E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
WC3018 will be indicated for the treatment of of mild to moderate acne vulgaris. |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The purpose of this study is to evaluate the efficacy of a new topical formulation of minocycline (two concentration to be tested) compared with placebo in the treatment of mild to moderate acne vulgaris, with particular reference to effects on the cutaneous microflora.
To determine the proportion of subjects in each treatment group with a reduction in cutaneous Propionibacterium spp. of 1.0 log10 colony forming units per cm2 at 4, 8 and 12 weeks compared to baseline.
Reduction in Propionibacterium spp. (g10 colony forming units per cm2) at 4, 8 and 12 weeks compared to baseline.
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E.2.2 | Secondary objectives of the trial |
•Proportion of subjects in each treatment group with a reduction in cutaneous Micrococcaceae spp. of 1.0 log10 colony forming units per cm2 at 4, 8 and 12 weeks compared to baseline. •Reduction in cutaneous Micrococcaceae spp. (log10 colony forming units per cm2) at 4, 8 and 12 weeks compared to baseline •To determine the change in non-inflammatory and inflammatory lesion counts at 4, 8 and 12 weeks compared to baseline. •To determine the change in skin condition by clinical assessment of acne (according to the “Leeds Revised Acne Grading System”) at 4, 8 and 12 weeks compared to baseline. •To determine subject-perceived change in skin condition by completion of an Acne Quality of Life Questionnaire (QOL) at 4, 8 and 12 weeks compared to baseline. •To record change in skin condition by use of photography at 12 weeks compared to baseline
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1.Has given written informed consent 2.Is between 12 and 45 years of age 3.Has a diagnosis of mild to moderate facial acne vulgaris (grade ≤ 4.0) 4.Females of childbearing potential must have a negative urine pregnancy test and if sexually active or become sexually active during the study, must agree to use an effective form of birth control (as directed by the Clinical Investigator) for the duration of the study. 5.Is willing to refrain from use of any other acne medication, medicated cleanser, excessive sun exposure and tanning booths for duration of the study.
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E.4 | Principal exclusion criteria |
1.Females who are pregnant or lactating, or pre-menopausal women who are sexually active and not using a reliable method of contraception. 2.Males who are sexually active and not using a reliable method of contraception. 3.Is planning a pregnancy during the study. 4.Is allergic to tetracycline-class antibiotics or to any ingredient in the study medication. 5.Is using antibiotic-based acne therapy (systemic or topical) at baseline or in the 4 weeks preceding baseline. 6.Is unwilling to abstain from use of antibiotic-based acne therapy (systemic or topical) for the duration of the study. 7.Is using OTC topical acne treatment at baseline or in the 4 weeks preceding baseline. 8.Is unwilling to abstain from use of OTC topical acne treatment for the duration of the study. 9.Is using any of the following at baseline or in the 4 weeks preceding baseline: Anti-inflammatory drugs (systemic or topical) Topical steroids Corticoids 10.Is using retinoids, immunosuppressive drugs, anti-cancer drugs at baseline or in the 6 months prior to baseline. 11.Is taking daily anti-histamines on a long term basis. 12.Has changed hormonal treatment at baseline or in the 4 weeks preceding baseline (i.e. started, stopped or changed contraceptives). 13.Is taking a medication which, in the opinion of the investigator, could compromise the safety of the subject or affect the outcome of the study (for example, interfere with skin assessments). 14.Has received immunisation during the study or in the 10 days prior to screening. 15.Has any cutaneous pathology on the face (e.g. psoriasis, eczema, vitiligo, pytiriasis versicolor or other skin disorders), irritated skin, freckles, beauty spots or a tattoo which, in the opinion of the investigator, could compromise the safety of the subject or affect the outcome of the study (for example, interfere with skin assessments). 16.Has any significant concurrent illness including diabetes. 17.Has significant past medical history of hepatic, renal, cardiac, pulmonary, digestive, haematological, neurological, locomotor or psychiatric disease, which, in the opinion of the Investigator, could compromise the safety of the subject or affect the outcome of the study. 18.Has been treated for any type of cancer within the last six months. 19.Has had a fever in the 12 hours prior to the baseline visit. 20.Has exposure to excessive sunlight or to UV rays by UV tanning equipment at baseline or in the 4 weeks preceding baseline. 21.Used self tanning lotion, bleach, wax or hair removal treatments on the face at baseline or in the 4 weeks preceding baseline. 22.Has been previously randomised into this study 23.Is participating in a pharmacological study, systemic drug study and/or any study using the face as a test site at baseline or in the 4 weeks preceding baseline. 24.Is unable, in the opinion of the Investigator, to comply fully with the study requirements. 25.Is an employee of 4-Front Research or Warner Chilcott or an immediate family member (partner, offspring, parents, siblings or sibling’s offspring) of an employee.
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E.5 End points |
E.5.1 | Primary end point(s) |
•The change from baseline in proportions of subjects in each treatment group with a reduction in cutaneous Propionibacterium spp. of 1.0 log10 colony forming units per cm2 at 4, 8 and 12 weeks will be analysed by Chi-square and/or Fisher Exact tests. •The change from baseline in cutaneous Propionibacterium spp. (log10 colony forming units per cm2) in each treatment group will be analysed by Analysis of Variance (ANOVA) with change in cutaneous Propionibacterium as outcome variable and product as factor, at 4, 8 and 12 weeks. Alternatively, non-parametric tests such as the Kruskall Wallis test may be utilised. •AUC above baseline will be computed to determine change from baseline in cutaneous Propionibacterium spp. of 1.0 log10 colony forming units per cm2 in each treatment group across time, thereby increasing the analysis sensitivity. Analysis of Variance (ANOVA) with AUC above baseline as outcome variable and product as factor will be employed.
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | Yes |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.5.1 | Number of sites anticipated in the EEA | 0 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 4 |
E.8.9.1 | In the Member State concerned days | |