Experience With Topical Acne Treatment
Study Details
Study Description
Brief Summary
Acne is a chronic condition that typically requires the use of multiple medications.1 Medication adherence is especially challenging for patients with chronic diseases and often decreases over time, especially for those using topical medications.1 Nonadherence can result in multiple negative effects including treatment failure, increased healthcare costs, and decreased quality of life. Primary nonadherence refers to problems acquiring and starting treatment. Challenges to this form of nonadherence include a lack of knowledge, misunderstanding of usage, poor communication with provider, increased cost, and fear of side effects.2 Secondary nonadherence refers to when the patient does not use the medication as prescribed. Hurdles to secondary nonadherence include delayed results, increased complexity of treatment plan, adverse effects, busy lifestyle, and inconvenience.2
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Early Phase 1 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: One gel treatment Every participant will be instructed to apply a topical retinoid every day. |
Drug: Adapalene Gel
Single topical treatment arm topical to be applied daily to area affected
Other Names:
|
Experimental: Two gel treatment One-third of the participants will be instructed to apply adapalene and the clindamycin phosphate/benzoyl peroxide gel every day. |
Drug: Adapalene Gel and the clindamycin phosphate/benzoyl peroxide gel
Two topical treatments will be dispensed and instructions to apply daily to affected area
Other Names:
|
Experimental: Three gel treatment One-third of the participants will be instructed to apply adapalene, benzoyl peroxide gel, and clindamycin phosphate gel every day. |
Drug: adapalene, benzoyl peroxide gel, and clindamycin phosphate gel every day.
Three topical treatments will be dispensed and instructions to apply daily to affected area arm.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Medication Adherence [End of study visit - day 56]
Medication adherence measured by recording the weight of medication (in milligrams) in the bottle with electronic monitor attached
- Medication Adherence [End of study visit - day 56]
Medication adherence measured by the data from the electronic monitors by frequency of use recorded by number of times opened
Secondary Outcome Measures
- Gender specific adherence (female subjects) [End of study visit - day 56]
Difference in medication adherence between the male and female subjects. The outcome will compare the two categories in the primary outcome
- Gender specific adherence (male subjects) [End of study visit - day 56]
Difference in medication adherence between the male and female subjects. The outcome will compare the two categories in the primary outcome
Eligibility Criteria
Criteria
Inclusion Criteria:
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Adult patients ≥18 years of age
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Patients with a current diagnosis of acne
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Patients who live in the US,
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Patients have sufficient command of the English language
Exclusion Criteria:
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Patients less than the age of 18
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Patients without a current diagnosis of acne
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Patients who do not live in the US
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Patients without a sufficient command of the English language
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Wake Forest University Health Sciences | Winston-Salem | North Carolina | United States | 27157 |
Sponsors and Collaborators
- Wake Forest University Health Sciences
- Bausch Health Americas, Inc.
Investigators
- Principal Investigator: Steven R Feldman, MD, PhD, Wake Forest University Health Sciences
Study Documents (Full-Text)
None provided.More Information
Publications
- Lott R, Taylor SL, O'Neill JL, Krowchuk DP, Feldman SR. Medication adherence among acne patients: a review. J Cosmet Dermatol. 2010 Jun;9(2):160-6. doi: 10.1111/j.1473-2165.2010.00490.x.
- Moradi Tuchayi S, Alexander TM, Nadkarni A, Feldman SR. Interventions to increase adherence to acne treatment. Patient Prefer Adherence. 2016 Oct 11;10:2091-2096. doi: 10.2147/PPA.S117437. eCollection 2016.
- Tan X, Al-Dabagh A, Davis SA, Lin HC, Balkrishnan R, Chang J, Feldman SR. Medication adherence, healthcare costs and utilization associated with acne drugs in Medicaid enrollees with acne vulgaris. Am J Clin Dermatol. 2013 Jun;14(3):243-51. doi: 10.1007/s40257-013-0016-x.
- IRB00089304