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Author Spotlight: Development and Evaluation of a Compound Acne Rodent Model Using C. acnes and Oleic Acid
Published on: November 1, 2024
Anti-acne drugs in phase 1 and 2 clinical trials
Christos C Zouboulis1, Clio Dessinioti2, Fragkiski Tsatsou1
1a Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center , Theodore Fontane Medical University of Brandenburg , Dessau , Germany.
Introduction:
Despite the impressive increase of knowledge on acne etiology accumulated during the last 20 years, few efforts have been overtaken to introduce new therapeutic regiments targeting the ideal treatment of acne. The increasing emergence of microbial resistance associated with antibiotics, teratogenicity, particularly associated with systemic isotretinoin, and the need for an adverse drug profile, which can be tolerated by the patient, make the need of new pathogenesis relevant anti-acne agents an emerging issue. Areas covered: A search for phase 1 and 2 acne treatment trials in the US National Institutes of Health database of clinical trials and the European Medicines Agency database with the key words 'acne' and 'treatment' was carried out, on 6 January 2017. Expert opinion: The detected trials mostly investigate topical agents that may act via sebosuppressive effects, antimicrobial properties or anti-inflammatory actions. The compounds under investigation include olumacostat glasaretil, cortexolone 17α-propionate, stearoyl-CoA desaturase 1 inhibitors, agents affecting the melanocortin system, omiganan, and minocycline. Systemic studied anti-acne drugs include finasteride, biologics, low dose anti-inflammatory antibiotics, and leukotriene B4 inhibitors.
Insights
New acne treatments are emerging due to antibiotic resistance and side effects of current therapies. Research focuses on novel topical and systemic agents targeting acne pathogenesis for better patient outcomes.
Area of Science:
- Dermatology
- Pharmacology
- Clinical Trials
Background:
- Acne treatment research lags behind etiological understanding.
- Existing therapies face challenges like antibiotic resistance and isotretinoin teratogenicity.
- Need for novel anti-acne agents with improved safety profiles is critical.
Purpose of the Study:
- To review Phase 1 and 2 clinical trials for new acne treatments.
- To identify emerging therapeutic strategies and compounds for acne vulgaris.
Main Methods:
- Searched US National Institutes of Health and European Medicines Agency clinical trial databases.
- Utilized keywords 'acne' and 'treatment' for trials registered up to January 6, 2017.
Main Results:
- Most trials focus on topical agents with sebosuppressive, antimicrobial, or anti-inflammatory actions.
- Investigated compounds include olumacostat glasaretil, cortexolone 17α-propionate, and stearoyl-CoA desaturase 1 inhibitors.
- Systemic agents under study include finasteride, biologics, and leukotriene B4 inhibitors.
Conclusions:
- Emerging acne treatments explore diverse mechanisms beyond traditional approaches.
- Novel agents aim to overcome limitations of current acne therapies.
- Continued research is vital for developing safer and more effective acne management strategies.
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