A Confirmatory Safety and Efficacy Study of BBI-4000 in Subjects With Axillary Hyperhidrosis

Botanix Pharmaceuticals

Status and phase: Completed; Phase 2

Conditions: Hyperhidrosis

Treatments: Drug: BBI-4000 gel, 15%; Drug: Vehicle (Placebo); Drug: BBI-4000 gel, 5%; Drug: BBI-4000 gel, 10%

Study type: Interventional

Funder types: Industry

Identifiers

NCT03024255

BBI-4000-CL-203

Details and patient eligibility

About

This study is being conducted to assess the safety and efficacy of 3 concentrations of BBI-4000 and vehicle (4 treatment arms), applied for the treatment of axillary hyperhidrosis.

Full description

This is a Multicenter, Randomized, Double Blind, Vehicle-Controlled Study to Evaluate the Safety and Efficacy of 3 concentrations of Topically Applied BBI-4000 in Subjects with Axillary Hyperhidrosis.

Safety will be assessed through collection of vital signs, adverse events, local skin responses, hematology, serum chemistry laboratory testing and urinalysis.

Enrollment: 227 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Male or female subject ≥ 18 years of age.
• Diagnosis of primary axillary hyperhidrosis that meets the following criteria: (a) symptoms of hyperhydrosis for at least 6 months' duration, (b) HDSM-Ax of 3 - 4, (c) HDSS of 3 or 4 and (d) a minimum GSP of 50 mg is each axilla with a combined total of at least 150 mg.
• The ability to understand and follow all study-related procedures including study drug administration.
• Sexually active female of childbearing potential (FOCBP)* must agree to periodic pregnancy testing and use a medically acceptable method of contraception while receiving protocol-assigned product.

Exclusion criteria

• In the Investigators opinion, any skin or subcutaneous tissue conditions of the axilla(s).
• Prior use of any prohibited medication(s) or procedure(s) within the specified timeframe for the treatment of axillary hyperhidrosis.
• Anticholinergic agents used to treat conditions such as, but not limited to, hyperhidrosis, asthma, incontinence, gastrointestinal cramps, and muscular spasms by any route of administration.
• Use of potent inhibitors of cytochrome P450 CYP3A and CYP2D6.
• Use of any cholinergic drug (e.g. bethanechol) within 30 days.
• Known cause of hyperhidrosis or known history of a condition that may cause hyperhidrosis (i.e., hyperhidrosis secondary to any known cause such hyperthyroidism, diabetes mellitus, medications, etc.).
• Subjects with unstable diabetes mellitus or thyroid disease, history of renal or hepatic impairment, malignancy glaucoma, intestinal obstructive or motility disease, obstructive uropathy, myasthenia gravis, BPH, neurological or psychiatric conditions, Sjögren's or Sicca syndrome, or cardiac abnormalities that may alter or exacerbate sweat production by the use of anticholinergics in the investigator's opinion.
• Subjects with known hypersensitivity to glycopyrrolate, anticholinergics, or any of the components of the topical formulation.
• Subject is pregnant, lactating or is planning to become pregnant during the study.
• History or presence of supraventricular tachycardia, ventricular arrhythmias, atrial fibrillation or atrial flutter.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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227 participants in 4 patient groups, including a placebo group

BBI-4000 gel, 5%

Experimental group

Description:

BBI-4000 gel, 5% applied once to each axilla daily

Treatment:

Drug: BBI-4000 gel, 5%

BBI-4000 gel, 10%

Experimental group

Description:

BBI-4000 gel, 10% applied once to each axilla daily

Treatment:

Drug: BBI-4000 gel, 10%

BBI-4000 gel, 15%

Experimental group

Description:

BBI-4000 gel, 15% applied once to each axilla daily

Treatment:

Drug: BBI-4000 gel, 15%

Vehicle

Placebo Comparator group

Description:

Placebo, applied once to each axilla daily

Treatment:

Drug: Vehicle (Placebo)