Acne Vulgaris
Conditions
Brief summary
This is a study to see if Adapalene-Clindamycin Combination Gel is effective and safe in the treatment of acne vulgaris, compared to adapalene gel alone and clindamycin gel alone. Adapalene and clindamycin have been reported to have a better effect in acne treatment when used together. This new formulation is also easier to use as it combines two products into a single gel and only needs to be used once a day.
Interventions
5mg Adapalene/50mg Clindamycin per 5g, applied nightly for 12 weeks
Differin 0.1% Gel, applied nightly for 12 weeks
Clindamycin Phosphate 1% Gel applied twice daily for 12 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female, aged 12-40 years old * Diagnosis of Grade II-III acne vulgaris with Pillsbury grading system * Provide written informed consent if the subject is aged 18 or older. Ages 12-17 should provide written assent and written informed consent from patient's parent or legal guardian.
Exclusion criteria
* Known hypersensitivity to adapalene, clindamycin hydrochloride, clindamycin phosphate, lincomycin or any ingredient of the study drug, or of allergic constitution * Secondary Acne, such as occupational acne and steroid acne * Has a dermatological condition of the face that could interfere with the clinical evaluations, such as sunburn, psoriasis, seborrheic dermatitis or eczema * History of Crohn's disease, ulcerative colitis or antibiotic-associated colitis * History of serious heart disease or hypertension * Serious liver or kidney disease, AST or ALT more than twice the upper limit of normal, or Cr above normal * Serious endocrine, hematologic or psychiatric disease * Known immunocompromised conditions, or require long-term steroids or immunosuppressants * Females who are pregnant, lactating, or not willing to use effective contraception * Drug or alcohol abuse * Used any topical acne treatment within 2 weeks * Used any systemic retinoid, antibiotic or other acne treatment * Used any investigational drugs or device within 3 months, or concurrently enrolled in another clinical trial * Patient who the investigator deemed to be unsuitable for any reason
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients who has at least a two-point reduction in Investigator Global Assessment (IGA) compared to baseline | Week 12 | — |
| Percentage Change From Baseline in Total Lesion Counts | Week 12 | Percent change from Baseline in total lesions counts in each treatment group at Week 12. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage change from baseline in non-inflammatory lesion counts | Week 12 | Percent change from baseline in non-inflammatory lesions count in each treatment group at Week 12. |
| Change from baseline in inflammatory lesion counts | Week 12 | Absolute change from baseline in inflammatory lesion counts in each treatment group at Week 12. |
| Change from baseline in non-inflammatory lesion counts | Week 12 | Absolute change from baseline in non-inflammatory lesion counts in each treatment group at Week 12. |
| Change from baseline in Investigator's Global Assessment (IGA) | Week 12 | Absolute change from baseline in Investigator's Global Assessment (IGA) in each treatment group at Week 12. |
| Treatment success rate | Week 12 | The proportion of subjects in each treatment group achieving success at Week 12, with success defined as an IGA score of clear (score=0) or almost clear (score=1); if IGA score at baseline is 2, success is only achieved if IGA score is 0 at Week 12. |
| Change from baseline in total lesion counts | Week 12 | Absolute change from baseline in total lesions counts in each treatment group at Week 12. |
| Percentage change from baseline in inflammatory lesion counts | Week 12 | Percent change from baseline in inflammatory lesions count in each treatment group at Week 12. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Local Adverse Reactions | Week 2, Week 4, Week 8 and Week 12 | Local Adverse Reactions including erythema, scaling, stinging, burning and pruritus scored by severity |
Countries
China