ClinicalTrials.gg
CompletedNCT04906655Updated May 28, 2021

An Open Label Study for Palmar Hyperhydrosis

A Phase 2 interventional study of Glycopyrronium 2.4 % Medicated Cloth in Palmar Hyperhidrosis, Hyperhidrosis and Sweat Gland Diseases, sponsored by Pariser, Robert J., M.D.. Completed at 1 site in United States. Open to participants aged 9 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-05-28.

Sponsored by Pariser, Robert J., M.D. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was May 2021, 5 years 5 months ago, and no results have been posted to the registry.
  • Registered 7 months after the study started (first participant enrolled Oct 2020, registered May 2021).
Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
9 Years and older
Sex
All
01

Study summary

The purpose of this open-label study is to evaluate the efficacy and safety of different methods of application of glycopyrronium cloth, 2.4% in patients with palmar hyperhidrosis

Read the detailed description

This study will assess glycopyrronium cloth, 2.4% in patients with primary palmar hyperhidrosis and compare the efficacy and safety of various application methods in order to determine an optimal method for use in palmar hyperhidrosis. The study will assess four application methods (treatment groups). Data from these cohorts will be reviewed on a continuous basis, and the protocol may be amended to add one or more treatment groups if required to determine the optional conditions of drug application.

This study is open label and unblinded. The treatment groups will be enrolled in cohorts, with each cohort being filled before moving on to the next. Cohort A will be enrolled first, followed by B, C, and D. Each cohort will have 30 subjects. If there are multiple AEs of special interest, the medical monitor may stop enrollment of one or more cohorts or may prematurely terminate a cohort(s).

All visits for this study will be conducted virtually, using HIPAA compliant video conferencing technology. Investigational product (IP) will be shipped overnight to subjects that are deemed eligible for participation.

All subjects will sign an informed e-consent and undergo screening for study eligibility. Key criteria for entry are: primary palmar hyperhidrosis for at least 6 months, an average hand sweat severity score of ≥4 (NRS 0-10 pts) during the screening period. Exclusion criteria includes pregnancy or lactation, secondary hyperhidrosis, prior sympathectomy, open wounds or infection on the hands, and concomitant use of iontophoresis, botulinum toxin, experimental therapy, or unstable doses of anticholinergic medications. Subjects will only be allowed to enroll into one cohort.

Approximately 120 eligible subjects, ≥9 years of age will be enrolled to one of four treatment groups at the Baseline visit.

Cohort Table 1: Treatment Groups A 30 minutes residence time in cotton gloves n=30 B 30 minutes residence time under occlusion n=30 C Overnight in cotton gloves n=30 D Overnight under occlusion n=30

Subjects will be instructed on the application method and will apply study drug at home once each evening before going to bed for 28 days (+/- 2 days). Subjects will complete virtual visits to check for adverse events (AEs) and study drug compliance at Week 1, Week 2, and Week 4. Subjects will exit the study at the Week 4 visit.

02

Conditions studied

  • Palmar Hyperhidrosis
  • Hyperhidrosis
  • Sweat Gland Diseases
  • Skin Diseases

Keywords

  • QBREXZA
  • glycopyrronium
03

In context

Hyperhidrosis

111 studies on the registry are indexed under Hyperhidrosis; 10 are open to participants now.

This study's enrollment of 120 is above the median of 50 across 99 interventional studies indexed under Hyperhidrosis.

Browse Hyperhidrosis studies →

Lead sponsor

Pariser, Robert J., M.D. is the lead sponsor of 2 studies on the registry; none are open to participants now.

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
Yes

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

Subjects must meet all of the following criteria to be eligible for study participation.

  1. Subjects must provide fully executed informed e-consent and e-assent (if applicable) prior to any study procedures.
  2. Age ≥ 9 years.
  3. Willing to comply with the protocol, including completion of designated virtual study visits and prescribed study treatment regimens.
  4. Subjects must have access to and the ability and willingness to use their own smart device (e.g., phone, computer, tablet). Subjects must have reliable internet access and video capabilities to conduct virtual visits, e-consent, and ePROs. Subjects must have an active email address that is password protected. Their password must remain confidential throughout the study.
  5. Subjects must have a street address to which study drug can be delivered and received in a timely manner. (PO Boxes will not be allowed.)
  6. Male or non-lactating and non-pregnant females (documentation of a negative urine pregnancy test done by the subject must be done prior to sending study drug.)
  7. Primary palmar hyperhidrosis for at least 6 months.
  8. Average sweat severity score of ≥4 at the end of screening. Subjects must complete the diary at least 4 times out of 7 days prior to baseline.
  9. Females of must be willing to use an acceptable method of during study participation and for 30 days after the last study drug application. Females are considered to be of childbearing potential unless surgically sterilized (hysterectomy, bilateral oophorectomy, tubal ligation), have been diagnosed as infertile, have same gender sex partner, or are for at least 1 year. Acceptable methods of contraception include: abstinence, oral contraceptives, contraceptive patches/implants, injectable contraceptives, double barrier methods (e.g., condom and spermicide), or an intra-uterine device (IUD). Birth control method must have been stable/unchanged for 12 weeks prior to Baseline and must remain unchanged during study participation and for 30 days after the last study drug application.
  10. Males must either have been vasectomized or agree to use an acceptable method of birth control with female partners during study participation and for 30 days after the last study drug application.
  11. Subjects must agree not to donate eggs or sperm (as applicable) during the trial.

Exclusion criteria

-

Exclusion Criteria:

Subjects meeting any of the following criteria are not eligible for study participation.

  1. Prior surgical procedure for hyperhidrosis.
  2. Iontophoresis for the palms within 4 weeks of Baseline.
  3. Treatment with botulinum toxin (e.g., Botox®) for palmar hyperhidrosis within 1 year of Baseline. (Note: treatment with botulinum toxin in other areas is not exclusionary.)
  4. Subjects who are actively participating in an experimental therapy study or who received experimental therapy within 30 days of 5 half-lives (whichever is longer) of the Baseline Visit.
  5. For subjects that are taking concomitant medications that may have an effect on sweating (i.e., psychotherapeutic medications, centrally acting alpha-2 adrenergic agonists (e.g., clonidine, guanabenz, methyl dopa), or beta blockers, the dose must be stable, in the opinion of the investigator, for two months prior to Baseline. There should be no expected medication changes over the course of the study unless deemed to be medically necessary. (Note: inhaled anticholinergic drugs or beta agonists are allowed.)
  6. Intravenous (IV), oral, or topically glycopyrrolate treatment of any systemic treatment with an anticholinergic medication, such as atropine, belladonna, scopolamine, clindinium, or hyoscyamine within 4 weeks prior to Screening.
  7. Current pregnancy or lactation per patient report.
  8. Open wounds or inflammatory lesions on the hands, or any condition that may alter the barrier function of the skin on the hands.
  9. Secondary palmar hyperhidrosis or presence of a condition that may cause secondary hyperhidrosis (e.g., lymphoma, malaria, severe anxiety not controlled by medication, carcinoid syndrome, substance abuse, hyperthyroidism).
  10. Known history of Sjögren's syndrome or Sicca syndrome.
  11. History of glaucoma, inflammatory bowel disease, toxic megacolon, active febrile illness, paralytic ileus, unstable cardiovascular status in acute hemorrhage, severe ulcerative colitis, toxic megacolon complicating ulcerative colitis or myasthenia gravis.
  12. Men with a history of urinary retention requiring catherization due to prostatic hypertrophy or severe obstructive symptoms of prostatic hypertrophy.
  13. History of ventricular arrhythmias, atrial fibrillation, atrial flutter.
  14. Subjects with known medical procedures or surgeries that are scheduled to occur during the study.
  15. Subjects who are a poor medical risk because of other systemic diseases or active, uncontrolled infections, or any other condition, which (in the judgement of the investigator) would put the subjects at unacceptable risk for participation in the study.

    -

Terms in these criteria, in plain language(3)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
120 participants (actual)

Study arms

  • Experimental
    Cohort A glycopyrronium 30 minutes cotton gloves

    Study drug should be applied to clean, dry skin. A single cloth will be used to apply study drug to both hands once daily, at bedtime. The subject will be instructed to apply the study drug as follows: 30 minutes residence time in cotton gloves 1. Complete daily diary. 2. Remove all jewelry. 3. Tear open the top of the pouch at the notch. 4. Wash hands thoroughly with warm water, and dry them. 5. Remove the wipe from the pouch and unfold the wipe. 6. Wipe both hands with the wipe continuously until the wipe is dry (up to 3 minutes). 7. Return the wipe to the pouch and put it back in the box. 8. Carefully put cotton gloves on both hands. 9. Set timer for 30 minutes. 10. After 30 minutes, remove gloves and throw them away. Immediately wash hands thoroughly with warm water and soap, and dry them.

    Drug: Glycopyrronium 2.4 % Medicated Cloth

  • Experimental
    Cohort B glycopyrronium 30 minutes under occlusion

    Study drug should be applied to clean, dry skin. A single cloth will be used to apply study drug to both hands once daily, at bedtime. The subject will be instructed to apply the study drug as follows: 30 minutes residence time under occlusion 1. Complete daily diary. 2. Remove all jewelry. 3. Tear open the top of the pouch at the notch. 4. Wash hands thoroughly with warm water, and dry them. 5. Remove the wipe from the pouch and unfold the wipe. 6. Wipe both hands with the wipe continuously until the wipe is dry (up to 3 minutes). 7. Return the wipe to the pouch and put it back in the box. 8. Carefully put gloves on both hands. 9. Set timer for 30 minutes. 10. After 30 minutes, remove gloves and throw them away. Immediately wash hands thoroughly with warm water and soap, and dry them.

    Drug: Glycopyrronium 2.4 % Medicated Cloth

  • Experimental
    Cohort C glycopyrronium overnight in cotton gloves

    Study drug should be applied to clean, dry skin. A single cloth will be used to apply study drug to both hands once daily, at bedtime. The subject will be instructed to apply the study drug as follows: Overnight in cotton gloves 1. Complete daily diary 2. Remove all jewelry. 3. Tear open the top of the pouch at the notch. 4. Wash hands thoroughly with warm water, and dry them. 5. Remove the wipe from the pouch and unfold the wipe. 6. Wipe both hands with the wipe continuously until the wipe is dry (up to 3 minutes). 7. Return the wipe to the pouch and put it back in the box. 8. Carefully put on the cotton gloves on both hands and go to bed. 9. In the morning, after at least 4 hours of wearing the gloves , remove the cotton gloves and throw them away. 10. Immediately wash hands thoroughly with warm water and soap, and dry them.

    Drug: Glycopyrronium 2.4 % Medicated Cloth

  • Experimental
    Cohort D glycopyrronium overnight under occlusion

    Study drug should be applied to clean, dry skin. A single cloth will be used to apply study drug to both hands once daily, at bedtime. The subject will be instructed to apply the study drug as follows: Overnight under occlusion 1. Complete daily diary 2. Remove all jewelry. 3. Tear open the top of the pouch at the notch. 4. Wash hands thoroughly with warm water, and dry them. 5. Remove the wipe from the pouch and unfold the wipe. 6. Wipe both hands with the wipe continuously until the wipe is dry (up to 3 minutes). 7. Return the wipe to the pouch and put it back in the box. 8. Carefully put on the occlusive gloves and go to bed. 9. In the morning, after at least 4 hours of wearing the gloves, remove the occlusive gloves and throw them away. 10. Immediately wash hands thoroughly with warm water and soap, and dry them.

    Drug: Glycopyrronium 2.4 % Medicated Cloth

Interventions

  • The investigational product (glycopyrronium cloth, 2.4%) is a pre-moistened, medicated cloth towelette that comes in individually wrapped packets. Subjects will receive marketed Qbrexza, one box, containing 30 pouches.

    Also known as: Qbrexza

06

What researchers measure

Primary outcomes

  1. Mean change of the average hand sweating score (Daily Diary Question 1) from the week of Screen-Baseline to the final week of study treatment.

    The hand sweat severity (HSS) item is a patient reported outcome, collected nightly, and is designed to measure the severity of palmar hyperhidrosis.

    Time frame: From the week of Screen-Baseline (7 days prior to the end of the screening visit) to the final week of study treatment (week 4).

  2. Proportion of subjects who have a >2 grade improvement in HDSS from baseline to 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.

07

Study locations

1 site
  • Virginia Clinical Research, Inc.
    Norfolk, Virginia 23502, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 28, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04906655
Lead sponsor
Pariser, Robert J., M.D.
Collaborators
Virginia Clinical Research, Inc.
Responsible party
Sponsor
First posted
May 28, 2021
Start date
Oct 1, 2020
Primary completion
May 20, 2021
Completion
May 20, 2021
Last update
May 28, 2021

Study contacts

David M Pariser, MD
principal investigator · Virginia Clinical Research, Inc.

Oversight

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

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This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Glycopyrrolate

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