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This research study is being done to compare the safety and effectiveness of GDC 695 (test drug) against the currently marketed reference drug (diclofenac sodium gel, 3%) and to establish that these two drugs work better than placebo in the treatment of actinic keratosis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test Drug | Experimental | GDC 695 gel applied topically as directed. |
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| Reference Drug | Active Comparator | Diclofenac sodium gel, 3% applied topically as directed. |
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| Placebo | Placebo Comparator | Vehicle gel applied topically as directed. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GDC 695 | Drug | GDC 695 is a topical gel. |
| |
| Diclofenac Sodium Gel, 3% |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects With Complete Clearance of AK Lesions | Complete Clearance was defined as 100% clearance of all Actinic Keratosis (AK) lesions (having a count of zero AKs) in the treatment area (face or bald scalp) at the Day 90 visit (30 Days Post Treatment). | Day 90 (30 days after completion of 60 days of treatment) |
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| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events (AEs) | AEs will be assessed by the investigator and the incidence (severity and causality) of any local and systemic AEs will be reported. | Day 0 through Day 90 |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site 07 | Fort Smith | Arkansas | 72916 | United States | ||
| Site 14 |
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All subjects who met the entry criteria and were randomized and enrolled into the study.
Recruitment Period: October 2016 to July 2017
The location of clinical sites included dermatology clinics and clinical research centers.
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| ID | Title | Description |
|---|---|---|
| FG000 | GDC 695 Gel | The test drug is GDC 695 gel applied topically as directed. GDC 695: GDC 695 is a topical gel. |
| FG001 | Diclofenac Sodium Gel | The reference drug is Diclofenac sodium gel, 3% applied topically as directed. Diclofenac Sodium Gel, 3%: Diclofenac sodium gel, 3% is an FDA-approved drug. |
| 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 | Jan 26, 2017 | Aug 24, 2018 |
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| Drug |
Diclofenac sodium gel, 3% is an FDA-approved drug. |
|
| Vehicle gel | Drug | Vehicle topical gel contains 0.0% of active drug and is color matched to the other two active test drugs. |
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| San Diego |
| California |
| 92117 |
| United States |
| Site 24 | San Ramon | California | 94582 | United States |
| Site 22 | Clearwater | Florida | 33756 | United States |
| Site 01 | North Miami Beach | Florida | 33162 | United States |
| Site 27 | Ocala | Florida | 34471 | United States |
| Site 12 | Tampa | Florida | 33609 | United States |
| Site 05 | Carmel | Indiana | 46032 | United States |
| Site 02 | Plainfield | Indiana | 46168 | United States |
| Site 25 | Saint Joseph | Missouri | 64506 | United States |
| Site 21 | Albuquerque | New Mexico | 87106 | United States |
| Site 03 | Warwick | Rhode Island | 02886 | United States |
| Site 26 | Anderson | South Carolina | 29621 | United States |
| Site 04 | Greenville | South Carolina | 29607 | United States |
| Site 28 | Norfolk | Virginia | 23507 | United States |
| Site 10 | Spokane | Washington | 99202 | United States |
| FG002 | Placebo | Vehicle gel applied topically as directed. Vehicle gel: Vehicle topical gel contains 0.0% of active drug and is color matched to the other two active test drugs. |
| COMPLETED |
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| NOT COMPLETED |
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Baseline demographic information is based on the safety population, which includes all randomized subjects who received at least one dose of the test article. Four subjects (2 in Test Drug group, 1 in Reference Drug group, and 1 in Placebo group) were excluded for not applying any test article.
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| ID | Title | Description |
|---|---|---|
| BG000 | GDC 695 Gel | GDC 695 gel applied topically as directed. GDC 695: GDC 695 is a topical gel. |
| BG001 | Diclofenac Sodium Gel | Diclofenac sodium gel, 3% applied topically as directed. Diclofenac Sodium Gel, 3%: Diclofenac sodium gel, 3% is an FDA-approved drug. |
| BG002 | Placebo | Vehicle gel applied topically as directed. Vehicle gel: Vehicle topical gel contains 0.0% of active drug and is color matched to the other two active test drugs. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| 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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Number of Subjects With Complete Clearance of AK Lesions | Complete Clearance was defined as 100% clearance of all Actinic Keratosis (AK) lesions (having a count of zero AKs) in the treatment area (face or bald scalp) at the Day 90 visit (30 Days Post Treatment). | Analysis shown is based on the modified Intent-to-Treat (mITT) population, defined as all randomized subjects who met the following requirements, 1) met all inclusion/exclusion criteria; 2) applied at least one dose of test article; 3) and returned for at least one post-baseline evaluation clinic visit (Visits 3, 5, or 6). | Posted | Number | percentage of participants | Day 90 (30 days after completion of 60 days of treatment) |
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| Other Pre-specified | Adverse Events (AEs) | AEs will be assessed by the investigator and the incidence (severity and causality) of any local and systemic AEs will be reported. | Not Posted | Day 0 through Day 90 | Participants |
Treatment Emergent Adverse Events (TEAEs) were collected from study Day 1 (enrollment/first dose) to study completion (Day 90) or participant termination. AEs that continued beyond completion/termination were followed until resolution or stabilization.
There were a total of four (4) Serious Adverse Events (SAEs) in three (3) subjects in the Reference group (Diclofenac sodium gel); one of these subjects experienced two (2) SAEs: (1) Bladder transitional cell carcinoma and (2) Haematuria. There were a total of six (6) SAEs in the five (5) subjects in the Placebo group (Vehicle gel); one of these subjects experienced two (2) SAEs: (1) Flank pain and (2) Lung infiltration.
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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 | GDC 695 | GDC 695 gel applied topically as directed. GDC 695: GDC 695 is a topical gel. | 0 | 218 | 1 | 218 | 19 | 218 |
| EG001 | Diclofenac Sodium Gel | Diclofenac sodium gel, 3% applied topically as directed. Diclofenac Sodium Gel, 3%: Diclofenac sodium gel, 3% is an FDA-approved drug. | 0 | 220 | 3 | 220 | 14 | 220 |
| EG002 | Placebo | Vehicle gel applied topically as directed. Vehicle gel: Vehicle topical gel contains 0.0% of active drug and is color matched to the other two active test drugs. | 0 | 223 | 5 | 223 | 6 | 223 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cardiac disorder | Cardiac disorders | MedDRA (19.0) | Systematic Assessment |
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| Cardiac failure acute | Cardiac disorders | MedDRA (19.0) | Systematic Assessment |
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| Coronary artery disease | Cardiac disorders | MedDRA (19.0) | Systematic Assessment |
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| Diverticulum | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
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| Sepsis syndrome | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
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| Flank pain | Musculoskeletal and connective tissue disorders | MedDRA (19.0) | Systematic Assessment |
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| Bladder transitional cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (19.0) | Systematic Assessment |
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| Subarachnoid haemorrhage | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
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| Haematuria | Renal and urinary disorders | MedDRA (19.0) | Systematic Assessment |
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| Lung infiltration | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Application site erythema | General disorders | MedDRA (19.0) | Systematic Assessment |
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| Application site oedema | General disorders | MedDRA (19.0) | Systematic Assessment |
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| Application site pain | General disorders | MedDRA (19.0) | Systematic Assessment |
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| Application site pruritus | General disorders | MedDRA (19.0) | Systematic Assessment |
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| Sinusitis | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA (19.0) | Non-systematic Assessment |
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The Institution and Investigator, including all employees and coworkers involved with this study, agree not to publish the results of this study without the prior written consent of Sponsor.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Gage Development Company | Gage Development Company | 1-847-999-0600 | clinicalinfo@capstonedevservices.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Mar 14, 2017 | Aug 24, 2018 | SAP_001.pdf |
| ID | Term |
|---|---|
| D055623 | Keratosis, Actinic |
| ID | Term |
|---|---|
| D011230 | Precancerous Conditions |
| D009369 | Neoplasms |
| D007642 | Keratosis |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| Male |
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| Not Hispanic or Latino |
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| White |
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| Chi-squared, Corrected |
| <0.0001 |
| Superiority |