Evidence map›Paper›PMID 39417892›Full record

Trial reportArchives of dermatological research2024

Effect of oral doxycycline, azithromycin and isotretinoin on haematological inflammatory markers and interleukin-17A levels in acne vulgaris: a single blinded randomised interventional study.

Akriti Agrawal, Abhishek Bhardwaj, Saurabh Singh, Anil Budania, Anupama Bains, Shailja Sharma, Abhishek Purohit, Bandhala Rajan M, Varun Rajagopal

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Archives of dermatological research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Efficacy and safety of oral doxycycline for acne vulgaris treatment: A systematic review and meta-analysis.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2026
    Review
  2. Observational
  3. 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

9 authors.

Akriti AgrawalDepartment of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences (AIIMS), Jodhpur, 342005, India.
Abhishek BhardwajDepartment of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences (AIIMS), Jodhpur, 342005, India. dr.abhishekbhardwaj@gmail.com.
Saurabh SinghDepartment of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences (AIIMS), Jodhpur, 342005, India.
Anil BudaniaDepartment of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences (AIIMS), Jodhpur, 342005, India.
Anupama BainsDepartment of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences (AIIMS), Jodhpur, 342005, India.
Shailja SharmaDepartment of Biochemistry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.
Abhishek PurohitDepartment of Pathology, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.
Bandhala Rajan MSundaram Hospital, Trichy, India.
Varun RajagopalDepartment of Dermatology, Venereology and Leprology, Saveetha Medical College, Thandalam, Chennai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amidst the existing literature on the effect of isotretinoin on serum interleukin-17 levels in acne patients, the effects of oral antibiotics azithromycin and doxycycline on serum interleukin-17 is scarce. We conducted an investigator blinded randomized interventional study to compare the effect of doxycycline, azithromycin and isotretinoin on inflammatory markers and Interleukin-17A (IL-17A) levels in acne. Patients were randomized and received the treatment according to treatment arm till 12 weeks. At baseline and 12 weeks/treatment completion, clinical improvement and Red-cell-distribution width (RDW),Neutrophil-lymphocyte ratio(NLR),Platelet-lymphocyte ratio(PLR), Mean-Platelet volume(MPV), Platelet-distribution width(PDW) and Interleukin-17A levels were analysed. P-value < 0.05 was considered statistically significant. Out of 120 patients, 110 patients completed the study. Baseline Global acne grading scale (GAGS) in doxycycline, azithromycin or isotretinoin group was 24.32  ± 3.119, 24.12 ± 2.804 and 25.10 ± 3.985 respectively and post-treatment was 5.216  ± 1.88, 7.265 ± 2.17 and 2.769 ± 1.08. All the drugs caused a statistically significant decrease in RDW and IL-17 A levels. Baseline levels of IL-17 A were significantly higher in patients with higher GAGS and post-acne scarring. One of the limitations of our study was that we excluded severe nodulocystic acne patients thereby these results have to be carefully extrapolated.

Indexed as

Acne VulgarisAnti-Bacterial AgentsAzithromycinDoxycyclineInterleukin-17IsotretinoinAdministration, OralAdolescentAdultBiomarkersDermatologic AgentsFemaleHumansMaleSingle-Blind MethodTreatment OutcomeAnti-Bacterial AgentsAzithromycinBiomarkersDermatologic AgentsDoxycyclineIL17A protein, humanInterleukin-17IsotretinoinAcne vulgarisInterleukin-17A, inflammatory markers

Identifiers

PMID39417892

What OpenQuestion holds

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Registered trials

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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.