Center for Dermatology and Laser Surgery, Sacramento, CA, USA.
Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
J Dermatolog Treat. 2023 Dec;34(1):2147391. doi: 10.1080/09546634.2022.2147391.
Excessive sebum production is a factor in acne development. Tazarotene 0.045% lotion has demonstrated reductions in acne lesions and acne-induced sequelae.
Evaluate efficacy, changes in skin oiliness, and safety with tazarotene 0.045% lotion in participants with moderate-to-severe acne and oily skin.
In two phase 3, double-blind, 12-week studies (NCT03168321; NCT03168334), participants aged ≥ 9 years with moderate-to-severe acne were randomized 1:1 to once-daily tazarotene 0.045% lotion or vehicle lotion ( = 1614). This pooled, analysis included only participants self-categorized with oily skin at baseline on the Acne-Specific Quality of Life questionnaire item 19 (scores: 0 [extremely oily] to 6 [not at all oily]). Inflammatory/noninflammatory lesion counts, treatment success, skin oiliness, treatment-emergent adverse events (TEAEs), and cutaneous safety/tolerability were evaluated.
In all participants with oily skin ( = 793), tazarotene provided greater reductions in inflammatory/noninflammatory lesions ( < 0.001, both) and greater treatment success rates versus vehicle ( < 0.01) at week 12. Over two-thirds of polymeric lotion-treated participants had subjective skin oiliness reductions by week 12, with around a third reporting 'low/not' oily skin. Tazarotene TEAE rates were similar to the overall population.
Once-daily treatment with tazarotene 0.045% polymeric emulsion lotion may help improve patient-perceived skin oiliness in those with moderate-to-severe acne.
皮脂过度分泌是痤疮发展的一个因素。他扎罗汀 0.045%乳液已被证明可减少痤疮损伤和痤疮引起的后遗症。
评估他扎罗汀 0.045%乳液治疗中重度痤疮和油性皮肤患者的疗效、皮肤油腻感的变化和安全性。
在两项为期 12 周、双盲、3 期研究(NCT03168321;NCT03168334)中,年龄≥9 岁、中重度痤疮的参与者按 1:1 随机分配至他扎罗汀 0.045%乳液或赋形剂乳液( = 1614)组。本汇总、分析仅包括在痤疮特异性生活质量问卷项目 19(评分:0[极油]至 6[一点不油])中基线时自我报告油性皮肤的参与者。评估了炎症/非炎症性皮损计数、治疗成功率、皮肤油腻感、治疗中出现的不良事件(TEAE)和皮肤安全性/耐受性。
在所有油性皮肤的参与者( = 793)中,他扎罗汀在第 12 周时提供了更大的炎症/非炎症性皮损减少( < 0.001)和更高的治疗成功率(与赋形剂相比, < 0.01)。超过三分之二的聚合物乳液治疗的参与者在第 12 周时报告主观皮肤油腻感减轻,约三分之一的人报告皮肤油腻感“低/无”。他扎罗汀的 TEAE 发生率与总体人群相似。
每日一次使用他扎罗汀 0.045%聚合物乳液治疗可能有助于改善中重度痤疮患者的皮肤油腻感。