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CompletedNCT01504204Updated Sep 12, 2018Results posted

Effect of Samples on Acne Treatment With Epiduo® Gel

A Phase 4 interventional study of Adapalene + benzoyl peroxide samples and Adapalene + benzoyl peroxide from standard tube in Acne Vulgaris, sponsored by Wake Forest University. Completed at 1 site in United States. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2018-09-12.

Sponsored by Wake Forest University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

The purpose of this study is to compare adherence to treatment and efficacy with Epiduo® Gel in patients with mild to moderate acne who receive a medication sample and instructions on proper application with their stock size medication tube versus patients who receive only the stock size medication tube.

Read the detailed description

Adapalene Topical Gel is a Vitamin A type product in a water-based gel that is applied to the skin. It is approved by the United States Food and Drug Administration (FDA) for the treatment of acne. Benzoyl Peroxide is a medication applied to the skin that is also approved by the FDA for the treatment of acne and has anti-bacterial properties.

The purpose of this study is to evaluate the safety and effectiveness of a drug called Epiduo® Gel 0.1%/2.5% for the treatment of acne vulgaris.Epiduo® is a combination of adapalene and benzoyl peroxide. This combination drug is approved by the FDA for sale in the United States for use in individuals with acne who are over the age of 12.

02

Conditions studied

  • Acne Vulgaris

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Keywords

  • adherence
  • adapalene
  • benzoyl peroxide
  • sample
  • topical treatment
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 20 is below the median of 69 across 628 interventional studies indexed under Acne Vulgaris.

Browse Acne Vulgaris studies →

Lead sponsor

Wake Forest University is the lead sponsor of 116 studies on the registry; 7 are open to participants now.

Of its 31 completed or terminated interventional studies of FDA-regulated products, 27 (87%) have results posted.

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

  • Male or female subject with mild to moderate acne, aged 12 and older, who agrees to participate and provides written consent.
  • Have an Acne Global Assessment (AGA) of mild to moderate acne (an AGA score of 2 or 3)

Exclusion criteria

Exclusion Criteria:

  • Presence of a concurrent medical condition or skin condition, which is determined by the investigator to potentially interfere with study outcomes or patient assessments.
  • Subjects with known allergy or sensitivity to Epiduo® Gel (or Benzoyl Peroxide Gel) or components therein, including adapalene or benzoyl peroxide
  • Female subjects who are not postmenopausal for at least 1 year, surgically sterile, or willing to practice effective contraception during the study. Reliable methods of birth control are: abstinence (not having sex), oral contraceptives, intrauterine device (IUD), Depo-Provera, tubal ligation, or vasectomy of the partner (with confirmed negative sperm counts) in a monogamous relationship (same partner). An acceptable, although less reliable, method involves the careful use of condoms and spermicidal foam or gel and/or a cervical cap or sponge. Nursing mothers, pregnant women and women planning to become pregnant while on study are to be excluded.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Medication with sample and demonstration

    Subjects will receive a sample tube of the Adapalene + benzoyl peroxide samples with demonstration of how to use it at the first visit.

    Drug: Adapalene + benzoyl peroxide samples · Drug: Adapalene + benzoyl peroxide from standard tube

  • Active comparator
    Medication without samples

    Subjects will receive the Adapalene + benzoyl peroxide from standard tube without a sample or demonstration of proper use of the medication.

    Drug: Adapalene + benzoyl peroxide from standard tube

Interventions

  • DrugAdapalene + benzoyl peroxide samples

    A sample size tube of the study medication, combination adapalene 0.1% plus benzoyl peroxide 2.5% gel, will be provided with instruction on proper application, including demonstration, at the first visit.

    Also known as: Epiduo

  • DrugAdapalene + benzoyl peroxide from standard tube

    Subjects are instructed to apply the combination adapalene 0.1% plus benzoyl peroxide 2.5% gel once daily to all affected areas.

    Also known as: Epiduo

06

What researchers measure

Primary outcomes

  1. Adherence to Study Medication

    Adherence will be reported as percentage of prescribed doses taken as measured electronically by a Medication Event Monitoring System (MEMS®) cap.

    Time frame: Baseline to 6 weeks

Secondary outcomes

  1. Change in Acne Global Assessment

    Change in the physician's global assessment of acne severity on a validated 0-5 scale (0=clear to 5=very severe) from baseline to Week 6 visit.

    Time frame: Baseline and 6 weeks

  2. Change in Acne Lesion Count

    Change in total count of acne lesions from baseline visit to Week 6 visit

    Time frame: Baseline and 6 weeks

07

Results

Posted Jan 23, 2018
Limitations and caveats
This small pilot study subgroup analyses was limited.

Participant flow

Subjects were recruited from Wake Forest Baptist Medical Center Dermatology clinic and phone database of previously seen mild to moderate acne.

Participant flow — Overall Study
MilestoneMedication With Sample and DemonstrationMedication Without Samples
Started1010
Completed99
Not completed11
Withdrew: Lost to follow-up11

Outcome measures

PrimaryAdherence to Study Medication

Adherence will be reported as percentage of prescribed doses taken as measured electronically by a Medication Event Monitoring System (MEMS®) cap.

Time frame:
Baseline to 6 weeks
Reported as:
Median · percentage of doses
Adherence to Study Medication
percentage of dosesMedication With Sample and DemonstrationMedication Without Samples
Adherence to Study Medication86 ± 2.271 ± 0.34
SecondaryChange in Acne Global Assessment

Change in the physician's global assessment of acne severity on a validated 0-5 scale (0=clear to 5=very severe) from baseline to Week 6 visit.

Time frame:
Baseline and 6 weeks
Reported as:
Count of participants · Participants
Change in Acne Global Assessment
ParticipantsMedication With Sample and DemonstrationMedication Without Samples
Baseline — AGA (2-mild)56
Baseline — AGA (3 moderate)43
Baseline — AGA (1 almost clear)00
Week 6 — AGA (2-mild)34
Week 6 — AGA (3 moderate)23
Week 6 — AGA (1 almost clear)42
SecondaryChange in Acne Lesion Count

Change in total count of acne lesions from baseline visit to Week 6 visit

Time frame:
Baseline and 6 weeks
Reported as:
Mean · lesions
Change in Acne Lesion Count
lesionsMedication With Sample and DemonstrationMedication Without Samples
Basleine (Inflammatory Lesions)3 (0 to 10)2 (0 to 12)
Baseline (Non-Inflammatory)33 (16 to 57)38 (6 to 62)
Week 6 (inflammatory Lesion)1 (0 to 9)1 (0 to 14)
Week 6 (Non-inflammatory Lesion)19 (5 to 40)35 (4 to 53)

Adverse events

Collected over One year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Medication With Sample and Demonstration0/10 (0%)0/10 (0%)6/10 (60%)
Medication Without Samples0/10 (0%)0/10 (0%)6/10 (60%)
Most frequent other events
Most frequent other events
EventMedication With Sample and DemonstrationMedication Without Samples
DrynessSkin and subcutaneous tissue disorders3/103/10
itchingSkin and subcutaneous tissue disorders3/102/10
rednessSkin and subcutaneous tissue disorders0/101/10

Baseline characteristics

Age, Customized
Age, Customized(years)Medication With Sample and DemonstrationMedication Without SamplesTotal
Age19 (13 to 31)19 (13 to 29)19 (13 to 31)
Sex: Female, Male
Sex: Female, Male(Participants)Medication With Sample and DemonstrationMedication Without SamplesTotal
Female8614
Male134
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Medication With Sample and DemonstrationMedication Without SamplesTotal
Race(Caucasian)5611
Ethnicity(Non-Hispanic)8917
Region of Enrollment
Region of Enrollment(Participants)Medication With Sample and DemonstrationMedication Without SamplesTotal
United States9918
08

Study locations

1 site
  • Wake Forest University Health Sciences
    Winston-Salem, North Carolina 27104, United States
09

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 12, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01504204
Lead sponsor
Wake Forest University
Collaborators
Galderma R&D
Responsible party
Sponsor
First posted
Jan 5, 2012
Start date
Dec 2011
Primary completion
Nov 2012
Completion
Nov 2012
Results posted
Jan 23, 2018
Last update
Sep 12, 2018

Study contacts

Steven R Feldman, MD, PhD
principal investigator · Wake Forest University

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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