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Phase 3 N=462 Randomized Triple-blind Treatment

Bioequivalence of Generic Imiquimod Cream, 5% When Compared to Aldara™ (Imiquimod) Cream, 5% in the Treatment of Actinic Keratosis

Actinic Keratoses

Enrolled (actual)
462
Serious AEs
1.8%
Results posted
Sep 2020
Primary outcome: Primary: Percentage of Subjects in Each Treatment Group With Complete Clearance of AK Lesions at the Test of Cure Visit (Week 24) — 74; 72; 7 Participants — p=0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
imiquimod (Drug); Aldara™ (Drug); Vehicle Cream (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Actavis Inc.
Primary completion
Mar 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Subjects in Each Treatment Group With Complete Clearance of AK Lesions at the Test of Cure Visit (Week 24)
74; 72; 7 0.0001 sig
SECONDARY
Percentage of Subjects With at Least a 75% Reduction in the Number of AK Lesions From Baseline to End of Treatment (EOT) Visit (Week 16).
110; 114; 14
SECONDARY
Percentage of Subjects With at Least a 75% Reduction in the Number of AK Lesions From Baseline to 8 Weeks Post Treatment (Test of Cure Visit).
77; 77; 7

Summary

At the end of the study, safety and efficacy outcome measures will be compared to determine a) if dosing with Generic Imiquimod cream, 5% is therapeutically equivalent to the currently marketed Aldara (imiquimod) cream, 5% and b) if both imiquimod 5% creams are superior in comparison to the Vehicle cream.

Eligibility Criteria

Inclusion Criteria

  • Subjects were male or non-pregnant females, 18 years of age or older, in generally good health. Females who were post-menopausal, surgically sterile or using a medically acceptable form of birth control with a negative urine pregnancy test at the Baseline visit.
  • Subjects provided written and verbal informed consent.
  • Subjects presented to the clinic with at least 4 but no more than 12 visible, discrete nonhyperkeratotic, nonhypertrophic actinic keratosis lesions within a 25 cm2 Treatment Area on the face and/or anterior scalp.
  • Subjects were willing and able to comply with study instructions and return to the clinic for required visits.

Exclusion Criteria

  • Subjects who were lactating, or planning to become pregnant during the study.
  • Subjects had hyperkeratotic, hypertrophic or large mat-like AKs within the 25 cm2 Treatment Area.
  • Subjects who had the need or were planning to be exposed to artificial tanning devices or excessive sunlight during the trial.
  • Subjects who were immunosuppressed (e.g., HIV, systemic malignancy, graft vs. host disease, etc.).
  • Subjects who experienced an unsuccessful outcome from previous imiquimod therapy.
  • Subjects with known hypersensitivity or previous allergic reaction to any of the active or inactive components of the study drugs.
  • Within 2 months: Facial and/or Anterior Scalp: laser resurfacing, photodynamic therapy, chemical peels, dermabrasion, topical application of 5-FU, imiquimod, diclofenac sodium or other treatments for AK or photodamage.
  • Subjects who used the following systemic, oral or topical therapies for the periods specified prior to entry into the study:

Within 2 days: Topicals of any kind to the selected Treatment Area. Within 2 weeks: Facial topical medications: corticosteroids, alpha- hydroxyacids (e.g., glycolic acid, lactic acid, etc. greater than 5%), beta-hydroxyacid (salicylic acid greater than 2%), urea - greater than 5% or prescription retinoids (e.g., tazarotene, adapalene, tretinoin) to the face and/or anterior scalp.

Within 2 weeks: Cryotherapy to lesions adjacent to or within the 25 cm2 Treatment Area.

Within 4 weeks: Systemic steroid therapy: chemotherapeutic agents, psoralens, immunotherapy, or retinoids.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00948428). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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