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The primary objective of this study is to determine the long-term safety of CB-03-01 cream, 1% applied twice daily for an additional nine months in study participants with acne vulgaris that participated in the Phase 3 pivotal studies for a total treatment of up to 12 months.
This was a multicenter, open label, long-term extension study for CB-03-01 cream, 1% focused on safety in male and female participants, 9 years or older who completed one of the Phase 3 pivotal studies [CB-03-01/25 and CB-03-01/26]. Participants applies the active medication (CB-03-01 cream, 1%) twice daily to the entire face and, if designated by investigator AND desired by the participant, truncal acne for nine additional months of treatment. Thus, overall participants were exposed to CB-03-01 cream, 1% for a total treatment of up to 12 months (0 or 3 months in the Phase 3 pivotal study and an additional nine months in this long-term safety study).
Participants treated facial acne per protocol for nine months. Treatment of truncal acne was discussed by the investigator and participant. Treatment on the face and/or trunk was discontinued if/when acne clears and re-started if/when acne worsens, according to the assessment of the investigator for each respective treatment area (i.e., face and trunk).
Participants were rolled over from the Phase 3 pivotal studies [CB-03-01/25 and CB-03-01/26] into this long-term, safety study in order to achieve at least 300 participants on-study at 6 months and 100 participants on-study at 12 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CB-03-01 cream, 1% | Experimental | CB-03-01 (cortexolone 17α-propionate) Cream, 1%, applied twice daily to whole face (about 1 gram) and affected areas of trunk (if applicable) for up to an additional 9 months. Over the course of the study, treatment on the face and/or trunk may be discontinued if/when acne clears and re-started if/when acne worsens, according to the assessment of the investigator for each respective treatment area. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CB-03-01 cream, 1% | Drug | Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Any Local and Systemic Treatment Emergent Adverse Events | Number of participants with any local and systemic treatment emergent AEs (TEAEs) | up to 52 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| R&D Cassiopea | Cassiopea SpA | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johnson Dermatology | Fort Smith | Arkansas | 72916 | United States | ||
| Gary M. Petrus, MD PA |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38206145 | Derived | Eichenfield LF, Gold LS, Han J, Hebert AA, Mazzetti A, Moro L, Squittieri N, Thiboutot D. Integrated Short-Term and Long-Term Efficacy of Topical Clascoterone Cream 1% in Patients Aged 12 Years or Older With Acne Vulgaris. J Drugs Dermatol. 2024 Jan 1;23(1):1278-1283. doi: 10.36849/JDD.7719. |
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There were 609 subjects who were rolled over (i.e., enrolled) from the two Phase 3 pivotal studies (CB-03-01/25 [NCT02608450] and CB-03-01/26 [NCT02608476]) into this long-term, safety study. However, two (2) subjects in the original vehicle cream were not treated with test article and thus were excluded from the study population (Safety set).
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| ID | Title | Description |
|---|---|---|
| FG000 | CB-03-01 Cream, 1% | Subjects in this arm received CB-03-01 (cortexolone 17α-propionate) Cream, 1% in the pivotal study and continued their CB-03-01 cream treatment in this open-label safety extension study. Subjects were instructed to apply CB-03-01 Cream, 1%, twice daily to whole face (about 1 gram) and affected areas of trunk (if applicable) for up to an additional 9 months. Over the course of the study, treatment on the face and/or trunk may be discontinued if/when acne clears and re-started if/when acne worsens, according to the assessment of the investigator for each respective treatment area. Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Sep 9, 2015 | Sep 23, 2020 |
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|
| Little Rock |
| Arkansas |
| 72205 |
| United States |
| Center for Dermatology and Laser Surgery | Sacramento | California | 95819 | United States |
| Rady Childrens Hospital, Pediatric and Adolescent Dermatology | San Diego | California | 92123 | United States |
| Southern California Dermatology | Santa Ana | California | 92701 | United States |
| Clinical Science Institute | Santa Monica | California | 90404 | United States |
| Memorial Research Medical Clinic dba / Orange County Research Center | Tustin | California | 92780 | United States |
| Horizons Clinical Research Center, LLC | Denver | Colorado | 80220 | United States |
| Study Protocol, Inc. | Boynton Beach | Florida | 33437 | United States |
| Tory Sullivan, M.D., P.A. | North Miami Beach | Florida | 33162 | United States |
| Belleair Research Center | Pinellas Park | Florida | 33781 | United States |
| Meridien Research | St. Petersburg | Florida | 33709 | United States |
| MOORE Clinical Research, Inc. | Tampa | Florida | 33609 | United States |
| MedaPhase, Inc. | Newnan | Georgia | 30263 | United States |
| Arlington Dermatology | Arlington Heights | Illinois | 60005 | United States |
| Shideler Clinical Research Center | Carmel | Indiana | 46032 | United States |
| The Indiana Clinical Trials Center | Plainfield | Indiana | 46168 | United States |
| Kansas City Dermatology, PA | Overland Park | Kansas | 66215 | United States |
| Maryland Laser Skin and Vein Institute | Hunt Valley | Maryland | 21030 | United States |
| Henry Ford Health System | Detroit | Michigan | 48202 | United States |
| MediSearch Clinical Trials | Saint Joseph | Missouri | 64506 | United States |
| Sadick Research Group, LLC | New York | New York | 10075 | United States |
| Skin Specialty Dermatology | New York | New York | 10155 | United States |
| DermResearch Center of New York, Inc. | Stony Brook | New York | 11790 | United States |
| Oregon Dermatology and Research Center | Portland | Oregon | 97210 | United States |
| The Pennsylvania State University and the Milton S. Hershey Medical Center | Hershey | Pennsylvania | 17033 | United States |
| Clinical Partners, LLC | Johnston | Rhode Island | 02919 | United States |
| Omega Medical Research | Warwick | Rhode Island | 02886 | United States |
| Greenville Dermatology, LLC | Greenville | South Carolina | 29607 | United States |
| International Clinical Research - Tennessee LLC | Murfreesboro | Tennessee | 37130 | United States |
| Tennessee Clinical Research Center | Nashville | Tennessee | 37215 | United States |
| Westlake Dermatology Clinical Research Center | Austin | Texas | 78746 | United States |
| The University of Texas Health Science Center at Houston | Houston | Texas | 77030 | United States |
| Austin Institute for Clinical Research, Inc. | Pflugerville | Texas | 78660 | United States |
| Texas Dermatology and Laser Specialists | San Antonio | Texas | 78218 | United States |
| Progressive Clinical Research, PA | San Antonio | Texas | 78229 | United States |
| Clinical Research Associates of Tidewater, Inc. | Norfolk | Virginia | 23507 | United States |
| Dermatology Associates | Seattle | Washington | 98101 | United States |
| Premier Clinical Research | Spokane | Washington | 99202 | United States |
| Site 3521 | Plovdiv | 4000 | Bulgaria |
| 3520 | Sofia | 1407 | Bulgaria |
| Site 3524 | Sofia | 1407 | Bulgaria |
| Site 3519 | Sofia | 1431 | Bulgaria |
| Site 3526 | Sofia | 1618 | Bulgaria |
| Site 3522 | Varna | 9010 | Bulgaria |
| Site 9912 | Tbilisi | 0114 | Georgia |
| Site 9911 | Tbilisi | 0159 | Georgia |
| Site 9913 | Tbilisi | 9913 | Georgia |
| Site 4814 | Bialystok | Poland |
| 4819 | Bydgoszcz | Poland |
| Site 4822 | Częstochowa | Poland |
| Site 4811 | Dąbrówka | Poland |
| 4815 | Katowice | Poland |
| Site 4821 | Krakow | Poland |
| Site 4820 | Lodz | Poland |
| Site 4823 | Osielsko | Poland |
| Site 4813 | Szczecin | Poland |
| Site 4818 | Warsaw | Poland |
| Site 4812 | Wroclaw | Poland |
| Site 4033 | Sector 2 | Bucharest | 020125 | Romania |
| Site 4034 | Sector 2 | Bucharest | 020125 | Romania |
| Site 4031 | Sector 3 | Bucharest | 030303 | Romania |
| Site 4029 | Sector 6 | Bucharest | 062272 | Romania |
| Site 4028 | Targoviste | Jud. Dambovita | Romania |
| Site 4035 | Bucharest | Romania |
| Site 4037 | Iași | 700381 | Romania |
| Site 4030 | Sibiu | Romania |
| Site 8138 | Belgrade | 11050 | Serbia |
| Site 8137 | Belgrade | 8137 | Serbia |
| Site 8136 | Novi Sad | 21000 | Serbia |
| Site 3802 | Dnipro | 49000 | Ukraine |
| Site 3808 | Kharkiv | 61002 | Ukraine |
| Site 3804 | Kharkiv | 61038 | Ukraine |
| Site 3809 | Zaporizhzhya | 69063 | Ukraine |
| FG001 | CB-03-01 Cream, 1% (Vehicle Arm) | Subjects in this arm received vehicle cream in the pivotal study and CB-03-01 cream in this open-label safety extension study. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Safety population defined as all subjects who applied at least one dose of test article.
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| ID | Title | Description |
|---|---|---|
| BG000 | CB-03-01 Cream, 1% | Subjects in this arm received CB-03-01 (cortexolone 17α-propionate) Cream, 1% in the pivotal study and continued their CB-03-01 cream treatment in this open-label safety extension study. Subjects were instructed to apply CB-03-01 Cream, 1%, twice daily to whole face (about 1 gram) and affected areas of trunk (if applicable) for up to an additional 9 months. Over the course of the study, treatment on the face and/or trunk may be discontinued if/when acne clears and re-started if/when acne worsens, according to the assessment of the investigator for each respective treatment area. Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris. |
| BG001 | CB-03-01 Cream, 1% (Vehicle Arm) | Subjects in this arm received vehicle cream in the pivotal study and CB-03-01 cream in this open-label safety extension study. |
| BG002 | 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 | Number of Participants With Any Local and Systemic Treatment Emergent Adverse Events | Number of participants with any local and systemic treatment emergent AEs (TEAEs) | Safety dataset population. | Posted | Count of Participants | Participants | up to 52 weeks |
|
|
|
Treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) were collected from the time the subject exited the pivotal study (i.e., Week 13 or day 1 of the Long-term extension study) and up to 52 weeks after entry into the pivotal study (i.e., up to week 39 or early termination of the long term extension study).
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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 | CB-03-01 Cream, 1% | Subjects in this arm received CB-03-01 (cortexolone 17α-propionate) Cream, 1% in the pivotal study and continued their CB-03-01 cream treatment in this open-label safety extension study. Subjects were instructed to apply CB-03-01 Cream, 1%, twice daily to whole face (about 1 gram) and affected areas of trunk (if applicable) for up to an additional 9 months. Over the course of the study, treatment on the face and/or trunk may be discontinued if/when acne clears and re-started if/when acne worsens, according to the assessment of the investigator for each respective treatment area. Cortexolone 17α-propionate (USAN/INN: clascoterone) is a steroidal antiandrogen that is being developed as a 1% cream for the topical treatment of acne vulgaris. | 0 | 317 | 3 | 317 | 21 | 317 |
| EG001 | CB-03-01 Cream, 1% (Vehicle Arm) | Subjects in this arm received vehicle cream in the pivotal study and CB-03-01 cream in this open-label safety extension study. | 0 | 290 | 3 | 290 | 17 | 290 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Depression | Psychiatric disorders | MedDRA version 18.1 | Non-systematic Assessment |
| |
| Suicide attempt | Psychiatric disorders | MedDRA version 18.1 | Non-systematic Assessment |
| |
| Gastroenteritis eosinophilic | Gastrointestinal disorders | MedDRA version 18.1 | Non-systematic Assessment |
| |
| Fatigue | General disorders | MedDRA version 18.1 | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA version 18.1 | Non-systematic Assessment |
| |
| Abortion induced | Surgical and medical procedures | MedDRA version 18.1 | Non-systematic Assessment |
| |
| Coronary artery dissection | Vascular disorders | MedDRA version 18.1 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nasopharyngitis | Infections and infestations | MedDRA version 18.1 | Non-systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA version 18.1 | Non-systematic Assessment |
| |
| Respiratory tract infection viral | Infections and infestations | MedDRA version 18.1 | Non-systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA version 18.1 | Non-systematic Assessment |
| |
| Application site acne | General disorders | MedDRA version 18.1 | Non-systematic Assessment |
|
The Sponsor has first right to publish pooled study data. In the event that such manuscript has not been submitted for publication within 18 months from study completion/termination at all participating sites, the PI shall have the right to single center publications provided they submit any data for presentation, oral or written, to the Sponsor for review 60 days prior to public disclosure. The PI may not disclose previously undisclosed confidential information other than study results.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Cassiopea R&D | Cassiopea, SPA | +39 02 868 911 24 | r&d@cassiopea.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 27, 2018 | Sep 23, 2020 | SAP_001.pdf |
| 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 |
|---|---|
| C496269 | Clascoterone |
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| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
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| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|