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CompletedNCT00823901Updated Jun 25, 2012Results posted

Safety and Efficacy Study of Clindamycin Phosphate 1.2% and Tretinoin 0.025% Gel to Treat Rosacea

A Phase 2/3 interventional study of Clindamycin Phosphate 1.2% And Tretinoin 0.025% Gel and Placebo gel in Rosacea, sponsored by Massachusetts General Hospital. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-06-25.

Sponsored by Massachusetts General Hospital · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
83
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to determine whether Clindamycin Phosphate 1.2% And Tretinoin 0.025% Gel are effective and safe in the treatment of papulopustular rosacea.

Read the detailed description

Currently, there is no known cure for rosacea. The most effective treatment is systemic antibiotics, particularly of the tetracycline family. Topical treatments include metronidazole, antibacterials such as erythromycin and clindamycin, sulfacetamide and benzoyl peroxide. Isotretinoin (Accutane) is also used.

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Conditions studied

  • Rosacea

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Keywords

  • rosacea
  • clindamycin
  • tretinoin
  • clinical study
  • treatment
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In context

Rosacea

225 studies on the registry are indexed under Rosacea; 19 are open to participants now.

This study's enrollment of 83 is above the median of 61 across 195 interventional studies indexed under Rosacea.

Browse Rosacea studies →

Lead sponsor

Massachusetts General Hospital is the lead sponsor of 2,536 studies on the registry; 446 are open to participants now.

Of its 214 completed or terminated interventional studies of FDA-regulated products, 161 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Subjects 18 years of age and older.
  2. Clinical diagnosis of papulopustular facial rosacea.
  3. A minimum of 4 but not more than 50 facial inflammatory lesions (papules plus pustules).
  4. Willing and able to understand and sign informed consent.
  5. Able to complete study and comply with study procedures.

Exclusion criteria

Exclusion Criteria:

  1. Acne conglobata, acne fulminans, secondary acne (chloracne, drug-induced acne, etc.), or severe acne requiring systemic treatment.
  2. History or presence of regional enteritis or inflammatory bowel disease (e.g., ulcerative colitis, pseudomembranous colitis, chronic diarrhea, or a history of antibiotic-associated colitis, bloody diarrhea) or similar symptoms.
  3. Use of topical rosacea treatments in the past 2 weeks.
  4. Use of systemic antibiotics in the past 4 weeks.
  5. Use of systemic retinoids within the past 3 months.
  6. Use of laser or light based rosacea treatments within the past 2 months.
  7. Concomitant use of medications that are reported to exacerbate rosacea, such as topical and systemic steroids as these may impact assessments.
  8. Current drug or alcohol abuse.
  9. Other dermatologic conditions that require the use of interfering topical or systemic therapy or that might interfere with study assessments such as, but not limited to, atopic dermatitis, perioral dermatitis or acne vulgaris.
  10. Clinically significant abnormal findings or conditions (other than rosacea), which might, in the opinion of the Investigator, interfere with study evaluations or pose a risk to subject safety during the study.
  11. Subjects who are pregnant or planning a pregnancy.
  12. Use of any investigational therapy within the past 4 weeks.
  13. Known hypersensitivity or previous allergic reaction to clindamycin or retinoids
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
83 participants (actual)

Study arms

  • Experimental
    Clindamycin/Tretinoin Gel

    Participants applied Clindamycin Phosphate 1.2% And Tretinoin 0.025% Gel on entire face (forehead, nose, chin, cheeks) once daily at night for 12 weeks

    Drug: Clindamycin Phosphate 1.2% And Tretinoin 0.025% Gel

  • Placebo comparator
    Placebo gel

    Participants applied Placebo gel with no active medication on entire face (forehead, nose, cheeks, chin) once daily at night for 12 weeks.

    Drug: Placebo gel

Interventions

  • DrugClindamycin Phosphate 1.2% And Tretinoin 0.025% Gel

    Applied on entire face (forehead, nose, cheeks, chin) once daily at night for 12 weeks

    Also known as: Ziana

  • DrugPlacebo gel

    Applied placebo gel with no active medication to entire face (forehead, nose, cheeks, chin) once daily at night for 12 weeks

    Also known as: placebo

06

What researchers measure

Primary outcomes

  1. Mean Change in Number of Inflammatory Lesions From Baseline to Week 12

    The number of inflammatory lesions (papules and pustules) on the face were counted by a dermatologist at baseline and week 12 for each participant. Change in the number of inflammatory lesions is defined as week 12 values minus the baseline values of the participant. Last observation carried forward (LOCF) method was used for missing values.

    Time frame: Baseline, week 12

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Results

Posted Jun 15, 2012
Limitations and caveats
This study is limited by relatively small number of subjects. In addition, overall assessment of acne rosacea severity as determined by subjects' self-assessment was not performed.

Participant flow

Subjects were recruited at MGH and Stanford University Hospital.

Participant flow — Overall Study
MilestoneClindamycin/Tretinoin GelPlacebo Gel
Started4340
Completed3938
Not completed42
Withdrew: Adverse event11
Withdrew: Lack of efficacy10
Withdrew: Lost to follow-up21

Outcome measures

PrimaryMean Change in Number of Inflammatory Lesions From Baseline to Week 12

The number of inflammatory lesions (papules and pustules) on the face were counted by a dermatologist at baseline and week 12 for each participant. Change in the number of inflammatory lesions is defined as week 12 values minus the baseline values of the participant. Last observation carried forward (LOCF) method was used for missing values.

Time frame:
Baseline, week 12
Reported as:
Mean · lesions
Mean Change in Number of Inflammatory Lesions From Baseline to Week 12
lesionsClindamycin/Tretinoin GelPlacebo
Mean Change in Number of Inflammatory Lesions From Baseline to Week 12.83 ± 10.84-3.13 ± 13.28
Statistical analysis
  • Clindamycin/Tretinoin Gel vs Placebo · t-test, 2 sided · p = 0.15

Adverse events

Collected over 12 weeks (duration of study participation). Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Clindamycin/Tretinoin Gel—0/43 (0%)29/41 (70.7%)
Placebo Gel—0/40 (0%)11/39 (28.2%)
Most frequent other events
Most frequent other events
EventClindamycin/Tretinoin GelPlacebo Gel
Worsening rosaceaSkin and subcutaneous tissue disorders7/414/39
Facial scalingSkin and subcutaneous tissue disorders6/410/39
Facial DrynessSkin and subcutaneous tissue disorders5/412/39
Facial rednessSkin and subcutaneous tissue disorders4/412/39
Facial itchingSkin and subcutaneous tissue disorders3/412/39
Facial burning sensationSkin and subcutaneous tissue disorders2/410/39
Facial irritationSkin and subcutaneous tissue disorders2/411/39

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Clindamycin/Tretinoin GelPlacebo GelTotal
<=18 years000
Between 18 and 65 years423981
>=65 years112
Age Continuous
Age Continuous(years)Clindamycin/Tretinoin GelPlacebo GelTotal
Mean53.2 ± 13.651.2 ± 14.052.17 ± 13.74
Sex: Female, Male
Sex: Female, Male(Participants)Clindamycin/Tretinoin GelPlacebo GelTotal
Female283159
Male15924
Region of Enrollment
Region of Enrollment(participants)Clindamycin/Tretinoin GelPlacebo GelTotal
United States434083
08

Study locations

2 sites
  • Department of Dermatology - Stanford School of Medicine
    Stanford, California 94305, United States
  • CURTIS - Massachussetts General Hospital
    Boston, Massachusetts 02114, United States
09

References and documents

Publications

  • Pelle MT, Crawford GH, James WD. Rosacea: II. Therapy. J Am Acad Dermatol. 2004 Oct;51(4):499-512; quiz 513-4. doi: 10.1016/j.jaad.2004.03.033. PubMed 15389184 ↗
  • Wilkin J, Dahl M, Detmar M, Drake L, Liang MH, Odom R, Powell F; National Rosacea Society Expert Committee. Standard grading system for rosacea: report of the National Rosacea Society Expert Committee on the classification and staging of rosacea. J Am Acad Dermatol. 2004 Jun;50(6):907-12. doi: 10.1016/j.jaad.2004.01.048. No abstract available. PubMed 15153893 ↗
  • Wilkin J, Dahl M, Detmar M, Drake L, Feinstein A, Odom R, Powell F. Standard classification of rosacea: Report of the National Rosacea Society Expert Committee on the Classification and Staging of Rosacea. J Am Acad Dermatol. 2002 Apr;46(4):584-7. doi: 10.1067/mjd.2002.120625. No abstract available. PubMed 11907512 ↗
  • Wilkin JK, DeWitt S. Treatment of rosacea: topical clindamycin versus oral tetracycline. Int J Dermatol. 1993 Jan;32(1):65-7. doi: 10.1111/j.1365-4362.1993.tb00974.x. PubMed 8425809 ↗
  • Diaz BV, Lenoir MC, Ladoux A, Frelin C, Demarchez M, Michel S. Regulation of vascular endothelial growth factor expression in human keratinocytes by retinoids. J Biol Chem. 2000 Jan 7;275(1):642-50. doi: 10.1074/jbc.275.1.642. PubMed 10617662 ↗
  • Chang AL, Alora-Palli M, Lima XT, Chang TC, Cheng C, Chung CM, Amir O, Kimball AB. A randomized, double-blind, placebo-controlled, pilot study to assess the efficacy and safety of clindamycin 1.2% and tretinoin 0.025% combination gel for the treatment of acne rosacea over 12 weeks. J Drugs Dermatol. 2012 Mar;11(3):333-9. PubMed 22395584 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 25, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00823901
Lead sponsor
Massachusetts General Hospital
Collaborators
Medicis Pharmaceutical Corporation
Responsible party
Alexandra Kimball (Director, Clinical Unit for Research Trials in Skin, Massachusetts General Hospital) — Principal investigator
First posted
Jan 16, 2009
Start date
Feb 2009
Primary completion
Oct 2010
Completion
Oct 2010
Results posted
Jun 15, 2012
Last update
Jun 25, 2012

Study contacts

Alexa Kimball, MD, MPH
principal investigator · Massachusetts General Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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