Integrated Short-Term and Long-Term Efficacy of Topical Clascoterone Cream 1% in Patients Aged 12 Years or Older With Acne Vulgaris

January 2024 | Volume 23 | Issue 1 | 1278 | Copyright © January 2024


Published online December 12, 2023

Lawrence F. Eichenfield MDa, Linda Stein Gold MDb, Jenny Han MSc, Adelaide A. Hebert MDd, Alessandro Mazzetti MDe, Luigi Moro PhDe, Nicholas Squittieri MDf, Diane Thiboutot MDg

aDepartments of Dermatology and Pediatrics, University of California San Diego and Rady Children’s Hospital-San Diego, San Diego, CA
bDepartment of Dermatology, Henry Ford Medical Center, Detroit, MI
cPharmapace, Inc., San Diego, CA
dDepartment of Dermatology, UTHealth McGovern Medical School, Houston, TX
eCassiopea S.P.A., Lainate, Italy
fSun Pharmaceutical Industries, Inc., Princeton, NJ 
gDepartment of Dermatology, The Pennsylvania State University College of Medicine, Hershey, PA

RESULTS

Patients
Overall, 1421 ITT patients 12 years or older enrolled in Phase 3 pivotal studies; 709 were randomized to apply clascoterone and 712 to vehicle (Figure 1). Baseline characteristics were previously reported.9 Patient disposition in the pivotal and LTE studies is summarized in Table 1. Patient baseline demographic characteristics were generally balanced between the treatment arms in the pivotal study and between patients originally randomized to clascoterone vs vehicle who continued into the LTE study. Patients' baseline characteristics were similar between the pivotal and LTE study populations, except that the proportion of non-Hispanic patients was higher in the LTE study relative to the combined pivotal studies (Table 2). 

Short-Term Efficacy
The adjusted proportion of ITT patients achieving treatment success in the pivotal studies was higher among those receiving clascoterone vs vehicle beginning at week 8 (5.5% vs 3.7%, P = 0.13) and reached significance at week 12 (19.9% vs 7.7%,