Evidence map›Paper›PMID 38724841›Full record

ArticleDermatology and therapy2024

Triple Combination Clindamycin Phosphate 1.2%/Adapalene 0.15%/Benzoyl Peroxide 3.1% for Acne: Efficacy and Safety from a Pooled Phase 3 Analysis.

Leon H Kircik, Linda Stein Gold, Michael Gold, Jonathan S Weiss, Julie C Harper, James Q Del Rosso, Christopher G Bunick, Neal Bhatia, Emil A Tanghetti, Lawrence F Eichenfield and 9 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Dermatology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT04214639 phase3completednot on this map

A Phase 3, Multicenter, Randomized, Double-Blind, Vehicle Controlled, Parallel-Group, Clinical Study Comparing the Efficacy and Safety of IDP-126 Gel in the Treatment of Acne Vulgaris

TypeinterventionalSponsorBausch Health Americas, Inc.Ran2020 to 2021Enrolled183ConditionsAcne VulgarisArmsIDP-126 Gel, IDP-126 Vehicle Gel
NCT04214652 phase3completednot on this map

A Phase 3, Multicenter, Randomized, Double-Blind, Vehicle Controlled, Parallel-Group, Clinical Study Comparing the Efficacy and Safety of IDP-126 Gel in the Treatment of Acne Vulgaris

TypeinterventionalSponsorBausch Health Americas, Inc.Ran2020 to 2021Enrolled180ConditionsAcne VulgarisArmsIDP-126 Gel, IDP-126 Vehicle Gel
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

19 authors.

Leon H KircikIcahn School of Medicine at Mount Sinai, New York, NY, USA. wedoderm@yahoo.com.
Linda Stein GoldHenry Ford Hospital, Detroit, MI, USA.
Michael GoldTennessee Clinical Research Center, Nashville, TN, USA.
Jonathan S WeissGeorgia Dermatology Partners, Snellville, GA, USA.
Julie C HarperDermatology & Skin Care Center of Birmingham, Birmingham, AL, USA.
James Q Del RossoJDR Dermatology Research/Thomas Dermatology, Las Vegas, NV, USA.
Christopher G BunickDepartment of Dermatology and Program in Translational Biomedicine, Yale University, New Haven, CT, USA.
Neal BhatiaTherapeutics Clinical Research, San Diego, CA, USA.
Emil A TanghettiCenter for Dermatology and Laser Surgery, Sacramento, CA, USA.
Lawrence F EichenfieldSchool of Medicine, University of California, San Diego, CA, USA.
Hilary BaldwinThe Acne Treatment and Research Center, Brooklyn, NY, USA.
Zoe D DraelosDermatology Consulting Services, PLLC, High Point, NC, USA.
Valerie D CallenderCallender Dermatology and Cosmetic Center, Glenn Dale, MD, USA.
George HanDepartment of Dermatology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York, NY, USA.
Melinda J GooderhamQueens University, Peterborough, ON, Canada.
Neil SadickWeill Cornell Medical College, New York, NY, USA.
Mary P LupoLupo Center for Aesthetic and General Dermatology, New Orleans, LA, USA.
Edward Ted LainAustin Institute for Clinical Research, Austin, TX, USA.
William Philip WerschlerElson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

introductionA three-pronged approach to acne treatment combining an antibiotic, antimicrobial, and retinoid may be more efficacious than single/double treatments while potentially reducing antibiotic resistance. This study evaluated the efficacy and safety of the first fixed-dose, triple-combination topical acne product, clindamycin 1.2%/adapalene 0.15%/benzoyl peroxide (BPO) 3.1% gel (CAB) using pooled phase 3 data.

methodsIn two identical phase 3 (N = 183; N = 180), double-blind, 12-week studies, participants aged ≥ 9 years with moderate-to-severe acne were randomized 2:1 to receive once-daily CAB or vehicle gel. Endpoints included ≥ 2-grade reduction from baseline in Evaluator's Global Severity Score and clear/almost clear skin (treatment success) and least-squares mean percent change from baseline in acne lesion counts. Treatment-emergent adverse events (TEAEs) and cutaneous safety/tolerability were evaluated.

resultsAt week 12, 50.0% of participants achieved treatment success with CAB versus 22.6% with vehicle gel (P < 0.001). CAB resulted in > 70% reductions in inflammatory and noninflammatory lesions at week 12 (77.9% and 73.0%, respectively), which were significantly greater than vehicle (57.9% and 48.2%; P < 0.001, both). Most TEAEs were of mild-moderate severity, and < 3% of CAB-treated participants discontinued study/treatment because of AEs. Transient increases from baseline in scaling, erythema, itching, burning, and stinging were observed with CAB, but resolved back to or near baseline values by week 12.

conclusionsThe innovative fixed-dose, triple-combination clindamycin phosphate 1.2%/adapalene 0.15%/BPO 3.1% gel was efficacious and well tolerated in children, adolescents, and adults with moderate-to-severe acne. Half of participants achieved clear/almost clear skin by 12 weeks, rates not previously seen in clinical studies of other topical acne products.

trial registrationClinicalTrials.gov identifier NCT04214639 and NCT04214652.

Indexed as

AcneAntibioticAntimicrobialClinical trialCombination treatmentRetinoidTopical

Identifiers

PMID38724841
PMCPMC11116301

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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.