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
- Contact Person Email
- proderma@hautzentrum-duelmen.de
- 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
- Contact Person Email
- studienzentrum@haut-ambulatorium.de
- 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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