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The purpose of this study is to compare the safety and therapeutic equivalence of a generic tazarotene foam 0.1% and the reference listed Fabior™ (tazarotene foam, 0.1%) in the treatment of acne vulgaris.
Although topical retinoids have been individually used to successfully treat acne vulgaris, Fabior™ (Tazarotene) Foam, 0.1% is a safe and effective topical therapy used for the treatment of acne vulgaris. Actavis has developed a generic formulation of Tazarotene Foam, 0.1%, and the current study is designed to evaluate the safety and efficacy of this formulation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fabior™(tazarotene) | Active Comparator | Reference listed drug: Fabior™ 0.1% foam (Stiefel) |
|
| Tazarotene | Experimental | Tazarotene 0/1% foam (Actavis) |
|
| Vehicle foam | Placebo Comparator | Foam vehicle of the test product (Actavis) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tazarotene (Fabior™) | Drug |
| ||
| Tazarotene (Actavis) |
| Measure | Description | Time Frame |
|---|---|---|
| Percent Change in the Inflammatory (Papules and Pustules) Lesion Counts | For the purposes of study treatment and evaluation, these lesions were limited to the facial treatment area excluding the eyes, the lips, and angles of the nose (i.e., the lines around the nostrils and under the nostrils) and all mucus membranes. | Mean percent change from baseline to Week 12 |
| Percent Change in the Non-inflammatory (Open and Closed Comedones) Lesion Counts | Estimates of mean percent change from baseline for non-inflammatory lesions for the Test and Reference treatment. | Mean percent change from baseline to Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| The Proportion of Subjects With an IGA Score That is at Least 2 Grades Less Than the Baseline Assessment | IGA score at Week 12 compared to baseline |
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Inclusion Criteria:
Healthy male or nonpregnant female aged ≥ 12 and ≤ 40 years with a clinical diagnosis of acne vulgaris.
Informed Consent/Assent: Subjects ages 12 to 17 years inclusive must have provided IRB approved written assent; this written assent must be accompanied by an IRB approved written informed consent from the Subject's legally acceptable representative (i.e., parent or guardian). In addition, all Subjects or their legally acceptable representatives (i.e., parent or guardian) must sign a HIPAA authorization.
Subjects must have a minimum ≥ 30 non-inflammatory lesions (i.e., open and closed comedones) AND ≥ 25 inflammatory lesions (i.e., papules and pustules) AND no cystic lesions and only up to 1 facial nodular lesion (less than or equal to 5 mm) on the face. For the purposes of study treatment and evaluation, these lesions should be limited to the facial treatment area excluding the eyes, the lips, and angles of the nose (i.e. the lines around the nostrils and under the nostrils) and all mucus membranes. Subjects may have acne lesions on other areas of the body which will also be excluded from the count, treatment, and the Investigator's Global Assessment (IGA) evaluation (e.g., on the back, chest and arms).
Subjects must have a severity grade 3, or 4 as per the Investigator's Global Assessment (IGA) (Section 6.2).
Subjects must be willing to refrain from using all other topical acne medications or antibiotics during the 12-week treatment period for acne vulgaris, other than the Investigational Product.
Female Subjects of childbearing potential (excluding women who are surgically sterilized or postmenopausal for at least 1 year), must have a negative urine pregnancy test (with sensitivity down to at least 50mIU/ml hCG) within 2 weeks prior to baseline.
Female Subjects of childbearing potential (excluding women who are surgically sterilized or postmenopausal for at least 1 year), must be willing to use an acceptable form of birth control from the day of the first dose administration.. For the purpose of this study the following are considered acceptable methods of birth control: oral or injectable contraceptives, contraceptive patches, Depo-Provera® (stabilized for at least 3 months); NuvaRing® (vaginal contraceptive); Implanon™ (contraceptive implant) double barrier methods (e.g. condom and spermicide); IUD, or abstinence with a 2nd acceptable method of birth control should the Subject become sexually active. A sterile sexual partner is NOT considered an adequate form of birth control.
All male Subjects must agree to use accepted methods of birth control with their partners, from the day of the first dose administration. Abstinence is an acceptable method of birth control for males.
Subjects must be willing and able to understand and comply with the requirements of the protocol, including attendance at the required study visits.
Subjects who use make-up must have used the same brands/types of make-up for a minimum period of 14 days prior to study entry and must agree to not change make-up brand/type or frequency of use throughout the study.
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Exclusion Criteria:
Female Subjects who are pregnant, nursing or planning to become pregnant during study participation.
Subjects with a history of hypersensitivity or allergy to tazarotene and its excipients, and/or any of the study medication ingredients.
Subjects with the presence of any skin condition that would interfere with the diagnosis or assessment of acne vulgaris. Such conditions include, but are not limited to the following: auto immune disease, rosacea; seborrheic dermatitis; perioral dermatitis; corticosteroid-induced acne; carcinoid syndrome; mastocytosis; acneform eruptions caused by make-up, medication, facial psoriasis and facial eczema, squamous cell carcinoma, steroid folliculitis, or bacterial folliculitis).
Subjects who have acne congoblata, acne fulminans, and secondary acne (e.g., chloracne and drug induced acne) will be excluded from participation.
Subjects with excessive facial hair (e.g. beards, sideburns, moustaches, etc.) that would interfere with diagnosis or assessment of acne vulgaris.
Subjects who have used any of the following within 6 months prior to baseline or use during the study:
Subjects who have used estrogens or oral contraceptives for less than 3 months prior to baseline; use of such therapy must remain constant throughout the study.
Subjects who use androgen receptor blockers (such as spironolactone or flutamide) will be excluded from study participation.
Subjects who have had cosmetic procedures (e.g., facials, wax depilation) which may affect the efficacy and safety profile of the investigational product within 14 days prior to study entry. Cosmetic procedures and facials are prohibited throughout the study.
Subjects who have received radiation therapy and/or anti-neoplastic agents within 90 days prior to baseline.
Subjects who have had laser therapy, electrodessication and phototherapy (e.g., ClearLight®) to the facial area within 180 days prior to study entry.
Subjects who have used any of the following procedures on the face within 1 month prior to baseline or during the study:
Subjects who have used any of the following treatments within 1 month prior to baseline or during the study:
Subjects who have used any of the following treatments within 14 days prior to baseline or during the study:
Subjects who have started hormonal therapy or changed the dosage of their hormonal therapy within 3 months prior to baseline will be excluded from study participation. The dosage and frequency of use of any hormonal therapy started greater than 3 months prior to baseline must remain unchanged throughout the study (Visit 1 through Visit 4). Hormonal treatments include, but are not limited to, estrogenic and progestational agents such as birth control pills.
Subjects who have unstable medical disorders that are clinically significant or life-threatening diseases will be excluded from study participation.
Subjects with current facial sunburn at baseline or subjects who will have excessive use of tanning booths, sunbathing, or excessive exposure to the sun during the study.
Subjects who will engage in activities that involve excessive or prolonged exposure to sunlight or weather extremes, such as wind or cold.
Subjects who have on-going malignancies requiring systemic treatment will be excluded from study participation. In addition, Subjects who have any malignancy of the skin of the facial area will be excluded.
Subjects who consume excessive amounts of alcohol (greater than two drinks per day) or use drugs of abuse (including, but not limited to cannabinoids, cocaine and barbiturates).
Subjects who have had general anesthesia for any reason and subjects who have received neuromuscular blocking agents within 14 days prior to study entry will be excluded from study participation.
Subjects who have participated in an investigational drug study (i.e., Subjects have been treated with an Investigational Drug) within 30 days prior to baseline will be excluded from study participation. Subjects who are participating in non-treatment studies such as observational studies or registry studies can be considered for inclusion.
Subjects who have been previously enrolled in this study.
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| Name | Affiliation | Role |
|---|---|---|
| Keri Winkler | Akesis, LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Encino | California | 91436 | United States | |||
| Center for Dermatology Clinical Research |
893 subjects were randomized and analyzed; 869 qualified for the mITT population and 758 for the PP population.
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| ID | Title | Description |
|---|---|---|
| FG000 | Test | Tazarotene 0.1% foam (Actavis LLC) |
| FG001 | Reference | Reference listed drug: Fabior™ 0.1% (tazarotene) foam (Stiefel Laboratories LLC) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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|
| Vehicle foam | Drug |
|
| Fremont |
| California |
| 94538 |
| United States |
| Moore Clinical Research | Brandon | Florida | 33511 | United States |
| LCC Medical Research Institute | Miami | Florida | 33126 | United States |
| International Dermatology Research | Miami | Florida | 33144 | United States |
| FXM Research Corp | Miami | Florida | 33175 | United States |
| FXM Research Miramar | Miramar | Florida | 33027 | United States |
| Moore Clinical Research | Tampa | Florida | 33609 | United States |
| Moore Clinical Research | Tampa | Florida | 33618 | United States |
| Atlantic Clinical Research Collaborative | Wellington | Florida | 33414 | United States |
| Omega Medical Research | Warwick | Rhode Island | 02886 | United States |
| Research Across America | Dallas | Texas | 75234 | United States |
| Research Across America | Plano | Texas | 75093 | United States |
| Dermatology Research Center | Salt Lake City | Utah | 84117 | United States |
| FXM International | Belize City | Belize |
| FG002 | Vehicle | Vehicle foam of the test product (Actavis LLC) |
| COMPLETED |
|
| NOT COMPLETED |
|
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A total of 874 (97.9%) of the 893 randomized subjects applied study treatment during the baseline visit, and were therefore retained in the Safety population.
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| ID | Title | Description |
|---|---|---|
| BG000 | Test | Tazarotene 0.1% foam (Actavis LLC) |
| BG001 | Reference | Reference listed drug: Fabior™ 0.1% (tazarotene) foam (Stiefel Laboratories LLC) |
| BG002 | Vehicle | Vehicle foam of the test product (Actavis LLC) |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percent Change in the Inflammatory (Papules and Pustules) Lesion Counts | For the purposes of study treatment and evaluation, these lesions were limited to the facial treatment area excluding the eyes, the lips, and angles of the nose (i.e., the lines around the nostrils and under the nostrils) and all mucus membranes. | Mean percent change from baseline to Week 12 in Per Protocol Population | Posted | Mean | Standard Deviation | Percent change in inflammatory lesions | Mean percent change from baseline to Week 12 |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Percent Change in the Non-inflammatory (Open and Closed Comedones) Lesion Counts | Estimates of mean percent change from baseline for non-inflammatory lesions for the Test and Reference treatment. | Percent change in the non-inflammatory lesions in Per Protocol Population. | Posted | Mean | Standard Deviation | percent change in noninflammatory lesion | Mean percent change from baseline to Week 12 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | The Proportion of Subjects With an IGA Score That is at Least 2 Grades Less Than the Baseline Assessment | Treatment success based on IGA score at Week 12 in PP population | Posted | Count of Participants | Participants | IGA score at Week 12 compared to baseline |
|
|
Adverse event data were collected over approximately 13 weeks.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Test | Tazarotene 0.1% foam (Actavis LLC) | 0 | 292 | 0 | 292 | 41 | 292 |
| EG001 | Reference | Reference listed drug: Fabior™ 0.1% (tazarotene) foam (Stiefel Laboratories LLC) | 0 | 288 | 0 | 288 | 55 | 288 |
| EG002 | Vehicle | Vehicle foam of the test product (Actavis LLC) | 0 | 294 | 0 | 294 | 43 | 294 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Eye Pain | Eye disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Eye Pruritis | Eye disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Eye swelling | Eye disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Dry mouth | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Lip swelling | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Oral pain | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Toothache | Gastrointestinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Application site reaction | General disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Cyst | General disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Influenza like illness | General disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Food allergy | Immune system disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (16.0) | Systematic Assessment |
| |
| Localized infection | Infections and infestations | MedDRA (16.0) | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA (16.0) | Systematic Assessment |
| |
| Rhinitis | Infections and infestations | MedDRA (16.0) | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA (16.0) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (16.0) | Systematic Assessment |
| |
| Arthropod bite | Injury, poisoning and procedural complications | MedDRA (16.0) | Systematic Assessment |
| |
| Ligament sprain | Injury, poisoning and procedural complications | MedDRA (16.0) | Systematic Assessment |
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| Thermal burn | Injury, poisoning and procedural complications | MedDRA (16.0) | Systematic Assessment |
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| Heart rate increased | Investigations | MedDRA (16.0) | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (16.0) | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (16.0) | Systematic Assessment |
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| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Neck pain | Musculoskeletal and connective tissue disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Burning sensation | Nervous system disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (16.0) | Systematic Assessment |
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| Migraine | Nervous system disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Sinus headache | Nervous system disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Tension headache | Nervous system disorders | MedDRA (16.0) | Systematic Assessment |
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| Anxiety | Psychiatric disorders | MedDRA (16.0) | Systematic Assessment |
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| Depression | Psychiatric disorders | MedDRA (16.0) | Systematic Assessment |
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| Sleep disorder | Psychiatric disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Dysmenorrhoea | Reproductive system and breast disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Ovarian cyst | Reproductive system and breast disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Sneezing | Respiratory, thoracic and mediastinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Acne | Respiratory, thoracic and mediastinal disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Erythema | Skin and subcutaneous tissue disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Rash erythematous | Skin and subcutaneous tissue disorders | MedDRA (16.0) | Systematic Assessment |
| |
| Skin exfoliation | Skin and subcutaneous tissue disorders | MedDRA (16.0) | Systematic Assessment |
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The results of the study may be published or presented by the Investigator(s) after the review by, and in consultation and agreement with the Sponsor, and such that confidential or proprietary information is not disclosed
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, CE Studies | Teva Pharmaceuticals USA, Inc. | 1-888-483-8279 | USMedinfo@tevapharm.com |
| ID | Term |
|---|---|
| D000152 | Acne Vulgaris |
| ID | Term |
|---|---|
| D017486 | Acneiform Eruptions |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012625 | Sebaceous Gland Diseases |
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| ID | Term |
|---|---|
| C086827 | tazarotene |
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| Male |
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| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
|
|
|
|