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A Study That Evaluates the Decrease in Irritation When Using Additional Acne Treatment Products

An Investigator-Blind, Phase 4 Study Assessing Mitigation of Facial Irritation When Comparing the Use of Two Acne Treatment Products (Retin-A Micro® 0.1 % Pump and Aczone®) With One Treatment Product (Retin-A Micro® 0.1 % Pump) Using a Split-Face Model

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01313728
Enrollment
26
Registered
2011-03-14
Start date
2010-12-31
Completion date
2011-01-31
Last updated
2012-02-15

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

Conditions

Acne Vulgaris

Keywords

Acne, Irritation

Brief summary

This study is to see if there's any difference in the amount of facial irritation when two acne products are used together on one side of the face, compared to one acne treatment product used alone on the other side of the face. All people participating in this trial will be required to return to the same study center every weekday for two weeks for the investigator to check for irritation on the face and to have the products applied - on weekends they will have to put them on at home. If one side of the face is more irritated than the other side, a picture will be taken as well.

Detailed description

This is an investigator-blind, randomized, balanced study comparing two treatment regimens in a split-face model. All subjects will apply Retin-A Micro Gel (tretinoin) 0.1 % Pump, and Aczone Gel (dapsone) 5% daily to one side of the face (with 1 hour between applications, applying Aczone Gel first) and Retin-A Micro Gel 0.1 % Pump to the other side of the face in a randomized scheme for two consecutive weeks. Subjects will return to the study center daily for evaluation and for application of both products (weekend applications will be done at home). At each visit the subject will be evaluated and scored for irritation and cutaneous treatment effects. Subjects presenting with differences in irritation between one side of the face and the other will be photographed and have chromometer readings taken. A single treatment center is expected to enroll at least 24 subjects.

Interventions

DRUGDapsone plus Tretinoin Gel

Dapsone gel, followed by tretinoin gel one hour later, applied once daily to the assigned side of the face for 2 weeks

Tretinoin gel applied once daily to the assigned side of the face for 2 weeks

Sponsors

Bausch Health Americas, Inc.
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

* Fitzpatrick Skin Type I, II or III with healthy skin as judged by the investigator * Bilateral skin is clear of any confounding irritation, rashes, acne, rosacea, etc., prior to study start * Subjects are willing to avoid applying emollients or cosmetics to the face 24 hours before they start, and during the study * If subject is of childbearing potential, subject has been using a protocol-approved method of birth control for a certain amount of time, and is willing to continue using it throughout the study

Exclusion criteria

* Subjects who are pregnant or nursing, or intend to be during the study * Subjects with any condition or medical history, or using any drug or medication, that might negatively affect the subject's safety or the validity of study results, either as listed in the protocol or in the opinion of the investigator * Subjects who have facial hair that may obstruct or hinder the evaluation of any reactions * Subjects who use any known photosensitizing agents

Design outcomes

Primary

MeasureTime frameDescription
Expert Grader Assessment - ErythemaBaseline to 2 WeeksOrdinal erythema scores (on a scale of 0=none to 8=severe scaling and fissuring) were collected on weekdays for two weeks and the total daily score (for all subjects) was treated as a single interval measurement for comparative assessment between treatment regimens. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 2000 (highest possible score of 8, times 10 days, times 25 subjects).
Expert Grader Assessment - DrynessBaseline to 2 WeeksOrdinal dryness scores (on a scale of 0=none to 8=deep) were collected on weekdays for two weeks and the total daily score (for all subjects) was treated as a single interval measurement for comparative assessment between treatment regimens. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 2000 (highest possible score of 8, times 10 days, times 25 subjects).

Secondary

MeasureTime frameDescription
Subject Assessment - Burning/StingingBaseline to 2 WeeksOrdinal burning/stinging scores (on a scale of 0=none to 3=severe) were collected on weekdays for two weeks and the total daily score (for all subjects) was treated as a single interval measurement for comparative assessment between treatment regimens. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 750 (highest possible score of 3, times 10 days, times 25 subjects).
Subject Assessment - ItchingBaseline to 2 WeeksOrdinal itching scores (on a scale of 0=none to 3=severe) were collected on weekdays for two weeks and the total daily score (for all subjects) was treated as a single interval measurement for comparative assessment between treatment regimens. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 750 (highest possible score of 3, times 10 days, times 25 subjects).
Subject Assessment - TightnessBaseline to 2 WeeksOrdinal tightness scores (on a scale of 0=none to 3=severe) were collected on weekdays for two weeks and the total daily score (for all subjects) was treated as a single interval measurement for comparative assessment between treatment regimens. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 750 (highest possible score of 3, times 10 days, times 25 subjects).
Facial ToleranceBaseline to 2 WeeksAll interval measurements were combined for comparative assessment between treatment regimens. Facial tolerance is the sum of scores from Erythema, Dryness, Burning/Stinging, Itching, and Tightness assessments, reported in Outcome Measures 1-5. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 6250 (highest possible combined score of 25, times 10 days, times 25 subjects).

Countries

United States

Participant flow

Participants by arm

ArmCount
Overall Study
This was a single-group study with two treatment arms using a split-face model, i.e., all subjects received both interventions on opposite sides of the face.
25
Total25

Withdrawals & dropouts

PeriodReasonFG000
Informed Consent to BaselineWithdrawal by Subject1

Baseline characteristics

CharacteristicOverall Study
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
0 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
Fitzpatrick Score
Type I
1 Participants
Fitzpatrick Score
Type II
10 Participants
Fitzpatrick Score
Type III
14 Participants
Region of Enrollment
United States
25 participants
Sex/Gender, Customized25 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
2 / 25
serious
Total, serious adverse events
0 / 25

Outcome results

Primary

Expert Grader Assessment - Dryness

Ordinal dryness scores (on a scale of 0=none to 8=deep) were collected on weekdays for two weeks and the total daily score (for all subjects) was treated as a single interval measurement for comparative assessment between treatment regimens. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 2000 (highest possible score of 8, times 10 days, times 25 subjects).

Time frame: Baseline to 2 Weeks

Population: Intention to Treat (ITT)

ArmMeasureGroupValue (NUMBER)
Dapsone Gel + Tretinoin GelExpert Grader Assessment - DrynessDay 913.6 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - DrynessDay 1423.5 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - DrynessDay 818.5 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - DrynessDay 1020.4 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - DrynessDay 0 = Baseline0.0 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - DrynessDay 714.8 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - DrynessDay 10.6 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - DrynessDay 21.7 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - DrynessDay 1117.3 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - DrynessDay 33.5 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - DrynessDay 412.6 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - DrynessDay 38.1 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - DrynessDay 414.2 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - DrynessDay 719.9 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - DrynessDay 825.6 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - DrynessDay 923.0 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - DrynessDay 1037.6 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - DrynessDay 1137.6 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - DrynessDay 1428.3 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - DrynessDay 11.8 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - DrynessDay 0 = Baseline0.0 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - DrynessDay 22.5 Scores on a Scale
Primary

Expert Grader Assessment - Erythema

Ordinal erythema scores (on a scale of 0=none to 8=severe scaling and fissuring) were collected on weekdays for two weeks and the total daily score (for all subjects) was treated as a single interval measurement for comparative assessment between treatment regimens. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 2000 (highest possible score of 8, times 10 days, times 25 subjects).

Time frame: Baseline to 2 Weeks

Population: Intention to Treat (ITT)

ArmMeasureGroupValue (NUMBER)
Dapsone Gel + Tretinoin GelExpert Grader Assessment - ErythemaDay 79.7 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - ErythemaDay 10.4 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - ErythemaDay 810.8 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - ErythemaDay 31.6 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - ErythemaDay 910.6 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - ErythemaDay 1011.6 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - ErythemaDay 0 = Baseline0.0 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - ErythemaDay 1111.6 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - ErythemaDay 46.8 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - ErythemaDay 1416.6 Scores on a Scale
Dapsone Gel + Tretinoin GelExpert Grader Assessment - ErythemaDay 20.4 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - ErythemaDay 1419.5 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - ErythemaDay 0 = Baseline0.0 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - ErythemaDay 12.0 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - ErythemaDay 22.0 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - ErythemaDay 36.4 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - ErythemaDay 47.6 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - ErythemaDay 717.1 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - ErythemaDay 820.9 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - ErythemaDay 1020.4 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - ErythemaDay 1123.0 Scores on a Scale
Tretinoin Gel AloneExpert Grader Assessment - ErythemaDay 920.1 Scores on a Scale
Secondary

Facial Tolerance

All interval measurements were combined for comparative assessment between treatment regimens. Facial tolerance is the sum of scores from Erythema, Dryness, Burning/Stinging, Itching, and Tightness assessments, reported in Outcome Measures 1-5. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 6250 (highest possible combined score of 25, times 10 days, times 25 subjects).

Time frame: Baseline to 2 Weeks

ArmMeasureGroupValue (NUMBER)
Dapsone Gel + Tretinoin GelFacial ToleranceDay 861.9 Scores on a Scale
Dapsone Gel + Tretinoin GelFacial ToleranceDay 0 = Baseline1.0 Scores on a Scale
Dapsone Gel + Tretinoin GelFacial ToleranceDay 1063.7 Scores on a Scale
Dapsone Gel + Tretinoin GelFacial ToleranceDay 16.7 Scores on a Scale
Dapsone Gel + Tretinoin GelFacial ToleranceDay 951.0 Scores on a Scale
Dapsone Gel + Tretinoin GelFacial ToleranceDay 25.9 Scores on a Scale
Dapsone Gel + Tretinoin GelFacial ToleranceDay 1157.7 Scores on a Scale
Dapsone Gel + Tretinoin GelFacial ToleranceDay 314.9 Scores on a Scale
Dapsone Gel + Tretinoin GelFacial ToleranceDay 744.2 Scores on a Scale
Dapsone Gel + Tretinoin GelFacial ToleranceDay 436.4 Scores on a Scale
Dapsone Gel + Tretinoin GelFacial ToleranceDay 1472.8 Scores on a Scale
Tretinoin Gel AloneFacial ToleranceDay 445.3 Scores on a Scale
Tretinoin Gel AloneFacial ToleranceDay 895.1 Scores on a Scale
Tretinoin Gel AloneFacial ToleranceDay 993.9 Scores on a Scale
Tretinoin Gel AloneFacial ToleranceDay 10124.6 Scores on a Scale
Tretinoin Gel AloneFacial ToleranceDay 11115.2 Scores on a Scale
Tretinoin Gel AloneFacial ToleranceDay 1494.8 Scores on a Scale
Tretinoin Gel AloneFacial ToleranceDay 0 = Baseline0.0 Scores on a Scale
Tretinoin Gel AloneFacial ToleranceDay 110.0 Scores on a Scale
Tretinoin Gel AloneFacial ToleranceDay 211.9 Scores on a Scale
Tretinoin Gel AloneFacial ToleranceDay 326.5 Scores on a Scale
Tretinoin Gel AloneFacial ToleranceDay 766.6 Scores on a Scale
Secondary

Subject Assessment - Burning/Stinging

Ordinal burning/stinging scores (on a scale of 0=none to 3=severe) were collected on weekdays for two weeks and the total daily score (for all subjects) was treated as a single interval measurement for comparative assessment between treatment regimens. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 750 (highest possible score of 3, times 10 days, times 25 subjects).

Time frame: Baseline to 2 Weeks

Population: Intention to Treat (ITT)

ArmMeasureGroupValue (NUMBER)
Dapsone Gel + Tretinoin GelSubject Assessment - Burning/StingingDay 36.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - Burning/StingingDay 814.5 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - Burning/StingingDay 21.8 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - Burning/StingingDay 99.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - Burning/StingingDay 48.7 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - Burning/StingingDay 1011.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - Burning/StingingDay 12.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - Burning/StingingDay 1110.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - Burning/StingingDay 77.5 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - Burning/StingingDay 1414.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - Burning/StingingDay 0 = Baseline1.0 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - Burning/StingingDay 1423.2 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - Burning/StingingDay 0 = Baseline0.0 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - Burning/StingingDay 11.6 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - Burning/StingingDay 22.6 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - Burning/StingingDay 35.5 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - Burning/StingingDay 412.2 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - Burning/StingingDay 79.5 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - Burning/StingingDay 817.2 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - Burning/StingingDay 920.2 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - Burning/StingingDay 1025.9 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - Burning/StingingDay 1125.9 Scores on a Scale
Secondary

Subject Assessment - Itching

Ordinal itching scores (on a scale of 0=none to 3=severe) were collected on weekdays for two weeks and the total daily score (for all subjects) was treated as a single interval measurement for comparative assessment between treatment regimens. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 750 (highest possible score of 3, times 10 days, times 25 subjects).

Time frame: Baseline to 2 Weeks

Population: Intention to Treat (ITT)

ArmMeasureGroupValue (NUMBER)
Dapsone Gel + Tretinoin GelSubject Assessment - ItchingDay 30.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - ItchingDay 85.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - ItchingDay 20.5 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - ItchingDay 95.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - ItchingDay 42.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - ItchingDay 107.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - ItchingDay 11.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - ItchingDay 118.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - ItchingDay 73.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - ItchingDay 147.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - ItchingDay 0 = Baseline0.0 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - ItchingDay 149.4 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - ItchingDay 0 = Baseline0.0 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - ItchingDay 12.8 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - ItchingDay 21.9 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - ItchingDay 31.8 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - ItchingDay 42.8 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - ItchingDay 77.6 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - ItchingDay 812.4 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - ItchingDay 912.4 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - ItchingDay 1017.1 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - ItchingDay 1113.4 Scores on a Scale
Secondary

Subject Assessment - Tightness

Ordinal tightness scores (on a scale of 0=none to 3=severe) were collected on weekdays for two weeks and the total daily score (for all subjects) was treated as a single interval measurement for comparative assessment between treatment regimens. Thus, for the total for the 25 Participants measured, minimum possible score reported below is 0 and maximum is 750 (highest possible score of 3, times 10 days, times 25 subjects).

Time frame: Baseline to 2 Weeks

Population: Intention to Treat (ITT)

ArmMeasureGroupValue (NUMBER)
Dapsone Gel + Tretinoin GelSubject Assessment - TightnessDay 32.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - TightnessDay 812.5 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - TightnessDay 21.5 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - TightnessDay 911.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - TightnessDay 45.7 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - TightnessDay 1012.5 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - TightnessDay 11.5 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - TightnessDay 119.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - TightnessDay 78.6 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - TightnessDay 1410.5 Scores on a Scale
Dapsone Gel + Tretinoin GelSubject Assessment - TightnessDay 0 = Baseline0.0 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - TightnessDay 1414.4 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - TightnessDay 0 = Baseline0.0 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - TightnessDay 11.8 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - TightnessDay 22.9 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - TightnessDay 34.7 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - TightnessDay 48.5 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - TightnessDay 712.5 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - TightnessDay 819.0 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - TightnessDay 917.2 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - TightnessDay 1020.0 Scores on a Scale
Tretinoin Gel AloneSubject Assessment - TightnessDay 1115.3 Scores on a Scale

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