Evidence map›Paper›PMID 22050040›Full record

Trial reportThe British journal of dermatology2012

Once-daily topical brimonidine tartrate gel 0·5% is a novel treatment for moderate to severe facial erythema of rosacea: results of two multicentre, randomized and vehicle-controlled studies.

J Fowler, M Jarratt, A Moore, K Meadows, A Pollack, M Steinhoff, Y Liu, M Leoni, Brimonidine Phase II Study Group

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The British journal of dermatology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02761174 (Topical Brimonidine Reduces IPL-induced Erythema Without Affecting Efficacy), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
12.9field-weighted citation impact, top 1% 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.

NCT02761174 phase4completednot on this mapstarted 2016, after this paper: background citation

Topical Brimonidine Reduces IPL-induced Erythema Without Affecting Efficacy: a Randomized Controlled Trial in Patients With Facial Telangiectasias

TypeinterventionalSponsorMerete HaedersdalRan2016 to 2017Enrolled19ConditionsTelangiectasiasArmsBrimonidine, IPL+air-cooling
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 165 citations in OpenAlex.

  1. Pooled it
  2. Interventions for rosacea.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Trial
  4. Trial
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  7. Rosacea in Patients with Skin of Color: Diagnosis and Management.American journal of clinical dermatology · 2026
    Review
  8. The exposomal imprint on rosacea: More than skin deep.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Review
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  11. Article
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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

9 authors at 3 institutions in 2 countries.

J FowlerUniversity of Louisville, Louisville, KY, USA. fowlerjoe@msn.com
M Jarratt
A Moore
K Meadows
A Pollack
M Steinhoff
Y Liu
M Leoni
Brimonidine Phase II Study Group
Galderma (France) · FRGalderma (United States) · USUniversity of Louisville · US

Funding

Cytokine Signaling in Neurons: Inflammation, Pain and PruritisR01AR059402 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEINHOFF, MARTIN · 2011 to 2013
$1.0M
NIAMS NIH HHS R01 AR059402
6 · The paper itself

Abstract

backgroundErythema of rosacea is thought to result from abnormal cutaneous vasomotor activity. Brimonidine tartrate (BT) is a highly selective α(2) -adrenergic receptor agonist with vasoconstrictive activity.

objectiveTo determine the optimal concentration and dose regimen of topical BT gel for the treatment of erythema of rosacea and to evaluate its efficacy and safety.

methodsIn study A, 122 subjects were randomized to receive a single application of BT 0·07%, 0·18%, 0·5% or vehicle. In study B (4-week treatment and 4-week follow-up), 269 subjects were randomized to receive BT 0·5% once daily, BT 0·18% once daily, vehicle once daily, BT 0·18% twice daily or vehicle twice daily. Evaluations included Clinician's Erythema Assessment (CEA), Patient's Self-Assessment (PSA), Chroma Meter measurements and adverse events.

resultsIn study A, a single application of topical BT gel reduced facial erythema in a dose-dependent fashion. A significant difference between BT 0·5% and vehicle in Chroma Meter redness value was observed from 30min to 12h after application. In study B, BT 0·5% once daily had a statistically superior success profile (defined as a two-grade improvement on both CEA and PSA over 12h) compared with vehicle once daily on days 1, 15 and 29 (all P<0·001). No tachyphylaxis, rebound of erythema or aggravation of other disease signs (telangiectasia, inflammatory lesions) was observed. All regimens were safe and well tolerated with similarly low incidence of adverse events.

conclusionsOnce-daily BT gel 0·5% is well tolerated and provides significantly greater efficacy than vehicle gel for the treatment of moderate to severe erythema of rosacea.

Indexed as

Administration, CutaneousAdolescentAdrenergic alpha-2 Receptor AgonistsAdultAgedBrimonidine TartrateDermatologic AgentsDose-Response Relationship, DrugDrug Administration ScheduleErythemaFacial DermatosesFemaleGelsHumansMaleMiddle AgedAdrenergic alpha-2 Receptor AgonistsBrimonidine TartrateDermatologic AgentsGelsQuinoxalines

Identifiers

PMID22050040
PMCPMC3711536
OpenAlexW2103253944

What OpenQuestion holds

Textmetadata
LicenceTDM
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.