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Acne is an inflammation of sebaceous glands and follicles. Applying topical treatments such as adapalene gel may cause irritant adverse effects. Hence, using a moisturizer is another way to protect or relieve this undesirable event. Moisturizers that have anti-inflammatory property could reduce irritant effects, emergent from using topical treatment and also reduce severity of acne.
Research teams chose an adapalene gel to act as topical treatment for curing acne. It has anti-inflammatory and comedolytic effects and has fewer side effects than other groups of topical retinoic acids. However, peeling skin, redness skin, tingling sensation or itching sensation may occur if they are continually used for a long period. Thus, for the purpose of studying the efficacy of moisturizer containing licochalcone A, L-carnitine and 1,2-decanediol in reducing irritant effect of using adapalene gel (Licochalcone A has anti-inflammatory effect, L-carnitine decrease sebum production and 1,2-decanediol has anti-bacterial effect).
The investigators team research with patients by separate patients into 3 groups and compare among each other. In the first group use only adapalene gel, the second group use adapalene gel with moisturizer containing three substances mentioned above, and the last group use adapalene gel with placebo moisturizer. To compare outcomes among 3 groups, the investigators will measure degree of redness, scale, oily face, moist, number of acne, quality of life, and satisfaction after using moisturizer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adapalene gel | Placebo Comparator | Evening
|
|
| Adapalene gel with placebo moisturizer | Placebo Comparator | Morning
Evening
|
|
| Adapalene gel with Eucerin | Active Comparator | Morning
Evening
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adapalene gel with Eucerin | Other | Eucerin: 2 fingertip unit to cover all over the face twice a day. Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
| Measure | Description | Time Frame |
|---|---|---|
| Reduction of Undesirable Effects |
| 2nd week, 4th week, and 8th week |
| Skin Tolerability: Skin Sebum Content and Skin Hydration | Skin tolerability was assessed by measuring the skin surface sebum content, skin hydration with the Sebumeter SM815 and Corneometer CM825, respectively | Skin tolerability was assessed at baseline and week 8. The changes of skin tolerability between baseline and 8th week of the 3 groups were compared. |
| Skin Tolerability: Transepidermal Water Loss (TEWL) | Skin tolerability was assessed by measuring TEWL with the Tewameter TM300 | Skin tolerability was assessed at baseline and week 8. The changes of skin tolerability between baseline and 8th week of the 3 groups were compared. |
| Measure | Description | Time Frame |
|---|---|---|
| Reduction of Severity of Acne |
| baseline, 2nd week, 4th week and 8th week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Papapit Tuchinda, MD | Mahidol University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Siriraj Hospital Mahidol Univeristy | Bangkok | Bangkok | 10700 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26293170 | Derived | Chularojanamontri L, Tuchinda P, Kulthanan K, Varothai S, Winayanuwattikun W. A double-blinded, randomized, vehicle-controlled study to access skin tolerability and efficacy of an anti-inflammatory moisturizer in treatment of acne with 0.1% adapalene gel. J Dermatolog Treat. 2016;27(2):140-5. doi: 10.3109/09546634.2015.1079298. Epub 2015 Sep 2. |
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The recruitment period: between June 2014 and December 2014 Location: Department of Dermatology, Siriraj Hospital, Mahidol University, Thailand
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| ID | Title | Description |
|---|---|---|
| FG000 | Adapalene Gel | Evening
Adapalene gel: Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
| FG001 | Adapalene Gel With Placebo Moisturizer | Morning
Evening
Adapalene gel with placebo moisturizer: Placebo: 2 fingertip unit to cover all over the face twice a day. Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
| FG002 | Adapalene Gel With Eucerin | Morning
Evening
Adapalene gel with Eucerin: Eucerin: 2 fingertip unit to cover all over the face twice a day. Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Adapalene Gel | Evening
Adapalene gel: Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
| BG001 | Adapalene Gel With Placebo Moisturizer |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Reduction of Undesirable Effects |
| The reasons for drop out were lack of compliance (n=1, group A: adapalene gel alone) and consent withdrawal at patient's request (n=1, group C: adapalene with Eucerin) | Posted | Number | participants | 2nd week, 4th week, and 8th week |
|
6 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Adapalene Gel | Evening
Adapalene gel: Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Papapit Tuchinda | Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University | +662-419-4333 | papapitt@gmail.com |
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| ID | Term |
|---|---|
| D000152 | Acne Vulgaris |
| ID | Term |
|---|---|
| D017486 | Acneiform Eruptions |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012625 | Sebaceous Gland Diseases |
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| ID | Term |
|---|---|
| C039909 | eucerin |
| C070840 | licochalcone A |
| D002331 | Carnitine |
| D000068816 | Adapalene |
| ID | Term |
|---|---|
| D050337 | Trimethyl Ammonium Compounds |
| D000644 | Quaternary Ammonium Compounds |
| D000588 | Amines |
| D009930 | Organic Chemicals |
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|
| Adapalene gel | Other | Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
|
|
| Adapalene gel with placebo moisturizer | Other | Placebo: 2 fingertip unit to cover all over the face twice a day. Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
|
|
| Reduction of Severity of Acne: Acne Severity Index (ASI) |
|
| baseline, 2nd week, 4th week and 8th week |
Morning
Evening
Adapalene gel with placebo moisturizer: Placebo: 2 fingertip unit to cover all over the face twice a day. Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
| BG002 | Adapalene Gel With Eucerin | Morning
Evening
Adapalene gel with Eucerin: Eucerin: 2 fingertip unit to cover all over the face twice a day. Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Gender | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG001 | Adapalene Gel With Placebo Moisturizer | Morning
Evening
Adapalene gel with placebo moisturizer: Placebo: 2 fingertip unit to cover all over the face twice a day. Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
| OG002 | Adapalene Gel With Eucerin | Morning
Evening
Adapalene gel with Eucerin: Eucerin: 2 fingertip unit to cover all over the face twice a day. Adapalene gel: 2 fingertip unit to cover all over the face before going to bed |
|
|
|
| Secondary | Reduction of Severity of Acne |
| Posted | Mean | Standard Deviation | Lesions | baseline, 2nd week, 4th week and 8th week |
|
|
|
|
| Primary | Skin Tolerability: Skin Sebum Content and Skin Hydration | Skin tolerability was assessed by measuring the skin surface sebum content, skin hydration with the Sebumeter SM815 and Corneometer CM825, respectively | Posted | Mean | Standard Deviation | µg/cm^2 | Skin tolerability was assessed at baseline and week 8. The changes of skin tolerability between baseline and 8th week of the 3 groups were compared. |
|
|
|
|
| Primary | Skin Tolerability: Transepidermal Water Loss (TEWL) | Skin tolerability was assessed by measuring TEWL with the Tewameter TM300 | Posted | Mean | Standard Deviation | g/m^2h | Skin tolerability was assessed at baseline and week 8. The changes of skin tolerability between baseline and 8th week of the 3 groups were compared. |
|
|
|
|
| Secondary | Reduction of Severity of Acne: Acne Severity Index (ASI) |
| Posted | Mean | Standard Deviation | units on a scale | baseline, 2nd week, 4th week and 8th week |
|
|
|
|
| 0 |
| 40 |
| 0 |
| 40 |
| EG001 | Adapalene Gel With Placebo Moisturizer | Morning
Evening
Adapalene gel with placebo moisturizer: Placebo: 2 fingertip unit to cover all over the face twice a day. Adapalene gel: 2 fingertip unit to cover all over the face before going to bed | 0 | 40 | 0 | 40 |
| EG002 | Adapalene Gel With Eucerin | Morning
Evening
Adapalene gel with Eucerin: Eucerin: 2 fingertip unit to cover all over the face twice a day. Adapalene gel: 2 fingertip unit to cover all over the face before going to bed | 0 | 40 | 0 | 40 |
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| D009281 |
| Naphthalenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D011083 | Polycyclic Compounds |
|
| Week 4 Total Lesion Count |
|
| Week 8 Total Lesion Count |
|
| Baseline Inflammatory Lesion Counts |
|
| Week 2 Inflammatory Lesion Counts |
|
| Week 4 Inflammatory Lesion Counts |
|
| Week 8 Inflammatory Lesion Counts |
|
| Baseline Noninflammatory Counts |
|
| Week 2 Noninflammatory Counts |
|
| Week 4 Noninflammatory Counts |
|
| Week 8 Noninflammatory Counts |
|
| 0.697 |
This statistical analysis was used to evaluate the change in total lesion counts at baseline and 8th week |
| No |
| Superiority or Other |
| wilcoxan signed ranks test | 0.028 | This statistical analysis was used to evaluate the change in total lesion counts at baseline and 8th week. | No | Superiority or Other |
| wilcoxan signed ranks test | 0.001 | This statistical analysis was used to evaluate the change in inflammatory lesion counts at baseline and 8th week. | No | Superiority or Other |
| wilcoxan signed ranks test | 0.755 | This statistical analysis was used to evaluate the change in inflammatory lesion counts at baseline and 8th week. | No | Superiority or Other |
| wilcoxan signed ranks test | 0.003 | This statistical analysis was used to evaluate the change in inflammatory lesion counts at baseline and 8th week. | No | Superiority or Other |
| wilcoxan signed ranks test | 0.205 | This statistical analysis was used to evaluate the change in non inflammatory lesion counts at baseline and 8th week. | No | Superiority or Other |
| wilcoxan signed ranks test | 0.576 | This statistical analysis was used to evaluate the change in non inflammatory lesion counts at baseline and 8th week. | No | Superiority or Other |
| wilcoxan signed ranks test | 0.160 | This statistical analysis was used to evaluate the change in non inflammatory lesion counts at baseline and 8th week. | No | Superiority or Other |
|
| Baseline Corneometer |
|
| Week 8 Corneometer |
|
| 0.167 |
This statistical analysis was used to evaluate the change in skin sebum content at baseline and 8th week of the Adapalene gel with placebo moisturizer group |
| No |
| Superiority or Other |
| Paired t-test | 0.134 | This statistical analysis was used to evaluate the change in skin sebum content at baseline and 8th week of the Adapalene gel with Eucerin group | No | Superiority or Other |
| Paired t-test | 0.978 | This statistical analysis was used to evaluate the change in skin hydration at baseline and 8th week of the Adapalene gel group | No | Superiority or Other |
| Paired t-test | 0.273 | This statistical analysis was used to evaluate the change in skin hydration at baseline and 8th week of the Adapalene gel with placebo moisturizer group | No | Superiority or Other |
| Paired t-test | 0.735 | This statistical analysis was used to evaluate the change in skin hydration at baseline and 8th week of the Adapalene gel with Eucerin group. | No | Superiority or Other |
|
| 0.007 |
This statistical analysis was used to evaluate the change in TEWL at baseline and 8th week of the Adapalene gel with placebo moisturizer group. |
| No |
| Superiority or Other |
| Paired t-test | 0.123 | This statistical analysis was used to evaluate the change in TEWL at baseline and 8th week of the Adapalene gel with Eucerin group. | No | Superiority or Other |
|
| Week 4 ASI |
|
| Week 8 ASI |
|
| 0.606 |
This statistical analysis was used to evaluate the change in ASI score at baseline and 8th week. |
| No |
| Superiority or Other |
| wilcoxan signed ranks test | 0.001 | This statistical analysis was used to evaluate the change in ASI score at baseline and 8th week. | No | Superiority or Other |