Title

Aczone 5% Gel as Maintenance Treatment of Acne Vulgaris Following Completion of Oral Doxycycline and Aczone 5% Gel
Use of Aczone 5% Gel as Maintenance Treatment of Acne Vulgaris Following Completion of Oral Doxycycline and Aczone 5% Gel Treatment
  • Phase

    Phase 4
  • Study Type

    Interventional
  • Study Participants

    32
This pilot study will explore if continuation of treatment of treatment with Aczone 5% gel following combination treatment with with doxycycline and Aczone 5% gel can maintain therapeutic response.
This is a two-center, open-label pilot study. The study is apprised of 7 study visits: Baseline and Weeks 4, 8, 12, 16, 20 and 24. All subjects will receive Aczone 5% gel BID and doxycycline 100mg by mouth once daily at Baseline. Those subjects achieving treatment response (i.e., IGA of 0, 1 or 2) at Week 12 will continue treatment with Aczone 5% gel BID at Week 12. Subjects not achieving treatment response will discontinue study participation.
Study Started
Jul 31
2013
Primary Completion
Jul 31
2014
Study Completion
Jul 31
2014
Results Posted
Feb 26
2015
Estimate
Last Update
Feb 27
2015
Estimate

Drug Aczone 5% gel

Aczone 5% gel twice daily

  • Other names: Dapsone

Drug Doxycycline 100mg

Doxycycline 100mg by mouth once daily

  • Other names: Vibramycin, Oracea, Adoxa, Atridox

doxy + aczone Experimental

Subjects will start treatment with doxycycline 100mg once daily and Aczone 5% gel applied to the face twice daily and those who improve significantly are continued on Aczone gel alone to see if it can maintain therapeutic response

Criteria

Inclusion Criteria:

Outpatient, male or female subjects of any race, age 12 or older. Female subjects of childbearing potential must have a negative urine pregnancy test result at Baseline and practice a reliable method of contraception throughout the study;
Facial acne vulgaris characterized by the following:

IGA Score >3 10-50 facial inflammatory lesions (papules,pustules) 10-100 facial non-inflammatory lesions (open/closed comedones)

Able to understand and comply with the requirements of the study and sign Informed Consent/HIPAA Authorization forms

Exclusion Criteria:

Female subjects who are pregnant (positive urine pregnancy test), breast feeding, or who are of childbearing potential and not practicing a reliable method of birth control.
Allergy/sensitivity to any component of the test treatment (Section 5.2), lincomycin, tetracyclines, or sulfites.
Subjects who have not complied with the proper wash-out periods for prohibited medications/procedures (Supplement 1)>
History of clinically significant anemia or hemolysis.
History of enteritis (regional enteritis, ulcerative colitis, pseudomembranous colitis, or antibiotic-associated colitis).
Skin disease/disorder that might interfere with the diagnosis or evaluation of acne vulgaris
Evidence of recent alcohol or drug abuse
Medical condition that, in the opinion of the Investigator, contraindicates the subject's participation in the clinical study
History of poor cooperation, non-compliance with medical treatment or unreliability
Participation in an investigational drug study within 30 days of the baseline visit.

Summary

Doxy + Aczone

All Events

Event Type Organ System Event Term Doxy + Aczone

Percentage of Participants Who Remained Responders at Week 24

At week 12 responder had an IGA <3 on a 6-point scale ranging from 0 (clear) to 5 (very severe) and at Week 24 this response was maintained

Aczone/Doxy

82.0
percentage of particpants

Inflammatory and Non-inflammatory Lesion Counts

Aczone/Doxy - Inflammatory

baseline

27.3
lesions (Mean)
Standard Deviation: 14.6

week 16 (n=23,23)

5.8
lesions (Mean)
Standard Deviation: 4.9

week 20 (n=23,23)

7.3
lesions (Mean)
Standard Deviation: 9.2

week 24 (n=22,22)

7.0
lesions (Mean)
Standard Deviation: 9.1

Aczone/Doxy - Non Inflammatory

baseline

38.3
lesions (Mean)
Standard Deviation: 20.8

week 16 (n=23,23)

10.0
lesions (Mean)
Standard Deviation: 13.9

week 20 (n=23,23)

8.3
lesions (Mean)
Standard Deviation: 11.6

week 24 (n=22,22)

6.6
lesions (Mean)
Standard Deviation: 10.3

Percentage of Participants Who Are Responders at Week 16 and 20

Responders is the percentage of participants who have an IGA <3 at Week 16 and 20

Aczone/Doxy

responders at week 16

78.0
percentage of participants

responders at week 20

87.0
percentage of participants

Nodule Counts

number of nodules counted

Aczone/Doxy

Baseline

0.4
nodules (Mean)
Standard Deviation: 0.7

Week 16 (N=23)

0.1
nodules (Mean)
Standard Deviation: 0.4

Week 20 (N=23)

0.1
nodules (Mean)
Standard Deviation: 0.5

Week 24 (N=22)

0.3
nodules (Mean)
Standard Deviation: 0.9

Erythema

the erythema severity scale ranges from 0 to 4 with 0 being no erythema and 4 being most extreme erythema

Aczone/Doxy

Baseline

1.3
units on a scale (Mean)
Standard Deviation: 0.8

week 16 (N=23)

0.7
units on a scale (Mean)
Standard Deviation: 0.9

week 20 (N=23)

0.9
units on a scale (Mean)
Standard Deviation: 0.8

week 24 (N=22)

1.1
units on a scale (Mean)
Standard Deviation: 0.9

Peeling

the peeling severity scale ranges from 0 to 4 with 0 being no peeling and 4 being most extreme peeling

Aczone/Doxy

baseline

0.4
units on a scale (Mean)
Standard Deviation: 0.9

week 16 (N=23)

0.1
units on a scale (Mean)
Standard Deviation: 0.3

week 20 (N=23)

0.1
units on a scale (Mean)
Standard Deviation: 0.3

week 24 (N=22)

0.1
units on a scale (Mean)
Standard Deviation: 0.3

Oiliness

the oiliness severity scale ranges from 0 to 10 with 0 being no oiliness and 10 being most extreme oiliness

Aczone/Doxy

baseline

1.6
units on a scale (Mean)
Standard Deviation: 1.1

week 16 (N=23)

0.8
units on a scale (Mean)
Standard Deviation: 0.8

week 20 (N=23)

0.6
units on a scale (Mean)
Standard Deviation: 0.7

week 24 (N=22)

0.3
units on a scale (Mean)
Standard Deviation: 0.5

Pruritis

the pruritis severity scale ranges from 0 to 5 with 0 being no pruritis and 5 being the most extreme pruritis

Aczone/Doxy

baseline

0.4
units on a scale (Mean)
Standard Deviation: 0.8

week 16 (N=23)

0.2
units on a scale (Mean)
Standard Deviation: 0.6

week 20 (N=23)

0.1
units on a scale (Mean)
Standard Deviation: 0.3

week 24 (N=22)

Dryness

the dryness severity scale ranges from 0 to 4 with 0 being no dryness and 4 being most extreme dryness

Aczone/Doxy

baseline

0.6
units on a scale (Mean)
Standard Deviation: 0.8

week 16 (N=23)

0.3
units on a scale (Mean)
Standard Deviation: 0.6

week 20 (N=23)

0.1
units on a scale (Mean)
Standard Deviation: 0.3

week 24 (N=22)

0.1
units on a scale (Mean)
Standard Deviation: 0.3

Burning

the burning severity scale ranges from 0 to 10 with 0 being no burning and 10 being most extreme burning

Aczone/Doxy

baseline

0.1
units on a scale (Mean)
Standard Deviation: 0.5

week 16 (N=23)

0.1
units on a scale (Mean)
Standard Deviation: 0.4

week 20 (N=23)

week 24 (N=22)

Age, Continuous

24.8
years (Mean)
Standard Deviation: 10.9

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

Doxy + Aczone