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0.3%阿达帕林凝胶对萎缩性痤疮瘢痕治疗有效。

Adapalene 0.3% Gel Shows Efficacy for the Treatment of Atrophic Acne Scars.

作者信息

Loss Manisha J, Leung Sherry, Chien Anna, Kerrouche Nabil, Fischer Alexander H, Kang Sewon

机构信息

Department of Dermatology, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Nestlé Skin Health-Galderma R&D, Sophia Antipolis, Biot, France.

出版信息

Dermatol Ther (Heidelb). 2018 Jun;8(2):245-257. doi: 10.1007/s13555-018-0231-8. Epub 2018 Mar 16.

Abstract

INTRODUCTION

Scarring is an unfortunate clinical outcome of acne. Current treatment options for atrophic acne scars are dominated by non-pharmacological, invasive procedures which may not be suitable or affordable to all patients. This phase II, single-center, open-label, exploratory study assessed the efficacy, safety and subject-reported outcomes of adapalene 0.3% gel in the treatment of atrophic acne scars.

METHODS

The study included subjects aged 18-50 years with past history of acne and moderate to severe facial atrophic acne scars. Subjects received adapalene 0.3% gel once daily for the first 4 weeks and twice daily for the following 20 weeks. Assessments were performed at baseline, day 10 and weeks 4, 8, 16 and 24, and at post-treatment follow-ups (weeks 36 and 48-72).

RESULTS

At week 24, investigator and subject assessments reported improvement in skin texture/atrophic scars in 50% and > 80% of subjects, respectively. Subjects were satisfied with the treatment and reported improvements in quality of life.

CONCLUSION

Daily use of adapalene 0.3% gel for the treatment of atrophic acne scars showed promising clinical efficacy, a favorable tolerability profile, and improvement in quality of life.

FUNDING

Nestlé Skin Health-Galderma R&D.

TRIAL REGISTRATION

ClinicalTrials.gov Identifier NCT01213199.

摘要

引言

瘢痕形成是痤疮令人遗憾的临床后果。目前萎缩性痤疮瘢痕的治疗选择主要是非药物性侵入性手术,这可能并非对所有患者都适用或负担得起。这项II期单中心开放标签探索性研究评估了0.3%阿达帕林凝胶治疗萎缩性痤疮瘢痕的疗效、安全性及受试者报告的结果。

方法

该研究纳入了年龄在18至50岁之间、有痤疮病史且面部有中度至重度萎缩性痤疮瘢痕的受试者。受试者在最初4周每天使用一次0.3%阿达帕林凝胶,在接下来的20周每天使用两次。在基线、第10天、第4、8、16和24周以及治疗后随访(第36周和第48至72周)进行评估。

结果

在第24周时,研究者和受试者评估分别报告50%和超过80%的受试者皮肤质地/萎缩性瘢痕有所改善。受试者对治疗感到满意,并报告生活质量有所提高。

结论

每日使用0.3%阿达帕林凝胶治疗萎缩性痤疮瘢痕显示出有前景的临床疗效、良好的耐受性以及生活质量的改善。

资助

雀巢皮肤健康-高德美研发部。

试验注册

ClinicalTrials.gov标识符NCT01213199。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8530/6002315/fb04f3c73b34/13555_2018_231_Fig1_HTML.jpg

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