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CT

Phase 3

Acne Vulgaris | Small molecule | Dermatology |GSK plc|Last Updated: Jul 18, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment1,686
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00689117A Clinical Study to Evaluate the Safety and Effectiveness of an Investigational Product Called CT GelPHASE3 COMPLETED 1,649Apr 1, 2008May 1, 2009May 30, 201732 United States, Belize +1
NCT01929278W0265-103: A Single-Center, Evaluator-Blinded, Randomized, Placebo Controlled, Phase 1 Clinical Trial Evaluating The Phototoxic Potential Of Topically Applied Clindamycin 1.0% - Tretinoin 0.025% Gel (Ct Gel) In Healthy VolunteersPHASE1 COMPLETED 37Dec 8, 2008Dec 19, 2008Jul 18, 2017 -
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Study Endpoints
Primary Endpoints
Absolute Change From Baseline in Lesion Counts (Total, Inflammatory, and Non-inflammatory) at Week 12 (End of Study)
Baseline, Week 12

Acne lesion counts (inflammatory \[papules, pustules, nodules\], non-inflammatory \[open and closed comedones\], and total) were performed on the face of participants. Change from baseline is defined as Week 12 values minus Baseline values. The total lesion count is the sum of the inflammatory and non-inflammatory lesion counts.

The Percentage of Participants Who Had a Minimum 2-grade Improvement in the Investigator's Static Global Assessment (ISGA) Score From Baseline to Week 12
Baseline, Week 12

The ISGA is a static ("snap-shot") evaluation of acne severity performed by an investigator/assessor at every visit. The ISGA score is measured on a 6-point ordinal scale, where 0=Clear and 5=Very Severe. Change is calculated as the Week 12 value minus the Baseline value.

Inflammatory responses (erythema and local skin reactions) or superficial effects (if observed) will be scored according to the erythema, local skin reaction, and superficial effects grading scales.
6 - 11 days

In cases where the patch area is larger than the irradiated area, only the irradiated areas will be scored unless reactions outside the irradiated area exhibit unusual responses. Scores represent the presence of clinically significant effects on at least 25% of the test site. Questionable, barely perceptible, or minimal reactions involving less than 25% of the test site will not be considered significant.

Secondary Endpoints
Percent Change From Baseline in Lesion Counts (Inflammatory, Non-inflammatory, and Total) at Week 12
Baseline, Week 12
The Percentage of Participants With a Subjects Global Assessment Score of 0 or 1 at Week 12
Week 12
The Percentage of Participants Who Had ISGA Scores of 0 or 1 at Week 12
Week 12
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1EXPERIMENTALCT Gel
2ACTIVE_COMPARATORClindamycin Gel (clindamycin)
3ACTIVE_COMPARATORTretinoin Gel (tretinoin)
4PLACEBO_COMPARATORVehicle Gel
CT Gel patchEXPERIMENTALCT Gel is a reformulation of VELAC Gel that contains the same active ingredients (clindamycin 1% and tretinoin 0.025%) in a modified vehicle. The test article was placed on a separate occlusive patch at volumes of 200 µL per patch.
Vehicle gel patchPLACEBO_COMPARATORThe test article was placed on a separate occlusive patch at volumes of 200 µL per patch.
Blank patchEXPERIMENTALBlank patches did not contain CT Gel or vehicle gel.
Interventions
NameTypeDescription
CT GelDRUGTopical gel consisting of clindamycin 1% and tretinoin 0.025%, applied once daily in the evening for 12 weeks
Clindamycin Gel (clindamycin )DRUGClindamycin 1% gel applied topically once daily in the evening for 12 weeks
Tretinoin Gel (tretinoin)DRUGTretinoin 0.025% gel applied topically once daily in the evening for 12 weeks
Vehicle GelDRUGTopical gel without clindamycin or tretinoin applied topically once daily in the evening for 12 weeks
CT Gel (clindamycin 1% and tretinoin 0.025%)DRUGThree CT Gel patches were concurrently applied to designated test sites by trained technicians and held in place with hypoallergenic tape. Patches were prepared no longer than 30 minutes prior to application to study subjects. A minimum distance of ¾ of an inch from patch pad to patch pad was maintained on a subject's back. Approximately 24 ±1 hours after patch application, test patches were removed by trained technicians. Patch sites were evaluated for signs of inflammation according to procedures.
Vehicle gel patchOTHERThree vehicle gel patches were concurrently applied to designated test sites by trained technicians and held in place with hypoallergenic tape. Patches were prepared no longer than 30 minutes prior to application to study subjects. A minimum distance of ¾ of an inch from patch pad to patch pad was maintained on a subject's back. Approximately 24 ±1 hours after patch application, test patches were removed by trained technicians. Patch sites were evaluated for signs of inflammation according to procedures. 2. Vehicle gel contained the identical ingredients and packaging as CT Gel but without the active ingredients. All vehicle gel used during the study was from batch ZLU C.
Blank patchOTHERThree blank patches were concurrently applied to designated test sites by trained technicians and held in place with hypoallergenic tape. Patches were prepared no longer than 30 minutes prior to application to study subjects. A minimum distance of ¾ of an inch from patch pad to patch pad was maintained on a subject's back. Approximately 24 ±1 hours after patch application, test patches were removed by trained technicians. Patch sites were evaluated for signs of inflammation according to procedures. 3. Occlusive patches consisted of a non-woven cotton pad (Webril \[approximately 2 cm x 2 cm\]) covered and secured on all sides by an occlusive hypoallergenic tape (approximately 4 cm x 4 cm).
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Eligibility Criteria
Age Range12 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites32

Inclusion Criteria: * Male or female 12 years of age or older in good general health * Investigator's Static Global Assessment (ISGA) score of 2 or greater at Baseline Exclusion Criteria: * Any nodulo-cystic lesions at Baseline * Pregnancy or breast feeding * History or presence of regional enter...

Countries:United StatesBelizeCanada
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