Rosacea
Conditions
Brief summary
The purpose of this vehicle controlled study is to evaluate the efficacy and safety of CD07805/47 gel 0.5% applied topically once daily (QD) for 4 weeks, and CD07805/47 gel 0.18% applied topically once daily (QD) or twice daily (BID) for 4 weeks, in subjects with moderate to severe facial erythema associated with rosacea.
Interventions
CD07805/47 Gel 0.5% QD
Vehicle Gel QD
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female, who is at least 18 years of age or older. * A clinical diagnosis of rosacea. * A Clinician Erythema Assessment (CEA) score of 3 at Screening and at Pre-dose (T0) on Baseline/Day 1. * A Patient Self Assessment-5 (PSA-5) score of 3 at Screening and at Pre-dose (T0) on Baseline/Day 1. * A Patient Self Assessment-11 (PSA-11) score of 5 at Screening and at Pre-dose (T0) on Baseline/Day 1.
Exclusion criteria
* Three (3) or more facial inflammatory lesions. * Current diagnosis of Raynaud's syndrome, thromboangiitis obliterans, orthostatic hypotension, severe cardiovascular disease, cerebral or coronary insufficiency, renal or hepatic impairment, scleroderma, Sjögren's syndrome, or depression. * Known allergies or sensitivities to any components of the study medications, including the active gel ingredient, brimonidine tartrate. * Intraocular pressure (IOP) measurement less than 10 mm Hg.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Composite Success | Day 29 | Composite success defined as 2-grade improvement on Clinician Erythema Assessment (CEA)and Patient Self Assessment-5 (PSA-5). Each concentration/regimen was compared to its respective placebo control as part of the primary analysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| CEA Success | Day 29 | CEA success defined as 2-grade improvement on CEA. Each concentration/regimen was compared to its respective placebo control as part of the primary analysis. Clinician Erythema Assessment (CEA) - Grade/Description 0 / Clear Skin with no signs of erythema 1. / Amost clear; slight redness 2. / Mild erythema; definite redness 3. / Moderate erythema; marked redness 4. / Severe erythema; fiery redness |
| PSA-5 Success | day 29 | Each concentration/regimen was compared to its respective placebo control as part of the primary analysis. PSA-5 success defined as 2-grade improvement on PSA-5. Patient Self Assessment - 5 (PSA-5) - Grade/description 0 / No redness 1. / Very mild redness 2. / Mild redness 3. / Moderate redness 4. / Severe redness |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| CD07805/47 Gel 0.5% QD | 53 |
| CD07805/47 Gel 0.18% QD | 54 |
| CD07805/47 Gel 0.18% BID | 54 |
| Vehicle Gel QD | 55 |
| Vehicle Gel BID | 53 |
| Total | 269 |
Baseline characteristics
| Characteristic | CD07805/47 Gel 0.18% QD | CD07805/47 Gel 0.18% BID | Vehicle Gel QD | CD07805/47 Gel 0.5% QD | Vehicle Gel BID | Total |
|---|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 4 Participants | 4 Participants | 1 Participants | 1 Participants | 2 Participants | 12 Participants |
| Age, Categorical Between 18 and 65 years | 50 Participants | 50 Participants | 54 Participants | 52 Participants | 51 Participants | 257 Participants |
| Age, Continuous | 46.9 years STANDARD_DEVIATION 12.72 | 43.2 years STANDARD_DEVIATION 12.28 | 43.4 years STANDARD_DEVIATION 12.73 | 44.9 years STANDARD_DEVIATION 11.5 | 43.0 years STANDARD_DEVIATION 12.33 | 44.3 years STANDARD_DEVIATION 12.32 |
| Region of Enrollment United States | 54 participants | 54 participants | 55 participants | 53 participants | 53 participants | 269 participants |
| Sex: Female, Male Female | 44 Participants | 42 Participants | 45 Participants | 42 Participants | 44 Participants | 217 Participants |
| Sex: Female, Male Male | 10 Participants | 12 Participants | 10 Participants | 11 Participants | 9 Participants | 52 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk |
|---|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 18 / 53 | 13 / 54 | 14 / 54 | 16 / 55 | 8 / 53 |
| serious Total, serious adverse events | 0 / 53 | 1 / 54 | 0 / 54 | 1 / 55 | 0 / 53 |
Outcome results
Composite Success
Composite success defined as 2-grade improvement on Clinician Erythema Assessment (CEA)and Patient Self Assessment-5 (PSA-5). Each concentration/regimen was compared to its respective placebo control as part of the primary analysis.
Time frame: Day 29
Population: Intent-to Treat (ITT) population, LOCF when the data are missing at all four timepoints (i.e. Hours 3, 6, 9, 12) LOCF method will be applied from previous visit.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| CD07805/47 Gel 0.5% QD | Composite Success | Day 29/Hour 3 | 16 participants |
| CD07805/47 Gel 0.5% QD | Composite Success | Day 29/Hour 6 | 15 participants |
| CD07805/47 Gel 0.5% QD | Composite Success | Day 29/Hour 9 | 17 participants |
| CD07805/47 Gel 0.5% QD | Composite Success | Day 29/Hour 12 | 10 participants |
| CD07805/47 Gel 0.18% QD | Composite Success | Day 29/Hour 3 | 10 participants |
| CD07805/47 Gel 0.18% QD | Composite Success | Day 29/Hour 12 | 5 participants |
| CD07805/47 Gel 0.18% QD | Composite Success | Day 29/Hour 6 | 10 participants |
| CD07805/47 Gel 0.18% QD | Composite Success | Day 29/Hour 9 | 7 participants |
| CD07805/47 Gel 0.18% BID | Composite Success | Day 29/Hour 12 | 8 participants |
| CD07805/47 Gel 0.18% BID | Composite Success | Day 29/Hour 6 | 9 participants |
| CD07805/47 Gel 0.18% BID | Composite Success | Day 29/Hour 9 | 11 participants |
| CD07805/47 Gel 0.18% BID | Composite Success | Day 29/Hour 3 | 10 participants |
| Vehicle Gel QD | Composite Success | Day 29/Hour 3 | 2 participants |
| Vehicle Gel QD | Composite Success | Day 29/Hour 6 | 4 participants |
| Vehicle Gel QD | Composite Success | Day 29/Hour 12 | 2 participants |
| Vehicle Gel QD | Composite Success | Day 29/Hour 9 | 2 participants |
| Vehicle Gel BID | Composite Success | Day 29/Hour 12 | 9 participants |
| Vehicle Gel BID | Composite Success | Day 29/Hour 9 | 10 participants |
| Vehicle Gel BID | Composite Success | Day 29/Hour 6 | 7 participants |
| Vehicle Gel BID | Composite Success | Day 29/Hour 3 | 4 participants |
CEA Success
CEA success defined as 2-grade improvement on CEA. Each concentration/regimen was compared to its respective placebo control as part of the primary analysis. Clinician Erythema Assessment (CEA) - Grade/Description 0 / Clear Skin with no signs of erythema 1. / Amost clear; slight redness 2. / Mild erythema; definite redness 3. / Moderate erythema; marked redness 4. / Severe erythema; fiery redness
Time frame: Day 29
Population: ITT population, LOCF when the data are missing at all four timepoints (i.e. Hours 3,6,9,12) LOCF method will be applied from the previous visit.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| CD07805/47 Gel 0.5% QD | CEA Success | Day 29/Hour 9 | 26 participants |
| CD07805/47 Gel 0.5% QD | CEA Success | Day 29/Hour 3 | 27 participants |
| CD07805/47 Gel 0.5% QD | CEA Success | Day 29/Hour 6 | 23 participants |
| CD07805/47 Gel 0.5% QD | CEA Success | Day 29/Hour 12 | 20 participants |
| CD07805/47 Gel 0.18% QD | CEA Success | Day 29/Hour 6 | 21 participants |
| CD07805/47 Gel 0.18% QD | CEA Success | Day 29/Hour 3 | 21 participants |
| CD07805/47 Gel 0.18% QD | CEA Success | Day 29/Hour 12 | 17 participants |
| CD07805/47 Gel 0.18% QD | CEA Success | Day 29/Hour 9 | 20 participants |
| CD07805/47 Gel 0.18% BID | CEA Success | Day 29/Hour 3 | 22 participants |
| CD07805/47 Gel 0.18% BID | CEA Success | Day 29/Hour 12 | 18 participants |
| CD07805/47 Gel 0.18% BID | CEA Success | Day 29/Hour 6 | 18 participants |
| CD07805/47 Gel 0.18% BID | CEA Success | Day 29/Hour 9 | 23 participants |
| Vehicle Gel QD | CEA Success | Day 29/Hour 3 | 12 participants |
| Vehicle Gel QD | CEA Success | Day 29/Hour 12 | 12 participants |
| Vehicle Gel QD | CEA Success | Day 29/Hour 9 | 12 participants |
| Vehicle Gel QD | CEA Success | Day 29/Hour 6 | 12 participants |
| Vehicle Gel BID | CEA Success | Day 29/Hour 12 | 16 participants |
| Vehicle Gel BID | CEA Success | Day 29/Hour 3 | 9 participants |
| Vehicle Gel BID | CEA Success | Day 29/Hour 6 | 12 participants |
| Vehicle Gel BID | CEA Success | Day 29/Hour 9 | 15 participants |
PSA-5 Success
Each concentration/regimen was compared to its respective placebo control as part of the primary analysis. PSA-5 success defined as 2-grade improvement on PSA-5. Patient Self Assessment - 5 (PSA-5) - Grade/description 0 / No redness 1. / Very mild redness 2. / Mild redness 3. / Moderate redness 4. / Severe redness
Time frame: day 29
Population: ITT population, LOCF when the data are missing at all four timepoints (i.e. Hours 3,6,9,12) LOCF method will be applied from the previous visit.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| CD07805/47 Gel 0.5% QD | PSA-5 Success | Day 29/Hour 3 | 25 participants |
| CD07805/47 Gel 0.5% QD | PSA-5 Success | Day 29/Hour 6 | 26 participants |
| CD07805/47 Gel 0.5% QD | PSA-5 Success | Day 29/Hour 9 | 22 participants |
| CD07805/47 Gel 0.5% QD | PSA-5 Success | Day 29/Hour 12 | 20 participants |
| CD07805/47 Gel 0.18% QD | PSA-5 Success | Day 29/Hour 3 | 17 participants |
| CD07805/47 Gel 0.18% QD | PSA-5 Success | Day 29/Hour 12 | 9 participants |
| CD07805/47 Gel 0.18% QD | PSA-5 Success | Day 29/Hour 6 | 13 participants |
| CD07805/47 Gel 0.18% QD | PSA-5 Success | Day 29/Hour 9 | 9 participants |
| CD07805/47 Gel 0.18% BID | PSA-5 Success | Day 29/Hour 12 | 16 participants |
| CD07805/47 Gel 0.18% BID | PSA-5 Success | Day 29/Hour 6 | 15 participants |
| CD07805/47 Gel 0.18% BID | PSA-5 Success | Day 29/Hour 9 | 19 participants |
| CD07805/47 Gel 0.18% BID | PSA-5 Success | Day 29/Hour 3 | 20 participants |
| Vehicle Gel QD | PSA-5 Success | Day 29/Hour 3 | 7 participants |
| Vehicle Gel QD | PSA-5 Success | Day 29/Hour 6 | 8 participants |
| Vehicle Gel QD | PSA-5 Success | Day 29/Hour 12 | 5 participants |
| Vehicle Gel QD | PSA-5 Success | Day 29/Hour 9 | 5 participants |
| Vehicle Gel BID | PSA-5 Success | Day 29/Hour 12 | 10 participants |
| Vehicle Gel BID | PSA-5 Success | Day 29/Hour 9 | 13 participants |
| Vehicle Gel BID | PSA-5 Success | Day 29/Hour 6 | 11 participants |
| Vehicle Gel BID | PSA-5 Success | Day 29/Hour 3 | 11 participants |