NCT07457294

Brief Summary

This is a multicenter, randomized, double-blind, parallel, placebo-controlled Phase III clinical study to evaluate the efficacy and safety of 1% Clascoterone Cream in the treatment of acne vulgaris. Target population: Participants aged ≥12 years with moderate to severe acne vulgaris who meet the inclusion criteria and none of the exclusion criteria. Treatment: The investigational group will receive 1% Clascoterone Cream, and the control group will receive placebo. Approximately 1 g of the cream will be applied evenly to the entire face twice daily (morning and evening) for 12 weeks.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
692

participants targeted

Target at P75+ for phase_3

Timeline
33mo left

Started May 2026

Typical duration for phase_3

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress2%
May 2026Feb 2029

First Submitted

Initial submission to the registry

February 26, 2026

Completed
11 days until next milestone

First Posted

Study publicly available on registry

March 9, 2026

Completed
2 months until next milestone

Study Start

First participant enrolled

May 4, 2026

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 7, 2028

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 7, 2029

Last Updated

March 9, 2026

Status Verified

February 1, 2026

Enrollment Period

2.3 years

First QC Date

February 26, 2026

Last Update Submit

March 3, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • P1: Proportion of participants achieving "success" at Week 12 ("success" is defined as an Investigator's Global Assessment (IGA) score of 0 or 1, with at least a 2-point reduction from baseline);

    Week 12

Secondary Outcomes (8)

  • Proportion of participants achieving "success" at Week 4 and Week 8

    Week 4 and Week 8

  • Absolute change from baseline in NILC at Week 4 and Week 8

    Week 4 and Week 8

  • Absolute change from baseline in ILC at Week 4 and Week 8

    Week 4 and Week 8

  • Absolute change from baseline in total lesion count (inflammatory and non-inflammatory lesions) at Week 4, Week 8, and Week 12

    Week 4, Week 8, and Week 12

  • Percent change from baseline in total lesion count at Week 4, Week 8, and Week 12

    Week 4, Week 8, and Week 12

  • +3 more secondary outcomes

Study Arms (2)

1% Clascoterone Cream

EXPERIMENTAL
Drug: 1% Clascoterone Cream

Placebo

PLACEBO COMPARATOR
Drug: Placebo

Interventions

1% Clascoterone Cream applied topically to affected areas twice daily for the duration of the study.

1% Clascoterone Cream

Placebo cream, matching the 1% Clascoterone Cream in appearance, texture, and scent, applied topically to affected areas twice daily for the duration of the study.

Placebo

Eligibility Criteria

Age12 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Participants who are able to understand and comply with the protocol, voluntarily participate in the study, and sign the written informed consent form (ICF); for a participant aged \<18 years, the written ICF must be co-signed by the minor participant and a parent or legal guardian based on informed consent;
  • Age ≥12 years at the time of ICF signing, regardless of gender;
  • Diagnosis of moderate to severe acne vulgaris (including the nose) at screening and randomization, with an IGA score of 3 or 4, and facial lesions meeting the following criteria: 30-75 inflammatory lesions (papules, pustules, and nodules) and 30-100 non-inflammatory lesions (open and closed comedones);
  • Participants have used the same brand and type of skin and hair care products for at least 2 weeks prior to randomization and agree to continue the current products and regimen during the study period;
  • Female participants of childbearing potential (and their male partners) and male participants (and their female partners) must use highly effective contraception throughout the study period and for at least 3 months after the last dose of the study drug . Participants must have no plans for conception, sperm donation, or egg donation throughout the study period and for at least 3 months after the last dose of the study drug.

You may not qualify if:

  • Participants have more than 2 facial nodules at screening or randomization;
  • Participants have facial cysts at screening or randomization;
  • Participants have conditions at screening or randomization, which may interfere with the investigator's clinical assessments, including but not limited to: 1) Other facial dermatoses: specific types of acne (e.g., nodulocystic acne, acne conglobata, acne fulminans, etc.), secondary acne (e.g., drug-induced acne, mechanical acne, occupational acne, chloracne, etc.), or other facial rashes due to different conditions (e.g., rosacea, seborrheic dermatitis, solar dermatitis, lupus miliaris disseminatus faciei, psoriasis, eczema, etc.); 2) Facial skin or hair conditions that may interfere with clinical assessments (e.g., prominent beard, sideburns, whiskers, etc.);
  • Participants have systemic diseases with associated skin lesions: e.g., inflammatory bowel disease (Crohn's disease and ulcerative colitis), SAHA syndrome (seborrhea-acne-hirsutism-androgenetic alopecia syndrome), PCOS syndrome (polycystic ovary syndrome), SAPHO syndrome (synovitis-acne-pustulosis-hyperostosis-osteomyelitis), PAPA syndrome (pyogenic sterile arthritis-pyoderma gangrenosum-acne syndrome), hyperandrogenism-insulin resistance-acanthosis nigricans syndrome, congenital adrenal hyperplasia, etc.;
  • Prior use of the topical acne medications or therapies or Use of the systemic medications;
  • Use of skin care products with anti-acne efficacy within 2 weeks prior to randomization;
  • Participants have any serious or unstable medical condition that, in the investigator's judgment, may affect the participant's safety during the study and/or impede study completion, including but not limited to cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, hematological, or psychiatric disorders.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Acne Vulgaris

Condition Hierarchy (Ancestors)

Acneiform EruptionsSkin DiseasesSkin and Connective Tissue DiseasesSebaceous Gland Diseases

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 26, 2026

First Posted

March 9, 2026

Study Start

May 4, 2026

Primary Completion (Estimated)

August 7, 2028

Study Completion (Estimated)

February 7, 2029

Last Updated

March 9, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Due to the nature of the study and privacy concerns, de-identified individual participant data will not be made available to external researchers.