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CompletedNCT00841776Updated May 25, 2017Results posted

Comparative Antimicrobial Efficacy of Two Topical Acne Therapies for the Treatment of Facial Acne

A Phase 4 interventional study of Duac and Ziana gel in Acne, sponsored by Stiefel, a GSK Company. Completed at 2 sites in United States. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2017-05-25.

Sponsored by Stiefel, a GSK Company · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

The purpose of the study is to determine the development of microbial resistance when using one of two topical acne therapies for the treatment of facial acne vulgaris.

Read the detailed description

To investigate the development of microbial resistance when using one of two topical acne therapies for the treatment of moderate to moderately severe facial acne vulgaris. Clinical efficacy and tolerability will be assessed.

02

Conditions studied

  • Acne

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Keywords

  • Acne Vulgaris
  • Acne
03

In context

Acne Vulgaris

730 studies on the registry are indexed under Acne Vulgaris; 86 are open to participants now.

This study's enrollment of 54 is below the median of 69 across 628 interventional studies indexed under Acne Vulgaris.

Browse Acne Vulgaris studies →

Lead sponsor

Stiefel, a GSK Company is the lead sponsor of 55 studies on the registry; none are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Outpatient at least 12 years of age. 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.
  • Mild to moderate facial acne vulgaris
  • Able to understand the requirements of the study and sign informed consent/HIPAA authorization forms. Subjects under the legal age of consent in the state where the study is conducted must also have the written, informed consent of a parent or legal guardian.

Exclusion criteria

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 or sensitivity to any component of the test medication
  • Known hypersensitivity to to any component of the investigational formulations
  • Known history of enteritis (regional enteritis, ulcerative colitis, pseudomembranous colitis, or antibiotic-associated colitis
  • Beards or sideburns
  • Skin disease/disorder that might interfere with the diagnosis or evaluation of acne vulgaris
  • Evidence of recent alcohol or drug abuse
  • Participation in an investigational drug study within 30 days of the baseline visit
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
54 participants (actual)

Study arms

  • Active comparator
    Duac gel

    Clindamycin and benzoyl peroxide gel

    Drug: Duac

  • Active comparator
    Ziana gel

    Clindamycin and tretinoin gel

    Drug: Ziana gel

Interventions

  • DrugDuac

    Clindamycon and benzoyl peroxide topical gel once a day for 12 weeks

  • DrugZiana gel

    Clindamycin and tretinoin gel once a day for 12 weeks.

06

What researchers measure

Primary outcomes

  1. Median Change in Total Propionibacterium Acne (P.Acne) Counts

    Median change in total colony forming units of propionibacterium acne (P.acne) will be counted.

    Time frame: Baseline, Weeks 2, 4, 8, 12, & 16

Secondary outcomes

  1. Median Change in Clindamycin Resistant P. Acne.

    Median change in total colony forming units of clindamycin resistant p. acne.

    Time frame: Baseline, Weeks 2, 4, 8, 12, 16

  2. Median Change in Erythromycin-resistant P. Acne Counts

    Total colony forming units of erythromycin-resistant p. acnes.

    Time frame: Baseline, Weeks 2, 4, 8, 12, and 16

  3. Median Change in Total Acne Lesions

    Median Change in Total Acne Lesions

    Time frame: Baseline, Weeks 2, 4, 8, 12, and 16

  4. Median Change in Inflammatory Acne Lesion Counts

    Median Change in Inflammatory Acne Lesion Counts

    Time frame: Baseline, Weeks 2, 4, 8, 12, and 16

  5. Median Change in Noninflammaotry Acne Counts

    Median Change in Noninflammaotry Acne Counts

    Time frame: Baseline, Weeks 2, 4, 8, 12, and 16

07

Results

Posted Jul 23, 2010

Participant flow

Clinical research center

Participant flow — Overall Study
MilestoneDuacZiana
Started2727
Completed2524
Not completed23
Withdrew: Lack of efficacy01
Withdrew: Lost to follow-up21
Withdrew: Withdrawal by subject01

Outcome measures

PrimaryMedian Change in Total Propionibacterium Acne (P.Acne) Counts

Median change in total colony forming units of propionibacterium acne (P.acne) will be counted.

Time frame:
Baseline, Weeks 2, 4, 8, 12, & 16
Reported as:
Median · P. acne counts
Median Change in Total Propionibacterium Acne (P.Acne) Counts
P. acne countsDuacZiana
Change from Baseline to Week 2-1.26 ± 1.44-0.08 ± 0.82
Change from Baseline to Week 4-1.58 ± 1.49-0.67 ± 1.18
Change from Baseline to Week 8-1.65 ± 1.50-0.32 ± 1.04
Change from Baseline to Week 12-1.82 ± 1.60-0.59 ± 0.99
Change from Baseline to Week 16-2.48 ± 1.77-0.57 ± 0.83
SecondaryMedian Change in Clindamycin Resistant P. Acne.

Median change in total colony forming units of clindamycin resistant p. acne.

Time frame:
Baseline, Weeks 2, 4, 8, 12, 16
Reported as:
Median · Clindamycin- resistant P. acne counts
Median Change in Clindamycin Resistant P. Acne.
Clindamycin- resistant P. acne countsDuacZiana
Change from Baseline to Week 2-0.30 (-1.74 to 0)0 (0 to 0.4)
Change from Baseline to Week 40 (-1.43 to 0)0 (-0.51 to 0.12)
Change from Baseline to Week 8-0.86 (-1.95 to 0)0 (-0.10 to 0.60)
Change from Baseline to Week 12-0.83 (-1.53 to 0)0.39 (0 to 0.88)
Change from Baseline to Week 16-0.30 (-1.84 to 0)0 (-0.03 to 0.25)
SecondaryMedian Change in Erythromycin-resistant P. Acne Counts

Total colony forming units of erythromycin-resistant p. acnes.

Time frame:
Baseline, Weeks 2, 4, 8, 12, and 16
Reported as:
Median · Erythromycin-resistant P. acne counts
Median Change in Erythromycin-resistant P. Acne Counts
Erythromycin-resistant P. acne countsDuacZiana
Change from Baseline to Week 2-0.36 (-1.67 to 0)0 (0 to 0.56)
Change from Baseline to Week 4-0.18 (-1.51 to 0)0 (0 to 0.68)
Change from Baseline to Week 8-0.83 (-2.26 to 0)0 (0 to 0.40)
Change from Baseline to Week 12-.91 (-1.68 to 0)0.15 (0 to 0.88)
Change from Baseline to Week 160 (-1.81 to 0)0.04 (0 to 0.48)
SecondaryMedian Change in Total Acne Lesions

Median Change in Total Acne Lesions

Time frame:
Baseline, Weeks 2, 4, 8, 12, and 16
Reported as:
Median · Total Acne Lesion Counts
Median Change in Total Acne Lesions
Total Acne Lesion CountsDuacZiana
Change from Baseline to Week 2-14 (-22 to -4)-13 (-23 to 2)
Change from Baseline to Week 4-22 (-30 to -16)-14 (-24 to -2)
Change from Baseline to Week 8-27 (-38 to -9)-19 (-36 to -5)
Change from Baseline to Week 12-26.5 (-36 to -15)-23.5 (-34 to -11)
Change from Baseline to Week 16-33 (-35 to -22)-30 (-41.5 to -17)
SecondaryMedian Change in Inflammatory Acne Lesion Counts

Median Change in Inflammatory Acne Lesion Counts

Time frame:
Baseline, Weeks 2, 4, 8, 12, and 16
Reported as:
Median · Lesion Counts
Median Change in Inflammatory Acne Lesion Counts
Lesion CountsDuacZiana
Change from Baseline to Week 2-7 (-13 to -1)-7 (-15 to -4)
Change from Baseline to Week 4-12 (-18 to -3)-7 (-15 to -1)
Change from Baseline to Week 8-11 (-22 to -6)-7 (-16 to -2)
Change from Baseline to Week 12-12.5 (-19 to -7)-10.5 (-17 to -5)
Change from Baseline to Week 16-14 (-20 to -6)-14 (-19 to -8)
SecondaryMedian Change in Noninflammaotry Acne Counts

Median Change in Noninflammaotry Acne Counts

Time frame:
Baseline, Weeks 2, 4, 8, 12, and 16
Reported as:
Median · Noninflammatory lesion counts
Median Change in Noninflammaotry Acne Counts
Noninflammatory lesion countsDuacZiana
Change from Baseline to Week 2-6 (-10 to 1)-6 (-9 to 2)
Change from Baseline to Week 4-10 (-23 to -3)-8 (-18 to 1)
Change from Baseline to Week 8-13 (-17 to -5)-12 (-22 to 2)
Change from Baseline to Week 12-9 (-25 to -4)-13.5 (-18 to -2)
Change from Baseline to Week 16-11 (-20 to -3)-16.5 (-23 to -7.5)

Adverse events

Collected over 16 weeks. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Duac—0/27 (0%)5/27 (18.5%)
Ziana—0/27 (0%)5/27 (18.5%)
Most frequent other events
Most frequent other events
EventDuacZiana
Head ColdInfections and infestations2/271/27
Skin surgerySkin and subcutaneous tissue disorders0/272/27
Attention Deficit DisorderNervous system disorders1/270/27
Sinus InfectionInfections and infestations1/271/27
GonorrheaInfections and infestations1/270/27
Oral ThrushInfections and infestations1/270/27
Oily skin on faceSkin and subcutaneous tissue disorders0/271/27

Baseline characteristics

Age, Continuous
Age, Continuous(years)DuacZianaTotal
Mean17.6 ± 6.916.2 ± 4.916.9 ± 6.0
Sex: Female, Male
Sex: Female, Male(Participants)DuacZianaTotal
Female141529
Male131225
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)DuacZianaTotal
Caucasian212243
Black448
Hispanic011
Other202
Region of Enrollment
Region of Enrollment(participants)DuacZianaTotal
United States272754
Acne Lesion Counts
Acne Lesion Counts(Acne Lesion Counts)DuacZianaTotal
Inflammatory Lesion Counts24.74 ± 10.6122.78 ± 7.0723.76 ± 8.98
Noninflammatory Lesion Counts34.30 ± 20.3835.11 ± 15.4034.70 ± 17.90
Total Lesion Counts59.04 ± 23.6857.89 ± 19.9958.46 ± 21.72
Clinidamycin-resistant propionibacterium acne (P.acne) counts
Clinidamycin-resistant propionibacterium acne (P.acne) counts(Clinidamycin-resistant p. acne counts)DuacZianaTotal
Mean2.29 ± 1.342.02 ± 1.212.16 ± 1.27
Erythromycin-resistant lesion count
Erythromycin-resistant lesion count(Erythromycin-resistant lesion count)DuacZianaTotal
Mean2.29 ± 1.371.92 ± 1.112.10 ± 1.25
Propionibacterium acne counts
Propionibacterium acne counts(P. acne counts)DuacZianaTotal
Mean4.63 ± 1.124.74 ± 0.584.69 ± 0.88
08

Study locations

2 sites
  • Dermatology Specialists, PSC
    Louisville, Kentucky 40202, United States
  • Skin We Care Dermatology
    Mason, Ohio 45040, United States
09

References and documents

Publications

  • Jackson JM, Fu JJ, Almekinder JL. A randomized, investigator-blinded trial to assess the antimicrobial efficacy of a benzoyl peroxide 5%/ clindamycin phosphate 1% gel compared with a clindamycin phosphate 1.2%/tretinoin 0.025% gel in the topical treatment of acne vulgaris. J Drugs Dermatol. 2010 Feb;9(2):131-6. PubMed 20214175 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 25, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00841776
Lead sponsor
Stiefel, a GSK Company
Collaborators
GlaxoSmithKline
Responsible party
Sponsor
First posted
Feb 11, 2009
Start date
Aug 2007
Primary completion
Nov 2008
Completion
Jan 2009
Results posted
Jul 23, 2010
Last update
May 25, 2017

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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