Private Dermatology Practice, Hospital ABC Campus Santa Fe , Mexico city, Mexico.
Expert Opin Pharmacother. 2020 May;21(7):741-746. doi: 10.1080/14656566.2020.1721461. Epub 2020 Feb 8.
Oral minocycline is a mainstay of therapy for moderate-to-severe acne; however, systemic side effects which include hepatotoxicity, lupus-like syndrome, drug hypersensitivity syndrome, autoimmune hepatitis, polyarteritis nodosa, gastrointestinal side effects and skin hyperpigmentation are of concern. Topical antibiotics commonly used in acne, such as erythromycin and clindamycin, present high P. acnes resistance rates which has opened the market for new topical antibiotics. FMX-101 is a novel topical minocycline foam that has shown promising results in phase I, II and III trials for the treatment of moderate-to-severe acne with a better safety profile than oral minocycline.
The author provides an overview FMX-101 including its clinical efficacy and safety. The author then provides their expert opinion on this treatment and its potential for the treatment option for acne.
The topical foam formulation of FMX-101 has been shown to reduce both inflammatory and non-inflammatory lesions and to improve IGA scores in patients with moderate-to-severe acne without significant systemic absorption thus limiting associated side effects. Overall, the proven efficacy and safety profile of FMX-101, together with the low systemic absorption, high skin tolerability and cosmetically acceptable foam formulations render this novel therapy an important addition to the acne treatment armamentarium.
口服米诺环素是中重度痤疮治疗的主要药物;然而,其系统副作用包括肝毒性、狼疮样综合征、药物超敏反应综合征、自身免疫性肝炎、结节性多动脉炎、胃肠道副作用和皮肤色素沉着等,令人担忧。常用于痤疮的局部抗生素,如红霉素和克林霉素,其对痤疮丙酸杆菌的耐药率较高,这为新型局部抗生素开辟了市场。FMX-101 是一种新型的局部米诺环素泡沫剂,在治疗中重度痤疮的 I、II 和 III 期临床试验中显示出良好的疗效,且安全性优于口服米诺环素。
作者概述了 FMX-101,包括其临床疗效和安全性。然后,作者提供了他们对这种治疗方法及其作为痤疮治疗选择的潜力的专家意见。
FMX-101 的局部泡沫制剂已被证明可减少中重度痤疮患者的炎症和非炎症病变,并改善 IGA 评分,而不会显著全身吸收,从而限制了相关副作用。总体而言,FMX-101 的疗效和安全性已得到证实,再加上低全身吸收、高皮肤耐受性和美容上可接受的泡沫制剂,使这种新型疗法成为痤疮治疗武器库中的重要补充。