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CompletedNCT04820673PROSESUpdated Oct 10, 2024Results posted

Patient-reported Outcomes for Sarecycline Effectiveness and Safety (PROSES)

An observational study in Acne Vulgaris, sponsored by Almirall, S.A.. Completed at 2 sites in United States. Open to participants aged 9 Years and older. Per ClinicalTrials.gov, last updated 2024-10-10.

Sponsored by Almirall, S.A. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
300
Ages
9 Years and older
Sex
All
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Study summary

The purpose of this study is to evaluate the patient-reported outcomes (PROs) in terms of health-related quality of life (HRQoL) and signs of Acne Vulgaris (AV) among patients with moderate to severe non-nodular AV who are administered sarecycline (Seysara®) in real-world community practice settings in the United States (U.S). Investigator's Global Assessment (IGA) of AV and safety measures associated with use of sarecycline (Seysara®) will be assessed over the study observation period of 12 weeks. Clinicians will prescribe sarecycline (Seyara®) as per their own clinical judgment and standard practice.

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Conditions studied

  • Acne Vulgaris

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Keywords

  • Prospective
  • Non-nodular Acne Vulgaris
  • Perceptions
  • Health-Related Quality of Life (HRQoL)
  • Patient-Reported Outcomes (PROs)
  • Signs & Symptoms
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In context

Acne Vulgaris

729 studies on the registry are indexed under Acne Vulgaris; 85 are open to participants now.

This study's enrollment of 300 is above the median of 90 across 81 observational studies indexed under Acne Vulgaris.

Browse Acne Vulgaris studies →

Lead sponsor

Almirall, S.A. is the lead sponsor of 64 studies on the registry; 8 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 7 (78%) have results posted.

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

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Who can participate

Ages eligible
9 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with moderate to severe non-nodular acne vulgaris who are on prescribed sarecycline will be enrolled. Caregivers of eligible pediatric patients will also be enrolled.

Inclusion criteria

Patient Inclusion Criteria:

  • Male or female, aged 9 years and above
  • Has facial non-nodular AV with IGA score of moderate or severe
  • Considered as a potential candidate for sarecycline (Seysara®) treatment, per clinician judgment

Caregiver Inclusion Criteria:

  • Primary caregiver of the study-eligible patient
  • Male or female, aged 18 years and above

Exclusion criteria

Exclusion Criteria:

  • Patients with any known resistance to other tetracyclines
  • Patients with any dermatological or physical condition of the face that could interfere with the AV clinical evaluations.
  • Patients with any history of allergy to tetracycline-class antibiotics, pseudomembranous colitis or antibiotic-associated colitis.
  • Unable to comply with the requirements of the study or patients who in the opinion of the Site Investigator should not participate in the study

Other protocol defined Inclusion/Exclusion criteria may apply

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
300 participants (actual)
Patient registry
No

Groups and cohorts

  • Sarecycline

    Eligible patients prescribed with commercially available sarecycline will be followed-up for 12 weeks post-initiation of treatment.

    Drug: Sarecycline

Interventions

  • DrugSarecycline

    Clinicians will prescribe the sarecycline as per their own clinical judgment and standard practice.

    Also known as: Seysara®

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What researchers measure

Primary outcomes

  1. Change From Baseline in Acne Symptom and Impact Scale Questionnaire (ASIS) Domain Score at Week 12

    Patient related outcome (PROs) assessment performed using ASIS Questionnaire, a 17-item questionnaire that asks participants about the signs, impact (emotional and social) of AV, responses were reported as two scales: Signs (9 items), and Impact (8 items). Impact domain had two sub-scales, pertinent to Emotional (6 items) and Social impact (2 items). All items are scored on a 5-point scale: 0 (best) to 4 (worst). A domain score is determined by the average of scores in each scale within the domain. The total score is the average of all 17 items. Higher scores on the ASIS Sign domain, comprised of all items that assess symptoms (items 1-9), indicate the presence of more severe symptoms, whereas higher scores on the ASIS Impact domain, comprised of all the items that assess impacts (items 10-17), indicate a greater negative impact of acne.

    Time frame: Baseline, Week 12

Secondary outcomes

  1. Percentage of Participants With Facial Investigator Global Assesment (IGA) Success at Week 12

    The investigator assessed the participant's facial acne using the IGA 5-point scale. The scale ranges from 0 (best): clear, no evidence of papules or pustules to 4 (worst): severe, inflammatory lesions are more apparent, many papules/pustules, there may or may not be a few nodulocytic lesions. Success was defined as at least a 2-point decrease (improvement) from Baseline on the IGA assessment as well as a score of clear (0) or almost clear (1). Percentage of participants who achieved facial IGA success at Week 12 were reported.

    Time frame: At Week 12

07

Results

Posted Oct 10, 2024

Participant flow

Participants took part in the survey at 30 investigative sites from 09 March 2021 to 04 May 2022.

Participant flow — Overall Study
MilestoneSarecycline
Started300
Safety analysis set300
Full analysis set (fas)253
Completed262
Not completed38
Withdrew: Adverse event6
Withdrew: Due to lack of effectiveness1
Withdrew: Pregnancy1
Withdrew: Voluntary withdrawal20
Withdrew: Lost to follow-up10

Outcome measures

PrimaryChange From Baseline in Acne Symptom and Impact Scale Questionnaire (ASIS) Domain Score at Week 12

Patient related outcome (PROs) assessment performed using ASIS Questionnaire, a 17-item questionnaire that asks participants about the signs, impact (emotional and social) of AV, responses were reported as two scales: Signs (9 items), and Impact (8 items). Impact domain had two sub-scales, pertinent to Emotional (6 items) and Social impact (2 items). All items are scored on a 5-point scale: 0 (best) to 4 (worst). A domain score is determined by the average of scores in each scale within the domain. The total score is the average of all 17 items. Higher scores on the ASIS Sign domain, comprised of all items that assess symptoms (items 1-9), indicate the presence of more severe symptoms, whereas higher scores on the ASIS Impact domain, comprised of all the items that assess impacts (items 10-17), indicate a greater negative impact of acne.

Time frame:
Baseline, Week 12
Reported as:
Mean · Score on a Scale
Change From Baseline in Acne Symptom and Impact Scale Questionnaire (ASIS) Domain Score at Week 12
Score on a ScaleSarecycline
Signs Domain Score: Baseline1.96 ± 0.58
Signs Domain Score: Change at Week 12-0.77 ± 0.67
Impact Domain Score: Baseline2.06 ± 0.91
Impact Domain Score: Change at Week 12-1.01 ± 1.03
Emotional Impact Domain Score: Baseline2.43 ± 0.96
Emotional Impact Domain Score: Change at Week 12-1.15 ± 1.12
Social Impact Domain Score: Baseline0.98 ± 0.99
Social Impact Domain Score: Change at Week 12-0.60 ± 1.06
Statistical analysis
  • Sarecycline · t-test, 2 sided · p = <.0001 (P\<0.0001, calculated by t-test, corresponds to baseline response group domain scores in comparison to week-12 domain scores (CFB). CFB is calculated using available matching data for each domain. Higher domain scores indicate higher disease burden.)
SecondaryPercentage of Participants With Facial Investigator Global Assesment (IGA) Success at Week 12

The investigator assessed the participant's facial acne using the IGA 5-point scale. The scale ranges from 0 (best): clear, no evidence of papules or pustules to 4 (worst): severe, inflammatory lesions are more apparent, many papules/pustules, there may or may not be a few nodulocytic lesions. Success was defined as at least a 2-point decrease (improvement) from Baseline on the IGA assessment as well as a score of clear (0) or almost clear (1). Percentage of participants who achieved facial IGA success at Week 12 were reported.

Time frame:
At Week 12
Reported as:
Number · Percentage of Participants
Percentage of Participants With Facial Investigator Global Assesment (IGA) Success at Week 12
Percentage of ParticipantsSarecycline
Percentage of Participants With Facial Investigator Global Assesment (IGA) Success at Week 1258.89

Adverse events

Collected over From start of study up to Week 12. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sarecycline0/300 (0%)1/300 (0.3%)30/300 (10%)
Most frequent serious events
Most frequent serious events
EventSarecycline
Idiopathic intracranial hypertensionNervous system disorders1/300
Most frequent other events
Showing 10 of 22
Most frequent other events
EventSarecycline
NauseaGastrointestinal disorders4/300
DizzinessNervous system disorders3/300
HeadacheNervous system disorders3/300
PruritusSkin and subcutaneous tissue disorders3/300
RashSkin and subcutaneous tissue disorders3/300
Abdominal discomfortGastrointestinal disorders2/300
DiarrheaGastrointestinal disorders2/300
COVID-19Infections and infestations2/300
Vulvovaginal mycotic infectionInfections and infestations2/300
MigraineNervous system disorders2/300

Baseline characteristics

Safety population included all participants who received at least one dose of sarecycline during the study observation period, as part of usual care.

Age, Categorical
Age, Categorical(Participants)Sarecycline
<=18 years116
Between 18 and 65 years184
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Sarecycline
Female201
Male99
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Sarecycline
Ethnicity — Hispanic, Latino, or of Spanish Origin101
Ethnicity — Other199
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Sarecycline
Race — White195
Race — Black or African American32
Race — American Indian or Alaska Native3
Race — Asian17
Race — Native Hawaiian or Other Pacific Islander3
Race — Other41
Race — Prefer not to answer9
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Study locations

2 sites
  • Almirall Site#2
    Boston, Massachusetts 02116, United States
  • Almirall Site #1
    Brooklyn, New York 11201, United States
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References and documents

Study documents

  • Study protocol · Mar 18, 2021
  • Statistical analysis plan · Jun 13, 2022

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

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04820673
Lead sponsor
Almirall, S.A.
Responsible party
Sponsor
First posted
Mar 29, 2021
Start date
Mar 9, 2021
Primary completion
May 4, 2022
Completion
May 4, 2022
Results posted
Oct 10, 2024
Last update
Oct 10, 2024

Study contacts

Study Director
study director · Almirall, S.A.

Oversight

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

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