ClinicalTrials.gg
CompletedNCT02530281Updated Aug 25, 2021Results posted

Study of Glycopyrronium in Axillary Hyperhydrosis

A Phase 3 interventional study of glycopyrronium Topical Wipes and Vehicle in Hyperhidrosis, sponsored by Journey Medical Corporation. Completed at 31 sites in 2 countries. Open to participants aged 9 Years and older. Per ClinicalTrials.gov, last updated 2021-08-25.

Sponsored by Journey Medical Corporation · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
344
Allocation
Randomized
Ages
9 Years and older
Sex
All
01

Study summary

The study is a randomized, double-blind, vehicle controlled, parallel group study, designed to assess the efficacy and safety of glycopyrronium topical wipes, once daily, compared to vehicle in subjects with axillary hyperhidrosis.

Read the detailed description

This is a randomized, double-blind vehicle controlled study to assess the efficacy and safety of glycopyrronium topical wipes compared to vehicle in subjects with axillary hyperhidrosis.

Safety will be assessed through lab tests, ECG, physical exams and vital signs.

02

Conditions studied

  • Hyperhidrosis

Browse trials for

03

In context

Hyperhidrosis

111 studies on the registry are indexed under Hyperhidrosis; 10 are open to participants now.

This study's enrollment of 344 is above the median of 50 across 99 interventional studies indexed under Hyperhidrosis.

Browse Hyperhidrosis studies →

Lead sponsor

Journey Medical Corporation is the lead sponsor of 10 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

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

04

Who can participate

Ages eligible
9 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

  • Male or female ≥ 9 years of age.
  • Primary, axillary hyperhidrosis of at least 6 months duration
  • Hyperhidrosis Disease Severity Scale (HDSS) of 3 or 4 at Baseline
  • Axillary Sweating Daily Diary (ASDD) ≥ 4 at Baseline
  • Sweat production of at least 50 mg over 5 minutes in each axilla assessed gravimetrically

Exclusion criteria

Exclusion Criteria:

  • Prior surgical procedure for hyperhidrosis.
  • Prior axillary treatment with an anti-hyperhidrosis medical device (approved or ).
  • Prior treatment with botulinum toxin (e.g., Botox®) for axillary hyperhidrosis within 1 year of Baseline/Day 1.
  • Previous active treatment in the Dermira DRM04-HH01 or DRM04-HH02 clinical trials.
  • Axillary use of nonprescription antiperspirants within 1 week or prescription antiperspirants within 2 weeks of Baseline.
  • Subjects on new or regimens of psychotherapeutic medications that have changed within 2 months of baseline.
  • Treatment with systemic anticholinergics within 4 weeks of the baseline visit unless dosing has been stable for at least 4 months.
  • Other treatment with glycopyrrolate within 4 weeks prior to Baseline.
  • Secondary axillary hyperhidrosis or presence of a condition that may cause secondary hyperhidrosis.
  • History of Sjögren's syndrome or Sicca syndrome.
  • History of glaucoma, inflammatory bowel disease, toxic megacolon, or febrile illness.
  • Men with a history of urinary retention requiring catheterization due to prostatic hypertrophy or severe obstructive symptoms of prostatic hypertrophy.
  • History or presence of ventricular arrhythmias, atrial fibrillation, atrial flutter.
  • Other systemic diseases or active uncontrolled infections, or any other condition which, in the judgment of the Investigator, would put the subject at unacceptable risk for participation in the study.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    glycopyrronium

    glycopyrronium Topical Wipes

    Drug: glycopyrronium Topical Wipes

  • Placebo comparator
    Vehicle

    glycopyrronium Topical Wipes, Vehicle

    Other: Vehicle

Interventions

  • Drugglycopyrronium Topical Wipes

    Topical wipes containing glycopyrronium

    Also known as: DRM04

  • OtherVehicle

    Vehicle (placebo) topical wipes

06

What researchers measure

Primary outcomes

  1. Percentage of Subjects Who Have a ≥4-point Improvement in the Weekly Mean Score of ASDD Item #2 From Baseline at Week 4

    The Axillary Sweating Daily Diary (ASDD) is a 4-item instrument designed to measure the severity of axillary hyperhidrosis and its impact on daily activities. The 4 Items are: 1. During the past 24 hours, did you have any underarm sweating? (Yes or No) 2. During the past 24 hours, how would you rate your underarm sweating at its worst? (0=No sweating at all, 1, 2,..., 10=Worst possible sweating) 3. During the past 24 hours, to what extent did your underarm sweating impact your activities? (0=Not at all, 1=A little bit, 2=A moderate amount, 3=A great deal and 4=An extreme amount) 4. During the past 24 hours, how bothered were you by your underarm sweating? (0=Not at all bothered, 1=A little bothered, 2=Moderately bothered, 3=Very bothered, 4=Extremely bothered)

    Time frame: From Baseline to Week 4

  2. Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4

    Subjects are acclimated to the environment for 30 minutes. Dry gauze is weighed. The dry gauze is then applied to the subject's axilla with the arm down by the subject's side or on their lap during the 5-minute period of sweat production. The gauze with the sweat is then weighed. The difference between the Weight of the gauze with sweat and the dry gauze is the gravimetric sweat measurement in mg/5min.

    Time frame: From Baseline to Week 4

  3. Median Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4

    Time frame: From Baseline to Week 4

  4. Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4, Excluding Centers With Outlier Data

    Time frame: Baseline - Week 4

Secondary outcomes

  1. Percentage of Subjects Who Have a ≥2 Grade Improvement in Hyperhidrosis Disease Severity Scale (HDSS) From Baseline at Week 4

    Hyperhidrosis Disease Severity Scale (HDSS) is a disease specific diagnostic tool that provides a qualitative measure of the severity of the subjects' condition based on how it affects daily activities. 1 (Best), 2, 3, 4 (Worst)

    Time frame: From Baseline to Week 4

  2. Percentage of Subjects Who Have at Least a 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 4

    Time frame: From Baseline to Week 4

07

Results

Posted Aug 14, 2018

Participant flow

Participant flow — Overall Study
MilestoneGlycopyrroniumVehicle
Started229115
Completed208112
Not completed213

Outcome measures

PrimaryPercentage of Subjects Who Have a ≥4-point Improvement in the Weekly Mean Score of ASDD Item #2 From Baseline at Week 4

The Axillary Sweating Daily Diary (ASDD) is a 4-item instrument designed to measure the severity of axillary hyperhidrosis and its impact on daily activities. The 4 Items are: 1. During the past 24 hours, did you have any underarm sweating? (Yes or No) 2. During the past 24 hours, how would you rate your underarm sweating at its worst? (0=No sweating at all, 1, 2,..., 10=Worst possible sweating) 3. During the past 24 hours, to what extent did your underarm sweating impact your activities? (0=Not at all, 1=A little bit, 2=A moderate amount, 3=A great deal and 4=An extreme amount) 4. During the past 24 hours, how bothered were you by your underarm sweating? (0=Not at all bothered, 1=A little bothered, 2=Moderately bothered, 3=Very bothered, 4=Extremely bothered)

Time frame:
From Baseline to Week 4
Reported as:
Number · percent of subjects
Percentage of Subjects Who Have a ≥4-point Improvement in the Weekly Mean Score of ASDD Item #2 From Baseline at Week 4
percent of subjectsGlycopyrroniumVehicle
Percentage of Subjects Who Have a ≥4-point Improvement in the Weekly Mean Score of ASDD Item #2 From Baseline at Week 452.828.3
Statistical analysis
  • Glycopyrronium vs Vehicle · Cochran-Mantel-Haenszel · p = <0.001
PrimaryMean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4

Subjects are acclimated to the environment for 30 minutes. Dry gauze is weighed. The dry gauze is then applied to the subject's axilla with the arm down by the subject's side or on their lap during the 5-minute period of sweat production. The gauze with the sweat is then weighed. The difference between the Weight of the gauze with sweat and the dry gauze is the gravimetric sweat measurement in mg/5min.

Time frame:
From Baseline to Week 4
Reported as:
Least squares mean · mg/5 min
Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4
mg/5 minGlycopyrroniumVehicle
Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4-102.00 ± 176.136-100.34 ± 172.276
Statistical analysis
  • Glycopyrronium vs Vehicle · ANCOVA · p = =0.065Ranked ANCOVA
PrimaryMedian Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4
Time frame:
From Baseline to Week 4
Reported as:
Median · mg/5 min
Median Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4
mg/5 minGlycopyrroniumVehicle
Median Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4-80.79 (-148.78 to -40.15)-65.81 (-105.67 to -27.65)
Statistical analysis
  • Glycopyrronium vs Vehicle · ANCOVA · p = =0.065Ranked ANCOVA
PrimaryMean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4, Excluding Centers With Outlier Data
Time frame:
Baseline - Week 4
Reported as:
Least squares mean · mg/5 min
Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4, Excluding Centers With Outlier Data
mg/5 minGlycopyrroniumVehicle
Mean Absolute Change From Baseline in Gravimetrically-measured Sweat Production at Week 4, Excluding Centers With Outlier Data-100.56 ± 98.151-88.08 ± 95.695
Statistical analysis
  • Glycopyrronium vs Vehicle · ANCOVA · p = =0.001Ranked ANCOVA
SecondaryPercentage of Subjects Who Have a ≥2 Grade Improvement in Hyperhidrosis Disease Severity Scale (HDSS) From Baseline at Week 4

Hyperhidrosis Disease Severity Scale (HDSS) is a disease specific diagnostic tool that provides a qualitative measure of the severity of the subjects' condition based on how it affects daily activities. 1 (Best), 2, 3, 4 (Worst)

Time frame:
From Baseline to Week 4
Reported as:
Number · percent of subjects
Percentage of Subjects Who Have a ≥2 Grade Improvement in Hyperhidrosis Disease Severity Scale (HDSS) From Baseline at Week 4
percent of subjectsGlycopyrroniumVehicle
Percentage of Subjects Who Have a ≥2 Grade Improvement in Hyperhidrosis Disease Severity Scale (HDSS) From Baseline at Week 456.523.7
Statistical analysis
  • Glycopyrronium vs Vehicle · Cochran-Mantel-Haenszel · p = <0.001
SecondaryPercentage of Subjects Who Have at Least a 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 4
Time frame:
From Baseline to Week 4
Reported as:
Number · percent of subjects
Percentage of Subjects Who Have at Least a 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 4
percent of subjectsGlycopyrroniumVehicle
Percentage of Subjects Who Have at Least a 50% Reduction in Gravimetrically Measured Sweat Production From Baseline at Week 472.453.2
Statistical analysis
  • Glycopyrronium vs Vehicle · Cochran-Mantel-Haenszel · p = <0.001

Adverse events

Collected over up to 35 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Glycopyrronium0/227 (0%)1/227 (0.4%)68/227 (30%)
Vehicle0/114 (0%)0/114 (0%)16/114 (14%)
Most frequent serious events
Most frequent serious events
EventGlycopyrroniumVehicle
unilateral mydriasisEye disorders1/2270/114
Most frequent other events
Most frequent other events
EventGlycopyrroniumVehicle
Dry MouthGastrointestinal disorders43/2274/114
Application Site PainGeneral disorders20/22711/114
MydriasisEye disorders14/2270/114
Application Site PruritisGeneral disorders4/2276/114

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)GlycopyrroniumVehicleTotal
<=18 years241034
Between 18 and 65 years204101305
>=65 years145
Sex: Female, Male
Sex: Female, Male(Participants)GlycopyrroniumVehicleTotal
Female13060190
Male9955154
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)GlycopyrroniumVehicleTotal
Hispanic or Latino462369
Not Hispanic or Latino18392275
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)GlycopyrroniumVehicleTotal
American Indian or Alaska Native202
Asian404
Native Hawaiian or Other Pacific Islander022
Black or African American311647
White18294276
More than one race10313
Unknown or Not Reported000
08

Study locations

31 sites
  • Coastal Clinical Research, Inc.
    Mobile, Alabama 36608, United States
  • California Dermatology & Clinical Research Institute
    Encinitas, California 92024, United States
  • Therapeutics Clinical Research
    San Diego, California 92123, United States
  • Skin Care Research, Inc.
    Boca Raton, Florida 33486, United States
  • Study Protocol, Inc.
    Boynton Beach, Florida 33437, United States
  • International Dermatology Research, Inc.
    Miami, Florida 33144, United States
  • Tory Sullivan, M.D., P.A.
    North Miami Beach, Florida 33162, United States
  • Research Institute of the Southeast
    West Palm Beach, Florida 33401, United States
  • The Indiana Clinical Trials Center
    Plainfield, Indiana 46168, United States
  • Prairie Health and Wellness
    Wichita, Kansas 67226, United States
  • St. Louis University Dermatology
    Saint Louis, Missouri 63122, United States
  • Meridian Clinical Research
    Omaha, Nebraska 68134, United States
  • Dermatology and Laser Center
    Charleston, South Carolina 29414, United States
  • Rivergate Dermatology Clinical Research Center, PLLC
    Goodlettsville, Tennessee 37072, United States
  • DermResearch
    Austin, Texas 78759, United States
  • J&S Studies
    College Station, Texas 77845, United States
  • Austin Institute for Clinical Research
    Pflugerville, Texas 78860, United States
  • ACRC Trials / Innovative Dermatology
    Plano, Texas 75024, United States
  • Texas Dermatology and Laser Specialists
    San Antonio, Texas 78218, United States
  • Charlottesville Dermatology Research Center
    Charlottesville, Virginia 22911, United States
  • Virginia Clinical Research, Inc.
    Norfolk, Virginia 23507, United States
  • Klinik fur Dermatologie, Allergologie und Venerologie Allergie-Centrum-Charite
    Berlin, 10117, Germany
  • Pro DERMA im Hautzentrum Dulmen
    Dülmen, 48249, Germany
  • Medical Practice and Derma Study Center Friedrichshafen GmbH
    Friedrichshafen, 88045, Germany
  • SRH Wald-Klinikum Gera GmbH
    Gera, 07548, Germany
  • Hautarztpraxis
    Glückstadt, 25348, Germany
  • Tagesklinik DermaKiel
    Kiel, 24148, Germany
  • Dermatolosche Gemeinschaftspraxis
    Mahlow, 15831, Germany
  • Hautarztpraxis
    Pinneberg, 25421, Germany
  • Gemeinschaftspraxis Weber & Cranic
    Schweinfurt, 97421, Germany
  • Hautarztpraxis
    Stuttgart, 70499, Germany
09

References and documents

Publications

  • Hebert AA, Glaser DA, Green L, Hull C, Cather J, Drew J, Gopalan R, Pariser DM. Long-term efficacy and safety of topical glycopyrronium tosylate for the treatment of primary axillary hyperhidrosis: Post hoc pediatric subgroup analysis from a 44-week open-label extension study. Pediatr Dermatol. 2020 May;37(3):490-497. doi: 10.1111/pde.14135. Epub 2020 Mar 8. PubMed 32147881 ↗
  • Glaser DA, Hebert AA, Nast A, Werschler WP, Green L, Mamelok RD, Quiring J, Drew J, Pariser DM. A 44-Week Open-Label Study Evaluating Safety and Efficacy of Topical Glycopyrronium Tosylate in Patients with Primary Axillary Hyperhidrosis. Am J Clin Dermatol. 2019 Aug;20(4):593-604. doi: 10.1007/s40257-019-00446-6. PubMed 31111409 ↗
  • Pariser DM, Hebert AA, Drew J, Quiring J, Gopalan R, Glaser DA. Topical Glycopyrronium Tosylate for the Treatment of Primary Axillary Hyperhidrosis: Patient-Reported Outcomes from the ATMOS-1 and ATMOS-2 Phase III Randomized Controlled Trials. Am J Clin Dermatol. 2019 Feb;20(1):135-145. doi: 10.1007/s40257-018-0395-0. PubMed 30378087 ↗

Individual participant data

Plan to share: Undecided

10

Updates

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

Registry details

Key details

Study ID
NCT02530281
Lead sponsor
Journey Medical Corporation
Responsible party
Sponsor
First posted
Aug 21, 2015
Start date
Jul 2015
Primary completion
Mar 2016
Completion
Mar 2016
Results posted
Aug 14, 2018
Last update
Aug 25, 2021

Study contacts

Lynne M Deans, MT
study director · Dermira, Inc.

Oversight

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

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