Clinical trial • Phase III • Dermatology

IVERMECTIN for Papulopustular rosacea

Phase III trial of IVERMECTIN for Papulopustular rosacea.

Overview

Trial Therapeutic Area
Dermatology
Trial Disease
Papulopustular rosacea
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
15-05-2024
First CTIS Authorization Date
13-11-2024

Trial design

Randomised, soolantra 10 mg/g creme (ivermectin) as reference; vehicle to test product (placebo). test product: ivermectin cream 10 mg/g. dose information (from product data): 10 mg/g formulation; max daily dose amount 2.14 g; max total dose amount 180 g; max treatment period 12 (time unit code provided but unit not specified in record). detailed schedule not specified in the ctis record.-controlled Phase III trial across 14 sites in Germany.

Randomised
Yes
Comparator
Soolantra 10 mg/g Creme (ivermectin) as reference; Vehicle to Test Product (placebo). Test product: Ivermectin Cream 10 mg/g. Dose information (from product data): 10 mg/g formulation; max daily dose amount 2.14 g; max total dose amount 180 g; max treatment period 12 (time unit code provided but unit not specified in record). Detailed schedule not specified in the CTIS record.
Target Sample Size
726
Trial Duration For Participant
84

Eligibility

Recruits 726 Vulnerable population flag selected (isVulnerablePopulationSelected = true). Informed consent: "Written consent to study participation after patient information by the investigator". Participants must be ≥18 years (no assent or paediatric consent described). No additional details on specific vulnerable-consent or assent handling are provided in the record..

Pregnancy Exclusion
Women with existing or intended pregnancy or during lactation
Vulnerable Population
Vulnerable population flag selected (isVulnerablePopulationSelected = true). Informed consent: "Written consent to study participation after patient information by the investigator". Participants must be ≥18 years (no assent or paediatric consent described). No additional details on specific vulnerable-consent or assent handling are provided in the record.

Inclusion criteria

  • {"criterion_text":"- Women and men ≥ 18 years of age"}
  • {"criterion_text":"- Written consent to study participation after patient information by the investigator"}
  • {"criterion_text":"- Diagnosis of papulopustular rosacea according to generally accepted criteria"}
  • {"criterion_text":"- On the face, ≥ 15 and not more than 50 inflammatory lesions (e.g. papules and pustules), thereof ≤ 2 nodular lesions"}
  • {"criterion_text":"- Investigator`s Global Assessment (IGA) of rosacea severity grade 3 (moderate) or 4 (severe)"}
  • {"criterion_text":"- For all female patients of childbearing potential: Application of an established highly efficient contraceptive method during the whole study"}
  • {"criterion_text":"- For all female patients of childbearing potential: Urine pregnancy test with negative result prior to study start. The urine pregnancy test used must have a sensitivity down to at least 25 mIU/ml for human chorionic gonadotrophin (hCG) (High sensitivity pregnancy test)"}

Exclusion criteria

  • {"criterion_text":"- Presence of other forms of rosacea (rosacea conglobata, rosacea fulminans, isolated rhinophyma, isolated pustulosis of the chin) or other dermatoses that may be confounded with papulopustular rosacea, such as perioral dermatitis, facial keratosis pilaris, seborrheic dermatitis and acne"}
  • {"criterion_text":"- Other severe acute or chronic concomitant disease with severe impairment of the general condition"}
  • {"criterion_text":"- Other concomitant medication which may - taking the present knowledge into account - influence the methods of measurement used in this study or the resulting data"}
  • {"criterion_text":"- Reasonable doubt concerning the co-operation of the patient"}
  • {"criterion_text":"- Participation in another clinical study within the last 30 days prior to inclusion in this study"}
  • {"criterion_text":"- Participation in this study at an earlier date"}
  • {"criterion_text":"- Women with existing or intended pregnancy or during lactation"}
  • {"criterion_text":"- Other concomitant diseases which may - taking the present knowledge into account - influence the parameters evaluated in the study in a way that an objective evaluation would be impossible"}
  • {"criterion_text":"- Excessive facial hair (e.g. beards, sideburns, moustaches, etc.) that would interfere with diagnosis or assessment of rosacea"}
  • {"criterion_text":"- Known intolerance or hypersensitivity against ivermectin or any of the other ingredients in the study medication"}
  • {"criterion_text":"- Use within 6 months prior to baseline of oral retinoids (e.g. isotretinoine) or therapeutic vitamin A supplements of greater than 10,000 units/day (multivitamins are allowed)"}
  • {"criterion_text":"- Use within 30 days prior baseline or during the study of topical facial treatment with retinoids, benzoyl peroxide, antibiotics, corticosteroids, immunomodulators (like e.g. tacrolimus), or other topical rosacea treatment (e.g. azelaic acid, metronidazole, brimonidine, oxymetazoline)"}
  • {"criterion_text":"- Use within 30 days prior to baseline of systemic antibiotics known to have an impact on the severity of facial rosacea (like e.g. tetracycline and its derivatives doxycyclin or minocyclin, macrolides (like erythromycine, clarithromycine, azithromycine), or systemic corticosteroids"}
  • {"criterion_text":"- Exposure to excessive UV radiation within two weeks prior baseline, or the subject is planning exposure during the study (e.g. occupational exposure to the sun, planned holidays in the sun during the study, phototherapy, tanning salon)"}
  • {"criterion_text":"- Subjects with moderate or severe rhinophyma, dense telangiectases, or plaque-like facial edema, or ocular rosacea (e.g., conjunctivitis, blepharitis, or keratitis) of sufficient severity to require topical or systemic treatment"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Percent change from baseline (Visit 1) to Visit 8 (EoT) assessed by the inflammatory lesion (papules and pustules) count","definition_or_measurement_approach":"Percent change in inflammatory lesion (papules and pustules) count from baseline (Visit 1) to Visit 8 (End of Treatment)."}

Secondary endpoints

  • {"endpoint_text":"- Proportion of subjects with a clinical response of “success”, i.e. the percentage of subjects with an IGA score of “0 = Clear” or “1 = Almost Clear”, at Day 84 ± 4.","definition_or_measurement_approach":"Proportion of subjects achieving IGA score 0 or 1 at Day 84 ± 4."}
  • {"endpoint_text":"- Percent change and absolute change in inflammatory lesion (papules and pustules) count between baseline (Visit 1) and Visit 2, Visit 3, Visit 4, Visit 5, Visit 6, Visit 7, respectively.","definition_or_measurement_approach":"Percent and absolute change in inflammatory lesion count at each listed visit versus baseline."}
  • {"endpoint_text":"- Change in the assessment of facial erythema between baseline (Visit 1) and Visit 2, Visit 3, Visit 4, Visit 5, Visit 6, Visit 7, and Visit 8, respectively.","definition_or_measurement_approach":"Change in facial erythema assessment at each listed visit versus baseline."}
  • {"endpoint_text":"- Change of the Investigator`s Global Assessment (IGA) between baseline (Visit 1) and Visit 2, Visit 3, Visit 4, Visit 5, Visit 6, Visit 7 and Visit 8, respectively. Changes will be calculated as baseline- follow-up.","definition_or_measurement_approach":"Change in IGA score at each listed visit compared to baseline (calculated as baseline minus follow-up)."}
  • {"endpoint_text":"- Evaluation of the overall therapeutic success by the investigator and patient at day 84 ± 4 (EOT).","definition_or_measurement_approach":"Investigator and patient assessment of overall therapeutic success at Day 84 ± 4."}
  • {"endpoint_text":"- Incidence of adverse events (AEs) during the course of the study","definition_or_measurement_approach":"Reported incidence (number and proportion) of adverse events during the study period."}
  • {"endpoint_text":"- Evaluation of tolerability by the investigator and by the patient from Visit 2 to Visit 8 (EOT)","definition_or_measurement_approach":"Investigator and patient-rated tolerability assessments collected at Visits 2 through 8."}

Recruitment

Planned Sample Size
726
Recruitment Window Months
36
Consent Approach
Written informed consent required: "Written consent to study participation after patient information by the investigator". Informed consent and subject information documents are listed (e.g. "L1_SIS and ICF", "L2_Iver-C_PatientCard"). Participants must be ≥18 years; no assent or paediatric consent procedures or languages of documents are specified in the record.

Methods

  • Document: K1_Iver-C_RecruitmentInformedConsent (Recruitment arrangements) — title present in CTIS documents but no methods details extracted in record
  • Document: K2_Iver-C_Recruitment material_Referral Letter — recruitment referral letter document title present
  • Document: K2_Iver-C_Recruitment material_DesignPoster-Flyer — recruitment poster/flyer document title present
  • Document: L2_Iver-C_PatientCard — patient card document title present

Geography

Total Number Of Sites
14
Total Number Of Participants
726

Germany

Earliest CTIS Part Ii Submission Date
23-10-2024
Latest Decision Or Authorization Date
11-04-2025
Processing Time Days
170
Number Of Sites
14
Number Of Participants
726

Sites

Site Name
Hautarztpraxis Kock
Contact Person Name
Christian Kock
Contact Person Email
info@praxiskock.de
Site Name
Studienzentrum Dr. med. Beate Schwarz Dermatologie und Allergologie
Contact Person Name
Beate Schwarz
Contact Person Email
studie@hautarzt-langenau.de
Site Name
Derma Science GmbH
Contact Person Name
Welf Prager
Contact Person Email
science@derma-hamburg.de
Site Name
Praxis Dr. med. Abdou Zarzour
Contact Person Name
Abdou Zarzour
Contact Person Email
info@hautarzt-halle.de
Site Name
Haut-und Lasercentrum Potsdam - Dr. med. Tanja Fischer
Contact Person Name
Tanja Fischer
Contact Person Email
fischer@hlpc.de
Site Name
Pro Derma
Contact Person Name
Rolf Dominicus
Site Name
Gemeinschaftspraxis Weber & Crainic
Contact Person Name
Ridwan Weber
Contact Person Email
info@wedermic.de
Site Name
Magdeburger Company For Medical Studies & Services GmbH
Contact Person Name
Jens-Joachim Brücher
Site Name
Gemeinschaftspraxis Drs. Grosskopf
Contact Person Name
Josef Großkopf
Contact Person Email
info@drs-grosskopf.de
Site Name
Praxis Dr. Julia Reichle
Contact Person Name
Julia Reichle
Contact Person Email
praxis-jreichle@web.de
Site Name
Hautarztpraxis Dr. Offers und Dr. Adamini
Contact Person Name
Michael Offers
Contact Person Email
adamini.offers@web.de
Site Name
Hautarztzentrum Hamm
Contact Person Name
Eörs Szabó
Contact Person Email
post@hautarzt-hamm.de
Site Name
Hautarztpraxis
Contact Person Name
Anna Eisenberg
Contact Person Email
praxis@drannaeisenberg.de
Site Name
Hautarztpraxis Dr. Pfennig
Contact Person Name
Karsten Pfennig
Contact Person Email
info@dr-med-pfennig.de

Sponsor

Primary sponsor

Full Name
Dermapharm AG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Germany

Contract research organisations

Name
GKM Gesellschaft fuer Therapieforschung mbH
Responsibilities
sponsorDuties codes: 10,6,7
Name
Symbio Clinical Research GmbH
Responsibilities
sponsorDuties codes: 1,2

Third parties

  • {"country":"Germany","full_name":"GKM Gesellschaft fuer Therapieforschung mbH","duties_or_roles":"sponsorDuties codes: 10,6,7","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"Symbio Clinical Research GmbH","duties_or_roles":"sponsorDuties codes: 1,2","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Ivermectin Cream
Active Substance
IVERMECTIN
Modality
Small molecule
Routes Of Administration
CUTANEOUS USE
Route
Cutaneous
Authorisation Status
prodAuthStatus 1; euMpNumber PRD11157645
Maximum Dose
max daily dose 2.14 g; max total dose 180 g
Investigational Product Name
Soolantra 10 mg/g Creme
Active Substance
IVERMECTIN
Modality
Small molecule
Routes Of Administration
CUTANEOUS USE
Route
Cutaneous
Authorisation Status
prodAuthStatus 2; euMpNumber PRD2838920; marketingAuthNumber 92429.00.00
Maximum Dose
max daily dose 2.14 g; max total dose 180 g
Investigational Product Name
Vehicle to Test Product
Modality
Other

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