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    Clinical Trial Results:
    A PHASE 2, MULTICENTER, PROSPECTIVE, RANDOMIZED, DOUBLE-BLIND, VEHICLE-CONTROLLED, DOSE-RANGING STUDY TO EVALUATE THE EFFICACY AND SAFETY OF CB 03 01 (CORTEXOLONE 17α-PROPIONATE) SOLUTION FOR THE TREATMENT OF ANDROGENETIC ALOPECIA IN MALES

    Summary
    EudraCT number
    2016-003733-23
    Trial protocol
    DE  
    Global end of trial date
    06 Jan 2019

    Results information
    Results version number
    v1(current)
    This version publication date
    08 Aug 2020
    First version publication date
    08 Aug 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CB-03-01/34
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Cassiopea S.p.A.
    Sponsor organisation address
    Via C. Colombo, 1, Lainate (MI), Italy, 20045
    Public contact
    R&D department, Cassiopea S.p.A., +39 0286891124,
    Scientific contact
    R&D department, Cassiopea S.p.A., +39 0286891124,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    20 Sep 2019
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    06 Jan 2019
    Global end of trial reached?
    Yes
    Global end of trial date
    06 Jan 2019
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The objective of the study was to evaluate the efficacy and safety of CB-03-01 solution, 2.5%, 5.0%, 7.5% BID (twice a day) dosing and 7.5% QD (once per day) dosing compared to vehicle for the treatment of androgenetic alopecia (AGA) in males.
    Protection of trial subjects
    Before being admitted to the study the subjects were informed in detail about the significance, nature, scope and possible risks of the study. Written information was available for this purpose. Subjects were free to terminate their participation in the study at any time without personal disadvantages and without giving reasons. The subjects were informed that all study data would be collected and stored in an electronic database, pseudoanonymized, and handled in the strictest confidence. Randomized subjects were provided with instruction sheet, diary and study subject cards indicating the nature of the trial the subject is participating, contact details and any information needed in the event of a medical emergency.
    Background therapy
    No background therapy foreseen in this study.
    Evidence for comparator
    No comparator(s) used in this study.
    Actual start date of recruitment
    21 Jun 2017
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 404
    Worldwide total number of subjects
    404
    EEA total number of subjects
    404
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    404
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    The study was carried out at six study centers in Germany. A total of 431 subjects were screened and 404 randomized. The randomization period included about 5 months. The first subject was randomized on 26JUN2017, the last subject on 01DEC2017. The study duration included about 18 months. The last subject completed the study on 06JAN2019.

    Pre-assignment
    Screening details
    Eligible subjects were adult (18 to 55 years of age) male affected by a mild to moderate AGA with a history of ongoing hair loss in the temple and vertex region, as classified by the Modified Norwood-Hamilton Scale. The screening period ranged from Day -14 to -3. A washout phase from prohibited medications or treatments was foreseen, if necessary.

    Pre-assignment period milestones
    Number of subjects started
    431 [1]
    Number of subjects completed
    404

    Pre-assignment subject non-completion reasons
    Reason: Number of subjects
    Failed eligibility criteria: 9
    Reason: Number of subjects
    Consent withdrawn by subject: 16
    Reason: Number of subjects
    Not specified: 2
    Notes
    [1] - The number of subjects reported to have started the pre-assignment period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: the pre-assignment period is here considered as the inclusion of the subject in the screening phase of the study, so the number of subjects reported to have started the pre-assignment period is the number of subjects that were screened (Informed Consent form signed, subject study ID assigned and screening procedures started/performed).
    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor
    Blinding implementation details
    The various concentrations of CB-03-01 solution and vehicle solution were packaged in identical 60 ml glass amber bottles and the treatment was randomly assigned to the subjects through an IWRS. Treatment group designation at the site level remained blinded until the final database was locked. Sealed Emergency Unblinding Forms were available for each kit at the study sites for emergency unblinding.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    CB-03-01 solution, 2.5% BID
    Arm description
    CB-03-01 solution, 2.5% BID (twice a day)
    Arm type
    Experimental

    Investigational medicinal product name
    CB-03-01 solution, 2.5%
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Cutaneous solution
    Routes of administration
    Topical use
    Dosage and administration details
    1 mL applied to the balding areas of the scalp (vertex and temple) twice daily over a period of 12 months

    Arm title
    CB-03-01 solution, 5% BID
    Arm description
    CB-03-01 solution, 5% BID (twice a day)
    Arm type
    Experimental

    Investigational medicinal product name
    CB-03-01 solution, 5%
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Cutaneous solution
    Routes of administration
    Topical use
    Dosage and administration details
    1 mL applied to the balding areas of the scalp (vertex and temple) twice daily over a period of 12 months

    Arm title
    CB-03-01 solution 7.5% BID
    Arm description
    CB-03-01 solution 7.5% BID (twice a day)
    Arm type
    Experimental

    Investigational medicinal product name
    CB-03-01 solution, 7.5%
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Cutaneous solution
    Routes of administration
    Topical use
    Dosage and administration details
    1 mL applied to the balding areas of the scalp (vertex and temple) twice daily over a period of 12 months

    Arm title
    CB-03-01 solution, 7.5% QD/vehicle solution QD
    Arm description
    CB-03-01 solution, 7.5% QD (once per day) and vehicle solution QD (once per day)
    Arm type
    Experimental

    Investigational medicinal product name
    CB-03-01 solution, 7.5% QD/ vehicle solution QD
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Cutaneous solution
    Routes of administration
    Topical use
    Dosage and administration details
    1 mL applied to the balding areas of the scalp (vertex and temple) twice daily over a period of 12 months

    Arm title
    Vehicle solution BID
    Arm description
    Vehicle solution BID (twice a day)
    Arm type
    Placebo

    Investigational medicinal product name
    Vehicle solution BID
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Cutaneous solution
    Routes of administration
    Topical use
    Dosage and administration details
    1 mL applied to the balding areas of the scalp (vertex and temple) twice daily over a period of 12 months

    Number of subjects in period 1
    CB-03-01 solution, 2.5% BID CB-03-01 solution, 5% BID CB-03-01 solution 7.5% BID CB-03-01 solution, 7.5% QD/vehicle solution QD Vehicle solution BID
    Started
    82
    78
    82
    80
    82
    Completed
    78
    68
    70
    71
    73
    Not completed
    4
    10
    12
    9
    9
         Consent withdrawn by subject
    3
    5
    5
    5
    3
         Adverse event, non-fatal
    1
    4
    1
    1
    4
         Not specified
    -
    -
    1
    -
    -
         Lost to follow-up
    -
    1
    4
    2
    2
         Protocol deviation
    -
    -
    1
    -
    -
         Lack of efficacy
    -
    -
    -
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    CB-03-01 solution, 2.5% BID
    Reporting group description
    CB-03-01 solution, 2.5% BID (twice a day)

    Reporting group title
    CB-03-01 solution, 5% BID
    Reporting group description
    CB-03-01 solution, 5% BID (twice a day)

    Reporting group title
    CB-03-01 solution 7.5% BID
    Reporting group description
    CB-03-01 solution 7.5% BID (twice a day)

    Reporting group title
    CB-03-01 solution, 7.5% QD/vehicle solution QD
    Reporting group description
    CB-03-01 solution, 7.5% QD (once per day) and vehicle solution QD (once per day)

    Reporting group title
    Vehicle solution BID
    Reporting group description
    Vehicle solution BID (twice a day)

    Reporting group values
    CB-03-01 solution, 2.5% BID CB-03-01 solution, 5% BID CB-03-01 solution 7.5% BID CB-03-01 solution, 7.5% QD/vehicle solution QD Vehicle solution BID Total
    Number of subjects
    82 78 82 80 82 404
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    39.9 ( 9.71 ) 41.2 ( 9.58 ) 39.3 ( 9.67 ) 39.8 ( 9.40 ) 39.2 ( 10.15 ) -
    Gender categorical
    Units: Subjects
        Female
    0 0 0 0 0 0
        Male
    82 78 82 80 82 404
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    1 3 6 0 0 10
        Not Hispanic or Latino
    81 75 76 80 82 394
    Modified Norwood-hamilton Scale
    Units: Subjects
        Type III Vertex
    32 25 36 31 28 152
        Type IV
    29 36 24 34 34 157
        Type V
    21 17 22 15 20 95

    End points

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    End points reporting groups
    Reporting group title
    CB-03-01 solution, 2.5% BID
    Reporting group description
    CB-03-01 solution, 2.5% BID (twice a day)

    Reporting group title
    CB-03-01 solution, 5% BID
    Reporting group description
    CB-03-01 solution, 5% BID (twice a day)

    Reporting group title
    CB-03-01 solution 7.5% BID
    Reporting group description
    CB-03-01 solution 7.5% BID (twice a day)

    Reporting group title
    CB-03-01 solution, 7.5% QD/vehicle solution QD
    Reporting group description
    CB-03-01 solution, 7.5% QD (once per day) and vehicle solution QD (once per day)

    Reporting group title
    Vehicle solution BID
    Reporting group description
    Vehicle solution BID (twice a day)

    Primary: Comparison of changes from baseline in non-vellus Target Area Hair Counts (TAHC) at Month 12

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    End point title
    Comparison of changes from baseline in non-vellus Target Area Hair Counts (TAHC) at Month 12
    End point description
    Non-vellus TAHC: Comparison Month 12 vs Baseline - OC (PP Population). The change from Baseline in non-vellus TAHC at Month 12 was evaluated.
    End point type
    Primary
    End point timeframe
    Month 12
    End point values
    CB-03-01 solution, 2.5% BID CB-03-01 solution, 5% BID CB-03-01 solution 7.5% BID CB-03-01 solution, 7.5% QD/vehicle solution QD Vehicle solution BID
    Number of subjects analysed
    74
    66
    68
    66
    70
    Units: Changes
        number (confidence interval 95%)
    1.0 (-4.2 to 6.2)
    4.4 (-1.4 to 10.2)
    4.7 (-0.3 to 9.8)
    3.5 (-2.7 to 9.8)
    -9.3 (-14.7 to -3.9)
    Statistical analysis title
    Change from Baseline in non-vellus TAHC at month12
    Statistical analysis description
    The change from Baseline in non-vellus TAHC at Month 12 was evaluated by analysis of covariance including in the model treatment, visit, treatment by visit interaction and analysis center as factors and the Baseline non-vellus TAHC and Baseline non-vellus TAHC-by-visit interaction as the covariates. The covariance stucture converging to the best fit was used as the primary analysis. Pairwise comparisons for the LSM between active treatment groups and the vehicle group were evaluated.
    Comparison groups
    CB-03-01 solution, 2.5% BID v CB-03-01 solution, 5% BID v CB-03-01 solution 7.5% BID v CB-03-01 solution, 7.5% QD/vehicle solution QD v Vehicle solution BID
    Number of subjects included in analysis
    344
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    ≤ 0.05
    Method
    ANCOVA; paired t-test
    Confidence interval

    Primary: Comparison of changes from baseline in non-vellus Target Area Hair Counts (TAHC) at Month 12 in active groups vs vehicle

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    End point title
    Comparison of changes from baseline in non-vellus Target Area Hair Counts (TAHC) at Month 12 in active groups vs vehicle
    End point description
    Non-vellus TAHC: comparison vs vehicle at Month 12 using MMRM - OC (PP population). Changes from baseline for parameter Non-vellus TAHC - OC
    End point type
    Primary
    End point timeframe
    Month 12
    End point values
    CB-03-01 solution, 2.5% BID CB-03-01 solution, 5% BID CB-03-01 solution 7.5% BID CB-03-01 solution, 7.5% QD/vehicle solution QD Vehicle solution BID
    Number of subjects analysed
    74
    66
    68
    66
    70
    Units: changes
        number (confidence interval 95%)
    10.2 (2.6 to 17.8)
    13.8 (5.9 to 21.6)
    14.3 (6.6 to 22.1)
    12.7 (4.9 to 20.6)
    0 (0 to 0)
    Statistical analysis title
    Non-vellus TAHC: comparison vs vehicle at Month 12
    Statistical analysis description
    The change from Baseline in non-vellus TAHC at Month 12 was evaluated by analysis of covariance including in the model treatment, visit, treatment by visit interaction and analysis center as factors and the Baseline non-vellus TAHC and Baseline non-vellus TAHC-by-visit interaction as the covariates. The covariance stucture converging to the best fit was used as the primary analysis. Pairwise comparisons for the LSM between active treatment groups and the vehicle group were evaluated.
    Comparison groups
    CB-03-01 solution, 2.5% BID v CB-03-01 solution, 5% BID v CB-03-01 solution 7.5% BID v CB-03-01 solution, 7.5% QD/vehicle solution QD v Vehicle solution BID
    Number of subjects included in analysis
    344
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    ≤ 0.05
    Method
    ANCOVA; unpaired t-test
    Confidence interval

    Primary: Hair Grow Assesment (HGA) at Month 12

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    End point title
    Hair Grow Assesment (HGA) at Month 12
    End point description
    Hair Grow Assesment (HGA) Score at Month 12: Summary and Comparison - OC (PP Population). The frequency distribution of HGA score at Month 12 was wvaluated.
    End point type
    Primary
    End point timeframe
    Month 12
    End point values
    CB-03-01 solution, 2.5% BID CB-03-01 solution, 5% BID CB-03-01 solution 7.5% BID CB-03-01 solution, 7.5% QD/vehicle solution QD Vehicle solution BID
    Number of subjects analysed
    74
    66
    68
    66
    70
    Units: Score
        Greatly decreased (-3)
    0
    1
    1
    1
    1
        Moderately decreased (-2)
    3
    4
    5
    2
    5
        Slightly decreased (-1)
    4
    8
    6
    4
    9
        No change (0)
    22
    13
    14
    22
    20
        Slightly increased (1)
    23
    17
    20
    21
    17
        Moderately increased (2)
    17
    18
    20
    12
    15
        Greatly increased (3)
    5
    4
    2
    4
    3
    Statistical analysis title
    Hair Growth Assesment (HGA) at Month 12
    Statistical analysis description
    The frequency distribution of HGA score at Month 12 was evaluated using CMH mean score test stratified by analysis center using modified ridit score for between-group comparisons. Pairwise comparisons between active treatment groups and vehicle were evaluated. If the table were sparse, Fisher's Exact test might have been used or categories might have been collapsed for analysis.
    Comparison groups
    CB-03-01 solution, 2.5% BID v CB-03-01 solution, 5% BID v CB-03-01 solution 7.5% BID v CB-03-01 solution, 7.5% QD/vehicle solution QD v Vehicle solution BID
    Number of subjects included in analysis
    344
    Analysis specification
    Pre-specified
    Analysis type
    other
    P-value
    ≤ 0.05 [1]
    Method
    Cochran-Mantel-Haenszel
    Confidence interval
    Notes
    [1] - Even if the p-value of the comparison vs vehicle was ≥ 0.2927, positive HGA scores 1 to 3 were reported in a higher share of subjects in all 4 active treatments groups when compared to the vehicle BID group (56.1% to 61.8% vs 50%) at month 12.

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Information on the medical condition of subjects should have begun following the subject’s written informed consent to participate in the study until the date of the final study visit.
    Adverse event reporting additional description
    Treatment-emergent AEs (TEAEs) are AEs collected from the date of the first dose of IMP until the date of the final study visit.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    21
    Reporting groups
    Reporting group title
    CB-03-01 solution, 2.5% BID
    Reporting group description
    CB-03-01 solution, 2.5% BID (twice a day)

    Reporting group title
    CB-03-01 solution, 5% BID
    Reporting group description
    CB-03-01 solution, 5% BID (twice a day)

    Reporting group title
    CB-03-01 solution 7.5% BID
    Reporting group description
    CB-03-01 solution 7.5% BID (twice a day)

    Reporting group title
    CB-03-01 solution, 7.5% QD/vehicle solution QD
    Reporting group description
    CB-03-01 solution, 7.5% QD (once per day) and vehicle solution QD (once per day)

    Reporting group title
    Vehicle solution BID
    Reporting group description
    Vehicle solution BID (twice a day)

    Serious adverse events
    CB-03-01 solution, 2.5% BID CB-03-01 solution, 5% BID CB-03-01 solution 7.5% BID CB-03-01 solution, 7.5% QD/vehicle solution QD Vehicle solution BID
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 82 (2.44%)
    2 / 78 (2.56%)
    0 / 82 (0.00%)
    2 / 80 (2.50%)
    5 / 82 (6.10%)
         number of deaths (all causes)
    0
    0
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Sinonasal papilloma
    Additional description: This subject experienced a moderate recurrent inverted papilloma right paranasal sinus, about 4 months after first dose of IMP. The subject was hospitalized for a surgery to excise the papilloma.
         subjects affected / exposed
    0 / 82 (0.00%)
    0 / 78 (0.00%)
    0 / 82 (0.00%)
    0 / 80 (0.00%)
    1 / 82 (1.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    B-cell lymphoma
    Additional description: This subject experienced a severe B-cell lymphoma, about 4 months after first dose of IMP.
         subjects affected / exposed
    0 / 82 (0.00%)
    1 / 78 (1.28%)
    0 / 82 (0.00%)
    0 / 80 (0.00%)
    0 / 82 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Renal neoplasm
    Additional description: This subject experienced a moderate renal tumor about 10 months after first dose of IMP and was hospitalized for excision of the renal tumor.
         subjects affected / exposed
    1 / 82 (1.22%)
    0 / 78 (0.00%)
    0 / 82 (0.00%)
    0 / 80 (0.00%)
    0 / 82 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Squamous cell carcinoma of the oral cavity
    Additional description: This subject experienced a squamous cell carcinoma of the oral cavity and an oropharyngeal neoplasm about 8 months after first IMP dose.
         subjects affected / exposed
    0 / 82 (0.00%)
    0 / 78 (0.00%)
    0 / 82 (0.00%)
    0 / 80 (0.00%)
    1 / 82 (1.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Dislocation of vertebra
    Additional description: This subject experienced a moderate dislocation of cervical vertebra due to a motorcycle accident, about 6 months after first dose of IMP.
         subjects affected / exposed
    0 / 82 (0.00%)
    0 / 78 (0.00%)
    0 / 82 (0.00%)
    1 / 80 (1.25%)
    0 / 82 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Tendon rupture
         subjects affected / exposed
    0 / 82 (0.00%)
    1 / 78 (1.28%)
    0 / 82 (0.00%)
    0 / 80 (0.00%)
    0 / 82 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Limb crushing injury
    Additional description: This subject experienced a moderate crush injury of the right foot due to an accident about 13 months after first dose of IMP.
         subjects affected / exposed
    0 / 82 (0.00%)
    0 / 78 (0.00%)
    0 / 82 (0.00%)
    0 / 80 (0.00%)
    1 / 82 (1.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Vascular disorders
    Peripheral venous disease
    Additional description: This subject experienced a moderate chronic venous insufficiency of the right leg about 5 months after first dose of IMP and was hospitalized from for phleboplasty.
         subjects affected / exposed
    0 / 82 (0.00%)
    0 / 78 (0.00%)
    0 / 82 (0.00%)
    0 / 80 (0.00%)
    1 / 82 (1.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Appendicitis
    Additional description: This subject experienced a severe appendicitis 12 months after first dose of IMP and was hospitalized on the same day for an appendectomy.
         subjects affected / exposed
    0 / 82 (0.00%)
    0 / 78 (0.00%)
    0 / 82 (0.00%)
    1 / 80 (1.25%)
    0 / 82 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Colon cancer
    Additional description: This subject experienced a severe sigma carcinoma almost 10 months after first dose of IMP and was hospitalized for a sigma carcinoma section.
         subjects affected / exposed
    0 / 82 (0.00%)
    0 / 78 (0.00%)
    0 / 82 (0.00%)
    0 / 80 (0.00%)
    1 / 82 (1.22%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Emphysema
    Additional description: This subject experienced a moderate pulmonary emphysema about 6 months after first dose of IMP. He was hospitalized due to this event for laboratory test controls.
         subjects affected / exposed
    1 / 82 (1.22%)
    0 / 78 (0.00%)
    0 / 82 (0.00%)
    0 / 80 (0.00%)
    0 / 82 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    CB-03-01 solution, 2.5% BID CB-03-01 solution, 5% BID CB-03-01 solution 7.5% BID CB-03-01 solution, 7.5% QD/vehicle solution QD Vehicle solution BID
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    40 / 82 (48.78%)
    39 / 78 (50.00%)
    35 / 82 (42.68%)
    43 / 80 (53.75%)
    53 / 82 (64.63%)
    Investigations
    Blood triglycerides increased
         subjects affected / exposed
    5 / 82 (6.10%)
    6 / 78 (7.69%)
    7 / 82 (8.54%)
    6 / 80 (7.50%)
    9 / 82 (10.98%)
         occurrences all number
    5
    6
    7
    6
    9
    Alanine aminotransferase increased
         subjects affected / exposed
    2 / 82 (2.44%)
    1 / 78 (1.28%)
    0 / 82 (0.00%)
    4 / 80 (5.00%)
    0 / 82 (0.00%)
         occurrences all number
    2
    1
    0
    4
    0
    Nervous system disorders
    Headache
         subjects affected / exposed
    5 / 82 (6.10%)
    6 / 78 (7.69%)
    10 / 82 (12.20%)
    8 / 80 (10.00%)
    13 / 82 (15.85%)
         occurrences all number
    6
    6
    13
    12
    22
    General disorders and administration site conditions
    Application site pruritus
         subjects affected / exposed
    5 / 82 (6.10%)
    3 / 78 (3.85%)
    2 / 82 (2.44%)
    2 / 80 (2.50%)
    5 / 82 (6.10%)
         occurrences all number
    5
    3
    2
    2
    9
    Application site dermatitis
         subjects affected / exposed
    1 / 82 (1.22%)
    3 / 78 (3.85%)
    0 / 82 (0.00%)
    4 / 80 (5.00%)
    4 / 82 (4.88%)
         occurrences all number
    2
    3
    0
    4
    4
    Respiratory, thoracic and mediastinal disorders
    Nasopharyngitis
         subjects affected / exposed
    22 / 82 (26.83%)
    20 / 78 (25.64%)
    16 / 82 (19.51%)
    19 / 80 (23.75%)
    22 / 82 (26.83%)
         occurrences all number
    35
    26
    23
    29
    32

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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