Acne Vulgaris Clinical Trial
Official title:
Randomized Study Comparing the Efficacy and Tolerance of a Lipophilic Hydroxy Acid Derivative of Salicylic Acid and 5% Benzoyl Peroxide in the Treatment of Facial Acne Vulgaris
Acne vulgaris is a frequent inflammatory skin condition involving the pilosebaceous unit and
affecting more than 80% of teenagers. Mild to moderate acne vulgaris is usually treated with
topical agents such as benzoyl peroxide, retinoids and antibiotics. These treatments can be
associated with local tolerance problems and/or antibiotic resistance. Salicylic acid has
been shown to be an effective treatment for acne. LHA is a lipophilic hydroxy acid
derivative of salicylic acid that has comedolytic and antibacterial properties.
The objective of this trial was to compare the efficacy and tolerance of a cream formulation
containing 0.3% LHA (LHA formulation) to a 5% benzoyl peroxide gel.
This was a randomized clinical trial performed at two centers (Montreal and Laval, Quebec,
Canada) under the direction of the same principal investigator. Eighty (80) subjects were
enrolled in the study. Subjects were asked to report to the clinic for four visits (D0, D28,
D56, D87). The LHA formulation was applied twice a day (morning and evening) and benzoyl
peroxide was applied daily (evening) on a clean face for a total of 12 weeks.
Efficacy was evaluated at day 28, 56 and 87. The number of papules, pustules, opened and
closed comedones were counted at each visit by a blinded assessor. The overall efficacy was
evaluated with a 4-point scale (no improvement, moderate, good and excellent) by the subject
and the blinded assessor. Clinical examination included evaluation of sensitivity of the
skin (presence of erythema and desquamation) by the investigator and of pruritus, tingling
and burning sensation by subjects on a 4-point scale. Finally, the subject and the skin
assessor both evaluated overall tolerance on a 4-point scale.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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