Loss Manisha J, Leung Sherry, Chien Anna, Kerrouche Nabil, Fischer Alexander H, Kang Sewon
Department of Dermatology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Nestlé Skin Health-Galderma R&D, Sophia Antipolis, Biot, France.
Dermatol Ther (Heidelb). 2018 Jun;8(2):245-257. doi: 10.1007/s13555-018-0231-8. Epub 2018 Mar 16.
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.
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).
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.
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.
Nestlé Skin Health-Galderma R&D.
ClinicalTrials.gov Identifier NCT01213199.
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。
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。
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。
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。
雀巢皮肤健康-高德美研发部。
ClinicalTrials.gov标识符NCT01213199。