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A Study to Evaluate Tolerability of Two Topical Drug Products in the Treatment of Facial Acne

A Single-blind, Randomized, Comparative Split-face Study Evaluating the Tolerability of Clindamycin and Benzoyl Peroxide Gel to Benzoyl Peroxide/Adapalene Gel in the Treatment of Acne Vulgaris.

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00964223
Enrollment
28
Registered
2009-08-24
Start date
2009-07-31
Completion date
2009-11-30
Last updated
2016-11-23

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

Brief summary

Multi-center, single-blind, randomized, comparative, split-face study. The duration of the study is 8 weeks. Commencing at baseline, subjects will apply once daily both clindamycin and benzoyl peroxide gel and benzoyl peroxide/adapalene gel in a bilateral split-face fashion (allocation to left and right side randomly assigned) for an initial 2 weeks. After visit 3, subjects will commence application of clindamycin and benzoyl peroxide gel to the entire face for an additional 6 weeks.

Detailed description

Multi-center, single-blind, randomized, comparative, split-face study. The duration of the study is 8 weeks and consists of a baseline visit and visits at weeks 1, 2, 5 and 8. Commencing at baseline, subjects will apply once daily both clindamycin and benzoyl peroxide gel and benzoyl peroxide/adapalene gel in a bilateral split-face fashion (allocation to left and right side randomly assigned) for an initial 2 weeks. After visit 3 subjects will commence application of clindamycin and benzoyl peroxide gel to the entire face for an additional 6 weeks. Blinding This is an investigator-blinded study; therefore, subjects and study-center staff will not be blinded to study treatment allocation (ie, left vs. right side application). During the first 2 weeks, the investigator will be unaware of which study product is being used on either side of the face. Subjects and study-center staff will be instructed not to reveal study treatment allocation to the investigator. Subjects will be instructed not to use study product in the presence of the investigator.

Interventions

DRUGClindamycin and benzoyl peroxide gel (Duac® Topical Gel)

Subjects will apply Duac(clindamycin and benzoyl peroxide) gel to one-half of their face and and apply Epiduo (benzoyl peroxide/adapalene) gel on the other side of their face once a day for the first 2 weeks. Starting at week 2, subjects will apply Duac (benzoyl peroxide/clindamycin gel) to the entire face for an additional 6 weeks.

DRUGbenzoyl peroxide and adapalene gel (EPIDUO™ Gel)

Subjects will apply Duac(clindamycin and benzoyl peroxide) gel to one-half of their face and and apply Epiduo (benzoyl peroxide/adapalene) gel on the other side of their face once a day for the first 2 weeks. Starting at week 2, subjects will apply Duac (benzoyl peroxide/clindamycin gel) to the entire face for an additional 6 weeks.

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 No maximum
Healthy volunteers
No

Inclusion criteria

* Male or female subjects at least 18 years of age, in good general health with documented diagnosis of facial acne vulgaris. * Sexually active females of childbearing potential participating in the study must agree to use a medically acceptable method of contraception while receiving protocol-assigned product. * Subjects willing to follow therapeutic instructions including avoidance of any other topical facial or systemic acne therapy during the conduct of the study. * Capable of understanding and willing to provide signed and dated written voluntary informed consent before any protocol specific procedures are performed.

Exclusion criteria

* Female subjects who are pregnant, trying to become pregnant or breastfeeding. * Subjects who have any clinically relevant finding at their baseline physical examination or medical history such as severe systemic diseases, diseases of the facial skin, other than acne vulgaris. * Facial hair that may obscure the accurate assessment of acne grade. * History or presence of regional enteritis or inflammatory bowel disease (e.g., ulcerative colitis, pseudomembranous colitis, chronic diarrhea, or a history of antibiotic-associated colitis) or similar symptoms. * Use of topical antibiotics on the face and systemic antibiotics within the past 2 and 4 weeks, respectively. * Use of topical corticosteroids on the face or systemic corticosteroids within the past 4 weeks. Use of inhaled, intra-articular or intra-lesional (other than for facial acne lesions) steroids is acceptable. * Use of systemic retinoids within the past 6 months. * Concurrent use of drugs known to be photosensitizers (e.g., thiazides, tetracyclines, fluoroquinolones, phenothiazines, sulfonamides) because of the possibility of increased phototoxicity. * Concomitant use of neuromuscular blocking agents. Clindamycin has neuromuscular blocking activities, which may enhance the action of other neuromuscular blocking agents. * Use of topical anti-acne medications within the past 2 weeks. * Use of any investigational drugs or treatments during the study or within 4 weeks of the baseline visit.

Design outcomes

Primary

MeasureTime frameDescription
Skin Dryness ScoreWeek 1, Week 2Investigator assessment of tolerability (skin dryness) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.
Skin Peeling ScoreWeek 1, Week 2Investigator assessment of tolerability (skin peeling) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; Intense, 3.
Irritant/Allergic Contact Dermatitis ScoreWeek 1, Week 2Signs and symptoms of tolerability (erythema, peeling, dryness, and irritant/allergic contact dermatitis) on the face. Erythema,peeling, and dryness were graded using the following scale: 0 None 1. Slight 2. Moderate 3. Intense
Erythema (Redness) ScoreWeek 1, Week 2Investigator assessment of tolerability (irritant/allergic contact dermatitis) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.

Secondary

MeasureTime frameDescription
Investigator Static Global Assessment ScoreWeek 5, Week 8ISGA is evaluated using the following scale: 0, clear, clear skin with no lesions; 1, almost clear, rare non-inflammatory lesions; 2, mild, some non-inflammatory lesions with no more than a few inflammatory lesions but no nodular lesions; 3, moderate, up to many non-inflammatory lesions and may have some inflammatory lesions, but no more than 1 small nodular lesion; 4, severe, up to many non-inflammatory and inflammatory lesions, but no more than a few nodular lesions; 5, very severe, many non-inflammatory and inflammatory lesions and more than a few nodular lesions. May have cystic lesions.
Inflammatory Acne Lesion CountsWeek 5, Week 8Total number of inflammatory acne lesions (pustules, papules) at each timepoint.
Non-Inflammatory Acne Lesion CountsWeek 5, Week 8Total number of non-inflammatory acne lesions (whiteheads and blackheads) at each timepoint.
Total Acne Lesion CountsWeek 5, Week 8Total acne lesion counts - includes both inflammatory acne lesions (pustules, papules), noninflammatory lesions (whiteheads and blackheads),
Skindex-29 Quality of Life Questionnaire - Symptomatic DomainBaseline, and Week 8Skindex-29 Quality of Life (QoL) Questionnaire used in dermatological disease consisting of 29 questions covering: burden of symptoms, functioning and emotional domains, with a five-point scale from: never to all the time, higher scores for each domain indicate worse effects on QoL. Scores range from 0 to 100. Higher scores indicate worse QoL for that domain.
Skindex-29 Quality of Life Questionnaire - Emotional DomainBaseline, and Week 8Skindex-29 Quality of Life (QoL)Questionnaire used in dermatological disease consisting of 29 questions covering: burden of symptoms, functioning and emotional domains, with a five-point scale from: never to all the time, higher scores for each domain indicate worse effects on QoL. Scores range from 0 to 100. Higher scores indicate worse QoL for that domain.
Skindex-29 Quality of Life Questionnaire - Functional DomainBaseline, and Week 8Skindex-29 Quality of Life (QoL)Questionnaire used in dermatological disease consisting of 29 questions covering: burden of symptoms, functioning and emotional domains, with a five-point scale from: never to all the time, higher scores for each domain indicate worse effects on QoL. Scores range from 0 to 100. Higher scores indicate worse QoL for that domain.
Skindex-29 Quality of Life Questionnaire - Global ScoreBaseline, and Week 8Skindex-29 Quality of Life (QoL)Questionnaire used in dermatological disease consisting of 29 questions covering: burden of symptoms, functioning and emotional domains, with a five-point scale from: never to all the time, higher scores for each domain indicate worse effects on QoL. The Global Score ranges from 0 to 100. Higher scores indicate worse QoL for that domain.
Product Acceptability and Preference Questionnaire - Severity of RednessWeek 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.
Product Acceptability and Preference Questionnaire - Severity of DrynessWeek 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.
Product Acceptability and Preference Questionnaire - Severity of BurningWeek 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.
Erythema (Redness) ScoreWeek 5, Week 8Investigator assessment of tolerability (erythema) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.
Product Acceptability and Preference Questionnaire - Severity of ScalingWeek 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.
Product Acceptability and Preference Questionnaire - Ease of Application of ProductWeek 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 1, very easy; 2, easy; 3, neutral; 4, difficult; 5, very difficult.
Product Acceptability and Preference Questionnaire - Comfort of SkinWeek 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 1, very comfortable; 2, comfortable; 3, somewhat comfortable; 4, somewhat uncomfortable; 5, uncomfortable.
Product Acceptability and Preference Questionnaire - Which Study Product is Subject More Satisfied With?Week 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at week 1 and week 2 asking which study product they were more satisfied with: Duac or Epiduo.
Product Acceptability and Preference Questionnaire - Comparison of Study Products to Products Used in the PastWeek 8Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 1, more satisfied; 2, somewhat more satisfied; 3, neither satisfied or dissatisfied; 4, more satisfied; 5, more dissatisfied.
Product Acceptability and Preference Questionnaire - Decrease of Acne Breakouts by Study ProductsWeek 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 1, highly favorable; 2, favorable; 3, neutral; 4, unfavorable; 5, highly unfavorable.
Product Acceptability and Preference Questionnaire - ComplianceWeek 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, non-compliant (\< 50% of the week); 1, mostly compliant (50-79%); 2, very compliant (80-100%).
Product Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized SkinWeek 1, Week 2Subject response to question: did you feel that your skin was hydrated and moisturized while you on your study product? (Yes or No).
Product Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne TreatmentWeek 1, Week 2Subject response to the following question: If you were to choose to continue treatment for your acne, which treatment would you choose? (Yes or No).
Product Acceptability and Preference Questionnaire - Ease of Use With Make-UpWeek 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, not applicable; 1, very easy; 2, easy; 3, neutral; 4, difficult.
Product Acceptability and Preference Questionnaire - Overall Satisfaction of Study ProductWeek 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 1, very satisfied; 2, satisfied; 3, neutral; 4, unsatisfied; 5, very unsatisfied.
Product Acceptability and Preference Questionnaire - Severity of ItchingWeek 1, Week 2Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.
Skin Dryness ScoreWeek 5, Week 8Investigator assessment of tolerability (skin dryness) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.
Skin Peeling ScoreWeek 5, Week 8Investigator assessment of tolerability (skin peeling) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.
Irritant/Allergic Contact Dermatitis ScoreWeek 5, Week 8Investigator assessment of tolerability (contact dermatitis) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.

Countries

United States

Participant flow

Recruitment details

Clinical research centers

Participants by arm

ArmCount
All Study Participants
Commencing at baseline, subjects will apply once daily both clindamycin and benzoyl peroxide and benzoyl peroxide/adapalene gel in a bilateral split-face fashion (allocation to left and right side randomly assigned) for an initial 2 weeks. After visit 3, subjects will commence application of clindamycin and benzoyl peroxide gel to the entire face for an additional 6 weeks.
28
Total28

Withdrawals & dropouts

PeriodReasonFG000
Full Face Treatment (Weeks 5 and 8)Lost to Follow-up1

Baseline characteristics

CharacteristicAll Study Participants
Age, Continuous29.6 years
STANDARD_DEVIATION 9.5
Inflammatory Acne Lesion Count21.5 Inflammatory Lesion
STANDARD_DEVIATION 9.3
Investigators Static Global Assessment (ISGA)
Mild
2 Participants
Investigators Static Global Assessment (ISGA)
Moderate
20 Participants
Investigators Static Global Assessment (ISGA)
Severe
6 Participants
Non-Inflammatory Acne Lesion Count33.0 Non-Inflammatory lesion
STANDARD_DEVIATION 24.7
Race/Ethnicity, Customized
Asian
2 Participants
Race/Ethnicity, Customized
Black or African American
11 Participants
Race/Ethnicity, Customized
White
15 Participants
Region of Enrollment
United States
28 participants
Sex: Female, Male
Female
24 Participants
Sex: Female, Male
Male
4 Participants
Total Acne Lesion Count54.5 Acne lesions
STANDARD_DEVIATION 27.1

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
0 / 28
serious
Total, serious adverse events
0 / 28

Outcome results

Primary

Erythema (Redness) Score

Investigator assessment of tolerability (irritant/allergic contact dermatitis) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelErythema (Redness) ScoreWeek 10.27 Units on a scaleStandard Deviation 0.53
Duac GelErythema (Redness) ScoreWeek 20.18 Units on a scaleStandard Deviation 0.39
Epiduo GelErythema (Redness) ScoreWeek 10.58 Units on a scaleStandard Deviation 0.81
Epiduo GelErythema (Redness) ScoreWeek 20.36 Units on a scaleStandard Deviation 0.49
Primary

Irritant/Allergic Contact Dermatitis Score

Signs and symptoms of tolerability (erythema, peeling, dryness, and irritant/allergic contact dermatitis) on the face. Erythema,peeling, and dryness were graded using the following scale: 0 None 1. Slight 2. Moderate 3. Intense

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelIrritant/Allergic Contact Dermatitis ScoreWeek 10.00 Units on a scaleStandard Deviation 0
Duac GelIrritant/Allergic Contact Dermatitis ScoreWeek 20.00 Units on a scaleStandard Deviation 0
Epiduo GelIrritant/Allergic Contact Dermatitis ScoreWeek 10.15 Units on a scaleStandard Deviation 0.46
Epiduo GelIrritant/Allergic Contact Dermatitis ScoreWeek 20.00 Units on a scaleStandard Deviation 0
Primary

Skin Dryness Score

Investigator assessment of tolerability (skin dryness) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.

Time frame: Week 1, Week 2

Population: Intent-to-Treat (ITT) Population

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelSkin Dryness ScoreWeek 10.15 Units on a scaleStandard Deviation 0.37
Duac GelSkin Dryness ScoreWeek 20.14 Units on a scaleStandard Deviation 0.36
Epiduo GelSkin Dryness ScoreWeek 10.46 Units on a scaleStandard Deviation 0.71
Epiduo GelSkin Dryness ScoreWeek 20.29 Units on a scaleStandard Deviation 0.53
Primary

Skin Peeling Score

Investigator assessment of tolerability (skin peeling) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; Intense, 3.

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelSkin Peeling ScoreWeek 20.18 Units on a scaleStandard Deviation 0.39
Duac GelSkin Peeling ScoreWeek 10.15 Units on a scaleStandard Deviation 0.37
Epiduo GelSkin Peeling ScoreWeek 10.54 Units on a scaleStandard Deviation 0.71
Epiduo GelSkin Peeling ScoreWeek 20.21 Units on a scaleStandard Deviation 0.5
Secondary

Erythema (Redness) Score

Investigator assessment of tolerability (erythema) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.

Time frame: Week 5, Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelErythema (Redness) ScoreWeek 50.26 Units on a scaleStandard Deviation 0.53
Duac GelErythema (Redness) ScoreWeek 80.19 Units on a scaleStandard Deviation 0.4
Secondary

Inflammatory Acne Lesion Counts

Total number of inflammatory acne lesions (pustules, papules) at each timepoint.

Time frame: Week 5, Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelInflammatory Acne Lesion CountsWeek 58.44 inflammatory acne lesionsStandard Deviation 7.57
Duac GelInflammatory Acne Lesion CountsWeek 87.00 inflammatory acne lesionsStandard Deviation 9.03
Secondary

Investigator Static Global Assessment Score

ISGA is evaluated using the following scale: 0, clear, clear skin with no lesions; 1, almost clear, rare non-inflammatory lesions; 2, mild, some non-inflammatory lesions with no more than a few inflammatory lesions but no nodular lesions; 3, moderate, up to many non-inflammatory lesions and may have some inflammatory lesions, but no more than 1 small nodular lesion; 4, severe, up to many non-inflammatory and inflammatory lesions, but no more than a few nodular lesions; 5, very severe, many non-inflammatory and inflammatory lesions and more than a few nodular lesions. May have cystic lesions.

Time frame: Week 5, Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelInvestigator Static Global Assessment ScoreWeek 52.63 Units on a scaleStandard Deviation 0.93
Duac GelInvestigator Static Global Assessment ScoreWeek 82.15 Units on a scaleStandard Deviation 1.03
Secondary

Irritant/Allergic Contact Dermatitis Score

Investigator assessment of tolerability (contact dermatitis) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.

Time frame: Week 5, Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelIrritant/Allergic Contact Dermatitis ScoreWeek 50.04 Units on a scaleStandard Deviation 0.19
Duac GelIrritant/Allergic Contact Dermatitis ScoreWeek 80.00 Units on a scaleStandard Deviation 0
Secondary

Non-Inflammatory Acne Lesion Counts

Total number of non-inflammatory acne lesions (whiteheads and blackheads) at each timepoint.

Time frame: Week 5, Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelNon-Inflammatory Acne Lesion CountsWeek 514.37 non-inflammatory acne lesionsStandard Deviation 11.2
Duac GelNon-Inflammatory Acne Lesion CountsWeek 810.81 non-inflammatory acne lesionsStandard Deviation 8.88
Secondary

Product Acceptability and Preference Questionnaire - Comfort of Skin

Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 1, very comfortable; 2, comfortable; 3, somewhat comfortable; 4, somewhat uncomfortable; 5, uncomfortable.

Time frame: Week 8

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Comfort of Skin1.78 Units on a scaleStandard Deviation 0.85
Secondary

Product Acceptability and Preference Questionnaire - Comfort of Skin

Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 1, very comfortable; 2, comfortable; 3, somewhat comfortable; 4, somewhat uncomfortable; 5, uncomfortable.

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Comfort of SkinWeek 12.38 Units on a scaleStandard Deviation 0.94
Duac GelProduct Acceptability and Preference Questionnaire - Comfort of SkinWeek 22.00 Units on a scaleStandard Deviation 0.86
Epiduo GelProduct Acceptability and Preference Questionnaire - Comfort of SkinWeek 12.58 Units on a scaleStandard Deviation 1.24
Epiduo GelProduct Acceptability and Preference Questionnaire - Comfort of SkinWeek 22.25 Units on a scaleStandard Deviation 1.14
Secondary

Product Acceptability and Preference Questionnaire - Comparison of Study Products to Products Used in the Past

Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 1, more satisfied; 2, somewhat more satisfied; 3, neither satisfied or dissatisfied; 4, more satisfied; 5, more dissatisfied.

Time frame: Week 8

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Comparison of Study Products to Products Used in the Past1.93 Units on a scaleStandard Deviation 1.24
Secondary

Product Acceptability and Preference Questionnaire - Compliance

Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, non-compliant (\< 50% of the week); 1, mostly compliant (50-79%); 2, very compliant (80-100%).

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - ComplianceWeek 11.96 Units on a scaleStandard Deviation 0.2
Duac GelProduct Acceptability and Preference Questionnaire - ComplianceWeek 21.93 Units on a scaleStandard Deviation 0.26
Epiduo GelProduct Acceptability and Preference Questionnaire - ComplianceWeek 11.93 Units on a scaleStandard Deviation 0.2
Epiduo GelProduct Acceptability and Preference Questionnaire - ComplianceWeek 21.93 Units on a scaleStandard Deviation 0.26
Secondary

Product Acceptability and Preference Questionnaire - Compliance

Subject response to question regarding use of the product every day or not at week 8 time point answering Yes or No

Time frame: Week 8

Population: ITT

ArmMeasureGroupValue (NUMBER)
Duac GelProduct Acceptability and Preference Questionnaire - ComplianceYes24 Participants
Duac GelProduct Acceptability and Preference Questionnaire - ComplianceNo3 Participants
Secondary

Product Acceptability and Preference Questionnaire - Decrease of Acne Breakouts by Study Products

Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 1, highly favorable; 2, favorable; 3, neutral; 4, unfavorable; 5, highly unfavorable.

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Decrease of Acne Breakouts by Study ProductsWeek 12.27 Units on a scaleStandard Deviation 0.78
Duac GelProduct Acceptability and Preference Questionnaire - Decrease of Acne Breakouts by Study ProductsWeek 22.14 Units on a scaleStandard Deviation 0.8
Epiduo GelProduct Acceptability and Preference Questionnaire - Decrease of Acne Breakouts by Study ProductsWeek 12.27 Units on a scaleStandard Deviation 0.72
Epiduo GelProduct Acceptability and Preference Questionnaire - Decrease of Acne Breakouts by Study ProductsWeek 22.07 Units on a scaleStandard Deviation 0.81
Secondary

Product Acceptability and Preference Questionnaire - Decrease of Acne Breakouts by Study Products

Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 1, highly favorable; 2, favorable; 3, neutral; 4, unfavorable; 5, highly unfavorable.

Time frame: Week 8

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Decrease of Acne Breakouts by Study Products2.07 Units on a scaleStandard Deviation 1.14
Secondary

Product Acceptability and Preference Questionnaire - Ease of Application of Product

Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 1, very easy; 2, easy; 3, neutral; 4, difficult; 5, very difficult.

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Ease of Application of ProductWeek 11.46 Units on a scaleStandard Deviation 0.58
Duac GelProduct Acceptability and Preference Questionnaire - Ease of Application of ProductWeek 21.43 Units on a scaleStandard Deviation 0.5
Epiduo GelProduct Acceptability and Preference Questionnaire - Ease of Application of ProductWeek 11.50 Units on a scaleStandard Deviation 0.71
Epiduo GelProduct Acceptability and Preference Questionnaire - Ease of Application of ProductWeek 21.50 Units on a scaleStandard Deviation 0.84
Secondary

Product Acceptability and Preference Questionnaire - Ease of Application of Product

Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 1, very easy; 2, easy; 3, neutral; 4, difficult; 5, very difficult.

Time frame: Week 8

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Ease of Application of Product1.26 Units on a scaleStandard Deviation 0.45
Secondary

Product Acceptability and Preference Questionnaire - Ease of Use With Make-Up

Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, not applicable; 1, very easy; 2, easy; 3, neutral; 4, difficult.

Time frame: Week 1, Week 2

Population: ITT. All participants were asked to respond to the questionnaire.

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Ease of Use With Make-UpWeek 12.31 Units on a scaleStandard Deviation 1.11
Duac GelProduct Acceptability and Preference Questionnaire - Ease of Use With Make-UpWeek 21.59 Units on a scaleStandard Deviation 0.87
Epiduo GelProduct Acceptability and Preference Questionnaire - Ease of Use With Make-UpWeek 12.38 Units on a scaleStandard Deviation 1.12
Epiduo GelProduct Acceptability and Preference Questionnaire - Ease of Use With Make-UpWeek 21.59 Units on a scaleStandard Deviation 0.87
Secondary

Product Acceptability and Preference Questionnaire - Ease of Use With Make-Up

Measure Description Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 0, not applicable; 1, very easy; 2, easy; 3, neutral; 4, difficult.

Time frame: Week 8

Population: ITT. All participants were asked to respond to the questionnaire.

ArmMeasureValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Ease of Use With Make-Up1.89 Units on a scaleStandard Deviation 0.96
Secondary

Product Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized Skin

Subject response to question: did you feel that your skin was hydrated and moisturized while you on your study product? (Yes or No).

Time frame: Week 8

Population: ITT

ArmMeasureGroupValue (NUMBER)
Duac GelProduct Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized SkinYes24 Participants
Duac GelProduct Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized SkinNo3 Participants
Secondary

Product Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized Skin

Subject response to question: did you feel that your skin was hydrated and moisturized while you on your study product? (Yes or No).

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (NUMBER)
Duac GelProduct Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized SkinWeek 1 - Yes18 Participants
Duac GelProduct Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized SkinWeek 1 - No8 Participants
Duac GelProduct Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized SkinWeek 2 - Yes19 Participants
Duac GelProduct Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized SkinWeek 2 - No8 Participants
Epiduo GelProduct Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized SkinWeek 2 - No9 Participants
Epiduo GelProduct Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized SkinWeek 1 - Yes16 Participants
Epiduo GelProduct Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized SkinWeek 2 - Yes18 Participants
Epiduo GelProduct Acceptability and Preference Questionnaire - Feeling of Hydrated and Moisturized SkinWeek 1 - No10 Participants
Secondary

Product Acceptability and Preference Questionnaire - Overall Satisfaction of Study Product

Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 1, very satisfied; 2, satisfied; 3, neutral; 4, unsatisfied; 5, very unsatisfied.

Time frame: Week 8

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Overall Satisfaction of Study Product2.52 Units on a scaleStandard Deviation 1.37
Secondary

Product Acceptability and Preference Questionnaire - Overall Satisfaction of Study Product

Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 1, very satisfied; 2, satisfied; 3, neutral; 4, unsatisfied; 5, very unsatisfied.

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Overall Satisfaction of Study ProductWeek 12.04 Units on a scaleStandard Deviation 0.92
Duac GelProduct Acceptability and Preference Questionnaire - Overall Satisfaction of Study ProductWeek 22.21 Units on a scaleStandard Deviation 1.17
Epiduo GelProduct Acceptability and Preference Questionnaire - Overall Satisfaction of Study ProductWeek 12.19 Units on a scaleStandard Deviation 1.06
Epiduo GelProduct Acceptability and Preference Questionnaire - Overall Satisfaction of Study ProductWeek 22.32 Units on a scaleStandard Deviation 1.16
Secondary

Product Acceptability and Preference Questionnaire - Severity of Burning

Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Severity of BurningWeek 11.12 Units on a scaleStandard Deviation 1.24
Duac GelProduct Acceptability and Preference Questionnaire - Severity of BurningWeek 20.73 Units on a scaleStandard Deviation 0.92
Epiduo GelProduct Acceptability and Preference Questionnaire - Severity of BurningWeek 11.96 Units on a scaleStandard Deviation 1.61
Epiduo GelProduct Acceptability and Preference Questionnaire - Severity of BurningWeek 21.11 Units on a scaleStandard Deviation 1.31
Secondary

Product Acceptability and Preference Questionnaire - Severity of Burning

Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.

Time frame: Week 8

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Severity of Burning0.63 Units on a scaleStandard Deviation 0.93
Secondary

Product Acceptability and Preference Questionnaire - Severity of Dryness

Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Severity of DrynessWeek 11.42 Units on a scaleStandard Deviation 1.36
Duac GelProduct Acceptability and Preference Questionnaire - Severity of DrynessWeek 21.31 Units on a scaleStandard Deviation 1.23
Epiduo GelProduct Acceptability and Preference Questionnaire - Severity of DrynessWeek 11.88 Units on a scaleStandard Deviation 1.82
Epiduo GelProduct Acceptability and Preference Questionnaire - Severity of DrynessWeek 21.58 Units on a scaleStandard Deviation 1.27
Secondary

Product Acceptability and Preference Questionnaire - Severity of Dryness

Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.

Time frame: Week 8

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Severity of Dryness1.22 Units on a scaleStandard Deviation 1.12
Secondary

Product Acceptability and Preference Questionnaire - Severity of Itching

Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.

Time frame: Week 8

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Severity of Itching0.63 Units on a scaleStandard Deviation 1.01
Secondary

Product Acceptability and Preference Questionnaire - Severity of Itching

Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Severity of ItchingWeek 11.19 Units on a scaleStandard Deviation 1.13
Duac GelProduct Acceptability and Preference Questionnaire - Severity of ItchingWeek 20.81 Units on a scaleStandard Deviation 1.02
Epiduo GelProduct Acceptability and Preference Questionnaire - Severity of ItchingWeek 11.42 Units on a scaleStandard Deviation 1.3
Epiduo GelProduct Acceptability and Preference Questionnaire - Severity of ItchingWeek 21.19 Units on a scaleStandard Deviation 1.27
Secondary

Product Acceptability and Preference Questionnaire - Severity of Redness

Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.

Time frame: Week 8

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Severity of Redness1.00 Units on a scaleStandard Deviation 1.14
Secondary

Product Acceptability and Preference Questionnaire - Severity of Redness

Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Severity of RednessWeek 11.12 Units on a scaleStandard Deviation 1.24
Duac GelProduct Acceptability and Preference Questionnaire - Severity of RednessWeek 20.78 Units on a scaleStandard Deviation 0.8
Epiduo GelProduct Acceptability and Preference Questionnaire - Severity of RednessWeek 11.54 Units on a scaleStandard Deviation 1.36
Epiduo GelProduct Acceptability and Preference Questionnaire - Severity of RednessWeek 21.00 Units on a scaleStandard Deviation 0.89
Secondary

Product Acceptability and Preference Questionnaire - Severity of Scaling

Product Acceptability and Preference Questionnaire was completed by the subject at weeks 1 and 2 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Severity of ScalingWeek 10.77 Units on a scaleStandard Deviation 1.07
Duac GelProduct Acceptability and Preference Questionnaire - Severity of ScalingWeek 20.69 Units on a scaleStandard Deviation 0.93
Epiduo GelProduct Acceptability and Preference Questionnaire - Severity of ScalingWeek 11.15 Units on a scaleStandard Deviation 1.32
Epiduo GelProduct Acceptability and Preference Questionnaire - Severity of ScalingWeek 21.00 Units on a scaleStandard Deviation 1.17
Secondary

Product Acceptability and Preference Questionnaire - Severity of Scaling

Product Acceptability and Preference Questionnaire was completed by the subject at week 8 using the following scale: 0, none; 1, very minimal; 2, mild; 3, moderate; 4, severe; 5, very severe.

Time frame: Week 8

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Duac GelProduct Acceptability and Preference Questionnaire - Severity of Scaling0.78 Units on a scaleStandard Deviation 1.28
Secondary

Product Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne Treatment

Subject response to the following question: If you were to choose to continue treatment for your acne, which treatment would you choose? (Yes or No).

Time frame: Week 1, Week 2

Population: ITT

ArmMeasureGroupValue (NUMBER)
Duac GelProduct Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne TreatmentWeek 1 - Yes19 Participants
Duac GelProduct Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne TreatmentWeek 1 - No5 Participants
Duac GelProduct Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne TreatmentWeek 2 - Yes16 Participants
Duac GelProduct Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne TreatmentWeek 2 - No10 Participants
Epiduo GelProduct Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne TreatmentWeek 2 - No9 Participants
Epiduo GelProduct Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne TreatmentWeek 1 - Yes15 Participants
Epiduo GelProduct Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne TreatmentWeek 2 - Yes18 Participants
Epiduo GelProduct Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne TreatmentWeek 1 - No10 Participants
Secondary

Product Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne Treatment

Subject response to the following question: If you were to choose to continue treatment for your acne, which treatment would you choose? (Yes or No).

Time frame: Week 8

Population: ITT

ArmMeasureGroupValue (NUMBER)
Duac GelProduct Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne TreatmentYes20 Participants
Duac GelProduct Acceptability and Preference Questionnaire - Use of Study Product if Choice to Continue Acne TreatmentNo7 Participants
Secondary

Product Acceptability and Preference Questionnaire - Which Study Product is Subject More Satisfied With?

Product Acceptability and Preference Questionnaire was completed by the subject at week 1 and week 2 asking which study product they were more satisfied with: Duac or Epiduo.

Time frame: Week 1, Week 2

Population: ITT. Some participants missed a visit and therefore were not included in the number of participants analyzed for that visit.

ArmMeasureGroupValue (NUMBER)
Duac GelProduct Acceptability and Preference Questionnaire - Which Study Product is Subject More Satisfied With?Week 117 Participants
Duac GelProduct Acceptability and Preference Questionnaire - Which Study Product is Subject More Satisfied With?Week 212 Participants
Epiduo GelProduct Acceptability and Preference Questionnaire - Which Study Product is Subject More Satisfied With?Week 18 Participants
Epiduo GelProduct Acceptability and Preference Questionnaire - Which Study Product is Subject More Satisfied With?Week 215 Participants
Secondary

Skindex-29 Quality of Life Questionnaire - Emotional Domain

Skindex-29 Quality of Life (QoL)Questionnaire used in dermatological disease consisting of 29 questions covering: burden of symptoms, functioning and emotional domains, with a five-point scale from: never to all the time, higher scores for each domain indicate worse effects on QoL. Scores range from 0 to 100. Higher scores indicate worse QoL for that domain.

Time frame: Baseline, and Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelSkindex-29 Quality of Life Questionnaire - Emotional DomainBaseline44.29 Units on a scaleStandard Deviation 28.03
Duac GelSkindex-29 Quality of Life Questionnaire - Emotional DomainWeek 835.37 Units on a scaleStandard Deviation 26.03
Secondary

Skindex-29 Quality of Life Questionnaire - Functional Domain

Skindex-29 Quality of Life (QoL)Questionnaire used in dermatological disease consisting of 29 questions covering: burden of symptoms, functioning and emotional domains, with a five-point scale from: never to all the time, higher scores for each domain indicate worse effects on QoL. Scores range from 0 to 100. Higher scores indicate worse QoL for that domain.

Time frame: Baseline, and Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelSkindex-29 Quality of Life Questionnaire - Functional DomainBaseline14.06 Units on a scaleStandard Deviation 13.41
Duac GelSkindex-29 Quality of Life Questionnaire - Functional DomainWeek 89.10 Units on a scaleStandard Deviation 10.39
Secondary

Skindex-29 Quality of Life Questionnaire - Global Score

Skindex-29 Quality of Life (QoL)Questionnaire used in dermatological disease consisting of 29 questions covering: burden of symptoms, functioning and emotional domains, with a five-point scale from: never to all the time, higher scores for each domain indicate worse effects on QoL. The Global Score ranges from 0 to 100. Higher scores indicate worse QoL for that domain.

Time frame: Baseline, and Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelSkindex-29 Quality of Life Questionnaire - Global ScoreBaseline14.06 Units on a scaleStandard Deviation 13.41
Duac GelSkindex-29 Quality of Life Questionnaire - Global ScoreWeek 89.10 Units on a scaleStandard Deviation 10.39
Secondary

Skindex-29 Quality of Life Questionnaire - Symptomatic Domain

Skindex-29 Quality of Life (QoL) Questionnaire used in dermatological disease consisting of 29 questions covering: burden of symptoms, functioning and emotional domains, with a five-point scale from: never to all the time, higher scores for each domain indicate worse effects on QoL. Scores range from 0 to 100. Higher scores indicate worse QoL for that domain.

Time frame: Baseline, and Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelSkindex-29 Quality of Life Questionnaire - Symptomatic DomainBaseline28.10 Units on a scaleStandard Deviation 17.01
Duac GelSkindex-29 Quality of Life Questionnaire - Symptomatic DomainWeek 821.72 Units on a scaleStandard Deviation 11.6
Secondary

Skin Dryness Score

Investigator assessment of tolerability (skin dryness) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.

Time frame: Week 5, Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelSkin Dryness ScoreWeek 50.15 Units on a scaleStandard Deviation 0.46
Duac GelSkin Dryness ScoreWeek 80.00 Units on a scaleStandard Deviation 0
Secondary

Skin Peeling Score

Investigator assessment of tolerability (skin peeling) on the face. Erythema, peeling, and dryness were graded using the following Investigator Assessment of Tolerability scale: 0, None; 1, Slight; 2, Moderate; 3, Intense.

Time frame: Week 5, Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelSkin Peeling ScoreWeek 50.00 Units on a scaleStandard Deviation 0
Duac GelSkin Peeling ScoreWeek 80.00 Units on a scaleStandard Deviation 0
Secondary

Total Acne Lesion Counts

Total acne lesion counts - includes both inflammatory acne lesions (pustules, papules), noninflammatory lesions (whiteheads and blackheads),

Time frame: Week 5, Week 8

Population: ITT

ArmMeasureGroupValue (MEAN)Dispersion
Duac GelTotal Acne Lesion CountsWeek 522.81 total acne lesionsStandard Deviation 14.87
Duac GelTotal Acne Lesion CountsWeek 817.81 total acne lesionsStandard Deviation 14.04

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