Use of Benzoyl peroxide with microencapsulated tretinoin may improve acne lesions
USA: In a new study published in SKIN-The Journal of Cutaneous Medicine, it was found that over a 12-week period, encapsulated benzoyl peroxide (BPO) plus tretinoin may improve physician scores for inflammatory and non-inflammatory acne lesions.
Because of the silica microencapsulation, benzoyl peroxide is prevented from decomposing the vitamin A derivative, allowing for a more regulated release of both therapeutic compounds to patients' skin with increased tolerability. Previous studies have indicated the effectiveness of such a combination in treating acne vulgaris, however, without silica microencapsulation. Investigators from JDR Research, led by James Q. Del Rosso, sought effectiveness and safety findings from studies involving fixed-dose 3.0 mg benzoyl peroxide cream with microencapsulated tretinoin 0.1%.
This study comprised 859 patients aged ≥9 years old with moderate to severe acne in two multicenter, double-blind studies. For 12 weeks, patients were randomly assigned to receive once-daily BPO plus tretinoin or vehicle cream. The researchers sought co-primary endpoints. The first was the proportion of patients who achieved a ≥ 2-grade decrease and a Clear (0) or Almost Clear (1) score on the Investigator Global Assessment (IGA) at week 12 after starting the study. The second was the absolute difference in inflammatory and non-inflammatory lesion numbers from baseline to week 12. They also sought outcomes for safety and tolerability through adverse event reports, physical exams, and other means.
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