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Long-term acne treatment with clindamycin/adapalene/benzoyl peroxide triple-combination gel

Moderate-to-severe acne vulgaris Moderate-to-severe acne vulgaris
Moderate-to-severe acne vulgaris Moderate-to-severe acne vulgaris

Given the chronic and relapsing nature of acne vulgaris, two 6-month clinical studies were designed to explore the long-term efficacy, safety, and tolerability of clindamycin phosphate 1.2%/adapalene 0.15%/benzoyl peroxide 3.1% gel (CAB)—the only Food and Drug Administration (FDA) approved triple-combination topical therapy for acne.

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Key take away

Triple-combination CAB gel demonstrates strong long-term efficacy and good tolerability for moderate-to-severe acne over 6 months.

Background

Given the chronic and relapsing nature of acne vulgaris, two 6-month clinical studies were designed to explore the long-term efficacy, safety, and tolerability of clindamycin phosphate 1.2%/adapalene 0.15%/benzoyl peroxide 3.1% gel (CAB)—the only Food and Drug Administration (FDA) approved triple-combination topical therapy for acne. The studies also evaluated its impact on acne scarring, post-inflammatory hyperpigmentation (PIH), and post-inflammatory erythema (PIE) in patients with moderate-to-severe acne.

Method

The studies enrolled 50 participants (aged 12 years or older) diagnosed with moderate-to-severe acne, defined by an Investigator’s Global Assessment (IGA) score of 3 or 4. Clinical endpoints included changes from baseline in IGA score and counts of inflammatory and noninflammatory lesions. Additional assessments evaluated skin appearance parameters, including dryness, PIH, PIE, and acne-related scarring. Safety and tolerability outcomes were monitored through reports of adverse events and local skin reactions like redness, itching, burning, and swelling.

Result

The results demonstrated the following findings after 24 weeks of treatment:

  • 67% of participants achieved treatment success, reflecting improved acne severity.
  • Inflammatory lesions decreased by 88% and noninflammatory lesions by 68%.
  • Acne-related skin changes improved, including:
  1. 33% reduction in scarring
  2. PIH reduced by 71% (investigator) and 78% (participant)
  3. PIE reduced by 77% in both assessments
  • >70% of participants reported no issues with itching, burning, redness, or swelling.
  • 7 adverse events occurred, including 4 treatment-related events and three discontinuations (2 benzoyl peroxide allergy cases, 1 irritant contact dermatitis).

Conclusion

CAB triple-combination gel delivered sustained clinical benefits over 6 months in patients with moderate-to-severe acne. The treatment substantially reduced inflammatory and noninflammatory lesions while improving acne-related skin changes, including scarring and dyspigmentation. Overall, the therapy showed consistent efficacy with good tolerability, supporting its use as a long-term topical option for acne management.

Source:

Journal of Dermatological Treatment

Article:

Long-term efficacy and tolerability of clindamycin phosphate 1.2%/adapalene 0.15%/benzoyl peroxide 3.1% gel for acne: pooled results from two 6-month studies

Authors:

Zoe D. Draelos et al.

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