Evidence map›Paper›PMID 32147881›Full record

Trial reportPediatric dermatology2020

Long-term efficacy and safety of topical glycopyrronium tosylate for the treatment of primary axillary hyperhidrosis: Post hoc pediatric subgroup analysis from a 44-week open-label extension study.

Adelaide A Hebert, Dee Anna Glaser, Lawrence Green, Cheryl Hull, Jennifer Cather, Janice Drew, Ramanan Gopalan, David M Pariser

3 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric dermatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02530281 phase3completednot on this map

A Phase 3, Randomized, Double-Blind, Vehicle-Controlled Efficacy and Safety Study of Glycopyrronium in Subjects With Axillary Hyperhydrosis

TypeinterventionalSponsorJourney Medical CorporationRan2015 to 2016Enrolled344ConditionsHyperhidrosisArmsglycopyrronium Topical Wipes, Vehicle
NCT02530294 phase3completednot on this map

A Phase 3, Randomized, Double-blind, Vehicle-controlled Efficacy and Safety Study of Glycopyrronium in Subjects With Axillary Hyperhidrosis

TypeinterventionalSponsorJourney Medical CorporationRan2015 to 2016Enrolled353ConditionsHyperhidrosisArmsglycopyrronium Topical Wipes, Vehicle
NCT02553798 phase3completednot on this map

An Open-label Study Assessing Long-term Safety of Glycopyrronium in Subjects With Primary Axillary Hyperhidrosis

TypeinterventionalSponsorJourney Medical CorporationRan2015 to 2016Enrolled564ConditionsHyperhidrosisArmsGlycopyrronium Topical Wipes
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Review
  9. Treatment of Hyperhidrosis: An Update.American journal of clinical dermatology · 2022
    Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 1 country.

Adelaide A HebertUTHealth McGovern Medical School, Houston, Texas, United States.ORCID https://orcid.org/0000-0002-9167-5729
Dee Anna GlaserSaint Louis University, St. Louis, Missouri, United States.
Lawrence GreenGeorge Washington University School of Medicine, Washington, District of Columbia, United States.
Cheryl HullNorthwest Arkansas Clinical Trials Center, PLLC, Rogers, Arkansas.
Jennifer CatherModern Research Associates, PLLC, Dallas, Texas, United States.
Janice DrewDermira, Inc., Menlo Park, California, United States.
Ramanan GopalanDermira, Inc., Menlo Park, California, United States.
David M PariserEastern Virginia Medical School, Virginia Clinical Research, Inc., Norfolk, Virginia, United States.
Menlo School · USDallas Nephrology Associates · USEastern Virginia Medical School · USGeorge Washington University · USNorthwest Arkansas Community College · USSaint Louis University · USThe University of Texas Health Science Center · US

Funding

Dermira Inc
6 · The paper itself

Abstract

BACKGROUND/

objectivesGlycopyrronium tosylate (GT) cloth, 2.4% is a topical anticholinergic approved in the United States for primary axillary hyperhidrosis in patients ≥9 years. This post hoc analysis evaluated long-term response (efficacy and safety) in pediatric patients (≥9 to ≤16 years) to GT in the 44-week, open-label extension (NCT02553798) of two, phase 3, double-blind, vehicle-controlled, 4-week trials (NCT02530281, NCT02530294).

methodsIn the double-blind trials, patients ≥9 years with primary axillary hyperhidrosis were randomized 2:1 to once-daily GT:vehicle. Those who completed the study could receive open-label GT for up to an additional 44 weeks. Safety assessments included treatment-emergent adverse events (TEAEs) and local skin reactions (LSRs). Descriptive efficacy assessments included gravimetrically measured sweat production, Hyperhidrosis Disease Severity Scale response (≥2-grade improvement), and Children's Dermatology Life Quality Index.

resultsOf 43 pediatric patients completing either double-blind trial, 38 (88.4%) entered the open-label extension (age, years: 9 [n = 1], 12 [n = 2], 13 [n = 7], 14 and 15 [n = 9 each], 16 [n = 10]). The safety profile observed was similar to the double-blind trials. Most TEAEs (>95%) were mild/moderate, related to anticholinergic activity, and infrequently led to discontinuation (n = 1/38 [2.6%]). No pediatric patients experienced a serious TEAE. Most anticholinergic TEAEs did not require a dose modification and resolved within 7 days. Approximately, one-third of patients (n = 13/38 [34.2%]) had LSRs; most were mild/moderate in severity. Improvements in efficacy measures were maintained from the double-blind trials.

conclusionsLong-term, once-daily GT for up to 48 weeks (4-week double-blind plus 44 week open label) provides a noninvasive, well-tolerated treatment option for pediatric patients with primary axillary hyperhidrosis.

Indexed as

GlycopyrrolateHyperhidrosisAxillaChildCholinergic AntagonistsDouble-Blind MethodHumansTreatment OutcomeCholinergic AntagonistsGlycopyrrolateglycopyrronium tosylateanticholinergicaxillaglycopyrronium tosylatehyperhidrosissweat

Identifiers

PMID32147881
PMCPMC7383486
OpenAlexW3009677338

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.