Assessment of Texture (Roughness)Day 90.15 units on a scaleStandard Deviation 0.46
EpiduoSelf Assessment of Texture (Roughness)Day 100.15 units on a scaleStandard Deviation 0.46
EpiduoSelf Assessment of Texture (Roughness)Day 130.12 units on a scaleStandard Deviation 0.43
Secondary

Skin Hydration

The ability of an alternating current to flow through the stratum corneum is an indirect measure of its water content. The value recorded is expressed in microsiemens. Higher values indicate greater levels of skin hydration. Test results were compared to measurements from the other side of the face, which was not treated instead of referring to a normal range. A normal range does not exist for this measurement. Instead, the non-treated side of the face was used as a control to determine the normal level of skin hydration.

Time frame: Baseline, 4 hrs. post 1st Treatment, Days 3, 7, and 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSkin Hydration4 hrs Post 1st Treatment323.47 MicrosiemensStandard Deviation 154.3
DuacSkin HydrationDay 7385.91 MicrosiemensStandard Deviation 156.69
DuacSkin HydrationDay 3420.97 MicrosiemensStandard Deviation 122.6
DuacSkin HydrationDay 14401.98 MicrosiemensStandard Deviation 156.08
DuacSkin HydrationBaseline378.06 MicrosiemensStandard Deviation 131.08
EpiduoSkin HydrationDay 14418.51 MicrosiemensStandard Deviation 139.64
EpiduoSkin HydrationBaseline392.09 MicrosiemensStandard Deviation 162.16
EpiduoSkin Hydration4 hrs Post 1st Treatment415.90 MicrosiemensStandard Deviation 197.57
EpiduoSkin HydrationDay 3465.25 MicrosiemensStandard Deviation 175.65
EpiduoSkin HydrationDay 7414.77 MicrosiemensStandard Deviation 154.46
Secondary

Skin Moisture and Hydration

To assess skin moisture and hydration using transepidermal water loss (TEWL). Results are measured on a continuous scale. Higher values indicate greater water loss/ lower skin moisture levels. Evaporative water loss measurements provide an instrumental assessment of skin barrier function(one of the layers of the skin. Damage leads to a disruption of the barrier that is accompanied by elevated water loss rates and affects skin moisture and hydration. Higher values indicate greater water loss.

Time frame: Baseline, Days 3, 7, and 14

ArmMeasureGroupValue (MEAN)Dispersion
DuacSkin Moisture and HydrationBaseline11.50 TEWL rates (gm/m2/hr)Standard Deviation 3.65
DuacSkin Moisture and HydrationDay 311.38 TEWL rates (gm/m2/hr)Standard Deviation 2.49
DuacSkin Moisture and HydrationDay 714.51 TEWL rates (gm/m2/hr)Standard Deviation 3.65
DuacSkin Moisture and HydrationDay 1413.36 TEWL rates (gm/m2/hr)Standard Deviation 3.33
EpiduoSkin Moisture and HydrationDay 1419.28 TEWL rates (gm/m2/hr)Standard Deviation 8.1
EpiduoSkin Moisture and HydrationBaseline13.07 TEWL rates (gm/m2/hr)Standard Deviation 5.06
EpiduoSkin Moisture and HydrationDay 721.65 TEWL rates (gm/m2/hr)Standard Deviation 8.66
EpiduoSkin Moisture and HydrationDay 315.85 TEWL rates (gm/m2/hr)Standard Deviation 9.12

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