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Study to Compare the Acne Relapse Rate of Oral Minocycline to Oral Minocycline in Combination With Topical Tretinoin, Followed by Topical Tretinoin Alone
This study is currently recruiting participants.
Verified by Derm Research @ 888 Inc., October 2005
First Received: October 16, 2005   Last Updated: January 31, 2006   History of Changes
Sponsors and Collaborators: Derm Research @ 888 Inc.
Investigator initiated study
Medication provided by Stiefel Canada.
Information provided by: Derm Research @ 888 Inc.
ClinicalTrials.gov Identifier: NCT00240513
  Purpose

The use of oral antibiotics alone to treat inflammatory acne provides little to no long term therapeutic benefit.

Acne relapse rates can be reduced by using topical tretinoin 0.01% in conjunction with minocycline, thereby increasing the therapeutic effect of the oral antibiotic.


Condition Intervention Phase
Acne Vulgaris
Drug: Minocycline
Drug: Minocycline + Tretinoin 0.01%
Phase IV

Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study
Official Title: A Randomized Study to Compare the Acne Relapse Rate After a 3-Mo Course of Oral Minocycline, to a 3-Mo Course of Oral Minocycline in Combination With a Daily Dose of Topical Tretinoin 0.01% Followed by 3 Mo of Topical Tretinoin Alone

Resource links provided by NLM:


Further study details as provided by Derm Research @ 888 Inc.:

Primary Outcome Measures:
  • Long-term efficacy

Secondary Outcome Measures:
  • Relapse rate

Estimated Enrollment: 50
Study Start Date: August 2004
Estimated Study Completion Date: December 2006
Detailed Description:

Although oral antibiotics have been the mainstay of treatment of inflammatory acne for 30 years, studies comparing their efficacy have little scientific value.

Evidence-based dermatology proves minocycline to be an effective treatment for acne vulgaris while the patient remains on the medication; however, the relapse rate of acne after a course of antibiotics has never been established.

The relapse rate would appear to be significant, as repeated courses and long-term antibiotic use are commonly prescribed in practice. The increasing problem of drug resistance has raised issues of the suitability of such long term antibiotic treatment and this overuse is probably a contributing factor of multiple drug resistance in our society.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Provision of written consent
  • Either sex
  • Any age
  • Diagnosis of acne vulgaris with a minimum of 20 inflammatory acne lesions on the face.

Exclusion Criteria:

  • Known hypersensitivity to tetracyclines
  • Use of any oral antibiotics in the previous 3 months
  • Pregnancy, breast-feeding or lactating
  • Inability or unwillingness to comply with the requirements of the protocol, or agree to the use of their data as determined by the investigator.
  • Concomitant medical condition which, in the investigator's opinion, may confound the study results or interfere with study assessments or outcomes.
  • Patients with severe acne on the chest, back or trunk.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00240513

Contacts
Contact: Frances Maddin, MA 604-873-4049 trials@dermatologyresearch.com
Contact: Selena Roy, RN 604-873-4049 selena@acne.ca

Locations
Canada, British Columbia
DermResearch @ 888 Inc Recruiting
Vancouver, British Columbia, Canada, V5Z 3Y1
Principal Investigator: Richard Thomas, MD, FRCP(C)            
Sub-Investigator: Charles Morton, MD FRCP(C)            
Sponsors and Collaborators
Derm Research @ 888 Inc.
Investigator initiated study
Medication provided by Stiefel Canada.
Investigators
Principal Investigator: Richard Thomas, MD, FRCP(C) DermResearch @ 888 Inc.
  More Information

No publications provided

Study ID Numbers: 2004-03
Study First Received: October 16, 2005
Last Updated: January 31, 2006
ClinicalTrials.gov Identifier: NCT00240513     History of Changes
Health Authority: Canada: Health Canada

Keywords provided by Derm Research @ 888 Inc.:
Acne

Study placed in the following topic categories:
Keratolytic Agents
Anti-Infective Agents
Anti-Bacterial Agents
Exanthema
Minocycline
Facial Dermatoses
Facies
Skin Diseases
Tretinoin
Sebaceous Gland Diseases
Acne Vulgaris

Additional relevant MeSH terms:
Anti-Infective Agents
Minocycline
Facial Dermatoses
Skin Diseases
Antineoplastic Agents
Sebaceous Gland Diseases
Acne Vulgaris
Pharmacologic Actions
Keratolytic Agents
Anti-Bacterial Agents
Acneiform Eruptions
Therapeutic Uses
Tretinoin
Dermatologic Agents

ClinicalTrials.gov processed this record on September 10, 2009