Vaniqa
Clinical Trials
Results
of topical dermal studies for contact sensitization, photocontact
sensitization, and photocontact irritation reveal that under conditions
of clinical use, VANIQA is not expected to cause contact sensitization,
phototoxic, or photosensitization reactions. Results of the topical
dermal study for contact irritation did reveal that VANIQA could cause
irritation reactions in clinical use in susceptible individuals or
under conditions of exaggerated use.
Two
randomized double-blind studies involving 594 female patients (393
treated with VANIQA, 201 with vehicle) treated twice daily for up
to 24 weeks evaluated the efficacy of VANIQA in the reduction of unwanted
facial hair in women. Women in the trial had a customary frequency
of removal of facial hair two or more times per week. Women with facial
conditions such as severe inflammatory acne, women who were pregnant,
and nursing mothers were excluded from the studies.
Physicians
assessed the improvement or worsening from the baseline condition
(Physician’s Global Assessment [PGA]), 48 hours after shaving, of
all treated areas. Statistically significant improvement for VANIQA
versus vehicle was seen in each of these studies for “marked improvement”
or greater response (24-week time point; pŁ 0.001). Marked improvement
was seen consistently at 8 weeks after initiation of treatment and
continued throughout the 24 weeks of treatment. Hair growth approached
pretreatment levels within 8 weeks of treatment withdrawal.
The
success rate over time is graphically presented below for each pivotal
trial. Findings The latest results of clinical trials of Vaniqa were
recently presented at the 58th Annual Meeting of the American Academy
of Dermatology in March 2000. The phase III study included 596 women
who were randomized to use either eflornithine HCl 15% cream or a
placebo cream. The treatment was applied twice daily to the affected
areas for 24 weeks, followed by an 8-week period of no treatment.
The results of physician's global assessment at the end of 24 weeks
demonstrated improvements in the reduction of facial hair in the women
who were treated with Vaniqa. Seventy percent of the women showed
improvement, with 35% being classified as clinical successes (marked
improvement or clear/almost clear), compared to 9% in the placebo
group. Improvement was observed as early as 8 weeks after the commencement
of treatment.