ClinicalTrials.gg
CompletedNCT02530294Updated Aug 25, 2021Results posted

Study of Glycopyrronium in Subjects With Axillary Hyperhidrosis

A Phase 3 interventional study of glycopyrronium Topical Wipes and Vehicle in Hyperhidrosis, sponsored by Journey Medical Corporation. Completed at 20 sites in United States. 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
353
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 353 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
353 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 Axillary Sweating Daily Diary (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: Baseline - Week 4

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

    Time frame: From Baseline to 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.

    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
Started234119
Completed218113
Not completed166

Outcome measures

PrimaryPercentage of Subjects Who Have a ≥4-point Improvement in the Weekly Mean Score of Axillary Sweating Daily Diary (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 Axillary Sweating Daily Diary (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 Axillary Sweating Daily Diary (ASDD) Item #2 From Baseline at Week 466.126.9
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:
Baseline - 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 4-115.43 ± 66.511-81.20 ± 66.714
Statistical analysis
  • Glycopyrronium vs Vehicle · ANCOVA · p = <0.001Ranked 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 4-78.77 (-143.97 to -45.48)-57.94 (-121.85 to -21.16)
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.

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 461.627.8
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 477.353.3
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
Glycopyrronium0/232 (0%)1/232 (0.4%)101/232 (43.5%)
Vehicle0/118 (0%)0/118 (0%)22/118 (18.6%)
Most frequent serious events
Most frequent serious events
EventGlycopyrroniumVehicle
DehydrationMetabolism and nutrition disorders1/2320/118
Most frequent other events
Most frequent other events
EventGlycopyrroniumVehicle
Dry MouthGastrointestinal disorders68/2329/118
Application site painGeneral disorders20/23211/118
Oropharyngeal painRespiratory, thoracic and mediastinal disorders17/2321/118
MydriasisEye disorders16/2320/118
HeadacheNervous system disorders13/2322/118

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)GlycopyrroniumVehicleTotal
<=18 years241539
Between 18 and 65 years210104314
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)GlycopyrroniumVehicleTotal
Female12160181
Male11359172
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)GlycopyrroniumVehicleTotal
Hispanic or Latino281543
Not Hispanic or Latino206104310
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)GlycopyrroniumVehicleTotal
American Indian or Alaska Native202
Asian101
Native Hawaiian or Other Pacific Islander000
Black or African American281442
White192102294
More than one race11314
Unknown or Not Reported000
08

Study locations

20 sites
  • Northwest Arkansas Clinical Trials Center, PLLC
    Rogers, Arkansas 72758, United States
  • Dermatology Research Associates
    Los Angeles, California 90045, United States
  • Clinical Science Institute
    Santa Monica, California 90404, United States
  • Colorado Medical Research Center, Inc.
    Denver, Colorado 80210, United States
  • Shideler Clinical Research Center
    Carmel, Indiana 46032, United States
  • Lawrence J Green, MD LLC
    Rockville, Maryland 20850, United States
  • Zel Skin & Laser Specialist
    Edina, Minnesota 55424, United States
  • MediSearch Clinical Trials
    Saint Joseph, Missouri 64506, United States
  • Clinical Studies Group, LLC
    Henderson, Nevada 89044, United States
  • Academic Dermatology Associates
    Albuquerque, New Mexico 87106, United States
  • Schweiger Dermatology Group
    New York, New York 10022, United States
  • Skin Search of Rochester, Inc.
    Rochester, New York 14623, United States
  • Oregon Dermatology and Research Center
    Portland, Oregon 97210, United States
  • Clinical Research Associates, Inc.
    Nashville, Tennessee 37203, United States
  • Modern Research Associates
    Dallas, Texas 75231, United States
  • The University of Texas Dermatology Clinical Research Center
    Houston, Texas 77030, United States
  • Dermatology Research Center, Inc.
    Salt Lake City, Utah 84117, United States
  • Jordan Valley Dermatology Center
    West Jordan, Utah 84088, United States
  • Dermatology Associates
    Seattle, Washington 98101, United States
  • Premier Clinical Research
    Spokane, Washington 99202, United States
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
NCT02530294
Lead sponsor
Journey Medical Corporation
Responsible party
Sponsor
First posted
Aug 21, 2015
Start date
Aug 2015
Primary completion
Apr 2016
Completion
Apr 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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