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CompletedNCT03522441Updated Oct 5, 2020Results posted

Bioequivalence Study of Clindamycin Gel 1% in Treatment of Acne Vulgaris

A Phase 3 interventional study of Clindamycin 1% Gel and Placebo in Acne Vulgaris, sponsored by Akorn, Inc.. Completed at 12 sites in 2 countries. Open to participants aged 12 Years to 40 Years. Per ClinicalTrials.gov, last updated 2020-10-05.

Sponsored by Akorn, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
1,125
Allocation
Randomized
Ages
12 Years to 40 Years
Sex
All
01

Study summary

This is a randomized, double-blind, multiple-site, placebo-controlled, parallel-group study, designed to compare the efficacy and safety of generic Clindamycin 1% gel (Akorn), and the marketed product Clindamycin 1% gel (Greenstone LLC) in the treatment of acne vulgaris.

02

Conditions studied

  • Acne Vulgaris

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03

Who can participate

Ages eligible
12 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

IInclusion Criteria:

  • Male or non-pregnant, non-lactating female, ≥12 and ≤40 years of age with a clinical diagnosis of acne vulgaris.
  • Have facial acne with: ≥20 facial inflammatory lesions (papules and pustules) and ≥25 non-inflammatory lesions (open and closed comedones), and ≤2 nodulocystic lesions (nodules and cysts) and have an IGA score of 2, 3 or 4.

Exclusion Criteria:

  • Subject has more than 2 facial nodular lesions; any nodules present will be documented but not included in the inflammatory lesion count for analysis.
  • Subject has active cystic acne.
  • Subject has acne conglobata.
  • Subjects with excessive facial hair such as beards, sideburns, moustaches, etc. that would interfere with the diagnosis or assessment of acne.
04

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
1,125 participants (actual)

Study arms

  • Experimental
    Clindamycin 1% gel (Akorn Pharmaceuticals)

    Drug: Clindamycin 1% Gel

  • Active comparator
    Clindamycin 1% gel (Greenstone LLC)

    Drug: Clindamycin 1% Gel

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugClindamycin 1% Gel

    Topical gel

  • DrugPlacebo

    Topical Placebo gel

05

What researchers measure

Primary outcomes

  1. Percent Change in the Number of Inflamed Lesions (Papules/Pustules)- Time Frame: Baseline to 12 Weeks

    Time frame: Percent change from baseline to 12 weeks

  2. Percent Change in the Non-inflammatory (Open and Closed Comedones) Lesion Counts - Change in Baseline to 12 Week

    Time frame: Percent change in baseline to 12 weeks

06

Results

Posted Oct 5, 2020

Participant flow

Participant flow — Overall Study
MilestoneClindamycin 1% Gel (Akorn Pharmaceuticals)Clindamycin 1% Gel (Greenstone LLC)Placebo
Started450450225
Completed424431214
Not completed261911

Outcome measures

PrimaryPercent Change in the Number of Inflamed Lesions (Papules/Pustules)- Time Frame: Baseline to 12 Weeks
Time frame:
Percent change from baseline to 12 weeks
Reported as:
Mean · % mean change from baseline
Percent Change in the Number of Inflamed Lesions (Papules/Pustules)- Time Frame: Baseline to 12 Weeks
% mean change from baselineClindamycin 1% Gel (Akorn Pharmaceuticals)Clindamycin 1% Gel (Greenstone LLC)Placebo
Percent Change in the Number of Inflamed Lesions (Papules/Pustules)- Time Frame: Baseline to 12 Weeks-66.22 ± 28.002-72 ± 27.19-16.02 ± 34.238
PrimaryPercent Change in the Non-inflammatory (Open and Closed Comedones) Lesion Counts - Change in Baseline to 12 Week
Time frame:
Percent change in baseline to 12 weeks
Reported as:
Mean · percent change from baseline
Percent Change in the Non-inflammatory (Open and Closed Comedones) Lesion Counts - Change in Baseline to 12 Week
percent change from baselineClindamycin 1% Gel (Akorn Pharmaceuticals)Clindamycin 1% Gel (Greenstone LLC)Placebo
Percent Change in the Non-inflammatory (Open and Closed Comedones) Lesion Counts - Change in Baseline to 12 Week-50.45 ± 29.934-57.42 ± 25.709-46.07 ± 29.922

Adverse events

Collected over 6 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Clindamycin 1% Gel (Akorn Pharmaceuticals)0/450 (0%)0/450 (0%)0/450 (0%)
Clindamycin 1% Gel (Greenstone LLC)0/450 (0%)0/450 (0%)0/450 (0%)
Placebo0/225 (0%)0/225 (0%)0/225 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(year)Clindamycin 1% Gel (Akorn Pharmaceuticals)Clindamycin 1% Gel (Greenstone LLC)PlaceboTotal
Mean21.3 ± 7.3820.6 ± 6.7921.3 ± 7.0121.0 ± 7.08
Sex: Female, Male
Sex: Female, Male(Participants)Clindamycin 1% Gel (Akorn Pharmaceuticals)Clindamycin 1% Gel (Greenstone LLC)PlaceboTotal
Female16317788428
Male287273137697
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Clindamycin 1% Gel (Akorn Pharmaceuticals)Clindamycin 1% Gel (Greenstone LLC)PlaceboTotal
American Indian or Alaska Native0000
Asian7119
Native Hawaiian or Other Pacific Islander1001
Black or African American17317073416
White264274148686
More than one race55313
Unknown or Not Reported0000
07

Study locations

12 sites
  • Site 11
    Encino, California 91436, United States
  • Site 10
    Sherman Oaks, California 91403, United States
  • Site 1
    Brandon, Florida 33511, United States
  • Site 4
    Miramar, Florida 33027, United States
  • Site 5
    Miramar, Florida 33027, United States
  • Site 2
    Tampa, Florida 33069, United States
  • Site 3
    Tampa, Florida 33618, United States
  • Site 12
    High Point, North Carolina 27262, United States
  • Site 8
    El Paso, Texas 79902, United States
  • Site 9
    El Paso, Texas 79925, United States
  • Site 6
    Belize City, Belize
  • Site 7
    Belize City, Belize
08

References and documents

Study documents

  • Protocol and statistical analysis plan · Dec 23, 2018

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

Individual participant data

Plan to share: No

09

Registry details

Key details

Study ID
NCT03522441
Lead sponsor
Akorn, Inc.
Responsible party
Sponsor
First posted
May 11, 2018
Start date
Apr 27, 2018
Primary completion
Apr 22, 2019
Completion
Apr 22, 2019
Results posted
Oct 5, 2020
Last update
Oct 5, 2020

Oversight

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

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