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NCT03948646: CARDIGANII

Safety and Efficacy Study of Sofpironium Bromide in Subjects With Axillary Hyperhidrosis (BBI-4000-CL-302)

Completed Phase 3 Results posted Last updated 21 May 2024
What this trial tests

Phase 3 trial testing Sofpironium Bromide, 15% in Axillary Hyperhidrosis in 351 participants. Completed in 13 August 2021.

Timeline
4 December 2020
Primary endpoint
13 August 2021
13 August 2021

Quick facts

Lead sponsorBotanix Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment351
Start date4 December 2020
Primary completion13 August 2021
Estimated completion13 August 2021
Sites42 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Botanix Pharmaceuticals — full company profile →

Who can join

9 and older, any sex, with Axillary Hyperhidrosis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants (Vehicle Arm vs. Sofpironium Bromide Gel, 15%) With and Without an Observed ≥2-point Improvement in Hyperhidrosis Disease Severity Measure-Axillary-7 Item Total Score From Baseline to End of Treatment Primary · Total Trial Participation was approximately 11-15 weeks; outcome measure time frame: Baseline (and treatment start) through to end of treatment, taking approximately 6 weeks.

Change in score from baseline to end of treatment of 7 questions from the patient reported outcome assessment - Hyperhidrosis Disease Severity Measure-Axillary-7; each question had a 5-point response (range 0 \[better\] - 4 \[worse\]). Total scores were calculated by averaging the score of all items, resulting in an axillary hyperhidrosis symptom range of 0 (no sweating) to 4 (worst possible sweating). Improvement corresponded to a ≥2-point reduction of individual participant score from baseline to end of treatment (end of treatment \[6 weeks\] score minus baseline score). Treatment arms compa

Number of Participants YES Observed ≥2-point improvement
GroupValue95% CI
Active108
Vehicle75
Number of Participants NO Observed ≥2-point improvement
GroupValue95% CI
Active54
Vehicle84
Observed Change in Participant (Vehicle Arm vs SB Gel 15% Arm) Ranked Gravimetric Sweat Production From Baseline to End of Treatment Primary · Total Trial Participation was approximately 11-15 weeks; outcome measure time frame: Baseline (and treatment start) through to end of treatment, taking approximately 6 weeks.

Individual gravimetric sweat production values were reported as the combined measured weight (mg) of axillary (right +left axillae) sweat production at each visit. Gravimetric sweat production values were rank-transformed. Baseline GSP was the median rank of GSP measurements obtained on Visit 2, Visit 3, and Visit 4. End of Treatment GSP was the median rank of GSP measurements obtained on Visit 10, Visit 11, and Visit 12. The difference in ranked GSP from baseline to end of treatment (ranked GSP at end of treatment \[6 weeks\] minus ranked GSP at baseline) was used as the outcome value.

GroupValue95% CI
Active-29.85± 93.190
Vehicle-7.22± 93.255

Adverse events — posted to ClinicalTrials.gov

Time frame: 11-15 weeks. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Active
Serious: 1/180 (1%)
Deaths: 0/180
Vehicle
Serious: 0/171 (0%)
Deaths: 0/171

Serious adverse events (1 terms)

ReactionSystemActiveVehicle
AppendicitisInfections and infestations
Other adverse events (13 terms — click to expand)

ReactionSystemActiveVehicle
Dry MouthGastrointestinal disorders
Vision BlurredEye disorders
Application Site PainGeneral disorders
Application Site ErythemaGeneral disorders
Application Site DermatitisGeneral disorders
MydriasisEye disorders
Application Site IrritationGeneral disorders
Dry EyeEye disorders
Urinary RetentionRenal and urinary disorders
Application Site PruritisGeneral disorders
ConstipationGastrointestinal disorders
Urinary HesitationRenal and urinary disorders
HeadacheNervous system disorders

Most-reported serious reactions: Appendicitis.

Data from ClinicalTrials.gov NCT03948646 adverse events section.

Sponsor's own description

Hyperhidrosis is a disorder of abnormal excessive sweating. Primary hyperhidrosis (armpits, hands, and feet) affects approximately 4.8% of the US population and is believed to be caused by an overactive cholinergic response of the sweat glands. Current therapies have limited effectiveness, significant side effects, and can be invasive and costly. Sofpironium bromide (BBI-4000) is a novel soft-drug in development for the topical treatment of hyperhidrosis. This Phase 3 study will assess the safety and efficacy of sofpironium bromide, 15% gel versus vehicle (2 treatment arms), applied for the treatment of axillary hyperhidrosis.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Game Changers: Blockbuster Small-Molecule Drugs Approved by the FDA in 2024.
    Wang Z, Sun X, Sun M, Wang C, et al · · 2025 · cited 4× · PMID 40430547 · DOI 10.3390/ph18050729
  2. Hyperhidrosis Clinical Trial Disparities: Enrollment and Reporting Trends.
    Gawey L, Joshi A, Dagenet CB, Price KN, et al · · 2025 · PMID 40539206 · DOI 10.1159/000546318
  3. Sofpironium bromide: a novel solution in the battle against primary axillary hyperhidrosis.
    Rashmeen S, Sohail I, Mohsin M, Anwar D, et al · · 2025 · PMID 40337410 · DOI 10.1097/ms9.0000000000003093

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