Literature DB >> 35942016

A Randomized, Controlled Trial of Trifarotene Plus Doxycycline for Severe Acne Vulgaris.

James Q Del Rosso1, Sandra Marchese Johnson2, Todd Schlesinger3, Lawrence Green4, Nestor Sanchez5, Edward Lain6, Zoe Draelos7, Jean-Philippe York8, Rajeev Chavda9.   

Abstract

Objective: We evaluated the efficacy and safety of trifarotene plus oral doxycycline in acne.
Methods: This was a randomized (2:1 ratio) 12-week, double-blind study of once-daily trifarotene cream 50µg/g plus enteric-coated doxycycline 120mg (T+D) versus trifarotene vehicle and doxycycline placebo (V+P). Patients were aged 12 years or older with severe facial acne (≥20 inflammatory lesions, 30 to 120 non-inflammatory lesions, and ≤4 nodules). Efficacy outcomes included change from baseline in lesion counts and success (score of 0/1 with ≥2 grade improvement) on investigator global assessment (IGA). Safety was assessed by adverse events and local tolerability.
Results: The study enrolled 133 subjects in the T+D group and 69 subjects in the V+P group. The population was balanced, with an approximately even ratio of adolescent (12-17 years) and adult (≥18 years) subjects. The absolute change in lesion counts from baseline were: -69.1 T+D versus -48.1 V+P for total lesions, -29.4 T+D versus -19.5 V+P for inflammatory lesions, and -39.5 T+D versus -28.2 for non-inflammatory lesions (P<0.0001 for all). Success was achieved by 31.7 percent of subjects in the T+D group versus 15.8 percent in the V+P group (P=0.0107). The safety and tolerability profiles were comparable between the T+D and V+P arms.
Conclusion: T+D was demonstrated to be safe and efficacious as a treatment option for patients with severe acne.
Copyright © 2022. Matrix Medical Communications. All rights reserved.

Entities:  

Keywords:  Acne vulgaris; combination therapy; doxycycline; severe acne; trifarotene

Year:  2022        PMID: 35942016      PMCID: PMC9345187     

Source DB:  PubMed          Journal:  J Clin Aesthet Dermatol        ISSN: 1941-2789


  25 in total

1.  Evolution of Acne Assessments and Impact on Acne Medications: An Evolving, Imperfect Paradigm.

Authors:  Linda Stein Gold; Jerry Tan; Leon Kircik
Journal:  J Drugs Dermatol       Date:  2016-01       Impact factor: 2.114

2.  Randomized phase 3 evaluation of trifarotene 50 μg/g cream treatment of moderate facial and truncal acne.

Authors:  Jerry Tan; Diane Thiboutot; Georg Popp; Melinda Gooderham; Charles Lynde; James Del Rosso; Jonathan Weiss; Ulrike Blume-Peytavi; Jolanta Weglovska; Sandra Johnson; Lawrence Parish; Dagmara Witkowska; Nestor Sanchez Colon; Alessandra Alió Saenz; Faiz Ahmad; Michael Graeber; Linda Stein Gold
Journal:  J Am Acad Dermatol       Date:  2019-02-22       Impact factor: 11.527

Review 3.  Antibiotic stewardship in dermatology: limiting antibiotic use in acne.

Authors:  Brigitte Dreno; Diane Thiboutot; Harald Gollnick; Vincenzo Bettoli; Sewon Kang; James J Leyden; Alan Shalita; Vicente Torres
Journal:  Eur J Dermatol       Date:  2014 May-Jun       Impact factor: 3.328

Review 4.  Guidelines of care for the management of acne vulgaris.

Authors:  Andrea L Zaenglein; Arun L Pathy; Bethanee J Schlosser; Ali Alikhan; Hilary E Baldwin; Diane S Berson; Whitney P Bowe; Emmy M Graber; Julie C Harper; Sewon Kang; Jonette E Keri; James J Leyden; Rachel V Reynolds; Nanette B Silverberg; Linda F Stein Gold; Megha M Tollefson; Jonathan S Weiss; Nancy C Dolan; Andrew A Sagan; Mackenzie Stern; Kevin M Boyer; Reva Bhushan
Journal:  J Am Acad Dermatol       Date:  2016-02-17       Impact factor: 11.527

5.  Optimizing Isotretinoin Treatment of Acne: Update on Current Recommendations for Monitoring, Dosing, Safety, Adverse Effects, Compliance, and Outcomes.

Authors:  Megan N Landis
Journal:  Am J Clin Dermatol       Date:  2020-06       Impact factor: 7.403

6.  Isotretinoin use in acne: prospective evaluation of adverse events.

Authors:  P R Hull ; C Demkiw-Bartel
Journal:  J Cutan Med Surg       Date:  2000-04       Impact factor: 2.092

7.  Impact of facial and truncal acne on quality of life: A multi-country population-based survey.

Authors:  Jerry Tan; Stefan Beissert; Fran Cook-Bolden; Rajeev Chavda; Julie Harper; Adelaide Hebert; Edward Lain; Alison Layton; Marco Rocha; Jonathan Weiss; Brigitte Dréno
Journal:  JAAD Int       Date:  2021-04-27

8.  GPs' practice and attitudes to initiating isotretinoin for acne vulgaris in Ireland: a cross-sectional questionnaire survey in primary care.

Authors:  Kevin Carmody; Martin Rouse; Dermot Nolan; Diarmuid Quinlan
Journal:  Br J Gen Pract       Date:  2020-08-27       Impact factor: 5.386

9.  Oral isotretinoin (13-cis-retinoic acid) therapy in severe acne: drug and vitamin A concentrations in serum and skin.

Authors:  O Rollman; A Vahlquist
Journal:  J Invest Dermatol       Date:  1986-04       Impact factor: 8.551

10.  The Impact of Post-Acne Scars on the Quality of Life Among Young Adults in Singapore.

Authors:  Sai Yee Chuah; Chee Leok Goh
Journal:  J Cutan Aesthet Surg       Date:  2015 Jul-Sep
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