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CTRI Number  CTRI/2017/02/007835 [Registered on: 13/02/2017] Trial Registered Prospectively
Last Modified On: 24/11/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Study to evaluate the Efficacy, Safety and Tolerability of Ivermectin Cream 1% w/w Vs. Azelaic Acid Gel 15% w/w in Patients with Inflammatory Lesions of Rosacea. 
Scientific Title of Study   A Comparative, Randomized, Two Arm, Multicentric, Active Controlled, Open label, Parallel Group, Phase III Study to Evaluate the Efficacy, Safety and Tolerability of Ivermectin Cream 1% w/w Vs. Azelaic Acid Gel 15% w/w in Patients with Inflammatory Lesions of Rosacea.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
APL/CT/16/03  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rashmi Sarkar 
Designation  Principal Investigator 
Affiliation  Maulana Azad Medical College 
Address  Maulana Azad Medical College, 2, Bahadur Shah Zafar Marg, New Delhi.

North
DELHI
110002
India 
Phone  110002  
Fax    
Email  rashmisarkar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shailesh Singh 
Designation  Vice President R&D and Reg. Affairs 
Affiliation  Ajanta Pharma Ltd 
Address  Ajanta Pharma Ltd Advent 43AB/44CD Charkop Industrial Estate Kandivli West, Mumbai MAHARASHTRA.

Mumbai
MAHARASHTRA
400067
India 
Phone  022-6062111  
Fax    
Email  shailesh.singh@ajantapharma.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shailesh Singh 
Designation  Vice President R&D and Reg. Affairs 
Affiliation  Ajanta Pharma Ltd 
Address  Ajanta Pharma Ltd Advent 43AB/44CD Charkop Industrial Estate Kandivli West, Mumbai MAHARASHTRA.

Mumbai
MAHARASHTRA
400067
India 
Phone  022-6062111  
Fax    
Email  shailesh.singh@ajantapharma.com  
 
Source of Monetary or Material Support  
Ajanta Pharma Limited  
 
Primary Sponsor  
Name  Ajanta Pharma Limited  
Address  janta Pharma Ltd Advent 43AB/44CD Charkop Industrial Estate Kandivli West Mumbai MAHARASHTRA 400 067 India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 10  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shatrughan Sahay  Ajanta Hospital   Department of Dermatology, Ajanta Research Centre, Ajanta Hospital & IVF Centre, 765, ABC Complex, Kanpur Road, Alambagh, Lucknow-226005. Uttar Pradesh.
Lucknow
UTTAR PRADESH 
09412119129

dr.shatru@yahoo.com 
Dr Bela J Shah  B.J. Medical College & Civil Hospital  Department of Dermatology, B.J. Medical College & Civil Hospital, Asarwa, Ahmedabad-380016. Gujarat.
Ahmadabad
GUJARAT 
09898059289

shah.drbela@gmail.com 
Dr Chitra Nayak  BYL Nair Hospital & TNMC  Department of Dermatology, BYL Nair Hospital & TNMC, AL Nair Road, Mumbai Central, Mumbai-400008, Maharashtra.
Mumbai
MAHARASHTRA 
09819107591

Chitra212@hotmail.com 
Dr Ramesh Bhat M  Father Muller Medical College Hospital  Department of Dermatology, Father Muller Medical College Hospital, Kankanady, Mangalore-575002. Karnataka.
Dakshina Kannada
KARNATAKA 
9845084224

rameshderma@gmail.com 
Dr Ratnakar Kamath  Grant Govt. Medical College & Sir J.J Groups of Hospital  Department of Dermatology Grant Govt. Medical College & Sir J.J Groups of Hospital, Byculla, Mumbai-400008, Maharashtra
Mumbai
MAHARASHTRA 
02228770542

ratnakar.kamath@gmail.com 
Dr Kranti Chandan Jaykar  Indira Gandhi Institute of Medical Sciences  Department of Skin, VD and Leprosy, Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna-800014. Bihar.
Patna
BIHAR 
08969953194

drkcjaykar@yahoo.co.in 
Dr Surjit Singh Mehta  Maharaja Agrasen Hospital  Department of Dermatology, Maharaja Agrasen Hospital, West Punjabi Bagh, New Delhi-110026
New Delhi
DELHI 
01140777555

drsurjitmehta@gmail.com 
Dr Rashmi Sarkar  Maulana Azad Medical College  Department of Dermatology, Maulana Azad Medical College, 2, Bahadur Shah Zafar Marg, New Delhi – 110002.
Central
DELHI 
09818244340

rashmisarkar@gmail.com 
Dr VVV Satyanarayana  Rajiv Gandhi Institute of Medical Sciences & RIMS Government General Hospital  Department of Dermatology, Rajiv Gandhi Institute of Medical Sciences & RIMS Government General Hospital
Srikakulam
ANDHRA PRADESH 
09963744345

vellasatyanarayana@gmail.com 
Dr Meha Malhotra  Sterling Hospital  2nd Floor, Department of Dermatology, Sterling Hospital, Sterling Hospital Road, Memnagar, Ahmedabad-380052. Gujarat.
Ahmadabad
GUJARAT 
09904403148

drmehabetai@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 10  
Name of Committee  Approval Status 
Ethics Committee_Ajanta Hospital & IVF Centre  Approved 
Ethics Committee_Indira Gandhi Institute of Medical Sciences (IGMS)  Approved 
Father Muller Ethics Committee  Submittted/Under Review 
Institutional Ethics Committee_B.J. Medical College & Civil Hospital  Approved 
Institutional Ethics Committee_Grant government medical college & sir J.J. group of Hospital  Approved 
Institutional Ethics Committee_Maharaja Agrasen Hospital   Approved 
Institutional Ethics Committee_Maulana Azad Medical College  Approved 
Institutional Ethics Committee_RIMS Govt. General Hospital  Approved 
Institutional Ethics Committee_Sterling Hospital  Submittted/Under Review 
Institutional Ethics committee_Topiwala national medical college and B.Y.L. Nair Hospital  Submittted/Under Review 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Inflammatory Lesions of Rosacea, (1) ICD-10 Condition: L089||Local infection of the skin and subcutaneous tissue, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Azelaic Acid Gel 15% w/w  Apply cream topically on affected areas Twice Daily every possibly at the same time everyday for 85 days. Total duration of Therapy is 85 Days. 
Intervention  Ivermectin Cream 1% w/w  Apply cream topically on affected areas once Daily every possibly at the same time everyday for 85 days. Total duration of Therapy is 85 Days.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Subjects who are able to give voluntary, written informed consent to participate in this clinical investigation and from whom consent has been obtained.
2. Patients diagnosed with inflammatory lesions of papulopustular rosacea only in central area of the face, T zone and chin with a score of 2 - 4 according to Investigator Global Assessment (IGA).
3. Subjects who would be able to follow the protocol schedules.
4. Free of any clinically significant disease which can potentially interfere with the study. 
 
ExclusionCriteria 
Details  1. Subjects known to be non-responders to Azelaic Acid.
2. Subjects with any bleeding disorders.
3. Subjects with comedogenic and non comedogenic papules and pustules of acne vulgaris.
4. Subjects with particular forms of rosacea (rosacea conglobate, rosacea fulminant, isolated rhinophyma, isolated pustulosis of the chin) or other facial dermatoses that may be confounded with papulopustular rosacea, such as peri oral dermatitis or seborrheic dermatitis and acne.
5. Subjects with rosacea with more than two nodules on the face.
6. Subjects on treatment of Oral Isotretinoin within 6 months.
7. History of any skin diseases and/or ongoing treatment for any other skin related disorder.
8. Any acute and/or chronic systemic disorders which is uncontrolled within last one month (cardiovascular, renal, hepatic, respiratory, gastrointestinal, central nervous system, endocrine).
9. Pregnant or nursing (lactating) women or women with child bearing potential who are not taking acceptable form of contraceptive.
10. Known or suspected hypersensitivity to any drug that will be administered during the study.
11. Inability to comply with the protocol requirements.
12. Participation in any other clinical trial within 3 months of registering in this trial.
13. Medical history of oncological disease within 5 years before screening.
14. Patients with infections of HIV, hepatitis B or C.
15. Patients with history of wasting disease, autoimmune disease, connective tissue disease or History of drug or alcohol abuse within the previous 2 years.
16. Any condition or therapy that in the opinion of the Investigator may pose a risk to the subject or interfere with the evaluation of the study. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
• To evaluate the efficacy of Ivermectin Cream 1% w/w Vs. Azelaic Acid Gel 15% w/w in patients with inflammatory lesions of Rosacea.  • To evaluate the efficacy of Ivermectin Cream 1% w/w Vs. Azelaic Acid Gel 15% w/w in patients with inflammatory lesions of Rosacea. 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the safety and Tolerability of Ivermectin Cream 1% w/w Vs. Azelaic Acid Gel 15% w/w in patients with inflammatory lesions of Rosacea.
• To evaluate the tolerability of Ivermectin Cream 1% w/w Vs. Azelaic Acid Gel 15% w/w in patients with inflammatory lesions of Rosacea. 
• Percentage of patients reporting AE and/or SAE during the study, its frequency, severity, pattern and causal relationship to the drug.
• Local Tolerance Parameters (Stinging/burning, dryness and itching) at each visit evaluated on 4-point scale [from 0 to 3 Severe]. 
 
Target Sample Size   Total Sample Size="240"
Sample Size from India="240" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   14/02/2017 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   No publication 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

This clinical trial is a Comparative, Randomized, Two Arm, Multicentric, Active Controlled, Open label, Parallel Group, Phase III Study to Evaluate the Efficacy, Safety and Tolerability of Ivermectin Cream 1% w/w Vs. Azelaic Acid Gel 15% w/w in Patients with Inflammatory Lesions of Rosacea. The duration of clinical trial is 85 days for each patient. The primary outcome of the study is to measure Mean change in the IGA Score from baseline to Day 85. Safety parameter includes Percentage of patients reporting AE and/or SAE during the study, its frequency, severity, pattern and causal relationship to the drug and Local Tolerance Parameters (Stinging/burning, dryness and itching) at each visit evaluated on 4-point scale [from 0 to 3 Severe]. 

 
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