CClinicalTrials.gg
CompletedNCT02385318Updated Nov 2, 2021Results posted

To Compare Safety and Efficacy of Perrigo's Drug Product Compared to an FDA Approved Drug Product in the Treatment of Actinic Keratosis

A Phase 3 interventional study of Ingenol Mebutate (Perrigo) and Ingenol Mebutate (Reference) in Actinic Keratosis, sponsored by Padagis LLC. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-11-02.

Sponsored by Padagis LLC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
519
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to compare safety and efficacy of Perrigo's drug product compared to an FDA approved drug product in the treatment of actinic keratosis.

02

Conditions studied

  • Actinic Keratosis
03

In context

Keratosis, Actinic

364 studies on the registry are indexed under Keratosis, Actinic; 31 are open to participants now.

This study's enrollment of 519 is above the median of 60 across 315 interventional studies indexed under Keratosis, Actinic.

Browse Keratosis, Actinic studies →

Lead sponsor

Padagis LLC is the lead sponsor of 36 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

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

Inclusion criteria

  1. Provide written informed consent/assent
  2. Healthy male or non-pregnant females, >18 years old
  3. Subjects must have clinical diagnosis of actinic keratosis
  4. Subjects must be in general good health and free from any clinically significant disease that might interfere with the study evaluations in the opinion of the investigator
  5. Subjects must be willing to refrain from using non-approved products on the targeted treatment area during the study period.
  6. Subjects should be willing to refrain from using any type of bandage or dressing on the treatment area or apply the gel to open skin wounds, infections, or exfoliative dermatitis.
  7. Subjects must be willing and able to comply with the requirements of the study for the duration of the study period.
  8. Females of childbearing potential willing to use an acceptable form of birth control

Exclusion criteria

Exclusion

  1. Females who are pregnant, nursing, or planning a pregnancy within the study participation period
  2. Subjects who are immunocompromised or HIV positive or who have any immune-system disorders including auto-immune disease
  3. Subjects who have or had an active herpes infection within 14 days prior to the baseline visit
  4. Subjects who have any evidence of carcinoma or any other cancer on the face and scalp
  5. Presence of an incompletely healed wound within the treatment area or within 5cm of the treatment area
  6. Presence of any skin condition in the treatment area that may be made worse by treatment with the study medication
  7. Subjects who have used a tanning salon, tanning booth, sunbathing or have excessive prolonged exposure to the sun 7 days prior to Visit 1/Day 1 (baseline) or planned throughout the study
  8. Subjects who plan to use artificial tanners within 5cm of the selected treatment area throughout the study
  9. Use of NSAIDs within 7 days from Visit 1/Day 1 (Baseline) or initiation during the trial.
  10. Subjects who had select cosmetic or therapeutic procedures within 2cm of the selected treatment area and within 14 days of Visit 1/Day 1 (baseline) or within 10cm of the selected treatment area planned anytime during the study.
  11. Subjects who have had or are scheduling elective surgery within 1 month before or after the study period
  12. Prior use within 30 days of Visit 1/ Day 1 (baseline) or planned use during the study of immunomodulators, immunosuppressive therapies, interferon, interferon inducers, systemic corticosteroids, and cytotoxic drugs
  13. Subjects undergoing treatment or received treatment within 8 weeks of Visit 1/Day 1 (baseline) and within 2cm of the selected area or planned during anytime in the study of: 5-FU, imiquimod, diclofenac, photodynamic therapy used in combination with photosensitizing cream.
  14. Subjects who used PUVA or UVB therapy on the face or scalp within 6 months prior to Visit 1/Day 1 (baseline) or are planning to receive PUVA therapy, UVB therapy, or nonprescription UV light sources anywhere on the body during the study.
  15. Subjects who have taken systemic chemotherapy medications within the last 6 months prior to Visit 1/Day 1 (baseline) or planned use anytime during the study.
  16. Subjects who have undergone resurfacing procedures within the last 6 months prior to Visit 1/Day 1 (baseline) or planned use anytime during the study.
  17. Subjects who have been treated within 1 month or planning to receive treatment with systemic retinoids, hyaluronic acid, other medicated actinic keratosis therapy, or topical steroids anywhere on the head during the study.
  18. Subject who have a history of hypersensitivity or allergy to any ingredient in the drug product.
  19. Use of medicated make-up in the treatment area or significant change in the use of consumer products within 30 days of Visit 1/Day 1 (baseline) and planned use or change throughout the study.
  20. Start or change of dose of hormonal treatment within the past 3 months (90 days) or planned start/change throughout the study.
  21. Subject consumes excessive alcohol, abuses drugs, or has a condition that could compromise the subject's ability to comply with study requirements
  22. Participation in any clinical study involving an investigational product, agent, or device in the 30 days prior to Visit 1/Day 1 (baseline) or throughout the study
  23. Subjects who have been previously enrolled in this study
  24. Employee of the research center or private practice
  25. Subjects who in the opinion of the investigator are unlikely to be able to follow the restrictions of the protocol and complete the study
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
519 participants (actual)

Study arms

  • Experimental
    Test Product

    Ingenol Mebutate

    Drug: Ingenol Mebutate (Perrigo)

  • Active comparator
    Reference product

    Ingenol Mebutate

    Drug: Ingenol Mebutate (Reference)

  • Placebo comparator
    Placebo product

    Placebo gel

    Drug: Placebo gel

Interventions

  • DrugIngenol Mebutate (Perrigo)

    Also known as: Perrigo product

  • DrugIngenol Mebutate (Reference)

    Also known as: Reference Listed Drug Product

  • DrugPlacebo gel
06

What researchers measure

Primary outcomes

  1. Number of Participants With Complete Clearance (Absence) of Actinic Keratosis Lesions as Determined by Visual Inspection of the Investigator

    Time frame: Day 57

07

Results

Posted Jan 22, 2021

Participant flow

Participant flow — Overall Study
MilestoneTest ProductReference ProductPlacebo Product
Started204210105
Completed20020399
Not completed476

Outcome measures

PrimaryNumber of Participants With Complete Clearance (Absence) of Actinic Keratosis Lesions as Determined by Visual Inspection of the Investigator
Time frame:
Day 57
Reported as:
Count of participants · Participants
Number of Participants With Complete Clearance (Absence) of Actinic Keratosis Lesions as Determined by Visual Inspection of the Investigator
ParticipantsTest ProductReference ProductPlacebo Product
Number of Participants With Complete Clearance (Absence) of Actinic Keratosis Lesions as Determined by Visual Inspection of the Investigator817610
Statistical analysis
  • Test Product vs Reference Product · Yates correction · Equivalence ratio: 1.11 · 90% CI -4.38 to 14.44

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Test Product1/204 (0.5%)4/204 (2%)11/204 (5.4%)
Reference Product0/210 (0%)1/210 (0.5%)14/210 (6.7%)
Placebo Product0/105 (0%)1/105 (1%)0/105 (0%)
Most frequent serious events
Most frequent serious events
EventTest ProductReference ProductPlacebo Product
Acute Sigmoid Diverticulitis/ColitisInfections and infestations0/2040/2101/105
Sudden Death, Probable Myocardial InfarctionCardiac disorders1/2040/2100/105
SepsisInfections and infestations1/2040/2100/105
Left Breast CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/2040/2100/105
Worsening of Right Hip OsteoarthritisMusculoskeletal and connective tissue disorders1/2040/2100/105
Acute Gastroenteritis/Food PoisoningInfections and infestations0/2041/2100/105
Most frequent other events
Most frequent other events
EventTest ProductReference ProductPlacebo Product
APPLICATION SITE PAINGeneral disorders11/20414/2100/105
APPLICATION SITE PruritusGeneral disorders7/20411/2100/105

Baseline characteristics

Age, Continuous
Age, Continuous(years)Test ProductReference ProductPlacebo ProductTotal
Mean67.6 ± 9.6667.9 ± 9.9168.4 ± 9.6767.9 ± 9.75
Sex: Female, Male
Sex: Female, Male(Participants)Test ProductReference ProductPlacebo ProductTotal
Female435418115
Male16115687404
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Test ProductReference ProductPlacebo ProductTotal
Hispanic or Latino62513
Not Hispanic or Latino198208100506
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Test ProductReference ProductPlacebo ProductTotal
American Indian or Alaska Native0101
Asian0101
Native Hawaiian or Other Pacific Islander0011
Black or African American0000
White203207104514
More than one race0000
Unknown or Not Reported1102
08

Study locations

No study locations are listed for this record.

09

References and documents

Study documents

  • Study protocol · Apr 15, 2015
  • Statistical analysis plan · Apr 15, 2015

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02385318
Lead sponsor
Padagis LLC
Responsible party
Sponsor
First posted
Mar 11, 2015
Start date
Feb 2015
Primary completion
Dec 2015
Completion
Dec 2015
Results posted
Jan 22, 2021
Last update
Nov 2, 2021

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion