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Efficacy and Safety Study With Visonac Photodynamic Therapy (PDT)

A Double Blinded, Prospective, Randomized, Stratified, Placebo-controlled, Multi-center Study of Photodynamic Therapy With VisonacTM Cream in Patients With Moderate to Severe Acne Vulgaris.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00933543
Enrollment
107
Registered
2009-07-07
Start date
2009-08-31
Completion date
2010-03-31
Last updated
2013-12-11

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

Conditions

Acne Vulgaris

Keywords

Acne Vulgaris, Moderate to severe

Brief summary

The purpose of this trial is to study the efficacy and safety of Visonac PDT in patients from 9 to 35 years old with Aktilite® CL512. Patients was randomized to Visonac or vehicle cream without occlusion and red light(dose: 37J/cm2)

Detailed description

Double blinded, prospective, randomized, stratified, placebo-controlled, multi-center study in patients with moderate to severe acne vulgaris. Patients with facial severity grades 3 to 4 on the Investigator's Global Assessment (IGA) scale will be included. Each patient will be classified according to age in the two age groups 9 to 12 years and 13 to 35 years and randomized to either Visonac or vehicle cream within each age group. All patients will receive 4 treatments 2 weeks apart (at week 0, 2 ,4 and 6 week). Efficacy evaluation will be done after each treatment and at 12 weeks after the first treatment. Safety evaluations will be performed at each treatment visit and at 12 weeks after the first treatment. Photographs of patients will be taken before and after treatment at first and last treatment visit, and at 12 weeks after first treatment. Blood samples will be drawn at 3 visits; pre-treatment visit, one week after first treatment and at one week after last treatment visit.

Interventions

DRUGVisonac PDT (MAL PDT)

Cream application followed by illumination with red light.

Cream application followed by illumination with red light.

PROCEDUREPDT

Photodynamic Therapy - Light dose 37 J/cm2

Sponsors

Photocure
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
9 Years to 35 Years
Healthy volunteers
No

Inclusion criteria

* Female and male patients, above 9 years of age with moderate to severe facial acne vulgaris (IGA score 3-4). * Female patients who are surgically sterile, pre-menstrual, postmenopausal, abstinent, or willing to use an adequate means of contraception including birth control pills, or barrier methods and spermicide for at least 14 days prior to T1. Patients using birth control pills must have used the same product and dose for at least 6 months and must agree to stay with the same product and dose for an additional 6 months. * Fitzpatrick skin type I through VI. * Patients with 20 to 100 inflammatory lesions (papules, pustules, and nodules) on the face. * Patients with 30 to 120 non-inflammatory lesions (open and closed comedones) on the face. * Patients with no more than 2 nodular lesions on the face. * Signed and verified informed consent form. For subjects under age of 18, an assent form in conjunction with an informed consent form, signed and verified by parent/guardian.

Exclusion criteria

Patients presenting with any of the following will not be included in the study: * Patient is the investigator or any sub investigator, research assistant, pharmacist, study coordinator, other staff or relative thereof directly involved in the conduct of the protocol. * Patients unlikely to comply with the protocol, e.g., mental condition rendering the patient unable to understand the nature, scope, and possible consequences of the clinical study, uncooperative attitude or unlikelihood of completing the study (e.g., drug or alcohol abuse). * Female patients using oral contraceptives, that have not used the same product or dose within the last 6 months and do not agree to stay with the same product and dose for the duration of the study. * Pregnancy * Patients undergoing testosterone or any other systemic hormonal treatment. * Patients using hormonal contraceptives solely for the control of acne. * Known allergy to MAL, to a similar PDT compound, or to excipients of the cream. * Patients with porphyria. * Patients with cutaneous photosensitivity. * Participation in other clinical studies either concurrently or within the last 30 days, before T1. * Patients with a washout period for topical treatments e.g., topical BPOs, retinoids and antibiotics, for their acne of less than 14 days, before T1. Medicated cleansers may be used during the washout period and stopped before the treatment. * Patients with a washout period for oral antibiotics for treatment of their acne of less than 1 month, before T1. * Patients with a washout period for oral isotretinoin of less than 6 months, before T1. * Patients with a beard or other facial hair that might interfere with study assessments. * Patients with melanoma or dysplastic nevi in the treatment area. * Exposure to ultraviolet radiation (UVB phototherapy, sun tanning salons) within the last 30 days. * Exposure to PDT within 12 weeks before T1.

Design outcomes

Primary

MeasureTime frame
Proportion of Patients With Success According to the Dichotomized IGA Scale Based on Facial Assessments 12 Weeks After the First Treatment. Success is Defined as an Improvement of at Least 2 Grades From the Baseline Score.12 weeks after the first treatment
Absolute Change From Baseline in Facial Inflammatory Lesion Count (Nodules, Papules, and Pustules)12 weeks after the first treatment
Absolute Change From Baseline in Facial Non Inflammatory Lesion Count12 weeks after first treatment

Secondary

MeasureTime frameDescription
Proportion of Patients With a Reduction of at Least 50% From Baseline in Facial Non-inflammatory Lesion Count12 weeks after last treatment
Proportion of Patients With a Reduction of at Least 50% From Baseline in Facial Inflammatory Lesion Count From Baseline12 weeks after first treatment
Absolute Change From Baseline in Facial Inflammatory Lesion Count6 weeks after the first treatment
Absolute Change From Baseline in Facial Non- Inflammatory Lesion Count6 weeks after the first treatment
Absolute Change From Baseline in Facial Total Lesion Count6 weeks after the first treatment
Proportion of Patients With Success According to the Dichotomized IGA Scale Based on Facial Assessments 12 Weeks After the First Treatment. Success is Defined as an Improvement of at Least 2 Grades From the Baseline Score.6 weeks after the first treatment
Facial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginabledirectly after first treatmentFacial pain was assessed on a visual analogue scale ranging from 0-10cm.
Percent Change From Baseline in Facial Inflammatory (Nodules, Papules, and Pustules)Lesion Count6 weeks after the first treatment
Proportion of Patients With Severe Hyperpigmentationat 12 weeks after first treatment
Proportion of Patients With Mild or Moderate Scarring at End of Studyweek 12
Proportion of Patients With Clear or Almost Clear Scarring at End of Studyweek 12
Proportion of Patients With Severe and Very Severe Scarring at End of Studyweek 12
Proportion of Patients With Hypopigmentation (Mild Moderate, Severe)at 12 weeks after first treatment
Proportion of Patients With Dryness (Mild)at 12 weeks after first treatment
Proportion of Patients With Mild and Moderate Hyperpigmentationat 12 weeks after first treatment
Percent Change From Baseline in Facial Non Inflammatory Lesion Count6 weeks after first treatment
Percent Change From Baseline in Facial Total Lesion Count6 weeks after the first treatment

Countries

Canada, United States

Participant flow

Recruitment details

Recruitment from September-December 2009. Dermatology clinics, with pediatric patients

Participants by arm

ArmCount
Visonac Cream With PDT
Active treatment, Light dose 37 J/cm2.
54
Vehicle Cream With PDT
Placebo treatment, Light dose 37 J/cm2.
53
Total107

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event21
Overall StudyLack of Efficacy03
Overall StudyLost to Follow-up01
Overall StudyOther11
Overall StudyWithdrawal by Subject01

Baseline characteristics

CharacteristicVehicle Cream With PDTVisonac Cream With PDTTotal
Age, Categorical
<=18 years
34 Participants35 Participants69 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
19 Participants19 Participants38 Participants
Fitzpatrick Skin type
Skin type I
6 participants5 participants11 participants
Fitzpatrick Skin type
Skin type II
15 participants14 participants29 participants
Fitzpatrick Skin type
Skin type III
21 participants24 participants45 participants
Fitzpatrick Skin type
Skin type IV
6 participants4 participants10 participants
Fitzpatrick Skin type
Skin type V
2 participants5 participants7 participants
Fitzpatrick Skin type
Skin type VI
3 participants2 participants5 participants
Investigator Global Assessment (IGA) Score
IGA 3 (Moderate acne)
45 participants44 participants89 participants
Investigator Global Assessment (IGA) Score
IGA 4 (Severe acne)
8 participants10 participants18 participants
Patients with dryness
Mild dryness
7 Number of patients9 Number of patients16 Number of patients
Patients with dryness
No dryness
46 Number of patients45 Number of patients91 Number of patients
Patients with mild and moderate hyperpigmentation
Mild hyperpigmentation
10 number of patients5 number of patients15 number of patients
Patients with mild and moderate hyperpigmentation
Moderate hyperpigmentation
8 number of patients8 number of patients16 number of patients
Patients with mild and moderate hyperpigmentation
No hyperpigmentation
34 number of patients39 number of patients73 number of patients
Patients with mild and moderate hyperpigmentation
Severe hyperpigmentation
1 number of patients2 number of patients3 number of patients
Region of Enrollment
Canada
16 participants17 participants33 participants
Region of Enrollment
United States
37 participants37 participants74 participants
Scarring
Patients with almost clear scarring
10 number of patients9 number of patients19 number of patients
Scarring
Patients with mild scarring
9 number of patients15 number of patients24 number of patients
Scarring
Patients with moderate scarring
6 number of patients6 number of patients12 number of patients
Scarring
Patients with no scarring
26 number of patients21 number of patients47 number of patients
Scarring
Patients with severe scarring
1 number of patients3 number of patients4 number of patients
Scarring
Patients with very severe scarring
1 number of patients0 number of patients1 number of patients
Sex: Female, Male
Female
27 Participants32 Participants59 Participants
Sex: Female, Male
Male
26 Participants22 Participants48 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
46 / 5432 / 53
serious
Total, serious adverse events
0 / 540 / 53

Outcome results

Primary

Absolute Change From Baseline in Facial Inflammatory Lesion Count (Nodules, Papules, and Pustules)

Time frame: 12 weeks after the first treatment

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTAbsolute Change From Baseline in Facial Inflammatory Lesion Count (Nodules, Papules, and Pustules)-14.0 lesionsStandard Deviation 17.94
Vehicle Cream With PDTAbsolute Change From Baseline in Facial Inflammatory Lesion Count (Nodules, Papules, and Pustules)-13.8 lesionsStandard Deviation 23.76
Comparison: H0: τ (Vehicle PDT) = τ (MAL PDT) versus HA: τ (Vehicle PDT) ≠ τ (MAL PDT)p-value: 0.296995% CI: [-11.35, 3.5]ANCOVA
Primary

Absolute Change From Baseline in Facial Non Inflammatory Lesion Count

Time frame: 12 weeks after first treatment

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTAbsolute Change From Baseline in Facial Non Inflammatory Lesion Count-14.3 lesionsStandard Deviation 26.54
Vehicle Cream With PDTAbsolute Change From Baseline in Facial Non Inflammatory Lesion Count-17.1 lesionsStandard Deviation 25.84
Comparison: H0: τ (Vehicle PDT) = τ (MAL PDT) versus HA: τ (Vehicle PDT) ≠ τ (MAL PDT)p-value: 0.891395% CI: [-9.09, 10.43]ANCOVA
Primary

Proportion of Patients With Success According to the Dichotomized IGA Scale Based on Facial Assessments 12 Weeks After the First Treatment. Success is Defined as an Improvement of at Least 2 Grades From the Baseline Score.

Time frame: 12 weeks after the first treatment

Population: ITT

ArmMeasureValue (NUMBER)
Visonac Cream With PDTProportion of Patients With Success According to the Dichotomized IGA Scale Based on Facial Assessments 12 Weeks After the First Treatment. Success is Defined as an Improvement of at Least 2 Grades From the Baseline Score.9.26 percentage of participants
Vehicle Cream With PDTProportion of Patients With Success According to the Dichotomized IGA Scale Based on Facial Assessments 12 Weeks After the First Treatment. Success is Defined as an Improvement of at Least 2 Grades From the Baseline Score.1.89 percentage of participants
Comparison: H0: τ (Vehicle PDT) = τ (MAL PDT) versus HA: τ (Vehicle PDT) ≠ τ (MAL PDT)p-value: 0.070395% CI: [0.65, 63.18]Cochran-Mantel-Haenszel
Secondary

Absolute Change From Baseline in Facial Inflammatory Lesion Count

Time frame: 6 weeks after the first treatment

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTAbsolute Change From Baseline in Facial Inflammatory Lesion Count-17.5 lesionsStandard Deviation 9
Vehicle Cream With PDTAbsolute Change From Baseline in Facial Inflammatory Lesion Count-10.8 lesionsStandard Deviation 22.41
Secondary

Absolute Change From Baseline in Facial Non- Inflammatory Lesion Count

Time frame: 6 weeks after the first treatment

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTAbsolute Change From Baseline in Facial Non- Inflammatory Lesion Count12.9 lesionsStandard Deviation 21.41
Vehicle Cream With PDTAbsolute Change From Baseline in Facial Non- Inflammatory Lesion Count11.3 lesionsStandard Deviation 28.24
Secondary

Absolute Change From Baseline in Facial Total Lesion Count

Time frame: 6 weeks after the first treatment

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTAbsolute Change From Baseline in Facial Total Lesion Count-27.2 lesionsStandard Deviation 26.19
Vehicle Cream With PDTAbsolute Change From Baseline in Facial Total Lesion Count-20.6 lesionsStandard Deviation 36.68
Secondary

Facial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable

Facial pain was assessed on a visual analogue scale ranging from 0-10cm.

Time frame: directly after second treatment

Population: Safety population

ArmMeasureValue (MEAN)
Visonac Cream With PDTFacial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable1.37 cm
Vehicle Cream With PDTFacial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable0.15 cm
Secondary

Facial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable

Facial pain was assessed on a visual analogue scale ranging from 0-10cm.

Time frame: directly after fourth treatment

Population: Safety population

ArmMeasureValue (MEAN)
Visonac Cream With PDTFacial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable1.39 cm
Vehicle Cream With PDTFacial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable0.19 cm
Secondary

Facial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable

Facial pain was assessed on a visual analogue scale ranging from 0-10cm.

Time frame: directly after third treatment

Population: Safety population

ArmMeasureValue (MEAN)
Visonac Cream With PDTFacial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable1.53 cm
Vehicle Cream With PDTFacial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable0.17 cm
Secondary

Facial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable

Facial pain was assessed on a visual analogue scale ranging from 0-10cm.

Time frame: directly after first treatment

Population: Safety population

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTFacial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable1.5 cmFull Range 2.2
Vehicle Cream With PDTFacial Pain Assessed Using a Visual Analogue Scale From 0 to 10, Where 0 Indicates no Pain and 10 Indicates Worst Pain Imaginable0.28 cmFull Range 0.64
Secondary

Percent Change From Baseline in Facial Inflammatory (Nodules, Papules, and Pustules)Lesion Count

Time frame: 6 weeks after the first treatment

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTPercent Change From Baseline in Facial Inflammatory (Nodules, Papules, and Pustules)Lesion Count-35.4 percent change from baselineStandard Deviation 30.85
Vehicle Cream With PDTPercent Change From Baseline in Facial Inflammatory (Nodules, Papules, and Pustules)Lesion Count-20.3 percent change from baselineStandard Deviation 38.72
Secondary

Percent Change From Baseline in Facial Inflammatory (Nodules, Papules, and Pustules)Lesion Count

Time frame: 12 weeks after the first treatment

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTPercent Change From Baseline in Facial Inflammatory (Nodules, Papules, and Pustules)Lesion Count-33.1 Percent change from baselineStandard Deviation 39.34
Vehicle Cream With PDTPercent Change From Baseline in Facial Inflammatory (Nodules, Papules, and Pustules)Lesion Count-27.5 Percent change from baselineStandard Deviation 44.38
Secondary

Percent Change From Baseline in Facial Non Inflammatory Lesion Count

Time frame: 6 weeks after first treatment

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTPercent Change From Baseline in Facial Non Inflammatory Lesion Count-25.3 percentage change from baselineStandard Deviation 39.72
Vehicle Cream With PDTPercent Change From Baseline in Facial Non Inflammatory Lesion Count-15.8 percentage change from baselineStandard Deviation 47.11
Secondary

Percent Change From Baseline in Facial Non Inflammatory Lesion Count

Time frame: 12 weeks after first treatment

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTPercent Change From Baseline in Facial Non Inflammatory Lesion Count-26.0 percentage change from baselineStandard Deviation 52.23
Vehicle Cream With PDTPercent Change From Baseline in Facial Non Inflammatory Lesion Count-24.4 percentage change from baselineStandard Deviation 37.66
Secondary

Percent Change From Baseline in Facial Total Lesion Count

Time frame: 6 weeks after the first treatment

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTPercent Change From Baseline in Facial Total Lesion Count-29.5 Percent change from baselineStandard Deviation 27.72
Vehicle Cream With PDTPercent Change From Baseline in Facial Total Lesion Count-18.0 Percent change from baselineStandard Deviation 35.39
Secondary

Percent Change From Baseline in Facial Total Lesion Count

Time frame: 12 weeks after the first treatment

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Visonac Cream With PDTPercent Change From Baseline in Facial Total Lesion Count-29.8 Percent change from baselineStandard Deviation 36.04
Vehicle Cream With PDTPercent Change From Baseline in Facial Total Lesion Count-26.8 Percent change from baselineStandard Deviation 29.61
Secondary

Proportion of Patients With a Reduction of at Least 50% From Baseline in Facial Inflammatory Lesion Count From Baseline

Time frame: 12 weeks after first treatment

ArmMeasureValue (NUMBER)
Visonac Cream With PDTProportion of Patients With a Reduction of at Least 50% From Baseline in Facial Inflammatory Lesion Count From Baseline20 participants
Vehicle Cream With PDTProportion of Patients With a Reduction of at Least 50% From Baseline in Facial Inflammatory Lesion Count From Baseline19 participants
Secondary

Proportion of Patients With a Reduction of at Least 50% From Baseline in Facial Non-inflammatory Lesion Count

Time frame: 12 weeks after last treatment

Population: ITT

ArmMeasureValue (NUMBER)
Visonac Cream With PDTProportion of Patients With a Reduction of at Least 50% From Baseline in Facial Non-inflammatory Lesion Count17 participants
Vehicle Cream With PDTProportion of Patients With a Reduction of at Least 50% From Baseline in Facial Non-inflammatory Lesion Count10 participants
Secondary

Proportion of Patients With Clear or Almost Clear Scarring at End of Study

Time frame: week 12

ArmMeasureValue (NUMBER)
Visonac Cream With PDTProportion of Patients With Clear or Almost Clear Scarring at End of Study59 participants
Vehicle Cream With PDTProportion of Patients With Clear or Almost Clear Scarring at End of Study63 participants
Secondary

Proportion of Patients With Dryness (Mild)

Time frame: at 12 weeks after first treatment

Population: Safety

ArmMeasureValue (NUMBER)
Visonac Cream With PDTProportion of Patients With Dryness (Mild)20 participants
Vehicle Cream With PDTProportion of Patients With Dryness (Mild)16 participants
Secondary

Proportion of Patients With Hypopigmentation (Mild Moderate, Severe)

Time frame: at 12 weeks after first treatment

Population: Safety

ArmMeasureValue (NUMBER)
Visonac Cream With PDTProportion of Patients With Hypopigmentation (Mild Moderate, Severe)0 participants
Vehicle Cream With PDTProportion of Patients With Hypopigmentation (Mild Moderate, Severe)0 participants
Secondary

Proportion of Patients With Mild and Moderate Hyperpigmentation

Time frame: at 12 weeks after first treatment

Population: Safety

ArmMeasureValue (NUMBER)
Visonac Cream With PDTProportion of Patients With Mild and Moderate Hyperpigmentation26 participants
Vehicle Cream With PDTProportion of Patients With Mild and Moderate Hyperpigmentation32 participants
Secondary

Proportion of Patients With Mild or Moderate Scarring at End of Study

Time frame: week 12

ArmMeasureValue (NUMBER)
Visonac Cream With PDTProportion of Patients With Mild or Moderate Scarring at End of Study36 participants
Vehicle Cream With PDTProportion of Patients With Mild or Moderate Scarring at End of Study34 participants
Secondary

Proportion of Patients With Severe and Very Severe Scarring at End of Study

Time frame: week 12

ArmMeasureValue (NUMBER)
Visonac Cream With PDTProportion of Patients With Severe and Very Severe Scarring at End of Study6 participants
Vehicle Cream With PDTProportion of Patients With Severe and Very Severe Scarring at End of Study2 participants
Secondary

Proportion of Patients With Severe Hyperpigmentation

Time frame: at 12 weeks after first treatment

Population: Safety

ArmMeasureValue (NUMBER)
Visonac Cream With PDTProportion of Patients With Severe Hyperpigmentation1 participants
Vehicle Cream With PDTProportion of Patients With Severe Hyperpigmentation0 participants
Secondary

Proportion of Patients With Success According to the Dichotomized IGA Scale Based on Facial Assessments 12 Weeks After the First Treatment. Success is Defined as an Improvement of at Least 2 Grades From the Baseline Score.

Time frame: 6 weeks after the first treatment

Population: ITT

ArmMeasureValue (NUMBER)
Visonac Cream With PDTProportion of Patients With Success According to the Dichotomized IGA Scale Based on Facial Assessments 12 Weeks After the First Treatment. Success is Defined as an Improvement of at Least 2 Grades From the Baseline Score.3 Participants
Vehicle Cream With PDTProportion of Patients With Success According to the Dichotomized IGA Scale Based on Facial Assessments 12 Weeks After the First Treatment. Success is Defined as an Improvement of at Least 2 Grades From the Baseline Score.1 Participants

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