A Phase 3 interventional study of FMX103 minocycline foam 1.5% and Vehicle foam in Facial Papulopustular Rosacea, sponsored by Vyne Therapeutics Inc.. Completed at 46 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-01-07.
Sponsored by Vyne Therapeutics Inc. · Phase 3, Interventional, and Treatment
The primary objectives of this study are to determine the efficacy and safety of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea.
This is a randomized, multicenter, double-blind, vehicle-controlled, 2 arm study to evaluate the safety and efficacy of FMX103 topical foam containing 1.5% minocycline compared to vehicle, in the treatment of participants with moderate-to-severe facial papulopustular rosacea. Qualified participants will be randomized in a 2:1 ratio (active:vehicle) to receive 1 of the following 2 treatments:
Participants will be assigned to 1 of 2 treatments according to the randomization schedule. Participants will apply (or have applied) the study drug topically once daily for 12 weeks as directed. Participants will be advised to use the study drug at approximately the same time each day. Both the Investigator and participant will be blinded to the study drug identity. Participants will return for visits at Weeks 1, 4, 6, 8, 10, and 12. Efficacy evaluations (inflammatory lesion counts and Investigator's Global Assessment [IGA] score) will be performed at Weeks 4, 8, and 12 during the study.
Note: Originally the two studies FX2016-11 and FX2016-12 were combinedly presented in the protocol registration form under one NCT number (NCT03142451), and later separated since results were analyzed separately.
225 studies on the registry are indexed under Rosacea; 19 are open to participants now.
This study's enrollment of 771 is above the median of 61 across 195 interventional studies indexed under Rosacea.
Browse Rosacea studies →Vyne Therapeutics Inc. is the lead sponsor of 32 studies on the registry; none are open to participants now.
Of its 22 completed or terminated interventional studies of FDA-regulated products, 13 (59%) have results posted.
Counted across the registry records on this site, refreshed daily.
Moderate-to-severe rosacea (as per the IGA score) on the proposed facial treatment area consisting of:
Exclusion Criteria:
Participants will apply the assigned FMX103 minocycline foam 1.5% topically once daily for 12 weeks as directed.
Drug: FMX103 minocycline foam 1.5%
Participants will apply the assigned vehicle foam topically once daily for 12 weeks as directed.
Drug: Vehicle foam
Dosage form description: Foam containing minocycline HCl 1.5%. Once daily application of a sufficient amount of foam to cover the entire face. Estimated maximum is 0.5 g of drug product containing 7.5 mg (1.5% active) of minocycline. Participants will apply a small amount of the drug as a thin layer over all areas of the face. Participants should apply the drug at approximately the same time each day, about 1 hour before bedtime.
Dosage form description: Foam containing minocycline vehicle foam. Once daily application of a sufficient amount of foam to cover the entire face. Estimated maximum is 0.5 g of drug product containing 0.0 mg (vehicle) of minocycline. Participants will apply a small amount of the drug as a thin layer over all areas of the face. Participants should apply the drug at approximately the same time each day, about 1 hour before bedtime.
The Absolute Change From Day 0/Baseline in the Inflammatory Lesion Count at Week 12
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. Lesion counts included the number of papules, pustules, and nodules. Change from Baseline was calculated as the value at Baseline minus the post-Baseline value. Thus, a positive change reflects a reduction in lesion count.
Time frame: Baseline and Week 12
Percentage of Participants Achieving Investigator Global Assessments (IGA) Treatment Success at Week 12
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. The Investigator assessed the global severity of rosacea using the IGA scale. The scale ranges from 0 (Clear): No inflammatory papules or pustules to 4 (Severe): Many inflammatory papules or pustules, and up to 2 nodules. Higher scores indicated severe outcome. Treatment success was defined as an IGA score of 0 (clear) or 1 (almost clear), and at least a 2-step improvement (decrease) from Day 0/Baseline.
Time frame: Week 12
Percentage of Participants Achieving IGA Treatment Success of at Least 2 Grades at Week 12
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. The Investigator assessed the global severity of rosacea using the IGA scale. The scale ranges from 0 (Clear): No inflammatory papules or pustules to 4 (Severe): Many inflammatory papules or pustules, and up to 2 nodules. Higher scores indicated severe outcome. Treatment success was defined as a 2-grade improvement (decrease) in score at Week 12 compared to Day 0/Baseline.
Time frame: Week 12
The Percent Change From Day 0/Baseline in Inflammatory Lesion Count at Week 12
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. Lesion counts included the number of papules, pustules, and nodules.
Time frame: Baseline and Week 12
The Absolute Change From Day 0/Baseline in the Inflammatory Lesion Counts at Week 4 and Week 8
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. Lesion counts included the number of papules, pustules, and nodules. Change from Baseline was calculated as the value at Baseline minus the post-Baseline value. Thus, a positive change reflects a reduction in lesion count.
Time frame: Baseline, Week 4 and Week 8
Percentage of Participants Achieving IGA Treatment Success at Week 4 and Week 8
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. The Investigator assessed the global severity of rosacea using the IGA scale. The scale ranges from 0 (Clear): No inflammatory papules or pustules to 4 (Severe): Many inflammatory papules or pustules, and up to 2 nodules. Higher scores indicated severe outcome. Treatment success was defined as an IGA score of 0 (clear) or 1 (almost clear), and at least a 2-grade improvement (decrease) from Day 0/Baseline.
Time frame: Week 4 and Week 8
Number of Participants With Adverse Events (AEs)
To evaluate the tolerability and safety of topical minocycline foam applied once daily for 12 weeks. A Treatment-emergent adverse events (TEAE) was defined as any AE with an onset date on or after the first application of study drug, and before to the last application of study drug plus 3 days, having been absent pre-treatment or worsening relative to the pre-treatment state.
Time frame: From Day 0/Baseline until the Safety Follow-up (4 weeks after Week 12 [Final Visit])
Participants were enrolled at 46 sites in the United States from 01 June 2017 - 31 July 2018.
| Milestone | FMX103 1.5% | Vehicle Foam |
|---|---|---|
| Started | 514 | 257 |
| Completed | 479 | 239 |
| Not completed | 35 | 18 |
| Withdrew: Adverse event | 2 | 0 |
| Withdrew: Lost to follow-up | 15 | 9 |
| Withdrew: Participant request | 11 | 7 |
| Withdrew: Protocol violation | 1 | 0 |
| Withdrew: Other | 6 | 2 |
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. Lesion counts included the number of papules, pustules, and nodules. Change from Baseline was calculated as the value at Baseline minus the post-Baseline value. Thus, a positive change reflects a reduction in lesion count.
| Lesions | FMX103 1.5% | Vehicle Foam |
|---|---|---|
| The Absolute Change From Day 0/Baseline in the Inflammatory Lesion Count at Week 12 | 18.38 ± 0.508 | 14.53 ± 0.715 |
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. The Investigator assessed the global severity of rosacea using the IGA scale. The scale ranges from 0 (Clear): No inflammatory papules or pustules to 4 (Severe): Many inflammatory papules or pustules, and up to 2 nodules. Higher scores indicated severe outcome. Treatment success was defined as an IGA score of 0 (clear) or 1 (almost clear), and at least a 2-step improvement (decrease) from Day 0/Baseline.
| Percentage of participants | FMX103 1.5% | Vehicle Foam |
|---|---|---|
| Percentage of Participants Achieving Investigator Global Assessments (IGA) Treatment Success at Week 12 | 49.1 | 39.0 |
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. The Investigator assessed the global severity of rosacea using the IGA scale. The scale ranges from 0 (Clear): No inflammatory papules or pustules to 4 (Severe): Many inflammatory papules or pustules, and up to 2 nodules. Higher scores indicated severe outcome. Treatment success was defined as a 2-grade improvement (decrease) in score at Week 12 compared to Day 0/Baseline.
| Percentage of participants | FMX103 1.5% | Vehicle Foam |
|---|---|---|
| Percentage of Participants Achieving IGA Treatment Success of at Least 2 Grades at Week 12 | 53.8 | 45.1 |
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. Lesion counts included the number of papules, pustules, and nodules.
| Percent change | FMX103 1.5% | Vehicle Foam |
|---|---|---|
| The Percent Change From Day 0/Baseline in Inflammatory Lesion Count at Week 12 | 61.45 ± 1.578 | 50.16 ± 2.221 |
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. Lesion counts included the number of papules, pustules, and nodules. Change from Baseline was calculated as the value at Baseline minus the post-Baseline value. Thus, a positive change reflects a reduction in lesion count.
| Lesions | FMX103 1.5% | Vehicle Foam |
|---|---|---|
| Week 4 | 12.67 ± 0.484 | 8.29 ± 0.678 |
| Week 8 | 17.15 ± 0.471 | 12.08 ± 0.649 |
To determine the efficacy of FMX103 1.5% minocycline foam applied topically once daily for 12 weeks in the treatment of rosacea. The Investigator assessed the global severity of rosacea using the IGA scale. The scale ranges from 0 (Clear): No inflammatory papules or pustules to 4 (Severe): Many inflammatory papules or pustules, and up to 2 nodules. Higher scores indicated severe outcome. Treatment success was defined as an IGA score of 0 (clear) or 1 (almost clear), and at least a 2-grade improvement (decrease) from Day 0/Baseline.
| Percentage of participants | FMX103 1.5% | Vehicle Foam |
|---|---|---|
| Week 4 | 16.7 | 9.7 |
| Week 8 | 40.3 | 30.7 |
To evaluate the tolerability and safety of topical minocycline foam applied once daily for 12 weeks. A Treatment-emergent adverse events (TEAE) was defined as any AE with an onset date on or after the first application of study drug, and before to the last application of study drug plus 3 days, having been absent pre-treatment or worsening relative to the pre-treatment state.
| Participants | FMX103 1.5% | Vehicle Foam |
|---|---|---|
| All adverse events | 134 | 71 |
| TEAEs | 124 | 67 |
| Serious TEAEs (Serious AEs [SAEs]) | 1 | 2 |
| Participants with any severe TEAE | 2 | 2 |
| Treatment-related TEAEs | 13 | 6 |
| Adverse events leading to study discontinuation | 2 | 0 |
| TEAEs resulting in death | 0 | 0 |
Collected over From Day 0/Baseline until the Safety Follow-up (4 weeks after Week 12 [Final Visit]). Non-serious events are listed at a 2% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| FMX103 1.5% | 0/514 (0%) | 1/514 (0.2%) | 39/514 (7.6%) |
| Vehicle Foam | 0/257 (0%) | 2/257 (0.8%) | 22/257 (8.6%) |
| Event | FMX103 1.5% | Vehicle Foam |
|---|---|---|
| AsthmaRespiratory, thoracic and mediastinal disorders | 0/514 | 1/257 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 0/514 | 1/257 |
| PyrexiaGeneral disorders | 0/514 | 1/257 |
| HypertensionVascular disorders | 1/514 | 0/257 |
| Event | FMX103 1.5% | Vehicle Foam |
|---|---|---|
| Upper respiratory tract infectionInfections and infestations | 15/514 | 8/257 |
| Viral upper respiratory tract infectionInfections and infestations | 14/514 | 8/257 |
| HeadacheNervous system disorders | 11/514 | 6/257 |
| Age, Continuous(years) | FMX103 1.5% | Vehicle Foam | Total |
|---|---|---|---|
| Mean | 50.9 ± 13.90 | 50.9 ± 13.49 | 50.9 ± 13.75 |
| Sex: Female, Male(Participants) | FMX103 1.5% | Vehicle Foam | Total |
|---|---|---|---|
| Female | 365 | 168 | 533 |
| Male | 149 | 89 | 238 |
| Ethnicity (NIH/OMB)(Participants) | FMX103 1.5% | Vehicle Foam | Total |
|---|---|---|---|
| Hispanic or Latino | 166 | 86 | 252 |
| Not Hispanic or Latino | 348 | 171 | 519 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | FMX103 1.5% | Vehicle Foam | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 2 | 2 |
| Asian | 5 | 2 | 7 |
| Native Hawaiian or Other Pacific Islander | 0 | 1 | 1 |
| Black or African American | 7 | 1 | 8 |
| White | 499 | 250 | 749 |
| More than one race | 2 | 0 | 2 |
| Unknown or Not Reported | 1 | 1 | 2 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: No
This study is completed, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions 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.
Vyne Therapeutics Inc.