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CompletedNCT04608500Updated Jan 7, 2021Results posted

A Study (Study 2) to Evaluate the Safety and Efficacy of FMX103 1.5% Topical Minocycline Foam in the Treatment of Facial Papulopustular Rosacea

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

From the registry’s dates

  • Registered 3 years 4 months after the study started (first participant enrolled Jun 2017, registered Oct 2020).
Phase
Phase 3
Study type
Interventional
Enrollment
771
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

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.

Read the detailed description

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:

  • FMX103 minocycline foam 1.5%
  • Vehicle foam

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.

02

Conditions studied

  • Facial Papulopustular Rosacea

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Keywords

  • Topical Minocycline Foam
  • 2-Arm study
  • Inflammatory lesion counts
  • Investigator's Global Assessment score
03

In context

Rosacea

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 →

Lead sponsor

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.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Moderate-to-severe rosacea (as per the IGA score) on the proposed facial treatment area consisting of:

    1. At least 15 and not more than 75 facial papules and pustules, excluding lesions involving the eyes and scalp;
    2. No more than 2 nodules on the face.
  2. Presence of or history of erythema and/or flushing on the face.

Exclusion criteria

Exclusion Criteria:

  1. Presence of any skin condition and/or Excessive facial hair, on the face that would interfere with the diagnosis or assessment of rosacea.
  2. Moderate or severe rhinophyma, dense telangiectasia (score 3, severe), or plaque-like facial edema.
  3. History of hypersensitivity or allergy to minocycline, any other tetracycline, or of any other component of the formulation.
  4. Active ocular rosacea (eg, conjunctivitis, blepharitis, or keratitis) of sufficient severity to require topical or systemic antibiotics.
05

Study design

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

Study arms

  • Experimental
    FMX103 1.5%

    Participants will apply the assigned FMX103 minocycline foam 1.5% topically once daily for 12 weeks as directed.

    Drug: FMX103 minocycline foam 1.5%

  • Placebo comparator
    Vehicle foam

    Participants will apply the assigned vehicle foam topically once daily for 12 weeks as directed.

    Drug: Vehicle foam

Interventions

  • DrugFMX103 minocycline foam 1.5%

    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.

  • DrugVehicle foam

    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.

06

What researchers measure

Primary outcomes

  1. 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

  2. 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

Secondary outcomes

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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])

07

Results

Posted Dec 16, 2020

Participant flow

Participants were enrolled at 46 sites in the United States from 01 June 2017 - 31 July 2018.

Participant flow — Overall Study
MilestoneFMX103 1.5%Vehicle Foam
Started514257
Completed479239
Not completed3518
Withdrew: Adverse event20
Withdrew: Lost to follow-up159
Withdrew: Participant request117
Withdrew: Protocol violation10
Withdrew: Other62

Outcome measures

PrimaryThe 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
Reported as:
Least squares mean · Lesions
The Absolute Change From Day 0/Baseline in the Inflammatory Lesion Count at Week 12
LesionsFMX103 1.5%Vehicle Foam
The Absolute Change From Day 0/Baseline in the Inflammatory Lesion Count at Week 1218.38 ± 0.50814.53 ± 0.715
Statistical analysis
  • FMX103 1.5% vs Vehicle Foam · ANCOVA · p = <0.0001 · Mean difference (final values): 3.85 · 95% CI 2.16 to 5.54Analysis of covariance (ANCOVA) model includes treatment, Baseline inflammatory lesion count, and analysis center.
PrimaryPercentage 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
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving Investigator Global Assessments (IGA) Treatment Success at Week 12
Percentage of participantsFMX103 1.5%Vehicle Foam
Percentage of Participants Achieving Investigator Global Assessments (IGA) Treatment Success at Week 1249.139.0
Statistical analysis
  • FMX103 1.5% vs Vehicle Foam · Cochran-Mantel-Haenszel · p = 0.0077 (The p-value is for the null hypothesis that the combined risk ratio equals 1.) · Risk ratio (rr): 1.263 · 95% CI 1.064 to 1.499Cochran-Mantel-Haenszel test stratified by analysis center.
SecondaryPercentage 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
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving IGA Treatment Success of at Least 2 Grades at Week 12
Percentage of participantsFMX103 1.5%Vehicle Foam
Percentage of Participants Achieving IGA Treatment Success of at Least 2 Grades at Week 1253.845.1
Statistical analysis
  • FMX103 1.5% vs Vehicle Foam · Cochran-Mantel-Haenszel · p = 0.0189 (The p-value is for the null hypothesis that the combined risk ratio equals 1.) · Risk ratio (rr): 1.193 · 95% CI 1.024 to 1.390Cochran-Mantel-Haenszel Test Stratified by Analysis Center
SecondaryThe 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
Reported as:
Least squares mean · Percent change
The Percent Change From Day 0/Baseline in Inflammatory Lesion Count at Week 12
Percent changeFMX103 1.5%Vehicle Foam
The Percent Change From Day 0/Baseline in Inflammatory Lesion Count at Week 1261.45 ± 1.57850.16 ± 2.221
Statistical analysis
  • FMX103 1.5% vs Vehicle Foam · ANCOVA · p = <0.0001 · Mean difference (final values): 11.30 · 95% CI 6.05 to 16.54ANCOVA model includes treatment, Baseline inflammatory lesion count, and analysis center.
SecondaryThe 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
Reported as:
Least squares mean · Lesions
The Absolute Change From Day 0/Baseline in the Inflammatory Lesion Counts at Week 4 and Week 8
LesionsFMX103 1.5%Vehicle Foam
Week 412.67 ± 0.4848.29 ± 0.678
Week 817.15 ± 0.47112.08 ± 0.649
Statistical analysis
  • FMX103 1.5% vs Vehicle Foam · ANCOVA · p = <0.0001 · Mean difference (final values): 4.38 · 95% CI 2.77 to 5.99ANCOVA model includes treatment, Baseline inflammatory lesion count, and analysis center.
  • FMX103 1.5% vs Vehicle Foam · ANCOVA · p = <0.0001 · Mean difference (final values): 5.07 · 95% CI 3.52 to 6.63ANCOVA model includes treatment, Baseline inflammatory lesion count, and analysis center.
SecondaryPercentage 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
Reported as:
Number · Percentage of participants
Percentage of Participants Achieving IGA Treatment Success at Week 4 and Week 8
Percentage of participantsFMX103 1.5%Vehicle Foam
Week 416.79.7
Week 840.330.7
Statistical analysis
  • FMX103 1.5% vs Vehicle Foam · Cochran-Mantel-Haenszel · p = 0.0114 (p-value is for the null hypothesis that the risk ratio equals 1.) · Risk ratio (rr): 1.715 · 95% CI 1.129 to 2.605Cochran-Mantel-Haenszel test stratified by analysis center.
  • FMX103 1.5% vs Vehicle Foam · Cochran-Mantel-Haenszel · p = 0.0061 (p-value is for the null hypothesis that the risk ratio equals 1.) · Risk ratio (rr): 1.319 · 95% CI 1.082 to 1.607Cochran-Mantel-Haenszel test stratified by analysis center.
SecondaryNumber 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])
Reported as:
Number · Participants
Number of Participants With Adverse Events (AEs)
ParticipantsFMX103 1.5%Vehicle Foam
All adverse events13471
TEAEs12467
Serious TEAEs (Serious AEs [SAEs])12
Participants with any severe TEAE22
Treatment-related TEAEs136
Adverse events leading to study discontinuation20
TEAEs resulting in death00

Adverse events

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.

Adverse event summary by group
GroupDeathsSeriousOther
FMX103 1.5%0/514 (0%)1/514 (0.2%)39/514 (7.6%)
Vehicle Foam0/257 (0%)2/257 (0.8%)22/257 (8.6%)
Most frequent serious events
Most frequent serious events
EventFMX103 1.5%Vehicle Foam
AsthmaRespiratory, thoracic and mediastinal disorders0/5141/257
DyspnoeaRespiratory, thoracic and mediastinal disorders0/5141/257
PyrexiaGeneral disorders0/5141/257
HypertensionVascular disorders1/5140/257
Most frequent other events
Most frequent other events
EventFMX103 1.5%Vehicle Foam
Upper respiratory tract infectionInfections and infestations15/5148/257
Viral upper respiratory tract infectionInfections and infestations14/5148/257
HeadacheNervous system disorders11/5146/257

Baseline characteristics

Age, Continuous
Age, Continuous(years)FMX103 1.5%Vehicle FoamTotal
Mean50.9 ± 13.9050.9 ± 13.4950.9 ± 13.75
Sex: Female, Male
Sex: Female, Male(Participants)FMX103 1.5%Vehicle FoamTotal
Female365168533
Male14989238
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)FMX103 1.5%Vehicle FoamTotal
Hispanic or Latino16686252
Not Hispanic or Latino348171519
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)FMX103 1.5%Vehicle FoamTotal
American Indian or Alaska Native022
Asian527
Native Hawaiian or Other Pacific Islander011
Black or African American718
White499250749
More than one race202
Unknown or Not Reported112
08

Study locations

46 sites
  • Foamix Investigational Site # 207
    Glendale, Arizona 85308, United States
  • Foamix Investigational Site # 202
    Hot Springs, Arkansas 71913, United States
  • Foamix Investigational Site # 222
    Rogers, Arkansas 72758, United States
  • Foamix Investigational Site #244
    Encino, California 91436, United States
  • Foamix Investigational Site #249
    Huntington Beach, California 92647, United States
  • Foamix Investigational Site # 226
    Los Angeles, California 90045, United States
  • Foamix Investigational Site # 220
    Murrieta, California 92562, United States
  • Foamix Investigational Site #251
    North Hollywood, California 91606, United States
  • Foamix Investigational Site # 217
    San Diego, California 92123, United States
  • Foamix Investigational Site #250
    San Marcos, California 92078, United States
  • Foamix Investigational Site # 239
    Temecula, California 92592, United States
  • Foamix Investigational Site # 227
    Denver, Colorado 80209, United States
  • Foamix Investigational Site # 223
    Boca Raton, Florida 33486, United States
  • Foamix Investigational Site # 215
    Boynton Beach, Florida 33437, United States
  • Foamix Investigational Site #245
    DeLand, Florida 32720, United States
  • Foamix Investigational Site # 240
    Fort Myers, Florida 33912, United States
  • Foamix Investigational Site #247
    Hialeah, Florida 33015, United States
  • Foamix Investigational Site #252
    Hialeah, Florida 33106, United States
  • Foamix Investigational Site # 214
    Miami, Florida 33126, United States
  • Foamix Investigational Site #246
    Miami, Florida 33186, United States
  • Foamix Investigational Site # 241
    North Miami Beach, Florida 33162, United States
  • Foamix Investigational Site #248
    Oldsmar, Florida 34677, United States
  • Foamix Investigational Site # 204
    Newnan, Georgia 78660, United States
  • Foamix Investigational Site # 211
    Arlington Heights, Illinois 60005, United States
  • Foamix Investigational Site # 225
    Newburgh, Indiana 47630, United States
  • Foamix Investigational Site #243
    Plainfield, Indiana 46168, United States
  • Foamix Investigational Site # 218
    South Bend, Indiana 46617, United States
  • Foamix Investigational Site # 235
    Louisville, Kentucky 40217, United States
  • Foamix Investigational Site # 237
    Louisville, Kentucky 40241, United States
  • Foamix Investigational Site # 229
    Watertown, Massachusetts 02472, United States
  • Foamix Investigational Site # 210
    Detroit, Michigan 48202, United States
  • Foamix Investigational Site # 232
    Fridley, Minnesota 55432, United States
  • Foamix Investigational Site # 238
    High Point, North Carolina 27262, United States
  • Foamix Investigational Site # 212
    Raleigh, North Carolina 27612, United States
  • Foamix Investigational Site # 236
    Norman, Oklahoma 73071, United States
  • Foamix Investigational Site # 224
    Exton, Pennsylvania 19341, United States
  • Foamix Investigational Site # 230
    Mount Pleasant, South Carolina 29464, United States
  • Foamix Investigational Site # 228
    Knoxville, Tennessee 37922, United States
  • Foamix Investigational Site # 219
    Arlington, Texas 76011, United States
  • Foamix Investigational Site # 201
    Houston, Texas 77004, United States
  • Foamix Investigational Site # 206
    Pflugerville, Texas 78660, United States
  • Foamix Investigational Site # 208
    San Antonio, Texas 78229, United States
  • Foamix Investigational Site # 213
    San Antonio, Texas 78229, United States
  • Foamix Investigational Site # 209
    Webster, Texas 77598, United States
  • Foamix Investigational Site # 216
    Lynchburg, Virginia 24501, United States
  • Foamix Investigational Site # 203
    Seattle, Washington 98104, United States
09

References and documents

Study documents

  • Study protocol · May 12, 2017
  • Statistical analysis plan · Jul 9, 2018

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

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 7, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04608500
Lead sponsor
Vyne Therapeutics Inc.
Collaborators
Premier Research Group plc
Responsible party
Sponsor
First posted
Oct 29, 2020
Start date
Jun 1, 2017
Primary completion
Jul 2, 2018
Completion
Jul 31, 2018
Results posted
Dec 16, 2020
Last update
Jan 7, 2021

Oversight

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

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