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Trial ยท NCT03285477

A Multi-Center Study to Evaluate the Efficacy and Safety of KX2-391 Ointment 1% on AK on Face or Scalp

NCT03285477, Phase 3, Completed, Almirall, S.A.; results first posted 2021-03-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Multi-Center Study to Evaluate the Efficacy and Safety of KX2-391 Ointment 1% on AK on Face or Scalp. Trials, record NCT03285477. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03285477

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Multi-Center Study to Evaluate the Efficacy and Safety of KX2-391 Ointment 1% on AK on Face or Scalp
NCT number
NCT03285477
Status
Completed
Phases
Phase 3
Enrollment
351 participants, actual
Lead sponsor
Almirall, S.A.
Conditions
Actinic Keratoses
Interventions
Placebo, KX2-391 Ointment 1%
First posted
2017-09-18
Last updated
2021-04-13
Results first posted
2021-03-10

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Complete (100%) Clearance of Actinic Keratosis (AK) LesionsDay 57Complete clearance rate was defined as the percentage of participants at Day 57 with no clinically visible AK lesions in the treatment area.
SecondaryPercentage of Participants With Partial Clearance Rate of Actinic Keratosis Lesions at Day 57Day 57
Partial clearance rate of AK lesions was defined as the percentage of participants with a greater than or equal to (\>=) 75% reduction in the number of AK lesions identified at Baseline (Day 1 predose) in the treatment area.
SecondaryOverall Change From Baseline in Actinic Keratosis Lesion Counts at Days 8, 15, 29 and 57Days 8, 15, 29 and 57Overall the change from baseline in lesion count at each visit were summarized and reported using descriptive statistics by treatment location (face or scalp).
SecondaryPercentage of Participants With Recurrence of Actinic Keratosis Lesions Who Achieved Complete Clearance at Day 573, 6, 9 and 12 months post-Day 57Recurrence rate was estimated based on Kaplan-Meier method, with recurrence define as appearance of any AK lesions in the treatment area, including those recurred or newly identified.
SecondaryNumber of Participants With Maximal Post Baseline Local Skin Reaction (LSR)Day 57
Maximal post baseline LSR was defined as the highest grade of any LSR reported at any post baseline visits for a participant. The LSR assessment was an Investigator's (or sub-investigator's) assessment of the following signs on the treatment area: erythema, flaking/scaling, crusting, swelling, vesiculation/pustulation, and erosion/ulceration. The LSRs were graded on a 4-point scale ranging from 0=absent, 1=mild (slightly, barely perceptible), 2=moderate (distinct presence), and 3=severe (marked, intense).
SecondaryNumber of Participants With Pigmentation and Scarring in the Treatment AreaBaseline (Day 1 predose), Days 5, 8, 15, 29 and 57Absence or presence of pigmentation (i.e., hypopigmentation and hyperpigmentation) and scarring in the treatment area were assessed.
SecondaryNumber of Participants With Adverse Event (AE), Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Events of Special InterestsBaseline (Day 1 predose) up to Day 57
An AE was defined as any untoward medical occurrence in participant which does not necessarily have causal relationship with treatment. An AE was any unfavorable and unintended sign (including abnormal laboratory finding), symptom, or disease temporally associated with use of medicinal product, whether or not considered related to medicinal product. An SAE was any untoward medical occurrence that at any dose resulted in death; was life threatening; required persistent/significant disability/incapacity; resulted in initial or prolonged in patient hospitalization; was congenital anomaly/birth defect or otherwise considered medically important. TEAEs (serious and non-serious) were defined as either those AEs with onset after first dose or those pre-existing AEs that worsen after first dose. Events of special interest included skin cancers (including basal cell carcinoma, squamous cell carcinoma, melanoma and their location and treatment area), ocular exposure, overdose, and pregnancy.
SecondaryNumber of Participants With Adverse Events, Serious Adverse Events, Events of Special Interests Within the Treatment Area After Day 57 and up to 12 Months Post-Day 57From Day 57 up to 12-months post-Day 57
An AE was defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with the treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, whether or not considered related to the medicinal product. An SAE was any untoward medical occurrence that at any dose resulted in death; was life threatening; required persistent/significant disability/incapacity; resulted in initial or prolonged in patient hospitalization; was congenital anomaly/birth defect or otherwise considered medically important. Events of special interest included skin cancers (including basal cell carcinoma, squamous cell carcinoma, melanoma and their location and treatment area), ocular exposure, overdose, and pregnancy.
SecondaryNumber of Participants With Clinically Significant Safety Observations- Hematology, Blood Chemistry, UrinalysisFrom Baseline (Day 1 predose) up to Day 57Assessed laboratory parameters included hematology, blood chemistry and urinalysis. Clinical significance and abnormal observations were determined by the investigator.
SecondaryNumber of Participants With Clinically Significant Safety Observations- Vital SignsFrom Baseline (Day 1 predose) up to Day 57Vital signs included measurement of pulse rate, systolic and diastolic blood pressure, respiratory rate, and body temperature. Clinical significance was determined by the investigator.

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Complete (100%) Clearance of Actinic Keratosis (AK) LesionsDay 57ITT population included all participants randomized in the study.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Partial Clearance Rate of Actinic Keratosis Lesions at Day 57Day 57ITT population included all participants randomized in the study.percentage of participantsNUMBER
SECONDARYOverall Change From Baseline in Actinic Keratosis Lesion Counts at Days 8, 15, 29 and 57Days 8, 15, 29 and 57ITT population included all participants randomized in the study.lesion countMEDIAN
SECONDARYPercentage of Participants With Recurrence of Actinic Keratosis Lesions Who Achieved Complete Clearance at Day 573, 6, 9 and 12 months post-Day 57Recurrence Follow-up Population includes participants achieved complete clearance at the Day 57visit. The recurrence rate was evaluated only for KX2-391 Ointment 1% arm, pre-specified in protocol.percentage of participantsNUMBER
SECONDARYNumber of Participants With Maximal Post Baseline Local Skin Reaction (LSR)Day 57Safety analysis population consisted of all participants who received at least 1 dose of study treatment.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Pigmentation and Scarring in the Treatment AreaBaseline (Day 1 predose), Days 5, 8, 15, 29 and 57Safety analysis population consisted of all participants who received at least 1 dose of study treatment.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Adverse Event (AE), Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Events of Special InterestsBaseline (Day 1 predose) up to Day 57Safety analysis population included all randomized participants who received at least one dose of study treatmentParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Adverse Events, Serious Adverse Events, Events of Special Interests Within the Treatment Area After Day 57 and up to 12 Months Post-Day 57From Day 57 up to 12-months post-Day 57Recurrence Follow-up Population includes participants achieved complete clearance at the Day 57 visit.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Clinically Significant Safety Observations- Hematology, Blood Chemistry, UrinalysisFrom Baseline (Day 1 predose) up to Day 57Safety Population included all randomized participants who received at least one dose of study treatment.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Clinically Significant Safety Observations- Vital SignsFrom Baseline (Day 1 predose) up to Day 57Safety analysis population consisted of all participants who received at least 1 dose of study treatment.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group126

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Complete (100%) Clearance of Actinic Keratosis (AK) LesionsPlacebo5percentage of participants
Percentage of Participants With Complete (100%) Clearance of Actinic Keratosis (AK) LesionsKX2-391 Ointment 1%44percentage of participants
Percentage of Participants With Partial Clearance Rate of Actinic Keratosis Lesions at Day 57Placebo16percentage of participants
Percentage of Participants With Partial Clearance Rate of Actinic Keratosis Lesions at Day 57KX2-391 Ointment 1%68percentage of participants
Overall Change From Baseline in Actinic Keratosis Lesion Counts at Days 8, 15, 29 and 57PlaceboDay 80.0Full Range -7 to 3lesion count
Overall Change From Baseline in Actinic Keratosis Lesion Counts at Days 8, 15, 29 and 57KX2-391 Ointment 1%Day 8-1.0Full Range -8 to 4lesion count
Overall Change From Baseline in Actinic Keratosis Lesion Counts at Days 8, 15, 29 and 57PlaceboDay 150.0Full Range -7 to 2lesion count
Overall Change From Baseline in Actinic Keratosis Lesion Counts at Days 8, 15, 29 and 57KX2-391 Ointment 1%Day 15-4.0Full Range -8 to 4lesion count
Overall Change From Baseline in Actinic Keratosis Lesion Counts at Days 8, 15, 29 and 57PlaceboDay 29-1.0Full Range -7 to 4lesion count
Overall Change From Baseline in Actinic Keratosis Lesion Counts at Days 8, 15, 29 and 57KX2-391 Ointment 1%Day 29-4Full Range -8 to 1lesion count

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Treatment and Response Assessment PeriodSTARTEDPlacebo176
Treatment and Response Assessment PeriodSTARTEDKX2-391 Ointment 1%175
Treatment and Response Assessment PeriodCOMPLETEDPlacebo174
Treatment and Response Assessment PeriodCOMPLETEDKX2-391 Ointment 1%175
Treatment and Response Assessment PeriodNOT COMPLETEDPlacebo2
Treatment and Response Assessment PeriodNOT COMPLETEDKX2-391 Ointment 1%0
Recurrence Follow-up PeriodSTARTEDPlacebo8
Recurrence Follow-up PeriodSTARTEDKX2-391 Ointment 1%77
Recurrence Follow-up PeriodCOMPLETEDPlacebo2
Recurrence Follow-up PeriodCOMPLETEDKX2-391 Ointment 1%22

Adverse events222

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAtrial flutterCardiac disordersPlacebo11761
otherAtrial flutterCardiac disordersKX2-391 Ointment 1%01750
otherNodal rhythmCardiac disordersPlacebo01760
otherNodal rhythmCardiac disordersKX2-391 Ointment 1%11751
otherBenign familial pemphigusCongenital, familial and genetic disordersPlacebo01760
otherBenign familial pemphigusCongenital, familial and genetic disordersKX2-391 Ointment 1%11751
otherEar painEar and labyrinth disordersPlacebo01760
otherEar painEar and labyrinth disordersKX2-391 Ointment 1%11751
otherHypothyroidismEndocrine disordersPlacebo11761
otherHypothyroidismEndocrine disordersKX2-391 Ointment 1%01750

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo1176
Total, all-cause mortalityKX2-391 Ointment 1%0175
Total, other adverse eventsPlacebo62176
Total, other adverse eventsKX2-391 Ointment 1%68175
Total, serious adverse eventsPlacebo2176
Total, serious adverse eventsKX2-391 Ointment 1%1175

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
33567191DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons5

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
KX2-391 Ointment 1% vs Placebo: Number of Participants With Clinically Significant Safety Observations- Physical ExaminationTrial comparisons
KX2-391 Ointment 1% vs Placebo: Number of Participants With Clinically Significant Safety Observations- Vital SignsTrial comparisons
KX2-391 Ointment 1% vs Placebo: deaths from any causeTrial comparisons
KX2-391 Ointment 1% vs Placebo: Number of Participants With Clinically Significant Safety Observations- Electrocardiograms (ECGs)Trial comparisons
KX2-391 Ointment 1% vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

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