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CTRI Number  CTRI/2012/03/002472 [Registered on: 05/03/2012] Trial Registered Prospectively
Last Modified On: 31/12/2012
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial to study the effect of Fixed Dose Combination of Microsphere Tretinoin and Clindamycin gel in the treatment of patients with acne vulgaris.  
Scientific Title of Study   A Multicenter, Double-Blind, Randomized, Parallel-Group, Comparative Study to Evaluate Efficacy, Safety and Tolerability of a Fixed Dose Combination of Microsphere Tretinoin 0.1% and Clindamycin 1.2% Gel Compared to Individual Components of the Fixed Dose Combination in Patients with Acne Vulgaris 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
GPL/CT/2011/003/III, version no.1.0, dated: 13.09.2011  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query
 
Name  Dr Piyush Agarwal 
Designation  Deputy General Manager 
Affiliation  Glenmark Pharmaceuticals Ltd 
Address  Glenmark Pharmaceuticals Ltd Glenmark House, B D Sawant Marg Chakala, Andheri(East)

Mumbai
MAHARASHTRA
400099
India 
Phone  912240189999  
Fax    
Email  piyusha@glenmarkpharma.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shailendra Sachan 
Designation  Manager-Clinical Research 
Affiliation  Glenmark Pharmaceuticals Ltd 
Address  Glenmark Pharmaceuticals Ltd Glenmark Research Centre, Plot No. A-607, T.T.C. Industrial Area, MIDC, Mahape, Navi Mumbai

Thane
MAHARASHTRA
400709
India 
Phone  912267720000  
Fax    
Email  shailendrasachan@glenmarkpharma.com  
 
Source of Monetary or Material Support  
Glenmark Pharmaceuticals Ltd 
 
Primary Sponsor  
Name  Glenmark Pharmaceuticals Ltd 
Address  Glenmark Pharmaceuticals Ltd Glenmark House, B D Sawant Marg Chakala, Andheri(East), Mumbai, India-400 099  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 21  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Meetesh Agarwal  Agarwal Skin & Laser Centre  Agarwal Skin & Laser Centre 102, Mahavir Palace, 147, AG, SCH – 54, Indore
Indore
MADHYA PRADESH 
919827317412

drmeetesh@yahoo.co.in 
Dr Kailash Bhatia  Bhatia Skin Laser & Cosmetic Centre  Bhatia Skin Laser & Cosmetic Centre 124-128, Anand Bazar, Bima Nagar, Indore
Indore
MADHYA PRADESH 
919977094350

drbhatiakailash@yahoo.co.in 
Dr Arunava Biswas  Calcutta National Medical College & Hospital  Department of Pharmacology Calcutta National Medical College & Hospital 32, Gorachand Road, Kolkata
Kolkata
WEST BENGAL 
919433110797

drabiswas@gmail.com 
Dr Guru Prasad  Dayal Clinic  Dayal Clinic, 43-18-31/A, Opposite Hero Honda Showroom, TSN Colony, Visakhapatnam
Visakhapatnam
ANDHRA PRADESH 
919848022615

gppatnala@yahoo.co.in 
Dr Pasupuleti Praveena  Dermo Care  Dermo Care #33-25-34 B, Bellapu Sobhanadri Street, Pushpa Hotel Road, Kasturi Bai Peta, Vijayawada
Krishna
ANDHRA PRADESH 
08666661212

praveena_derma@yahoo.com 
Dr K Ananda Rao  Doctors & Doctors  Doctors & Doctors C-21, DD Plaza, Opposite KGH OP Gate, Visakhapatnam
Visakhapatnam
ANDHRA PRADESH 
919848197681

drkanandarao@gmail.com 
Dr Sailaja Kaza  Dr. Sailaja Kaza Institute & Dr. Surapaneni’s Asthetic Surgery Institute  Dr. Sailaja Kaza Institute & Dr. Surapaneni’s Asthetic Surgery Institute #8-2-684/1/8 & 11/1, Bhavani Enclave, Road No-12, Banjara Hills, Hyderabad
Hyderabad
ANDHRA PRADESH 
919849991337

sailajakaza@yahoo.com 
Dr Manisha Nijhawan  Mahatma Gandhi Medical College & Hospital  Department of Dermatology Mahatma Gandhi Medical College & Hospital RIICO Institutional Area, Sitapura, Tonk Road, Jaipur
Jaipur
RAJASTHAN 
01411771777

clinicalresearch@mgmch.org 
Dr Balaram Ghosh  Medical College, Kolkata  Department of Clinical Pharmacology Medical College, Kolkata, 88, College Street, Govt of West Bengal, Kolkata
Kolkata
WEST BENGAL 
919432876733

drbrghosh@gmail.com 
Dr Aruna Prasad  Pace Clinical Research  Pace Clinical Research (A unit of Pranav Diabètes Centre) No : 57/1, Nanda Complex, Ramamurthy Nagar Main Road, Banaswadi, Bangalore
Bangalore
KARNATAKA 
080-41626643

paceclinicalresearch@gmail.com 
Dr Rajendra Singh  Pardaya Memorial Hospital  Pardaya Memorial Hospital Malpura Road, Sanganer, Jaipur
Jaipur
RAJASTHAN 
01412732914

pardaya@rediffmail.com 
Dr Srujana Lekkala  Sai Poly Clinic  Sai Poly Clinic, Opp. Sanath Nagar Main Bus Stop, Hyderabad
Hyderabad
ANDHRA PRADESH 
919908062364

srujana_99@yahoo.com 
Dr Nagesh Tumkur Subbarao  Sapthagiri Hospital  Sapthagiri Hospital #15, Chikkasandra, Hesaraghatta Main Road, Bangalore
Bangalore
KARNATAKA 
919844578068

drnageshts@gmail.com 
Dr Madhuri Jesudhanam  Skin & Cosmetology Clinic  Skin & Cosmetology Clinic, Flora Apartments, Beside Almond House, Road No. 3, Banjara Hills, Hyderabad
Hyderabad
ANDHRA PRADESH 
919849939526

drmadhuri289@yahoo.com 
Dr M Srinivas  Skin Specialist  Skin Specialist Cellar, 01, 59/1/2, Avanthi Colony, Karkhana, Secunderabad
Hyderabad
ANDHRA PRADESH 
919848029771

srinu6253@yahoo.com 
Dr Venkata Chalam  Sri Gayatri Skin Care & Hair Care Centre  Sri Gayatri Skin Care & Hair Care Centre, Satya sridevi Enclave, Opp Harsha Labs, Dwaraka Nagar 3rd Lane, Visakhapatnam
Visakhapatnam
ANDHRA PRADESH 
919848398923

drkvchalam99@yahoo.com 
Dr S Anandan  Sri Ramachandra Medical Centre  Sri Ramachandra Medical Centre. No.1, Ramachandra Nagar, Porur, Chennai
Chennai
TAMIL NADU 
919444150373

Anandan_subbu@yahoo.co.in 
Dr Sudha Vani Damarla  Sri Skin & Laser Clinic  Sri Skin & Laser Clinic, #1st Floor, Rahamath Complex, Beside Sriram Chitfunds, Ameerpet X Roads, Hyderabad
Hyderabad
ANDHRA PRADESH 
919849303221

dibbu_3@yahoo.co.in 
Dr Manoj Kumar Parekh  The Apollo Clinic   The Apollo Clinic No.65, MM Road, Fraser Town, Banglore
Bangalore
KARNATAKA 
080-25808081

drmanojparekh@yahoo.com 
Dr Roshan  Touch Clinic  Touch Clinic Door No: 47-10-17, Third Floor, Varani Megistic, Opp: Axis Bank, 2nd Lane, Dwaraka Nagar, Visakhapatnam
Visakhapatnam
ANDHRA PRADESH 
91868660990

Roshan.miyan@gmail.com 
Dr P Ranganadh  Vipula Hair & Skin Clinic  Vipula Hair & Skin Clinic #29-28/1-7, Kovelamudi Vari Street, Surya Rao Peta, Vijayawada
Krishna
ANDHRA PRADESH 
919160905216

drranganadh@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 21  
Name of Committee  Approval Status 
Clinicom Bangalore Pace Clinical Research, Bangalore  Submittted/Under Review 
Clinicom Bangalore The Apollo Clinic, Bangalore   Submittted/Under Review 
Independent Ethics Committee Vijayawada, Vijayawada, Dr. P. Ranganadh  Submittted/Under Review 
Independent Ethics Committee Vijayawada, Vijayawada,Dr. Pasupuleti Praveena  Submittted/Under Review 
Independent Ethics Committee, Apollo Hospitals Indore, Indore, Dr. Kailash Bhatia  Submittted/Under Review 
Independent Ethics Committee, Apollo Hospitals Indore, Indore, Dr. Meetesh Agarwal  Submittted/Under Review 
Institutional Ethics Committee Calcutta National Medical College & Hospital, Kolkata, Calcutta National Medical College & Hospital, Kolkata  Submittted/Under Review 
Institutional Ethics Committee Mahatma Gandhi Medical College & Hospital, Mahatma Gandhi Medical College & Hospital, Jaipur  Submittted/Under Review 
Institutional Ethics Committee Medical College, Kolkata, Medical College, Kolkata, Kolkata  Submittted/Under Review 
Institutional Ethics Committee Sri Ramachandra University, Sri Ramachandra Medical Centre, Chennai  Submittted/Under Review 
Nav Jeevan Independent Ethics Committee Jaipur  Submittted/Under Review 
Sapthagiri Hospital Ethics Committee  Approved 
Virtuous Independent Ethics Committee Hyderabad Sai Poly Clinic, Hyderabad  Submittted/Under Review 
Virtuous Independent Ethics Committee Hyderabad Skin & Cosmetology Clinic, Hyderabad  Submittted/Under Review 
Virtuous Independent Ethics Committee Hyderabad Skin Specialist, Secunderabad  Submittted/Under Review 
Virtuous Independent Ethics Committee Hyderabad Sri Skin & Laser Clinic, Hyderabad  Submittted/Under Review 
Virtuous Independent Ethics Committee Hyderabad, Dr. Sailaja Kaza Institute & Dr. Surapaneni’s Asthetic Surgery Institute, Hyderabad  Submittted/Under Review 
VZ Human Research Protection Care, Visakhapatnam Dayal Clinic, Visakhapatnam  Approved 
VZ Human Research Protection Care, Visakhapatnam Doctors & Doctors, Visakhapatnam  Approved 
VZ Human Research Protection Care, Visakhapatnam Sri Gayatri Skin Care & Hair Care Centre, Visakhapatnam  Approved 
VZ Human Research Protection Care, Visakhapatnam Touch Clinic, Visakhapatnam  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Acne Vulgaris,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  1. Clindamycin 1% Gel.   once daily application at bedtime on face and effected area for 12 weeks 
Comparator Agent  2. Microsphere Tretinoin 0.1% Gel  once daily application at bedtime on face and effected area for 12 weeks 
Intervention  Fixed Dose Combination of Microsphere Tretinoin 0.1% and Clindamycin 1.2% Gel  once daily application at bedtime on face and effected area for 12 weeks 
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Male or female ≥12 to <65 years and willing to give their written informed consent.
2. An Investigator’s Static Global Assessment (ISGA) Score of 2 or greater at baseline
3. Subjects must have both:
a) A minimum of 17 but no more than 40 facial inflammatory lesions;
b) A minimum of 20 but not more than 150 facial non-inflammatory lesions
4. The ability and willingness to follow all study procedures, attend all scheduled visits, and successfully complete the study.
5. Female participants must have a negative pregnancy test at screening visit and willing to use acceptable contraceptive measures during the study.
6. The ability to understand and sign written informed consent form, which must have been obtained prior to applying the study product. Subjects under the legal age of consent must provide assent and have the written informed consent of the parent or guardian.
 
 
ExclusionCriteria 
Details  1. Pregnant or lactating women.
2. Patient with known hypersensitivity to any of the components of the formulation.
3. Patients with severe eczema
4. Patients with any nodulo-cystic lesions at baseline.
5. History or presence at entry of regional enteritis or inflammatory bowel disease or similar symptoms.
6. A significant medical history of or are currently immunocompromised.
7. Used any investigational therapy with in the 4 weeks prior to entry.
8. Current drug or alcohol abuse at the time of entry
9. Any other condition which, in the judgment of the investigator, would put the Patient at unacceptable risk for participation in the study.
10. Patient who has clinical laboratory evaluations (including biochemistry, hematology, and complete urinalysis) that are not within the reference range for the testing laboratory at Screening and the results are deemed clinically significant by the investigator.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Absolute Change in Lesion counts
2. Investigator’s Static Global Assessment Success
 
12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1. Percentage change in lesion counts
 
12 weeks 
2. Proportion of patients who had a Subject Global Assessment Score of 0 or 1  12 weeks 
3. Proportion of Patients who had an ISGA Score of 0 or 1  12 weeks 
4. Change in Vital signs, Physical Exam. & Lab Parameters  12 weeks 
 
Target Sample Size   Total Sample Size="438"
Sample Size from India="438" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   05/03/2012 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This is double-blind, randomized, active controlled, three arm, parallel-group, comparative study. Study will enroll 438 patients with acne vulgaris across the different centers from India.   

Patients will be recruited after providing written informed consent. After screening, patients will be randomized (meeting randomization criteria) in 1:1:1 ratios to receive either Fixed Dose Combination of Microsphere Tretinoin and Clindamycin gel or Clindamycin gel or Microsphere Tretinoin gel for twelve weeks. The primary objective of the study is to see the absolute change in lesion counts and Investigator’s Static Global Assessment success. Secondary objective includes; percentage change in lesion counts, proportion of patients who had a Subject Global Assessment Score of 0 or 1 at Week 12, proportion of patients who had an ISGA score of 0 or 1 at Week 12 and safety evaluation.

During the study, there will be 5 study visits at day 1, week 2, 4, 8 and 12 for efficacy, safety and tolerability assessment.  
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