Acne Clinical Trial
Official title:
Clinical Study for the Effectiveness and Safety of Topical Lupeol in Mild to Moderate Acne
Double-blind, randomized,4-week small-scale clinical trial for lupeol in the treatment of inflammatory and non-inflammatory acne lesions in split face fashion
To investigate the clinical efficacy and tolerability of lupeol for the treatment of facial
acne, we conducted a small-scale, randomized, double-blinded, split-face clinical trial over
the course of 4 weeks. Fifteen of 16 enrolled patients completed the study, in which
affected areas on half each patient's face were treated with 2% lupeol twice daily while the
other side of the face was treated with a vehicle control. Clinical visits were scheduled at
baseline and at 2 and 4 weeks. The primary outcome of the study was the percent change in
inflammatory lesions (papules, pustules, and nodules) at 4 weeks. The secondary outcomes
were the percent change in non-inflammatory lesions (open and closed comedones) and the
change in the Leeds revised acne grading system score at 4 weeks. Adverse events (AEs) were
defined as all unintended and harmful signs or symptoms; these were assessed by both
patients' self-reporting and physicians' skin examination at each visit. Results were
analyzed using intent to treat (ITT) groups. The per-protocol (PP) population consisted of
the 15 patients who did not have any major protocol deviations. Last observation carried
forward (LOCF) analysis was used to evaluate the primary and secondary outcomes.
** Randomization and blindness process **
At the time of initial presentation, an evaluation of acne severity was performed using both
individual counts of inflammatory and non-inflammatory acne lesions and an assessment of the
Leeds revised acne grading system score. Then, patients were randomly assigned to either
left- or right-sided lupeol application, with the other side of the face assigned to
vehicle-control application. A simple random allocation sequence was created using
computer-based random number generators with a block size of 4. All dermatologists
participating in outcome assessments, a physician assistant managing trial enrollment and
administration, medical statisticians analyzing the data, and patients were blinded to the
assignments. Randomization codes were strictly secured in a safe in the administration
office of the clinical research center until data entry was complete. The integrity of the
blinding was ensured by packaging the study- and control products in identical tubes and by
requiring a third party (other than the investigator/evaluator) to dispense the medication.
In addition, both topical agents were identical in color and odor.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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