Escape: Clobetasol Propionate 0.05% Shampoo in Association With Antifungal Shampoo in Scalp Seborrheic Dermatitis

Sponsor
Galderma R&D (Industry)
Overall Status
Completed
CT.gov ID
NCT00862654
Collaborator
(none)
326
18
4
11.1
18.1
1.6

Study Details

Study Description

Brief Summary

The objective is to assess different treatment regimens with Clobetasol propionate shampoo 0.05% in the treatment of scalp Seborrheic Dermatitis.

Condition or Disease Intervention/Treatment Phase
  • Drug: clobetasol propionate shampoo (4/week) - ketoconazole shampoo (2/week)
  • Drug: clobetasol propionate shampoo (2/week) - ketoconazole shampoo (2/week)
  • Drug: clobetasol propionate shampoo (2/week)
  • Drug: ketoconazole shampoo (2/week)
Phase 3

Detailed Description

The objective is to assess different treatment regimens with Clobetasol propionate shampoo 0.05% in association with an antifungal shampoo (Ketoconazole 2%) in the treatment of moderate to severe scalp Seborrheic Dermatitis compared to the antifungal shampoo alone.

Study Design

Study Type:
Interventional
Actual Enrollment :
326 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Investigator)
Primary Purpose:
Treatment
Official Title:
Efficacy and Safety of Clobetasol Propionate Shampoo 0.05% Used in Association With an Antifungal Shampoo in the Treatment of Moderate to Severe Scalp Seborrheic Dermatitis
Study Start Date :
Mar 1, 2009
Actual Primary Completion Date :
Feb 1, 2010
Actual Study Completion Date :
Feb 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: C propionate 4/week + Ketoconasole 2/week

Clobetasol propionate shampoo 0.05% (4/week) + Ketoconazole shampoo 2% (2/week)

Drug: clobetasol propionate shampoo (4/week) - ketoconazole shampoo (2/week)
Association: clobetasol propionate shampoo & ketoconazole shampoo

Experimental: C propionate 2/week + Ketoconasole 2/week

Clobetasol propionate shampoo 0.05% (2/week) + Ketoconazole shampoo 2% (2/week)

Drug: clobetasol propionate shampoo (2/week) - ketoconazole shampoo (2/week)
Association: clobetasol propionate shampoo & ketoconazole shampoo

Experimental: C propionate 2/week

Clobetasol propionate shampoo 0.05% (2/week)

Drug: clobetasol propionate shampoo (2/week)
Monotherapy with clobetasol propionate shampoo

Active Comparator: Ketoconazole 2/week

Ketoconazole shampoo 2% (2/week)

Drug: ketoconazole shampoo (2/week)
Monotherpay ketoconazole shampoo (2/week)

Outcome Measures

Primary Outcome Measures

  1. Total Severity Score (TSS): Percent Change From Baseline at Week 4 [baseline and week 4]

    Total Severity Score (TSS) is sum of erythema, scaling and pruritus severity scores of the lesions evaluated each on a 4-point scale from 0 = None to 3 = Severe by the investigator. So minimum TSS can be 0 and maximum 9.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Subjects with moderate to severe scalp Seborrheic Dermatitis
Exclusion Criteria:
  • Subjects suffering from psoriasis,

  • Subjects with a known allergy to one of the components of the test products,

  • Female subjects who are pregnant, nursing or planning a pregnancy during the study

Contacts and Locations

Locations

Site City State Country Postal Code
1 Galderma Investigational Center Brugge Belgium
2 Galderma Investigational Center Bruxelles Belgium
3 Galderma Investigational Center Geel Belgium
4 Galderma Investigational Center Gent Belgium
5 Galderma Investigational Center Liege Belgium
6 Galderma Investigational Center Mons Belgium
7 Galderma Investigational Center Paris France
8 Galderma Investigational Center Berlin Germany
9 Galderma Investigational Center Bonn Germany
10 Galderma Investigational Center Hamburg Germany
11 Galderma Investigational Center Lubeck Germany
12 Galderma Investigational Center Mahlow Germany
13 Galderma Investigational Center Wuppertal Germany
14 Galderma Investigational Center Seoul Korea, Republic of
15 Galderma Investigational Center Guadalajara Mexico
16 Galderma Investigational Center Mexico Mexico
17 Galderma Investigational Center Naucalpan Mexico
18 Galderma Investigational Center Zapopan, Jalisco Mexico

Sponsors and Collaborators

  • Galderma R&D

Investigators

  • Principal Investigator: Jean-Paul Ortonne, MD, Nice Hospital (France)

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Galderma R&D
ClinicalTrials.gov Identifier:
NCT00862654
Other Study ID Numbers:
  • RD.03.SPR.29079
First Posted:
Mar 17, 2009
Last Update Posted:
Feb 18, 2021
Last Verified:
Aug 1, 2011
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title C Propionate 4/Week + Ketoconazole 2/Week C Propionate 2/Week + Ketoconazole 2/Week C Propionate 2/Week Ketakonazol 2/Week
Arm/Group Description Clobetasol propionate shampoo 0.05% (4/week) + Ketoconazole shampoo 2% (2/week) Clobetasol propionate shampoo 0.05% (2/week) + Ketoconazole shampoo 2% (2/week) Clobetasol propionate shampoo 0.05% (2/week) Ketoconazole shampoo 2% (2/week)
Period Title: Overall Study
STARTED 82 82 82 80
COMPLETED 76 74 76 74
NOT COMPLETED 6 8 6 6

Baseline Characteristics

Arm/Group Title C Propionate 4/Week + Ketoconazole 2/Week C Propionate 2/Week + Ketoconazole 2/Week C Propionate 2/Week Ketakonazol 2/Week Total
Arm/Group Description Clobetasol propionate shampoo 0.05% (4/week) + Ketoconazole shampoo 2% (2/week) Clobetasol propionate shampoo 0.05% (2/week) + Ketoconazole shampoo 2% (2/week) Clobetasol propionate shampoo 0.05% (2/week) Ketoconazole shampoo 2% (2/week) Total of all reporting groups
Overall Participants 82 82 82 80 326
Age (Count of Participants)
<=18 years
2
2.4%
1
1.2%
3
3.7%
1
1.3%
7
2.1%
Between 18 and 65 years
65
79.3%
69
84.1%
71
86.6%
66
82.5%
271
83.1%
>=65 years
15
18.3%
12
14.6%
8
9.8%
13
16.3%
48
14.7%
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
46.9
(16.0)
43.8
(17.2)
44.9
(15.3)
44.7
(15.5)
45.1
(16.0)
Sex: Female, Male (Count of Participants)
Female
36
43.9%
39
47.6%
38
46.3%
36
45%
149
45.7%
Male
46
56.1%
43
52.4%
44
53.7%
44
55%
177
54.3%
Region of Enrollment (participants) [Number]
France
12
14.6%
11
13.4%
12
14.6%
12
15%
47
14.4%
Mexico
17
20.7%
18
22%
18
22%
17
21.3%
70
21.5%
Belgium
9
11%
7
8.5%
9
11%
8
10%
33
10.1%
Germany
35
42.7%
37
45.1%
34
41.5%
34
42.5%
140
42.9%
Korea, Republic of
9
11%
9
11%
9
11%
9
11.3%
36
11%

Outcome Measures

1. Primary Outcome
Title Total Severity Score (TSS): Percent Change From Baseline at Week 4
Description Total Severity Score (TSS) is sum of erythema, scaling and pruritus severity scores of the lesions evaluated each on a 4-point scale from 0 = None to 3 = Severe by the investigator. So minimum TSS can be 0 and maximum 9.
Time Frame baseline and week 4

Outcome Measure Data

Analysis Population Description
Intent To Treat (ITT) with Last Observation Carried Forward (LOCF)
Arm/Group Title C Propionate 4/Week + Ketoconazole 2/Week C Propionate 2/Week + Ketoconazole 2/Week C Propionate 2/Week Ketakonazol 2/Week
Arm/Group Description Clobetasol propionate shampoo 0.05% (4/week) + Ketoconazole shampoo 2% (2/week) Clobetasol propionate shampoo 0.05% (2/week) + Ketoconazole shampoo 2% (2/week) Clobetasol propionate shampoo 0.05% (2/week) Ketoconazole shampoo 2% (2/week)
Measure Participants 82 82 82 80
Median (Full Range) [Percent change]
-71.4
-66.7
-66.7
-57.1
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection C Propionate 2/Week + Ketoconazole 2/Week, Ketakonazol 2/Week
Comments The primary efficacy criterion was analyzed by using the Cochran-Mantel-Haenszel (CMH) statistic, stratified by center (or analysis-center) after ridit transformation with the row mean difference statistics, testing the hypothesis of equality. The p-value had to be inferior to 0.05 at week 4, in the ITT/LOCF population. PP analysis was also performed to assess the robustness of the results obtained in the ITT/LOCF population.
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value <0.01
Comments
Method Cochran-Mantel-Haenszel
Comments Each test was two-sided, at the 0.050 significance level.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection C Propionate 2/Week, Ketakonazol 2/Week
Comments The primary efficacy criterion was analyzed by using the Cochran-Mantel-Haenszel (CMH) statistic, stratified by center (or analysis-center) after ridit transformation with the row mean difference statistics, testing the hypothesis of equality. The p-value had to be inferior to 0.05 at week 4, in the ITT/LOCF population. PP analysis was also performed to assess the robustness of the results obtained in the ITT/LOCF population.
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.039
Comments
Method Cochran-Mantel-Haenszel
Comments Each test was two-sided, at the 0.050 significance level.

Adverse Events

Time Frame During the study - 12 weeks
Adverse Event Reporting Description
Arm/Group Title C Propionate 4/Week + Ketoconazole 2/Week C Propionate 2/Week + Ketoconazole 2/Week C Propionate 2/Week Ketakonazol 2/Week
Arm/Group Description Clobetasol propionate shampoo 0.05% (4/week) + Ketoconazole shampoo 2% (2/week) Clobetasol propionate shampoo 0.05% (2/week) + Ketoconazole shampoo 2% (2/week) Clobetasol propionate shampoo 0.05% (2/week) Ketoconazole shampoo 2% (2/week)
All Cause Mortality
C Propionate 4/Week + Ketoconazole 2/Week C Propionate 2/Week + Ketoconazole 2/Week C Propionate 2/Week Ketakonazol 2/Week
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
C Propionate 4/Week + Ketoconazole 2/Week C Propionate 2/Week + Ketoconazole 2/Week C Propionate 2/Week Ketakonazol 2/Week
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/82 (1.2%) 0/82 (0%) 1/82 (1.2%) 0/80 (0%)
Cardiac disorders
ANGINA PECTORIS 1/82 (1.2%) 1 0/82 (0%) 0 0/82 (0%) 0 0/80 (0%) 0
Injury, poisoning and procedural complications
UPPER LIMB FRACTURE 0/82 (0%) 0 0/82 (0%) 0 1/82 (1.2%) 1 0/80 (0%) 0
Other (Not Including Serious) Adverse Events
C Propionate 4/Week + Ketoconazole 2/Week C Propionate 2/Week + Ketoconazole 2/Week C Propionate 2/Week Ketakonazol 2/Week
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 15/82 (18.3%) 18/82 (22%) 17/82 (20.7%) 16/80 (20%)
Infections and infestations
Dengue fever 0/82 (0%) 0 0/82 (0%) 0 2/82 (2.4%) 2 0/80 (0%) 0
Influenza 3/82 (3.7%) 3 4/82 (4.9%) 4 2/82 (2.4%) 2 1/80 (1.3%) 1
Nasopharyngitis 5/82 (6.1%) 6 4/82 (4.9%) 4 7/82 (8.5%) 7 5/80 (6.3%) 7
Pharyngitis 2/82 (2.4%) 3 1/82 (1.2%) 1 2/82 (2.4%) 2 2/80 (2.5%) 2
Respiratory Tract Infection 1/82 (1.2%) 1 2/82 (2.4%) 2 0/82 (0%) 0 1/80 (1.3%) 1
Rhinitis 0/82 (0%) 0 1/82 (1.2%) 1 1/82 (1.2%) 1 2/80 (2.5%) 2
Sinusitis 1/82 (1.2%) 1 0/82 (0%) 0 0/82 (0%) 0 2/80 (2.5%) 2
Nervous system disorders
Headache 0/82 (0%) 0 2/82 (2.4%) 2 0/82 (0%) 0 2/80 (2.5%) 3
Reproductive system and breast disorders
Dymenorrhoea 2/82 (2.4%) 3 0/82 (0%) 0 0/82 (0%) 0 0/80 (0%) 0
Skin and subcutaneous tissue disorders
Dermatitis Acneiform 1/82 (1.2%) 1 1/82 (1.2%) 1 2/82 (2.4%) 2 1/80 (1.3%) 1
Pruritus 0/82 (0%) 0 3/82 (3.7%) 4 1/82 (1.2%) 1 0/80 (0%) 0

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Any intent of the investigator to publish or disclose in any way the information requires the sponsor's prior written approval. The investigator shall provide their draft of such publication to sponsor to review and approval at least 2 months prior to the date of intended publication. Sponsor shall have the absolute right to determine whether information may be published by the investigator.

Results Point of Contact

Name/Title Farzi Sidou, Clinical Project Manager
Organization Galderma
Phone +33 4 93 95 70 51
Email farzaneh.sidou@galderma.com
Responsible Party:
Galderma R&D
ClinicalTrials.gov Identifier:
NCT00862654
Other Study ID Numbers:
  • RD.03.SPR.29079
First Posted:
Mar 17, 2009
Last Update Posted:
Feb 18, 2021
Last Verified:
Aug 1, 2011