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U0289-401: Eight Week, Split-face, Study to Determine and Compare the Efficacy and Tolerability of MAXCLARITY™ II to PROACTIV™

U0289-401: An Evaluator Blinded, 8 Week, Split-Face Study to Evaluate and Compare the Efficacy and Tolerability of MAXCLARITY II and PROACTIV in Subjects With Acne

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01706250
Enrollment
20
Registered
2012-10-15
Start date
2009-09-01
Completion date
2010-01-25
Last updated
2017-08-23

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

Conditions

Acne Vulgaris

Brief summary

One of the main success factors in acne therapy is user compliance with treatment, product cost, availability and ease of use. Poor compliance may translate into decreased efficacy (either not improving symptoms well enough or not improving symptoms fast enough), tolerability issues or adverse effects (eg, erythema, dryness, or peeling of the skin), a lack of understanding of the instructions for use, or product cost/availability. Whatever the reason, poor compliance translates to decreased efficacy and increased frustration on the part of the user. The current study will evaluate and compare the efficacy and tolerability of 2 over-the-counter, topical benzoyl peroxide (BPO) product lines in subjects with acne: MAXCLARITY II (2.5% BPO) Foam Cleanser and Foam Treatment and (0.5% Salicylic Acid) Toner Foam compared with PROACTIV (2.5% BPO) Renewing Cleanser and Repairing Lotion and Revitalizing Toner.

Detailed description

Acne vulgaris is an extremely common dermatological disease that is found typically in adolescence and young adulthood. Acne vulgaris manifests with open and closed comedones (blackheads and whiteheads), papules, pustules, nodules, and cysts on the face, neck, and trunk. Scarring can occur, particularly if the lesions are inflamed and deep, even in the absence of external manipulation (eg, picking and squeezing) of the skin. Acne vulgaris can be treated with a variety of agents that are selected to address the pathogenic factors assumed to be responsible for the type and degree of manifested acne lesions. Monotherapy and combination therapy regimens are both useful. Topical agents are generally used as first-line therapy and include retinoids, antibiotic preparations (eg, erythromycin and clindamycin), benzoyl peroxide (BPO), alpha and beta hydroxy acids (eg, glycolic and salicylic acid preparations), and azelaic acid. Systemic therapies are initiated in patients with moderate to severe inflammatory acne that does not respond to topical therapy. Benzoyl peroxide has antimicrobial and anti inflammatory properties and is often considered an important component of acne treatment. Benzoyl peroxide is frequently the first product that adolescents will use for acne because it can be purchased without a prescription in several different concentrations and formulations. One of the main success factors in acne therapy is user compliance with treatment, product cost, availability and ease of use. Poor compliance may translate into decreased efficacy (either not improving symptoms well enough or not improving symptoms fast enough), tolerability issues or adverse effects (eg, erythema, dryness, or peeling of the skin), a lack of understanding of the instructions for use, or product cost/availability. Whatever the reason, poor compliance translates to decreased efficacy and increased frustration on the part of the user. The current study will evaluate and compare the efficacy and tolerability of 2 common, over-the-counter, topical benzoyl peroxide (BPO) product lines in subjects with acne: MAXCLARITY II (2.5% BPO) Foam Cleanser and Foam Treatment and (0.5% Salicylic Acid) Toner Foam compared with PROACTIV(2.5% BPO) Renewing Cleanser and Repairing Lotion and Revitalizing Toner. This is a randomized, 2 center, evaluator-blinded, split-face efficacy and tolerability study of MAXCLARITYII and PROACTIV, 2 over-the-counter, topical benzoyl peroxide product lines, in subjects with acne. Approximately 40 subjects, aged from 16 to 29 years, inclusive, with mild facial acne vulgaris are expected to participate in the study. No more than 50% of the subjects at each site can be enrolled under the age of 20. An expert grader (blinded evaluator) will complete counts of inflamed lesions (papules/pustules) and noninflamed lesions (open/closed comedones), the Investigator's Static Global Assessment (ISGA), and an assessment of tolerability of each side of the face at each study visit. Subjects will assess tolerability on each side of the face at each study visit and will complete a product acceptability and preference questionnaire at the end of the study. The study duration will be 8 weeks (56 days) with visits at baseline (day 1), week 1m week 2, week 4 and week 8. Only the expert grader (evaluator) will be blinded to the study product assignments; subjects and study nurses/coordinator will not be blinded.

Interventions

Available over the counter.

Available over the counter.

Available over the counter.

OTHERPROACTIV (2.5% BPO) Renewing Cleanser

Available over the counter.

OTHERPROACTIV (2.5% BPO) Repairing Lotion

Available over the counter.

OTHERPROACTIV (2.5% BPO) Revitalizing Toner

Available over the counter.

Sponsors

Stiefel, a GSK Company
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
16 Years to 29 Years
Healthy volunteers
No

Inclusion criteria

1. Capable of understanding and willing to provide signed and dated written voluntary informed consent (and any local or national authorization requirements) before any protocol specific procedures are performed. 2. Male or female aged from 16 to 29 years, inclusive, at time of consent. No more than 50% of the subjects at each site can be enrolled under the age of 20. 3. Mild facial acne vulgaris, characterized by at least 12 facial inflammatory lesions (papules and pustules) and/or noninflammatory lesions (open and closed comedones) on the face. 4. Able to complete the study and to comply with study instructions. 5. 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. A woman of childbearing potential is defined as one who is biologically capable of becoming pregnant; including perimenopausal women who are less than 2 years from their last menses. Acceptable contraceptive methods include the following: * Hormonal contraception, including oral, injectable, or implantable methods started at least 2 months prior to screening. If hormonal contraception was started less than 2 months prior to screening, then a form of nonhormonal contraception should be added until the third continuous month of hormonal contraception has been completed. * Two forms of reliable nonhormonal contraception, to include the use of either an intrauterine device plus a reliable barrier method or 2 reliable barrier methods. Reliable barrier methods include condoms or diaphragms. A cervical cap is also a reliable barrier method, provided that the female subject has never given birth naturally. The combined use of a condom and spermicide constitute 2 forms of acceptable nonhormonal contraception, provided that they are both used properly. The use of spermicide alone and the improper use of condoms are inferior methods of contraception. Subjects with surgical sterilization, including tubal sterilization or partner's vasectomy, must use a form of nonhormonal contraception. A barrier method or sterilization plus spermatocide is acceptable. * Women who are not currently sexually active must agree to use a medically accepted method of contraception should she become sexually active while participating in the study.

Exclusion criteria

1. Female who is pregnant, trying to become pregnant, or breast feeding. 2. Has active or chronic skin allergies. 3. Has a history of acute or chronic disease that might interfere with or increase the risk of study participation. 4. Had skin cancer treatment in preceding 12 months. 5. Has damaged skin on facial areas (eg, sunburn, tattoo, or scar) 6. Had any medical procedure (eg, laser resurfacing, chemical peel, or plastic surgery) on facial areas in preceding 12 months. 7. Had any cosmetic procedure (eg, microdermabrasion) on facial areas within 8 weeks of the baseline visit. 8. Has any dermatological disorder that in the opinion of the investigator may interfere with the accurate evaluation of the subject's facial appearance. 9. Received any investigational drug or procedure within 28 days of the baseline visit or is scheduled to receive an investigational drug (other than the study products) or procedure during the study. 10. Currently using any medication that in the opinion of the investigator may affect the evaluation of the study products or place the subject at undue risk (including but not limited to asthma medications, oral steroids, rifampin, anticonvulsants, and St John's wart). 11. Has a history of known or suspected intolerance to any of the ingredients of the study products (ie, benzoyl peroxide). 12. Considered unable or unlikely to attend the necessary visits. 13. Live in the same household as currently enrolled subjects. 14. Employee of the investigator, a contract research organization, or Stiefel Laboratories who is involved in the study, or an immediate family member (partner, offspring, parents, siblings or sibling's offspring) of an employee involved in the study.

Design outcomes

Primary

MeasureTime frameDescription
Mean Percent Change in Inflammatory Lesion (IL), Non-inflammatory Lesion (NIL), and Total Lesion (TL) Counts From Baseline (BL) (Day 1) to Week (Wk) 8.BL (Day 1) and Wk 8This was an efficacy variable. An expert grader evaluated each side of the face (included forehead, cheeks and chin), the left and the right side, for IL (presence of papules and pustules), NIL (presence of open and closed comedones) and the TLs. The mouth, nose, periocular area, nasogenian, and superior and inferior eyelids were excluded. The evaluator was also blinded. BL was defined as Day 1. The percent change was calculated as the value at Wk 8 minus the value at BL.

Secondary

MeasureTime frameDescription
Mean Percent Change in NIL Count From BL (Day 1) to Wks 1, 2 and 4BL (Day 1) to Wks 1, 2 and 4This was an efficacy variable. An expert grader (blinded) evaluated the left and the right side of the face extending from the hairline to the mandible (included forehead, cheeks and chin). The evaluator assessed the NIL by the presence of open and closed comedones. The mouth, nose, periocular area, nasogenian, and superior and inferior eyelids were excluded. BL was defined as Day 1. The percent change was calculated as the percent value (count of NIL) at each individual visit (percent value at Wk 1, 2 and 4) minus the value at BL respectively.
Mean Percent Change in TL Count From BL (Day 1) to Wks 1, 2 and 4BL (Day 1) to Wks 1, 2 and 4This was an efficacy variable. An expert grader (blinded) evaluated the left and the right side of the face extending from the hairline to the mandible (included forehead, cheeks and chin). The evaluator assessed the total lesions by the sum of both inflammatory and non-inflammatory lesions on each side (left side and right side). The mouth, nose, periocular area, nasogenian, and superior and inferior eyelids were excluded. BL was defined as Day 1. The percent change was calculated as the percent value (count of total lesions) at each individual visit (percent value at Wks 1, 2 and 4) minus the value at baseline respectively.
Mean Change in Investigator's Static Global Assessment (ISGA) From BL (Day 1) to Wks 1, 2, 4 and 8.BL (Day 1) to Wks 1, 2, 4 and 8The evaluator (blinded) evaluated the acne severity of the participants' face using the ISGA scale ranging from 0 to 5. The grading was 0= Clear, skin with no IL or NILs; 1= Almost clear, rare NILs with no more than one small IL ; 2= Mild, some NILs with no more than few ILs (papules/pustules only, no nodular lesions); 3= Moderate Upto many NILs and may have some ILs but no more than one small nodular lesion ; 4= Severe, Upto many NILs and ILs but no more than a few nodular lesions; 5= Very severe, many NILS and ILs more than a few nodular lesions, may have cystic lesions. Thus higher score indicated severity of the disease. BL was defined as Day 1. The mean change was calculated as value at each visit (Wks 1,2,4 and 8) minus the value at BL respectively.
Mean Change in Each of the Evaluator Tolerability Assessments-ErythemaBL (Day 1) to Wks 1, 2, 4 and 8This was a tolerability variable. The expert grader (blinded evaluator) assessed each left and right side of the face individually at each study visit. The areas on the face excluding nose, nasogenian, and superior and inferior eyelids were evaluated. The evaluator conducting the assessment for the participant remained blinded for the treatment assigned. Erythema is condition characterized by redness or rash on the skin. The assessment of the erythema was graded on 0 to 5 scale based on severity by the evaluator. 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated severity of the disease. BL was defined as Day 1. The mean change was calculated as value at each individual visit (wk 1,2,4 and 8) minus the value at BL respectively. The change from BL was '0' for Wk 4 and Wk 8, and hence statistical analysis was not done.
Mean Change in Each of the Evaluator Tolerability Assessments-DrynessBL (Day 1) to Wks 1, 2, 4 and 8This was a tolerability variable. The expert grader (blinded evaluator) assessed each left and right side of the face individually at each study visit. The areas on the face excluding nose, nasogenian, and superior and inferior eyelids were evaluated. The evaluator conducting the assessment for the participant remained blinded for the treatment assigned. The assessment of the dryness was graded on 0 to 5 scale based on severity by the evaluator. 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wk 1,2,4 and 8) minus the value at baseline respectively. The change from BL was '0' for Wk 2, Wk 4, and Wk 8 and hence statistical analysis was not done.
Mean Percent Change in IL Count From BL (Day 1) to Wks 1, 2 and 4BL (Day1) to Wks 1, 2 and 4This was an efficacy variable. An expert grader (blinded) evaluated the left and the right side of the face extending from the hairline to the mandible (included forehead, cheeks and chin). The evaluator assessed the IL by counting the number of papules and pustules. The mouth, nose, periocular area, nasogenian, and superior and inferior eyelids were excluded. BL was defined as Day 1. The percent change was calculated as the percent value (count of IL) at each individual visit (percent value at wk 1, 2 and 4) minus the value at BL respectively.
Mean Change in Each of the Participant Tolerability Assessments-RednessBL (Day 1) to Wks 1, 2, 4 and 8This was a tolerability variable, where the participants were instructed to individually assess the right and the left side of the face to indicate the severity that they had experienced during the time period from their last visit for redness. The area on the face was assessed excluding the excluding nose, nasogenian, and superior and inferior eyelids. The assessment of the redness was graded on 0 to 5 scale based on severity by the participant. 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wks 1,2,4 and 8) minus the value at BL respectively.
Mean Change in Each of the Participant Assessments of Tolerability-DrynessBL (Day 1) to Wks 1, 2, 4 and 8This was a tolerability variable, where the participants were instructed to individually assess the right and the left side of the face to indicate the severity that they had experienced during the time period from their last visit for dryness. The area on the face was assessed excluding the excluding nose, nasogenian, and superior and inferior eyelids. The assessment of the dryness was graded on 0 to 5 scale based on severity by the participant. 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated severity of the disease. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wks 1,2,4 and 8) minus the value at BL respectively.
Mean Change in Each of the Participant Assessments of Tolerability-BurningBL (Day 1) to Wks 1,2, 4 and 8This was a tolerability variable, where the participants were instructed to individually assess the right and the left side of the face to indicate the severity that they had experienced during the time period from their last visit for burning. The area on the face was assessed excluding nose, nasogenian, and superior and inferior eyelids. The assessment of the burning was graded on 0 to 5 scale based on severity by the participant; 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wks 1, 2, 4 and 8) minus the value at BL respectively.
Mean Change in Each of the Participant Assessments of Tolerability-ItchingBL (Day 1) to Wks 1, 2, 4 and 8This was a tolerability variable, where the participants were instructed to individually assess the right and the left side of the face to indicate the severity that they had experienced during the time period from their last visit for itching. The area on the face was assessed excluding nose, nasogenian, and superior and inferior eyelids. The assessment of the itching was graded on 0 to 5 scale based on severity by the participant; 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wks 1,2,4 and 8) minus the value at BL respectively.
Mean Change in Each of the Participant Assessments of Tolerability-ScalingBL (Day 1) to Wks 1, 2, 4 and 8This was a tolerability variable, where the participants were instructed to individually assess the right and the left side of the face to indicate the severity that they had experienced during the time period from their last visit for scaling. The area on the face was assessed excluding nose, nasogenian, and superior and inferior eyelids. The assessment of the scaling was graded on 0 to 5 scale based on severity by the participant; 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wks 1,2,4 and 8) minus the value at BL respectively.
Mean Change in Each of the Evaluator Tolerability Assessments-PeelingBL (Day 1) to Wks 1, 2, 4 and 8This was a tolerability variable. The expert grader (blinded evaluator) assessed each left and right side of the face individually at each study visit. The areas on the face excluding nose, nasogenian, and superior and inferior eyelids were evaluated. The evaluator conducting the assessment for the participant remained blinded for the treatment assigned. The assessment of the peeling was graded on 0 to 5 scale based on severity by the evaluator. 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wk 1,2,4 and 8) minus the value at BL respectively. The change from BL was '0' for Wk (1, 4 and 8) and hence statistical analysis was not done.

Participant flow

Recruitment details

A total of 20 participants were enrolled to an evaluator-blinded, split-face study of acne, which was conducted at two centers in United States from 08 September 2009 to 25 January 2010.

Pre-assignment details

Same 20 participants were used in the split face study for the 2 interventions namely MaxClarity and Proactiv carried out in a single period.

Participants by arm

ArmCount
MAXCLARITY II + PROACTIV
This was a split face study, wherein the participants, each morning washed their face with MaxClarity II foam cleanser on 1 side of the face and Proactive renewing cleanser on the other side of the face. The face was patted dry the MaxClarity II foam treatment was applied to the MaxClarity II side of the face and on the proactive side, the participant applied the Revitalizing toner and then the Repairing lotion. The same was repeated in the evening, where the participants washed their face with MaxClarity II foam cleanser on 1 side and Proactiv renewing cleanser on the other side of the face. On the Proactiv side, the participant will apply the Revitalizing toner and then the Repairing lotion.
20
Total20

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyLost to Follow-up2

Baseline characteristics

CharacteristicMAXCLARITY II + PROACTIV
Age, Continuous21.5 Years
STANDARD_DEVIATION 3.6
Race/Ethnicity, Customized
Asian
1 Participants
Race/Ethnicity, Customized
Black
6 Participants
Race/Ethnicity, Customized
White
13 Participants
Sex: Female, Male
Female
16 Participants
Sex: Female, Male
Male
4 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 20
other
Total, other adverse events
5 / 20
serious
Total, serious adverse events
0 / 20

Outcome results

Primary

Mean Percent Change in Inflammatory Lesion (IL), Non-inflammatory Lesion (NIL), and Total Lesion (TL) Counts From Baseline (BL) (Day 1) to Week (Wk) 8.

This was an efficacy variable. An expert grader evaluated each side of the face (included forehead, cheeks and chin), the left and the right side, for IL (presence of papules and pustules), NIL (presence of open and closed comedones) and the TLs. The mouth, nose, periocular area, nasogenian, and superior and inferior eyelids were excluded. The evaluator was also blinded. BL was defined as Day 1. The percent change was calculated as the value at Wk 8 minus the value at BL.

Time frame: BL (Day 1) and Wk 8

Population: The Intent to treat (ITT) analysis set included data from all randomized participants who received the study drug. The number of participants available at that particular time point were used for analysis.

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Percent Change in Inflammatory Lesion (IL), Non-inflammatory Lesion (NIL), and Total Lesion (TL) Counts From Baseline (BL) (Day 1) to Week (Wk) 8.Percent change, IL count-55.93 percent change in lesion countStandard Deviation 32.72
MAXCLARITY IIMean Percent Change in Inflammatory Lesion (IL), Non-inflammatory Lesion (NIL), and Total Lesion (TL) Counts From Baseline (BL) (Day 1) to Week (Wk) 8.Percent change, NIL count-37.97 percent change in lesion countStandard Deviation 38.72
MAXCLARITY IIMean Percent Change in Inflammatory Lesion (IL), Non-inflammatory Lesion (NIL), and Total Lesion (TL) Counts From Baseline (BL) (Day 1) to Week (Wk) 8.Percent change in TL count-45.46 percent change in lesion countStandard Deviation 27.24
PROACTIVMean Percent Change in Inflammatory Lesion (IL), Non-inflammatory Lesion (NIL), and Total Lesion (TL) Counts From Baseline (BL) (Day 1) to Week (Wk) 8.Percent change, IL count-52.64 percent change in lesion countStandard Deviation 29.23
PROACTIVMean Percent Change in Inflammatory Lesion (IL), Non-inflammatory Lesion (NIL), and Total Lesion (TL) Counts From Baseline (BL) (Day 1) to Week (Wk) 8.Percent change, NIL count-45.66 percent change in lesion countStandard Deviation 23.05
PROACTIVMean Percent Change in Inflammatory Lesion (IL), Non-inflammatory Lesion (NIL), and Total Lesion (TL) Counts From Baseline (BL) (Day 1) to Week (Wk) 8.Percent change in TL count-47.69 percent change in lesion countStandard Deviation 21.92
Comparison: Percent change for IL count for MAXCLARITY II Vs PROACTIV at Wk 8p-value: 0.6779t-test, 2 sided
Comparison: Percent change for NIL count for MAXCLARITY II Vs PROACTIV at Wk 8p-value: 0.2847t-test, 2 sided
Comparison: Percent change for TL count for MAXCLARITY II Vs PROACTIV at Wk 8p-value: 0.6894t-test, 2 sided
Secondary

Mean Change in Each of the Evaluator Tolerability Assessments-Dryness

This was a tolerability variable. The expert grader (blinded evaluator) assessed each left and right side of the face individually at each study visit. The areas on the face excluding nose, nasogenian, and superior and inferior eyelids were evaluated. The evaluator conducting the assessment for the participant remained blinded for the treatment assigned. The assessment of the dryness was graded on 0 to 5 scale based on severity by the evaluator. 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wk 1,2,4 and 8) minus the value at baseline respectively. The change from BL was '0' for Wk 2, Wk 4, and Wk 8 and hence statistical analysis was not done.

Time frame: BL (Day 1) to Wks 1, 2, 4 and 8

Population: ITT population. Only those participants available at the specified time points we re analyze d (represented by n=X, X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-DrynessDryness; Change from BL to Wk 10.15 units on scaleStandard Deviation 0.49
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-DrynessDryness; Change from BL to Wk 20.00 units on scaleStandard Deviation 0
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-DrynessDryness; Change from BL to Wk 40.05 units on scaleStandard Deviation 0.23
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-DrynessDryness; Change from BL to Wk 80.11 units on scaleStandard Deviation 0.32
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-DrynessDryness; Change from BL to Wk 80.11 units on scaleStandard Deviation 0.32
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-DrynessDryness; Change from BL to Wk 10.10 units on scaleStandard Deviation 0.45
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-DrynessDryness; Change from BL to Wk 40.00 units on scaleStandard Deviation 0
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-DrynessDryness; Change from BL to Wk 20.00 units on scaleStandard Deviation 0
Comparison: Change, in Dryness for MAXCLARITY II Vs PROACTIV: from BL to Wk 1 (within group)p-value: 1Signed Rank
Comparison: Change, in Dryness for MAXCLARITY II Vs PROACTIV: from BL to Wk 4 (within group)p-value: 1Signed rank
Secondary

Mean Change in Each of the Evaluator Tolerability Assessments-Erythema

This was a tolerability variable. The expert grader (blinded evaluator) assessed each left and right side of the face individually at each study visit. The areas on the face excluding nose, nasogenian, and superior and inferior eyelids were evaluated. The evaluator conducting the assessment for the participant remained blinded for the treatment assigned. Erythema is condition characterized by redness or rash on the skin. The assessment of the erythema was graded on 0 to 5 scale based on severity by the evaluator. 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated severity of the disease. BL was defined as Day 1. The mean change was calculated as value at each individual visit (wk 1,2,4 and 8) minus the value at BL respectively. The change from BL was '0' for Wk 4 and Wk 8, and hence statistical analysis was not done.

Time frame: BL (Day 1) to Wks 1, 2, 4 and 8

Population: ITT population. Only those participants available at the specified time points we re analyze d (represented by n=X, X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-ErythemaErythema; Change from BL to Wk 10.05 units on scaleStandard Deviation 0.51
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-ErythemaErythema; Change from BL to Wk 2-0.05 units on scaleStandard Deviation 0.23
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-ErythemaErythema; Change from BL to Wk 40.05 units on scaleStandard Deviation 0.4
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-ErythemaErythema; Change from BL to Wk 80.06 units on scaleStandard Deviation 0.42
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-ErythemaErythema; Change from BL to Wk 80.06 units on scaleStandard Deviation 0.42
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-ErythemaErythema; Change from BL to Wk 1-0.05 units on scaleStandard Deviation 0.22
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-ErythemaErythema; Change from BL to Wk 40.05 units on scaleStandard Deviation 0.4
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-ErythemaErythema; Change from BL to Wk 2-0.11 units on scaleStandard Deviation 0.32
Comparison: Change, in Erythema for MAXCLARITY II Vs PROACTIV: from BL to Wk 1 (within group)p-value: 1Signed Rank
Comparison: Change, in Erythema for MAXCLARITY II Vs PROACTIV: from BL to Wk 2 (within group)p-value: 1Signed Rank
Secondary

Mean Change in Each of the Evaluator Tolerability Assessments-Peeling

This was a tolerability variable. The expert grader (blinded evaluator) assessed each left and right side of the face individually at each study visit. The areas on the face excluding nose, nasogenian, and superior and inferior eyelids were evaluated. The evaluator conducting the assessment for the participant remained blinded for the treatment assigned. The assessment of the peeling was graded on 0 to 5 scale based on severity by the evaluator. 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wk 1,2,4 and 8) minus the value at BL respectively. The change from BL was '0' for Wk (1, 4 and 8) and hence statistical analysis was not done.

Time frame: BL (Day 1) to Wks 1, 2, 4 and 8

Population: ITT population. Only those participants available at the specified time points were analyze d (represented by n=x, x in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-PeelingPeeling; Change from BL to Wk 10.00 units on scaleStandard Deviation 0
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-PeelingPeeling; Change from BL to Wk 20.00 units on scaleStandard Deviation 0
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-PeelingPeeling; Change from BL to Wk 40.00 units on scaleStandard Deviation 0
MAXCLARITY IIMean Change in Each of the Evaluator Tolerability Assessments-PeelingPeeling; Change from BL to Wk 80.00 units on scaleStandard Deviation 0
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-PeelingPeeling; Change from BL to Wk 80.00 units on scaleStandard Deviation 0
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-PeelingPeeling; Change from BL to Wk 10.00 units on scaleStandard Deviation 0
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-PeelingPeeling; Change from BL to Wk 40.00 units on scaleStandard Deviation 0
PROACTIVMean Change in Each of the Evaluator Tolerability Assessments-PeelingPeeling; Change from BL to Wk 20.11 units on scaleStandard Deviation 0.46
Comparison: Change, in Peeling, for MAXCLARITY II Vs PROACTIV: from BL to Wk 2 (within group)p-value: 1Signed rank
Secondary

Mean Change in Each of the Participant Assessments of Tolerability-Burning

This was a tolerability variable, where the participants were instructed to individually assess the right and the left side of the face to indicate the severity that they had experienced during the time period from their last visit for burning. The area on the face was assessed excluding nose, nasogenian, and superior and inferior eyelids. The assessment of the burning was graded on 0 to 5 scale based on severity by the participant; 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wks 1, 2, 4 and 8) minus the value at BL respectively.

Time frame: BL (Day 1) to Wks 1,2, 4 and 8

Population: ITT population. Only those participants available at the specified time points we re analyze d (represented by n=x, x in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-BurningBurning; Change from BL to Wk 41.00 units on scaleStandard Deviation 1.08
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-BurningBurning; Change from BL to Wk 80.83 units on scaleStandard Deviation 1.34
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-BurningBurning; Change from BL to Wk 10.95 units on scaleStandard Deviation 1.28
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-BurningBurning; Change from BL to Wk 20.84 units on scaleStandard Deviation 1.17
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-BurningBurning; Change from BL to Wk 80.44 units on scaleStandard Deviation 0.7
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-BurningBurning; Change from BL to Wk 20.58 units on scaleStandard Deviation 0.84
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-BurningBurning; Change from BL to Wk 40.44 units on scaleStandard Deviation 0.62
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-BurningBurning; Change from BL to Wk 10.75 units on scaleStandard Deviation 0.85
Comparison: Change, in Burning for MAXCLARITY II Vs PROACTIV: from BL to Wk 1 (within group)p-value: 0.6172Signed Rank
Comparison: Change, in Burning for MAXCLARITY II Vs PROACTIV: from BL to Wk 2 (within group)p-value: 0.3984Signed Rank
Comparison: Change, in Burning for MAXCLARITY II Vs PROACTIV: from BL to Wk 4 (within group)p-value: 0.0781Signed Rank
Comparison: Change, in Burning for MAXCLARITY II Vs PROACTIV: from BL to Wk 8 (within group)p-value: 0.375Signed Rank
Secondary

Mean Change in Each of the Participant Assessments of Tolerability-Dryness

This was a tolerability variable, where the participants were instructed to individually assess the right and the left side of the face to indicate the severity that they had experienced during the time period from their last visit for dryness. The area on the face was assessed excluding the excluding nose, nasogenian, and superior and inferior eyelids. The assessment of the dryness was graded on 0 to 5 scale based on severity by the participant. 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated severity of the disease. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wks 1,2,4 and 8) minus the value at BL respectively.

Time frame: BL (Day 1) to Wks 1, 2, 4 and 8

Population: ITT population . Only those participants available at the specified time points we re analyze d (represented by n=x, x in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-DrynessDryness; Change from BL to Wk 11.20 units on scaleStandard Deviation 1.24
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-DrynessDryness; Change from BL to Wk 21.05 units on scaleStandard Deviation 1.39
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-DrynessDryness; Change from BL to Wk 41.33 units on scaleStandard Deviation 1.14
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-DrynessDryness; Change from BL to Wk 81.33 units on scaleStandard Deviation 1.24
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-DrynessDryness; Change from BL to Wk 81.11 units on scaleStandard Deviation 1.02
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-DrynessDryness; Change from BL to Wk 10.90 units on scaleStandard Deviation 1.07
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-DrynessDryness; Change from BL to Wk 41.06 units on scaleStandard Deviation 1
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-DrynessDryness; Change from BL to Wk 20.68 units on scaleStandard Deviation 1.16
Comparison: Change, in Dryness for MAXCLARITY II Vs PROACTIV: from BL to Wk 1 (within group)p-value: 0.2131Signed Rank)
Comparison: Change, in Dryness for MAXCLARITY II Vs PROACTIV: from BL to Wk 2 (within group)p-value: 0.2656Signed Rank
Comparison: Change, in Dryness for MAXCLARITY II Vs PROACTIV: from BL to Wk 4 (within group)p-value: 0.2344Signed Rank
Comparison: Change, in Dryness for MAXCLARITY II Vs PROACTIV: from BL to Wk 8 (within group)p-value: 0.3594Signed Rank
Secondary

Mean Change in Each of the Participant Assessments of Tolerability-Itching

This was a tolerability variable, where the participants were instructed to individually assess the right and the left side of the face to indicate the severity that they had experienced during the time period from their last visit for itching. The area on the face was assessed excluding nose, nasogenian, and superior and inferior eyelids. The assessment of the itching was graded on 0 to 5 scale based on severity by the participant; 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wks 1,2,4 and 8) minus the value at BL respectively.

Time frame: BL (Day 1) to Wks 1, 2, 4 and 8

Population: ITT population. Only those participants available at the specified time points we re analyze d (represented by n=x, x in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-ItchingItching; Change from BL to Wk 10.20 units on scaleStandard Deviation 0.62
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-ItchingItching; Change from BL to Wk 20.37 units on scaleStandard Deviation 1.01
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-ItchingItching; Change from BL to Wk 40.33 units on scaleStandard Deviation 0.97
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-ItchingItching; Change from BL to Wk 80.28 units on scaleStandard Deviation 0.57
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-ItchingItching; Change from BL to Wk 80.11 units on scaleStandard Deviation 0.58
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-ItchingItching; Change from BL to Wk 10.20 units on scaleStandard Deviation 0.77
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-ItchingItching; Change from BL to Wk 40.06 units on scaleStandard Deviation 0.24
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-ItchingItching; Change from BL to Wk 20.05 units on scaleStandard Deviation 0.62
Comparison: Change, in Itching for MAXCLARITY II Vs PROACTIV: from BL to Wk 1 (within group)p-value: 1[Signed Rank]
Comparison: Change, in Itching for MAXCLARITY II Vs PROACTIV: from BL to Wk 2 (within group)p-value: 0.0625Signed Rank
Comparison: Change, in Itching for MAXCLARITY II Vs PROACTIV: from BL to Wk 4 (within group)p-value: 0.25Signed Rank
Comparison: Change, in Itching for MAXCLARITY II Vs PROACTIV: from BL to Wk 8 (within group)p-value: 0.25Signed Rank
Secondary

Mean Change in Each of the Participant Assessments of Tolerability-Scaling

This was a tolerability variable, where the participants were instructed to individually assess the right and the left side of the face to indicate the severity that they had experienced during the time period from their last visit for scaling. The area on the face was assessed excluding nose, nasogenian, and superior and inferior eyelids. The assessment of the scaling was graded on 0 to 5 scale based on severity by the participant; 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wks 1,2,4 and 8) minus the value at BL respectively.

Time frame: BL (Day 1) to Wks 1, 2, 4 and 8

Population: ITT population. Only those participants available at the specified time points we re analyze d (represented by n=X, X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-ScalingScaling; Change from BL to Wk 10.40 units on scaleStandard Deviation 0.68
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-ScalingScaling; Change from BL to Wk 20.26 units on scaleStandard Deviation 0.81
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-ScalingScaling; Change from BL to Wk 40.56 units on scaleStandard Deviation 0.86
MAXCLARITY IIMean Change in Each of the Participant Assessments of Tolerability-ScalingScaling; Change from BL to Wk 80.83 units on scaleStandard Deviation 1.2
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-ScalingScaling; Change from BL to Wk 80.67 units on scaleStandard Deviation 1.14
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-ScalingScaling; Change from BL to Wk 10.25 units on scaleStandard Deviation 0.55
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-ScalingScaling; Change from BL to Wk 40.39 units on scaleStandard Deviation 0.78
PROACTIVMean Change in Each of the Participant Assessments of Tolerability-ScalingScaling; Change from BL to Wk 20.16 units on scaleStandard Deviation 0.69
Comparison: Change, in Scaling for MAXCLARITY II Vs PROACTIV: from BL to Wk 1 (within group)p-value: 0.5Signed Rank
Comparison: Change, in Scaling for MAXCLARITY II Vs PROACTIV: from BL to Wk 2 (within group)p-value: 0.75Signed Rank
Comparison: Change, in Scaling for MAXCLARITY II Vs PROACTIV: from BL to Wk 4 (within group)p-value: 0.4531Signed Rank
Comparison: Change, in Scaling for MAXCLARITY II Vs PROACTIV: from BL to Wk 8 (within group)p-value: 0.625Signed Rank
Secondary

Mean Change in Each of the Participant Tolerability Assessments-Redness

This was a tolerability variable, where the participants were instructed to individually assess the right and the left side of the face to indicate the severity that they had experienced during the time period from their last visit for redness. The area on the face was assessed excluding the excluding nose, nasogenian, and superior and inferior eyelids. The assessment of the redness was graded on 0 to 5 scale based on severity by the participant. 0=None, 1=Very minimal, 2=mild, 3= moderate, 4=severe, and 5= Very severe. Thus higher score indicated more severity. BL was defined as Day 1. The mean change was calculated as value at each individual visit (Wks 1,2,4 and 8) minus the value at BL respectively.

Time frame: BL (Day 1) to Wks 1, 2, 4 and 8

Population: ITT population. Only those participants available at the specified time points we re analyze d (represented by n=x, x in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Change in Each of the Participant Tolerability Assessments-RednessRedness; Change from BL to Wk 10.50 units on scaleStandard Deviation 1
MAXCLARITY IIMean Change in Each of the Participant Tolerability Assessments-RednessRedness; Change from BL to Wk 20.37 units on scaleStandard Deviation 1.01
MAXCLARITY IIMean Change in Each of the Participant Tolerability Assessments-RednessRedness; Change from BL to Wk 40.72 units on scaleStandard Deviation 1.13
MAXCLARITY IIMean Change in Each of the Participant Tolerability Assessments-RednessRedness; Change from BL to Wk 80.61 units on scaleStandard Deviation 1.14
PROACTIVMean Change in Each of the Participant Tolerability Assessments-RednessRedness; Change from BL to Wk 80.28 units on scaleStandard Deviation 0.75
PROACTIVMean Change in Each of the Participant Tolerability Assessments-RednessRedness; Change from BL to Wk 10.35 units on scaleStandard Deviation 0.81
PROACTIVMean Change in Each of the Participant Tolerability Assessments-RednessRedness; Change from BL to Wk 40.56 units on scaleStandard Deviation 0.86
PROACTIVMean Change in Each of the Participant Tolerability Assessments-RednessRedness; Change from BL to Wk 20.21 units on scaleStandard Deviation 0.79
Comparison: Change, in Redness for MAXCLARITY II Vs PROACTIV: from BL to Wk 1 (within group)p-value: 0.5313Signed Rank
Comparison: Change, in Redness for MAXCLARITY II Vs PROACTIV: from BL to Wk 2 (within group)p-value: 0.5Signed Rank
Comparison: Change, in Redness for MAXCLARITY II Vs PROACTIV: from BL to Wk 4 (within group)p-value: 0.75Signed Rank
Comparison: Change, in Redness for MAXCLARITY II Vs PROACTIV: from BL to Wk 8 (within group)p-value: 0.25Signed rank
Secondary

Mean Change in Investigator's Static Global Assessment (ISGA) From BL (Day 1) to Wks 1, 2, 4 and 8.

The evaluator (blinded) evaluated the acne severity of the participants' face using the ISGA scale ranging from 0 to 5. The grading was 0= Clear, skin with no IL or NILs; 1= Almost clear, rare NILs with no more than one small IL ; 2= Mild, some NILs with no more than few ILs (papules/pustules only, no nodular lesions); 3= Moderate Upto many NILs and may have some ILs but no more than one small nodular lesion ; 4= Severe, Upto many NILs and ILs but no more than a few nodular lesions; 5= Very severe, many NILS and ILs more than a few nodular lesions, may have cystic lesions. Thus higher score indicated severity of the disease. BL was defined as Day 1. The mean change was calculated as value at each visit (Wks 1,2,4 and 8) minus the value at BL respectively.

Time frame: BL (Day 1) to Wks 1, 2, 4 and 8

Population: ITT population. Only those participants available at the specified time points we re analyze d (represented by n=x, x in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Change in Investigator's Static Global Assessment (ISGA) From BL (Day 1) to Wks 1, 2, 4 and 8.Change, in ISGA from BL to Wk 1-0.10 units on scaleStandard Deviation 0.31
MAXCLARITY IIMean Change in Investigator's Static Global Assessment (ISGA) From BL (Day 1) to Wks 1, 2, 4 and 8.Change, in ISGA from BL to Wk 2-0.47 units on scaleStandard Deviation 0.61
MAXCLARITY IIMean Change in Investigator's Static Global Assessment (ISGA) From BL (Day 1) to Wks 1, 2, 4 and 8.Change, in ISGA from BL to Wk 4-0.53 units on scaleStandard Deviation 0.51
MAXCLARITY IIMean Change in Investigator's Static Global Assessment (ISGA) From BL (Day 1) to Wks 1, 2, 4 and 8.Change, in ISGA from BL to Wk 8-0.39 units on scaleStandard Deviation 0.61
PROACTIVMean Change in Investigator's Static Global Assessment (ISGA) From BL (Day 1) to Wks 1, 2, 4 and 8.Change, in ISGA from BL to Wk 8-0.39 units on scaleStandard Deviation 0.61
PROACTIVMean Change in Investigator's Static Global Assessment (ISGA) From BL (Day 1) to Wks 1, 2, 4 and 8.Change, in ISGA from BL to Wk 1-0.05 units on scaleStandard Deviation 0.39
PROACTIVMean Change in Investigator's Static Global Assessment (ISGA) From BL (Day 1) to Wks 1, 2, 4 and 8.Change, in ISGA from BL to Wk 4-0.42 units on scaleStandard Deviation 0.61
PROACTIVMean Change in Investigator's Static Global Assessment (ISGA) From BL (Day 1) to Wks 1, 2, 4 and 8.Change, in ISGA from BL to Wk 2-0.21 units on scaleStandard Deviation 0.54
Comparison: Change, in ISGA for MAXCLARITY II Vs PROACTIV: from BL to Wk 1 (within group)p-value: 1Signed Rank
Comparison: Change, in ISGA for MAXCLARITY II Vs PROACTIV: from BL to Wk 2 (within group)p-value: 0.125Signed Rank
Comparison: Change, in ISGA for MAXCLARITY II Vs PROACTIV: from BL to Wk 4 (within group)p-value: 0.625Signed Rank
Comparison: Change, in ISGA for MAXCLARITY II Vs PROACTIV: from BL to Wk 8 (within group)p-value: 1Signed Rank
Secondary

Mean Percent Change in IL Count From BL (Day 1) to Wks 1, 2 and 4

This was an efficacy variable. An expert grader (blinded) evaluated the left and the right side of the face extending from the hairline to the mandible (included forehead, cheeks and chin). The evaluator assessed the IL by counting the number of papules and pustules. The mouth, nose, periocular area, nasogenian, and superior and inferior eyelids were excluded. BL was defined as Day 1. The percent change was calculated as the percent value (count of IL) at each individual visit (percent value at wk 1, 2 and 4) minus the value at BL respectively.

Time frame: BL (Day1) to Wks 1, 2 and 4

Population: ITT used. Only those participants available at the specified time points were analyzed (re presented by n=x, x in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Percent Change in IL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, IL count, BL to Wk 1-17.56 percent change in lesion countStandard Deviation 33.63
MAXCLARITY IIMean Percent Change in IL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, IL count, BL to Wk 2-35.64 percent change in lesion countStandard Deviation 37.66
MAXCLARITY IIMean Percent Change in IL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, IL count, BL to Wk 4-21.35 percent change in lesion countStandard Deviation 63.62
PROACTIVMean Percent Change in IL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, IL count, BL to Wk 1-19.93 percent change in lesion countStandard Deviation 26.39
PROACTIVMean Percent Change in IL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, IL count, BL to Wk 2-31.64 percent change in lesion countStandard Deviation 30.06
PROACTIVMean Percent Change in IL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, IL count, BL to Wk 4-44.99 percent change in lesion countStandard Deviation 37.85
Comparison: Percent change for MAXCLARITY II Vs PROACTIV: IL count, BL to Wk 1 (within group)p-value: 0.9909Signed Rank
Comparison: IL count for MAXCLARITY II Vs PROACTIV- BL to Wk 2 (within group)p-value: 0.6671t-test, 2 sided
Comparison: Percent change for MAXCLARITY II Vs PROACTIV: IL count, BL to Wk 4 (within group)p-value: 0.0632t-test, 2 sided
Secondary

Mean Percent Change in NIL Count From BL (Day 1) to Wks 1, 2 and 4

This was an efficacy variable. An expert grader (blinded) evaluated the left and the right side of the face extending from the hairline to the mandible (included forehead, cheeks and chin). The evaluator assessed the NIL by the presence of open and closed comedones. The mouth, nose, periocular area, nasogenian, and superior and inferior eyelids were excluded. BL was defined as Day 1. The percent change was calculated as the percent value (count of NIL) at each individual visit (percent value at Wk 1, 2 and 4) minus the value at BL respectively.

Time frame: BL (Day 1) to Wks 1, 2 and 4

Population: ITT population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Percent Change in NIL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, NIL count, BL to Wk 1-3.92 percent change in lesion countStandard Deviation 32.71
MAXCLARITY IIMean Percent Change in NIL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, NIL count, BL to Wk 2-24.12 percent change in lesion countStandard Deviation 37.73
MAXCLARITY IIMean Percent Change in NIL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, NIL count, BL to Wk 4-30.26 percent change in lesion countStandard Deviation 38.48
PROACTIVMean Percent Change in NIL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, NIL count, BL to Wk 1-7.13 percent change in lesion countStandard Deviation 25.91
PROACTIVMean Percent Change in NIL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, NIL count, BL to Wk 2-21.07 percent change in lesion countStandard Deviation 26.17
PROACTIVMean Percent Change in NIL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, NIL count, BL to Wk 4-37.76 percent change in lesion countStandard Deviation 22.65
Comparison: Percent change for MAXCLARITY II Vs PROACTIV: NIL count, BL to Wk 1 (within group)p-value: 0.7385t-test, 2 sided
Comparison: Percent change for MAXCLARITY II Vs PROACTIV: NIL count, BL to Wk 2 (within group)p-value: 0.7296t-test, 2 sided
Comparison: Percent change for MAXCLARITY II Vs PROACTIV: NIL count, BL to Wk 4 (within group)p-value: 0.3774t-test, 2 sided
Secondary

Mean Percent Change in TL Count From BL (Day 1) to Wks 1, 2 and 4

This was an efficacy variable. An expert grader (blinded) evaluated the left and the right side of the face extending from the hairline to the mandible (included forehead, cheeks and chin). The evaluator assessed the total lesions by the sum of both inflammatory and non-inflammatory lesions on each side (left side and right side). The mouth, nose, periocular area, nasogenian, and superior and inferior eyelids were excluded. BL was defined as Day 1. The percent change was calculated as the percent value (count of total lesions) at each individual visit (percent value at Wks 1, 2 and 4) minus the value at baseline respectively.

Time frame: BL (Day 1) to Wks 1, 2 and 4

Population: ITT population. Only those participants available at the specified time points we re analyze d (represented by n=X, X in the category titles).

ArmMeasureGroupValue (MEAN)Dispersion
MAXCLARITY IIMean Percent Change in TL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, in TL count, BL to Wk 1-11.34 percent change in lesion countStandard Deviation 21.84
MAXCLARITY IIMean Percent Change in TL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, in TL count, BL to Wk 2-31.94 percent change in lesion countStandard Deviation 27.86
MAXCLARITY IIMean Percent Change in TL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, in TL count, BL to Wk 4-34.17 percent change in lesion countStandard Deviation 28.06
PROACTIVMean Percent Change in TL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, in TL count, BL to Wk 1-13.36 percent change in lesion countStandard Deviation 19.07
PROACTIVMean Percent Change in TL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, in TL count, BL to Wk 2-26.19 percent change in lesion countStandard Deviation 20.23
PROACTIVMean Percent Change in TL Count From BL (Day 1) to Wks 1, 2 and 4Percent change, in TL count, BL to Wk 4-41.17 percent change in lesion countStandard Deviation 20.23
Comparison: Percent change for MAXCLARITY II Vs PROACTIV: TL count, BL to Wk 2 (within group)p-value: 0.4087t-test, 2 sided
Comparison: Percent change for MAXCLARITY II Vs PROACTIV: TL count, BL to Wk 4 (within group)p-value: 0.2455t-test, 2 sided
Comparison: Percent change for MAXCLARITY II Vs PROACTIV: TL count, BL to Wk 1 (within group)p-value: 0.7634t-test, 2 sided

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