Sparling Kennedy, Giri Rakshita, Adams Anngela C, Kang Paul, Farley Victoria G
Medicine, University of Arizona College of Medicine - Phoenix, Phoenix, USA.
Medicine, Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, Las Vegas, USA.
Cureus. 2024 Nov 24;16(11):e74357. doi: 10.7759/cureus.74357. eCollection 2024 Nov.
Acne vulgaris (AV) is a common dermatological condition that ranges from mild comedones to severe inflammatory nodules and scarring. Effective management is essential for improving patients' quality of life. The recent FDA approval of IDP-126 (Cabtreo™), a novel triple-combination gel, meets these needs by combining clindamycin phosphate, benzoyl peroxide, and adapalene into a single formulation. This systematic review and meta-analysis aimed to assess the efficacy, safety, and impact of IDP-126 on quality of life in managing AV. The study's goal was to provide clinicians with the necessary information to consider including this medication in acne treatment plans. A total of 281 articles were manually screened, and three studies (n = 388) met the inclusion criteria. Standardized mean differences were used to quantify lesion reductions, while pooled ORs assessed adverse events. Additional references were reviewed to address potential gaps in the reported outcomes. IDP-126 showed significant reductions in inflammatory and non-inflammatory lesions compared to vehicle treatments and demonstrated favorable numbers needed to treat compared to other topical therapies. It was associated with application site pain and erythema. Notable improvements in quality of life were observed across various domains related to acne severity. IDP-126 is an effective treatment for AV, offering substantial clinical benefits and improving quality of life. While it is associated with higher rates of certain adverse effects, its overall efficacy supports its inclusion in treatment regimens, provided that its safety profile is carefully managed to optimize patient outcomes.
寻常痤疮(AV)是一种常见的皮肤病,症状从轻微的粉刺到严重的炎性结节和瘢痕不等。有效管理对于提高患者的生活质量至关重要。美国食品药品监督管理局(FDA)近期批准了新型三联组合凝胶IDP-126(Cabtreo™),它将磷酸克林霉素、过氧化苯甲酰和阿达帕林组合在单一制剂中,满足了这些需求。本系统评价和荟萃分析旨在评估IDP-126治疗AV的疗效、安全性及其对生活质量的影响。该研究的目的是为临床医生提供必要信息,以便考虑将这种药物纳入痤疮治疗方案。总共人工筛选了281篇文章,三项研究(n = 388)符合纳入标准。使用标准化均数差来量化皮损减少情况,同时汇总比值比评估不良事件。还查阅了其他参考文献以弥补报告结果中的潜在差距。与赋形剂治疗相比,IDP-126在炎性和非炎性皮损方面有显著减少,与其他局部治疗相比,其所需治疗人数也较为有利。它与用药部位疼痛和红斑有关。在与痤疮严重程度相关的各个领域都观察到生活质量有显著改善。IDP-126是一种有效的AV治疗方法,具有显著的临床益处并能改善生活质量。虽然它与某些不良反应的发生率较高有关,但其总体疗效支持将其纳入治疗方案,前提是要仔细管理其安全性以优化患者预后。