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RecruitingNCT06952517Updated May 6, 2025

Efficacy and Safety of Topical Clascoterone (WINLEVI) Cream 1% in Patients With Facial Acneiform Rosacea

A Phase 2 interventional study of Clascoterone Cream 1% in Papular-pustular Rosacea, Papulopustular Rosacea (PPR) and Papulopustular Rosacea, sponsored by Narrows Institute for Biomedical Research. Recruiting at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-05-06.

Sponsored by Narrows Institute for Biomedical Research · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 1 month ago, but the record still lists the study as recruiting.
  • Started Mar 2025; still recruiting 1 year 7 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

To demonstrate the efficacy of Clascoterone cream 1% in reducing the size of sebaceous glands in study participants with acneiform rosacea.

02

Conditions studied

  • Papular-pustular Rosacea
  • Papulopustular Rosacea (PPR)
  • Papulopustular Rosacea

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Keywords

  • rosacea
  • papulopustular rosacea
  • acneiform rosacea
  • PPR
03

In context

Rosacea

231 studies on the registry are indexed under Rosacea; 20 are open to participants now.

This study's planned enrollment of 20 is below the median of 61 across 199 interventional studies indexed under Rosacea.

Browse Rosacea studies →

Lead sponsor

Narrows Institute for Biomedical Research is the lead sponsor of 7 studies on the registry; 1 is open to participants now.

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
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

  • Men and women ages 18+.
  • Diagnosis of rosacea type 2 (papulopustular).
  • Available and willing to comply with study instructions and attend all study visits.
  • Able and willing to provide written and verbal informed consent.
  • Subject has used the same type and brand of make-up, other facial products, and hair products (e.g., shampoo, gel, hair spray, mousse, etc.) for at least one month prior to the baseline visit and agrees to continue his/her other general skin and hair care products and regimen for the entire study.

Exclusion criteria

Exclusion Criteria:

  • Subject has any skin pathology or condition that could interfere with the evaluation of the test products or requires the use of interfering topical or systemic therapy.
  • Subject has any condition which, in the investigator's opinion, would make it unsafe for the subject to participate in this research study.
  • Pregnant, lactating, or is planning to become pregnant during the study.
  • Subject is currently enrolled in an investigational drug or device study.
  • Subject has received an investigational drug or has been treated with an investigational device within 30 days prior to the initiation of treatment (baseline).
  • Study participant has facial hair that could interfere with the study assessments in the opinion of the investigator.
  • Study participant is unable to communicate or cooperate with the investigator due to language problems, poor mental development, or impaired cerebral function.
  • Subject has known hypersensitivity or previous allergic reaction to any of the active or inactive components of the test articles.
  • Subject has the need or plans to be exposed to artificial tanning devices or excessive sunlight during the trial.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Patients with Acneiform or Papulopustular Rosacea

    Patients with diagnosis of papulopustular or acneiform rosacea

    Drug: Clascoterone Cream 1%

Interventions

06

What researchers measure

Primary outcomes

  1. Biopsy proven reduction in size of sebaceous glands at the end of 12 weeks of treatment compared to the baseline.

    We will perform both a paired and pooled statistical analysis. We will conduct a power analysis to determine statistical significance. For the paired analysis, we will calculate the average gland size per patient at baseline and again at the end of the treatment period from all the individual's biopsy sites. We will then calculate the percent reduction of sebaceous gland size between the two average sizes. Finally, we will calculate the average percent change across all participants. For the pooled analysis, we will calculate the average sebaceous gland size across all study participants before and after treatment. We will use these two values to calculate the percent change. We anticipate that the paired analysis will yield more meaningful results as the pooled analysis may not show significant change due to the variations between study participants used to calculate the averages.

    Time frame: From enrollment to end of treatment at 12 weeks

Secondary outcomes

  1. Evaluation of safety and adverse events

    We plan to calculate the incidence of adverse events. Study participants will be instructed to keep a log of all adverse events.

    Time frame: From enrollment to end of treatment at 12 weeks

  2. Pre- and post-treatment digital photography with a camera (Canfield Scientific, Parsippany, NJ) to depict clinical improvement of rosacea.

    Pre- and post-treatment digital photography with a camera (Canfield Scientific, Parsippany, NJ) to depict clinical improvement of rosacea.

    Time frame: From enrollment to end of treatment at 12 weeks

  3. Physician and study participants reported assessments at the end of the treatment compared to baseline

    A modified, succinct version of the Rosacea clinical scorecard as proposed by the Report of the National Rosacea Society Expert Committee on the Classification and Staging of sRosacea will be used to assess these measures. Physicians and study participants will be asked to grade the rosacea at baseline and at the end of the treatment based on the following scale: * Subtype 1: Erythematotelangiectatic: 1=Absent, 2=Mild, 3=Moderate, 4=Severe * Subtype 2: Papulopustular: 1=Absent, 2=Mild, 3=Moderate, 4=Severe * Subtype 3: Phymatous: 1=Absent, 2=Mild, 3=Moderate, 4=Severe * Global Assessment: 1=Absent, 2=Mild, 3=Moderate, 4=Severe

    Time frame: From enrollment to end of treatment at 12 weeks

07

Study locations

1 of 1 sites recruiting
  • New York Harbor VA Brooklyn Campus
    Brooklyn, New York 11209, United States
    • Kayla Zafar, BA · Contact · kayla.zafar@va.gov · 718-836-6600
    • Jared Jagdeo, MD MS · Principal investigator
    Recruiting
08

References and documents

Publications

  • Liakou AI, Nyengaard JR, Bonovas S, Knolle J, Makrantonaki E, Zouboulis CC. Marked Reduction of the Number and Individual Volume of Sebaceous Glands in Psoriatic Lesions. Dermatology. 2016;232(4):415-24. doi: 10.1159/000445942. Epub 2016 Jun 2. PubMed 27250651 ↗
  • Wilkin J, Dahl M, Detmar M, Drake L, Liang MH, Odom R, Powell F; National Rosacea Society Expert Committee. Standard grading system for rosacea: report of the National Rosacea Society Expert Committee on the classification and staging of rosacea. J Am Acad Dermatol. 2004 Jun;50(6):907-12. doi: 10.1016/j.jaad.2004.01.048. No abstract available. PubMed 15153893 ↗
  • Buhl T, Sulk M, Nowak P, Buddenkotte J, McDonald I, Aubert J, Carlavan I, Deret S, Reiniche P, Rivier M, Voegel JJ, Steinhoff M. Molecular and Morphological Characterization of Inflammatory Infiltrate in Rosacea Reveals Activation of Th1/Th17 Pathways. J Invest Dermatol. 2015 Sep;135(9):2198-2208. doi: 10.1038/jid.2015.141. Epub 2015 Apr 7. PubMed 25848978 ↗
  • Brelsford M, Beute TC. Preventing and managing the side effects of isotretinoin. Semin Cutan Med Surg. 2008 Sep;27(3):197-206. doi: 10.1016/j.sder.2008.07.002. PubMed 18786498 ↗
  • Khalil NY, Darwish IA, Al-Qahtani AA. Isotretinoin. Profiles Drug Subst Excip Relat Methodol. 2020;45:119-157. doi: 10.1016/bs.podrm.2019.10.005. Epub 2019 Dec 6. PubMed 32164966 ↗
  • Tan J, Schofer H, Araviiskaia E, Audibert F, Kerrouche N, Berg M; RISE study group. Prevalence of rosacea in the general population of Germany and Russia - The RISE study. J Eur Acad Dermatol Venereol. 2016 Mar;30(3):428-34. doi: 10.1111/jdv.13556. PubMed 26915718 ↗

Individual participant data

Plan to share: No — IPD may not be shared because this study is conducted at a VA hospital with a small sample size

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2025, 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
NCT06952517
Lead sponsor
Narrows Institute for Biomedical Research
Responsible party
Sponsor
First posted
May 1, 2025
Start date
Mar 14, 2025
Primary completion
Sep 1, 2025 (estimated)
Completion
Sep 30, 2025 (estimated)
Last update
May 6, 2025

Study contacts

Kayla N Zafar, BA
Contact
kayla.zafar@va.gov
718-836-6600 ext. 7023
Jared Jagdeo, MD MS
principal investigator · SUNY Downstate Health Sciences University Department of Dermatology

Oversight

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

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Studies of the drug tested here: Clascoterone

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