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CompletedNCT00915551Updated Mar 6, 2015Results posted

A Multi-Center Study to Evaluate the Efficacy and Safety of PEP005 (Ingenol Mebutate) Gel, When Used to Treat Actinic Keratoses on the Head (Face or Scalp)

A Phase 3 interventional study of PEP005 (Ingenol Mebutate) gel, 0.015% and Vehicle Gel in Actinic Keratosis, sponsored by Peplin. Completed at 21 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-03-06.

Sponsored by Peplin (part of LEO Pharma) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
278
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This Phase III study is designed to assess the efficacy and safety of PEP005 Gel, 0.015% when applied to an area of skin containing 4-8 AK lesions on the face or scalp.

02

Conditions studied

  • Actinic Keratosis

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Keywords

  • Peplin
  • Actinic keratosis
  • PEP005
03

In context

Keratosis, Actinic

369 studies on the registry are indexed under Keratosis, Actinic; 30 are open to participants now.

This study's enrollment of 278 is above the median of 60 across 318 interventional studies indexed under Keratosis, Actinic.

Browse Keratosis, Actinic studies →

Lead sponsor

Peplin is the lead sponsor of 29 studies on the registry; none are open to participants now.

First submitted before Peplin became part of LEO Pharma.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patient is male or female and at least 18 years of age
  • Female patients must be of either:

    • Non-childbearing potential, post-menopausal
    • Childbearing potential, provided there are negative serum and urine pregnancy test results prior to study treatment, to rule out pregnancy

Exclusion criteria

Exclusion Criteria:

  • Cosmetic or therapeutic procedures within 2 weeks and 2cm of the selected treatment area
  • Treatment with immunomodulators, or interferon/ interferon inducers or systemic medications that suppress the immune system within 4 weeks
  • Treatment with 5-FU, imiquimod, diclofenac, or photodynamic therapy: within 8 weeks and 2 cm of the selected treatment area
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
278 participants (actual)

Study arms

  • Experimental
    PEP005 (Ingenol Mebutate) gel

    Drug: PEP005 (Ingenol Mebutate) gel, 0.015%

  • Placebo comparator
    Vehicle gel

    Drug: Vehicle Gel

Interventions

06

What researchers measure

Primary outcomes

  1. Complete Clearance of Actinic Keratoses (AK) Lesions

    Complete clearance of the treatment field

    Time frame: baseline and 57 days

Secondary outcomes

  1. Partial Clearance of Actinic Keratoses (AK)

    Partial clearance defined as ≥ 75% reduction in the number of AK lesions identified at baseline in the treatment area

    Time frame: baseline and 57 days

07

Results

Posted Mar 16, 2012

Participant flow

Study PEP005-025 was conducted at 21 study centers in the United States (19) and Australia (2). A total of 278 patients were randomized (255 (92%) in the US and 23 (8%) in Australia). Patient screening was started on 05 May 2009. The first patient was randomized on 05 June 2009 and the last patient completed the Day 57 visit on 02 September 2009.

Participant flow — Overall Study
MilestonePEP005 (Ingenol Mebutate) Gel, 0.015%Vehicle Gel
Started142136
Completed142135
Not completed01
Withdrew: Withdrawal by subject01

Outcome measures

PrimaryComplete Clearance of Actinic Keratoses (AK) Lesions

Complete clearance of the treatment field

Time frame:
baseline and 57 days
Reported as:
Number · participants
Complete Clearance of Actinic Keratoses (AK) Lesions
participantsPEP005 (Ingenol Mebutate) Gel, 0.015%Vehicle Gel
Complete Clearance of Actinic Keratoses (AK) Lesions67 (— to 55.7)7 (2.1 to 10.3)
Statistical analysis
  • PEP005 (Ingenol Mebutate) Gel, 0.015% vs Vehicle Gel · Cochran-Mantel-Haenszel · p = <0.001
SecondaryPartial Clearance of Actinic Keratoses (AK)

Partial clearance defined as ≥ 75% reduction in the number of AK lesions identified at baseline in the treatment area

Time frame:
baseline and 57 days
Reported as:
Number · participants
Partial Clearance of Actinic Keratoses (AK)
participantsPEP005 (Ingenol Mebutate) Gel, 0.015%Vehicle Gel
Partial Clearance of Actinic Keratoses (AK)9611
Statistical analysis
  • PEP005 (Ingenol Mebutate) Gel, 0.015% vs Vehicle Gel · Cochran-Mantel-Haenszel · p = <0.001

Adverse events

Collected over 57 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
PEP005 (Ingenol Mebutate) Gel, 0.015%—1/142 (0.7%)20/142 (14.1%)
Vehicle Gel—0/136 (0%)1/136 (0.7%)
Most frequent serious events
Most frequent serious events
EventPEP005 (Ingenol Mebutate) Gel, 0.015%Vehicle Gel
Hip Arthroplasty (Hip Replacement)Surgical and medical procedures1/1420/136
Myocardial InfarctionCardiac disorders1/1420/136
Most frequent other events
Most frequent other events
EventPEP005 (Ingenol Mebutate) Gel, 0.015%Vehicle Gel
Application site painSkin and subcutaneous tissue disorders17/1421/136
Application site pruritusSkin and subcutaneous tissue disorders8/1420/136

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)PEP005 (Ingenol Mebutate) Gel, 0.015%Vehicle GelTotal
<=18 years000
Between 18 and 65 years7363136
>=65 years6973142
Sex: Female, Male
Sex: Female, Male(Participants)PEP005 (Ingenol Mebutate) Gel, 0.015%Vehicle GelTotal
Female252449
Male117112229
Region of Enrollment
Region of Enrollment(participants)PEP005 (Ingenol Mebutate) Gel, 0.015%Vehicle GelTotal
United States131124255
Australia111223
08

Study locations

21 sites
  • Burke Pharmaceutical Research
    Hot Springs, Arizona 71913, United States
  • Center for Dermatology
    Fremont, California 94538, United States
  • North Florida Dermatology Associates, PA
    Jacksonville, Florida 32204, United States
  • Altman Dermatology Associates
    Arlington Heights, Illinois 60005, United States
  • Laser Skin Surgery Center of Indiana
    Carmel, Indiana 46032, United States
  • Deaconess Clinic, Inc
    Evansville, Indiana 47713, United States
  • The Indiana Clinical Trials Center, PC
    Plainfield, Indiana 46168, United States
  • Skin Specialists, PC
    Omaha, Nebraska, United States
  • Karl G. Heine Dermatology
    Henderson, Nevada 89002, United States
  • Academic Dermatology Associates
    Albuquerque, New Mexico 87106, United States
  • Mount Sinai School of Medicine
    New York, New York 10029-6574, United States
  • Dermatology Associates of Rochester, PC
    Rochester, New York 14623, United States
  • Dermatology, Laser Vein Specialists of the Carolinas
    Charlotte, North Carolina 28207, United States
  • Oregon Medical Research Center, PC
    Portland, Oregon 97223, United States
  • DermResearch, Inc.
    Austin, Texas 78759, United States
  • Suzanne Bruce and Associates, PA, The Center for Skin Research
    Houston, Texas 77056, United States
  • Progressive Clinical Research
    San Antonio, Texas 78229, United States
  • The Education and Research Foundation
    Lynchburg, Virginia 24501, United States
  • Premier Clinical Research
    Spokane, Washington 99204, United States
  • The Skin Centre
    Benowa, Queensland 4217, Australia
  • South East Dermatology, Belmont Specialist Centre
    Carina Heights, Queensland 4152, Australia
09

References and documents

Publications

  • Lebwohl M, Swanson N, Anderson LL, Melgaard A, Xu Z, Berman B. Ingenol mebutate gel for actinic keratosis. N Engl J Med. 2012 Mar 15;366(11):1010-9. doi: 10.1056/NEJMoa1111170. PubMed 22417254 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jun 2009, a primary completion of Sep 2009 and a completion of Sep 2009. It does not say whether these dates are actual or estimated.

Results were first posted in Mar 2012, 2 years 6 months after primary completion. A results delay was requested in Sep 2010.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 4, 2009
First posted
Jun 8, 2009
Start
Jun 2009
Primary completionActual
Sep 2009
CompletionActual
Sep 2009
Results delay requested
Sep 22, 2010
Results first posted
Mar 16, 2012
Last update
Mar 6, 2015
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 6, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00915551
Lead sponsor
Peplin
Responsible party
Sponsor
First posted
Jun 8, 2009
Start date
Jun 2009
Primary completion
Sep 2009
Completion
Sep 2009
Results posted
Mar 16, 2012
Last update
Mar 6, 2015

Oversight

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

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Studies of the drug tested here: Ingenol mebutate

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